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Hcc Coder Jobs in Detroit, MI (NOW HIRING)

McLaren

Coder III

Shelby, MI · On-site

Responsible for coding inpatient or outpatient records review documentation and properly identifies and assigns ICD-10-CM, CPT-4/HCPCS and/or ICD-10-PCS codes for all reportable diagnoses and ...

Spectrum Health

Coder Sr.

Southfield, MI · Remote

Abstracts coded data from the Epic electronic medical record according to the established standard of work, while maintaining established quality accuracy and productivity standards. Works ...

McLaren Health Care Corporation

Coder III

Shelby, MI · On-site

Responsible for coding inpatient or outpatient records review documentation and properly identifies and assigns ICD-10-CM, CPT-4/HCPCS and/or ICD-10-PCS codes for all reportable diagnoses and ...

ALOIS LLC

Medical Coder

Farmington, MI · On-site

$18.50 - $24.50/hr

Medical Coder Location: Farmington, MI 48334 (Hybrid) Shift: Mon-Fri 8:30am-5:00pm Duration: 13 weeks ( possibility of extension) Shift: 5*8H Mon-Fri (40 hrs/week) This is a hybrid position Using ...

University of Michigan

Medical Coder Outpatient

Ann Arbor, MI · On-site

$18.25 - $24.50/hr

The Surgical Coder plays a crucial role in ensuring that our surgical documentation is precise and in compliance with regulatory standards. This position demands a keen eye for detail, a deep ...

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How much do hcc coder jobs pay per hour?

As of Jun 11, 2026, the average hourly pay for hcc coder in Detroit, MI is $22.20, according to ZipRecruiter salary data. Most workers in this role earn between $17.84 and $23.80 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an HCC Coder, and why are they important?

To thrive as an HCC Coder, you need a solid understanding of medical coding, risk adjustment models, and ICD-10-CM coding guidelines, often supported by certifications such as CPC, CRC, or CCS. Familiarity with coding software, electronic health records (EHR) systems, and risk adjustment tools is typically required. Attention to detail, analytical thinking, and strong organizational skills distinguish top performers in this field. These competencies are crucial for ensuring accurate coding, compliant documentation, and optimal reimbursement for healthcare organizations.

Is HCC coding a good career?

HCC coding, which involves risk adjustment coding for healthcare reimbursement, is a growing field with steady demand due to the expansion of value-based care models. It requires strong knowledge of medical terminology, coding systems, and often certification, offering opportunities for remote work and career advancement. Overall, it can be a stable and rewarding career for those interested in healthcare and coding.

What is the difference between Hcc Coder vs Medical Biller?

AspectHcc CoderMedical Biller
CertificationsHCC Coding Certification, CPCMedical Billing Certification, CPC
Work EnvironmentHospitals, clinics, insurance companiesMedical offices, billing companies, hospitals
Primary FocusAssigning Hierarchical Condition Category codes for insurance risk adjustmentProcessing insurance claims and patient billing
Industry UsageHealthcare, insuranceHealthcare, insurance

Hcc Coders specialize in assigning codes for insurance risk adjustment, focusing on Hierarchical Condition Categories, while Medical Billers handle the billing process, submitting claims and managing payments. Both roles require coding knowledge and work in healthcare settings, but their primary responsibilities differ significantly.

How much does a HCC medical coder make in the US?

HCC medical coders in the US typically earn between $50,000 and $70,000 annually, depending on experience, certification, and location. Certified coders with specialized knowledge in hierarchical condition categories often command higher salaries and may work in healthcare settings such as hospitals or insurance companies.

What pays more, CCS or CPC?

HCC coders typically earn higher salaries than CPC coders because they handle more complex coding tasks and often require additional certification. CPC coders focus on outpatient coding and may have lower starting salaries, while CCS coders work in hospital settings with higher pay due to the complexity of inpatient coding. Salary differences also depend on experience, location, and employer.

What are some common challenges faced by HCC Coders, and how can they be addressed?

HCC Coders often encounter challenges such as interpreting complex medical records, staying current with changing coding guidelines, and ensuring accurate documentation to maximize risk adjustment scores. To address these, coders can participate in ongoing training, regularly review updates from CMS and other regulatory bodies, and collaborate closely with clinical staff to clarify ambiguous documentation. Leveraging coding software and auditing processes can also help maintain accuracy and compliance in daily work.

What does an HCC coder do?

An HCC coder reviews medical records and assigns Hierarchical Condition Category (HCC) codes to accurately reflect a patient's health conditions. This coding supports risk adjustment and reimbursement processes in healthcare, requiring knowledge of medical terminology and coding systems like ICD-10. HCC coders often work with electronic health records and may need certification in medical coding.

What are HCC coders?

HCC coders are medical coding professionals who specialize in Hierarchical Condition Category (HCC) coding. They review patient medical records to identify and assign appropriate diagnosis codes, ensuring accurate risk adjustment for Medicare Advantage and other value-based care programs. Their work is critical for healthcare organizations to receive proper reimbursement and to report patient health status accurately. HCC coders must understand both clinical documentation and coding guidelines to ensure compliance and optimize coding accuracy.
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Hcc Coder jobs near you
Infographic showing various Hcc Coder job openings in Detroit, MI as of June 2026, with employment types broken down into 1% As Needed, 84% Full Time, 14% Part Time, and 1% Contract. Highlights an 62% Physical, 2% Hybrid, and 36% Remote job distribution, with an average salary of $46,170 per year, or $22.2 per hour.

Risk Adjustment Informatics Specialist/Full Time/Hybrid

Corporate Services

Troy, MI • On-site

Other

Posted 23 days ago

Job description

GENERAL SUMMARY: 

Reporting to the Manager, Risk Adjustment and Value Based Payment, the Risk Adjustment Informatics Specialist has an important role in a high-profile group tasked with implementing system-wide improvements and new operational processes to ensure optimal and compliant participation in Risk Adjustment, HCC Coding, and other value based reimbursement models. Is responsible for complex program analytics and process improvement activities and acts with a high degree of autonomy focusing on Risk Adjustment, HCC Coding, and other Value Based Reimbursement programs. Collaborates with internal teams to develop and maintain program dashboards and report on all Risk Adjustment and HCC coding activities and proactively identify areas for improvement. Serves as a subject matter expert in all areas of Risk Adjustment methodologies and HCC coding and provide expertise to all areas across the health system. Maintains thorough knowledge of CMS and other program requirement updates and communicate changes to key technical and operational leaders to ensure continued compliance and optimal performance. This position requires strong interpersonal and communication skills and well-developed analytic and organizational skills. Develops and implements a comprehensive program to collect data and effectively report information from data to a variety of customers including conducting complex statistical analysis and developing new approaches to measurement and analysis. The customers and end users of this support service include physicians, other clinical service and hospital leaders, Revenue Cycle leadership, physician groups, the Board of Trustees, System leadership, and external oversight/regulatory bodies. This position generates reports and supports comparative data base assessment and maintenance regarding strategic and operational performance for performance review, operational effectiveness, and improvement efforts. The Risk Adjustment Informatics Specialist is a highly analytical thinker with talent for scrutinizing diverse data sources to identify areas of improvement in Risk Adjustment and HCC Coding

EDUCATION/EXPERIENCE REQUIRED: 

Bachelor's degree with a health care, science or business focus and strong technical computer knowledge or a bachelor's degree in computer science with strong health care experience required. 

Master's degree or equivalent experience in health care, science, business, engineering, or computer science preferred. Five (5) years of experience in a healthcare or business setting required. 

Seven (7) years of experience in a healthcare or business setting preferred. 

Quantitative analysis experience in data science capabilities including data mining, predictive modeling, machine learning, statistical modeling, large scale data acquisition, transformation, and structured and unstructured data analysis. 

Extensive experience in Risk Adjustment methodologies, Risk Adjustment Factor Score calculation, governmental programs, and HCC coding. 

Knowledge of and access to relevant System data or data gathering techniques. 

Expert in the use of Microsoft Office products, particularly Excel, but also Access, PowerPoint, Word, Project, PowerBI. 

Extensive knowledge of Medicare, Medicaid, Blue Cross and other third-party payers billing and reimbursement regulations/policies, particularly around Risk Adjustment, HCC Coding, and other value-based reimbursement programs. 

Experience in gathering and organizing data and information from disparate sources and presenting findings to leadership in a way that is useful for decision support, benchmarking, and quality performance tracking. 

Excellent oral and written communication skills, including the ability to teach complex technical/analytical concepts to System leadership, management, and staff. 

Comfortable communicating complex ideas and strategic recommendations to clinicians and executive leadership. 

Strong interpersonal skills; ability to communicate effectively with all levels of management and staff across the System. 

Project management and/or LEAN, Six Sigma experience a plus.

Additional Information
  • Organization: Corporate Services
  • Department: HCC Administration
  • Shift: Day Job
  • Union Code: Not Applicable

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