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Hcc Coder Jobs in Jacksonville, FL (NOW HIRING)

Remote Medical Coder Assess and validate AI-generated content related to healthcare operations, ensuring responses are accurate, practical, and aligned with industry expectations. Provide well ...

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Hcc Coder information

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How much do hcc coder jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for hcc coder in Jacksonville, FL is $20.88, according to ZipRecruiter salary data. Most workers in this role earn between $16.78 and $22.40 per hour, depending on experience, location, and employer.

What is an HCC coder?

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.

What skills and qualifications are needed to thrive as an HCC coder?

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.

What are 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 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.

Are Hcc coders still in demand?

HCC coders, who specialize in outpatient hospital coding, continue to be in demand due to ongoing healthcare industry needs for accurate medical coding and billing. Strong knowledge of ICD-10, CPT, and HCPCS coding systems, along with certification such as CPC, enhances job prospects in this field.

How much do HCC coders make in the US?

HCC 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 (HCC) and familiarity with coding tools tend to have higher salaries.

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 are the most commonly searched types of Hcc Coder jobs in Jacksonville, FL?

The most popular types of Hcc Coder jobs in Jacksonville, FL are:

What are popular job titles related to Hcc Coder jobs in Jacksonville, FL?

For Hcc Coder jobs in Jacksonville, FL, the most frequently searched job titles are:

What cities near Jacksonville, FL are hiring for Hcc Coder jobs?

Cities near Jacksonville, FL with the most Hcc Coder job openings:

Infographic showing various Hcc Coder job openings in Jacksonville, FL as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 9% Part Time, and 12% Contract. Highlights an 64% Physical, 2% Hybrid, and 34% Remote job distribution, with an average salary of $43,434 per year, or $20.9 per hour.

Risk Billing Specialist - Hybrid

Complete Health

Jacksonville, FL • Hybrid

$21 - $25/hr

Full-time

Posted 12 days ago


Complete Health rating

6.9

Company rating: 6.9 out of 10

Based on 22 frontline employees who took The Breakroom Quiz


Job description

Schedule: Monday-Friday. Flexible hours

Location: 841 Prudential Drive Ste 1700, Jacksonville FL

Hybrid schedule available after 90 days (3/2 in office/remote)

Pay Range: $21-25 per hour, dependent on experience

SUMMARY OF JOB DUTIES:

The person handling this position is responsible for ensuring all risk ICD-10 codes are properly documented with appropriate treatment plans on the encounter and these specific risk codes are attached to the correct CPT code for all VBC plans. This person is also responsible for making sure that the claim is fully processed by the payor so that they receive the HCC diagnosis.

ESSENTIAL JOB FUNCTIONS:

  • Daily key punching into computer when needed to assure accuracy of billing for all services rendered in patients account in a timely manner.
  • Ensure completion of documentation and coding on the EMR when needed on charges entered in patient's accounts for a correct and complete billing claim.
  • Review clinical documentation and make sure accurate diagnosis codes and procedure codes are documented with the use of MEAT/TAMPER according to CMS guidelines
  • Verify the appropriateness of the ICD-10 code to include required supporting documentation and treatment plans.
  • Make sure that all pertinent diagnosis codes go out on the claim and add Dummy procedure codes when necessary.
  • Communicate and Educate providers that are not correctly documenting Diagnosis and procedure codes.
  • Strive to make sure all charges are entered with in 3 business days.
  • Daily review of all postings before claim submission.
  • Daily closing of batches and balancing of money posted for VBC/ DCE patients.
  • Enter cash receipts if needed and assure correct allocations, distribution in accordance with the established protocol.
  • Responsible for submitting all electronic claims for VBC/DCE plans
  • Responsible for assisting with Billing Phone calls for VBC/DCE patients if need to provide exceptional customer service to patients with billing related questions.
  • Resolving claim denials to VBC/DCE plans and issues with claims processing in a timely manner to ensure all claims and HCC codes are received and processed by payors.
  • Entering Penny Charges of HCC codes that did not reach the payor.
  • Effectively communicate with providers on claim documentation for charges submitted.
  • Effectively audit and analyze charts.

MINIMUM REQUIREMENTS

High School Diploma or Equivalent

CPC Certification (or equivalent) required. CPC-A accepted

CPB Certification preferred

HCC Certification preferred

1-2 years of primary care billing experience preferred (outpatient/medical practice coding experience preferred)

(2) Training or background in ICD-10 / CPT codes.

Knowledge of medical terminology and billing practices.

KNOWLEDGE/SKILLS/ABILITIES:

Ability to work under pressure.

Ability to handle multi-functions/multi-tasks.

Ability to problem solve and adapt to a fast paced work environment

Pay attention to detail, function autonomously

Understanding of community-based organizations.

Ability to effectively communicate with the medical staff and Office Managers.

Knowledge of bookkeeping and office functions.

Knowledge of CPT and ICD10 codes.

Ability to work proficiently and efficiently on a timely manner.

Knowledge of all payer codes.

Knowledge of all programs offered by NHSI.


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