Educate provider offices on key performance programs including CMS Star Ratings, HEDIS, risk adjustment (HCC coding/recapture), and preventive care initiatives. * Coordinate and participate in on ...
Educate provider offices on key performance programs including CMS Star Ratings, HEDIS, risk adjustment (HCC coding/recapture), and preventive care initiatives. * Coordinate and participate in on ...
Provider/Coder Feedback Engagement: Participation in education aligned with audit trends * Financial Integrity * RAF Score Accuracy: Maintains accurate correlation between HCC capture and ...
Provider/Coder Feedback Engagement: Participation in education aligned with audit trends * Financial Integrity * RAF Score Accuracy: Maintains accurate correlation between HCC capture and ...
While this role is specifically searching for an experienced Neuro Interventional Radiology coder ... Working knowledge of risk adjustment concepts and HCC validation where applicable to supported ...
While this role is specifically searching for an experienced Neuro Interventional Radiology coder ... Working knowledge of risk adjustment concepts and HCC validation where applicable to supported ...
While this role is specifically searching for an experienced Neuro Interventional Radiology coder ... Working knowledge of risk adjustment concepts and HCC validation where applicable to supported ...
While this role is specifically searching for an experienced Neuro Interventional Radiology coder ... Working knowledge of risk adjustment concepts and HCC validation where applicable to supported ...
Certified Medical Coder Revenue Cycle
Tulsa, OK ยท On-site
$20.50 - $28/hr
Perform complex coding. * Obtain acceptable productivity/quality rates as defined per coding policy. * Query physicians when code assignments are not straightforward or documentation in the record is ...
Certified Medical Coder Revenue Cycle
Tulsa, OK ยท On-site
$20.50 - $28/hr
Perform complex coding. * Obtain acceptable productivity/quality rates as defined per coding policy. * Query physicians when code assignments are not straightforward or documentation in the record is ...
Certified Medical Coder Revenue Cycle
Tulsa, OK ยท On-site
$24.87/hr
Perform complex coding. * Obtain acceptable productivity/quality rates as defined per coding policy. * Query physicians when code assignments are not straightforward or documentation in the record is ...
Certified Medical Coder Revenue Cycle
Tulsa, OK ยท On-site
$24.87/hr
Perform complex coding. * Obtain acceptable productivity/quality rates as defined per coding policy. * Query physicians when code assignments are not straightforward or documentation in the record is ...
Vascular/ CVTS Coding Specialist
Tulsa, OK ยท On-site
$29.75 - $32.70/hr
The Specialized Coder's role also includes tracking, trending coding issues, mentoring/training other coders, and supporting provider education. Job Responsibilities: * Code claims directly from the ...
Vascular/ CVTS Coding Specialist
Tulsa, OK ยท On-site
$29.75 - $32.70/hr
The Specialized Coder's role also includes tracking, trending coding issues, mentoring/training other coders, and supporting provider education. Job Responsibilities: * Code claims directly from the ...
Professional Coding Specialist III
Tulsa, OK ยท On-site +1
We are looking for a detail-oriented Professional Medical Coder to help streamline our charge review coding workflow for Adult and Pediatric Evaluation and Management services and Minor Procedures ...
Professional Coding Specialist III
Tulsa, OK ยท On-site +1
We are looking for a detail-oriented Professional Medical Coder to help streamline our charge review coding workflow for Adult and Pediatric Evaluation and Management services and Minor Procedures ...
Professional Coding Specialist III
Tulsa, OK ยท On-site +1
We are looking for a detail-oriented Professional Medical Coder to help streamline our charge review coding workflow for Adult and Pediatric Evaluation and Management services and Minor Procedures ...
Professional Coding Specialist III
Tulsa, OK ยท On-site +1
We are looking for a detail-oriented Professional Medical Coder to help streamline our charge review coding workflow for Adult and Pediatric Evaluation and Management services and Minor Procedures ...
Remote Teletherapist (1099 Contractor)
Broken Arrow, OK ยท Remote
$16.50 - $20.75/hr
Take control of your career. Join our network of clinicians who value flexibility, autonomy, and work-life balance. Are you a licensed mental health professional ready to step away from ...
Remote Teletherapist (1099 Contractor)
Broken Arrow, OK ยท Remote
$16.50 - $20.75/hr
Take control of your career. Join our network of clinicians who value flexibility, autonomy, and work-life balance. Are you a licensed mental health professional ready to step away from ...
Remote Teletherapist (1099 Contractor)
Broken Arrow, OK ยท Remote
$19.25 - $24.25/hr
Take control of your career. Join our network of clinicians who value flexibility, autonomy, and work-life balance. Are you a licensed mental health professional ready to step away from ...
Quick apply
Remote Teletherapist (1099 Contractor)
Broken Arrow, OK ยท Remote
$19.25 - $24.25/hr
Take control of your career. Join our network of clinicians who value flexibility, autonomy, and work-life balance. Are you a licensed mental health professional ready to step away from ...
Hcc Coder information
See Tulsa, OK salary details
$14.49 - $16.03
6% of jobs
$17.12 is the 25th percentile. Wages below this are outliers.
$16.03 - $17.56
26% of jobs
The median wage is $18.44 / hr.
$17.56 - $19.10
31% of jobs
$19.10 - $20.64
7% of jobs
$21.29 is the 75th percentile. Wages above this are outliers.
$20.64 - $22.18
11% of jobs
$22.18 - $23.71
6% of jobs
$23.71 - $25.25
5% of jobs
$25.25 - $26.79
3% of jobs
$26.79 - $28.32
2% of jobs
$28.32 - $29.86
1% of jobs
$29.86 - $31.40
1% of jobs
$14
$20
$31
How much do hcc coder jobs pay per hour?
What are the key skills and qualifications needed to thrive as an HCC Coder, and why are they important?
How to become an HCC coder?
Is HCC coding a good career?
What is the difference between Hcc Coder vs Medical Biller?
| Aspect | Hcc Coder | Medical Biller |
|---|---|---|
| Certifications | HCC Coding Certification, CPC | Medical Billing Certification, CPC |
| Work Environment | Hospitals, clinics, insurance companies | Medical offices, billing companies, hospitals |
| Primary Focus | Assigning Hierarchical Condition Category codes for insurance risk adjustment | Processing insurance claims and patient billing |
| Industry Usage | Healthcare, insurance | Healthcare, 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.
What are some common challenges faced by HCC Coders, and how can they be addressed?
What does an HCC coder do?
How much do HCC medical coders make in the US?
What are HCC coders?
Full-time
This job post hasย expired today.ย Applications are no longer accepted.
Job description
The Provider Performance Specialist plays a key role in strengthening relationships between the health plan and its provider network by offering education, support, and guidance on performance improvement initiatives. This position collaborates closely with internal clinical and reporting teams to deliver impactful outreach focused on Star Ratings, HEDIS, care gap closure, and risk adjustment strategies. The position will be responsible for training Provider Services colleagues so all are prepared to educate and function as a resource for providers, helping them navigate performance expectations, improve documentation, and optimize quality outcomes.
KEY RESPONSIBILITIES:
- Serves as the primary provider-facing representative for quality and risk adjustment education within the Provider Services team.
- Train Provider Services colleagues to educate assigned providers on quality and risk adjustment performance improvement initiatives, understand plan tools, resources, and reporting dashboards to support assigned provider's performance improvement activities.
- Collaborate with internal clinical, quality, risk adjustment and reporting teams to:
- Stay informed on evolving regulatory and program updates impacting provider performance.
- Align messaging and coordinate provider outreach strategies as appropriate.
- Educate provider offices on key performance programs including CMS Star Ratings, HEDIS, risk adjustment (HCC coding/recapture), and preventive care initiatives.
- Coordinate and participate in on-site, virtual, or group educational sessions with providers/office staff and internal clinical, quality and risk adjustment team members.
- Assist with responding to provider inquiries regarding performance metrics, care gap reporting, and coding best practices, escalating clinical concerns to internal partners as needed.
- Assist providers with understanding plan tools, resources, and reporting dashboards to support performance improvement.
- Support onboarding of new providers by communicating expectations around documentation, coding accuracy, and member care opportunities.
- Perform other duties as assigned.
QUALIFICATIONS:
- Strong relationship management and interpersonal communication skills.
- Ability to simplify complex quality and performance concepts for provider audiences.
- Collaborative team player who thrives in a cross-functional environment.
- Organized, detail-oriented, and comfortable managing multiple priorities and projects.
- Proficient in Microsoft Office (Excel, PowerPoint, Teams) and comfortable learning new tools and dashboards.
- Ability to travel locally or regionally to provider offices as needed.
- Must have a current driver's license, insurance verification and reliable transportation.
- Successful completion of Health Care Sanctions background check.
EDUCATION/EXPERIENCE:
- Bachelor's degree in Healthcare Administration, Business, Public Health, or related field preferred.
- 3+ years of experience in provider relations, provider engagement, or health plan operations, ideally within a Medicare Advantage, Medicaid, or Commercial setting.
- Working knowledge of CMS Star Ratings, HEDIS, and risk adjustment programs (HCC coding, care gap closure, etc.) preferred.
- Experience collaborating with clinical teams or delivering provider education preferred.
CommunityCare is an equal opportunity at will employer and does not discriminate against any employee or applicant for employment because of age, race, religion, color, disability, sex, sexual orientation or national origin