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Hcc Coder Jobs (NOW HIRING)

St Luke's Health

Value Based Coder II

Houston, TX

$25.30 - $35.74/hr

Validate the accuracy and completeness of HCC documentation and coding. 2. Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns ...

St Luke's Health

$25.30 - $35.74/hr

Validate the accuracy and completeness of HCC documentation and coding. 2. Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns ...

St Luke's Health

Value Based Coder II

Houston, TX

$25.30 - $35.74/hr

Validate the accuracy and completeness of HCC documentation and coding. 2. Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns ...

CommonSpirit Health

Value Based Coder II

Houston, TX

$18 - $23.75/hr

Validate the accuracy and completeness of HCC documentation and coding. 2. Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns ...

St. Luke's Health

Value Based Coder II

Houston, TX · On-site +1

$25.30 - $35.74/hr

Validate the accuracy and completeness of HCC documentation and coding. 2. Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns ...

Astrana Health

Medical Coder

Alhambra, CA · Hybrid

$22 - $26/hr

Extract diagnosis codes (specifically HCC codes) and CPT codes from hospital records. * Reviews medical records to determine if specific disease conditions were correctly reported based on ...

Astrana Health, Inc.

Medical Coder

Monterey Park, CA · Hybrid

$22 - $26/hr

Extract diagnosis codes (specifically HCC codes) and CPT codes from hospital records. * Reviews medical records to determine if specific disease conditions were correctly reported based on ...

Stanford Health Care

Sr Risk Adjustment Coder

Newark, NJ

$44.13 - $57.36/hr

The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to Medicare ...

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How much do hcc coder jobs pay per hour?

As of Jul 22, 2026, the average hourly pay for hcc coder in the United States is $22.42, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $24.04 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.

How to become an HCC coder?

To become an HCC (Hierarchical Condition Category) coder, you typically need a medical coding certification such as CPC or CCS, along with specialized training in HCC coding and risk adjustment. Gaining experience in medical billing and coding, understanding medical documentation, and staying current with CMS guidelines are also important steps.

Is HCC coding a good career?

HCC coding, which involves Hierarchical Condition Category coding used for risk adjustment in healthcare, is a growing field with steady demand due to the expansion of value-based care models. It requires strong attention to detail, knowledge of medical terminology, and often certification such as CPC or CCS. The career can offer stable employment and opportunities for remote work, making it a viable option for those interested in medical coding and healthcare administration.

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.

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 is used for risk adjustment in healthcare reimbursement and requires knowledge of medical terminology, coding systems, and often certification in medical coding. HCC coders ensure proper documentation and coding to support accurate billing and risk assessment.

How much do HCC medical coders make in the US?

HCC medical coders in the US typically earn between $45,000 and $70,000 annually, depending on experience, certification, and location. Skilled coders with certifications like CPC or CCS may earn higher salaries, especially in healthcare hubs or with specialized knowledge of hierarchical condition categories (HCC).

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 the United States as of July 2026, with employment types broken down into 1% As Needed, 87% Full Time, 10% Part Time, and 2% Contract. Highlights an 58% Physical, 2% Hybrid, and 40% Remote job distribution, with an average salary of $46,638 per year, or $22.4 per hour.
Risk Adjustment Coder Professional Billing II, FT, Days, - Remote

Risk Adjustment Coder Professional Billing II, FT, Days, - Remote

Prisma Health

Greenville, SC • On-site, Remote

Full-time

This job post has expired today. Applications are no longer accepted.

Prisma Health rating

7.1

Company rating: 7.1 out of 10

Based on 345 frontline employees who took The Breakroom Quiz

374th of 888 rated healthcare providers

Job description

Inspire health. Serve with compassion. Be the difference.
Job Summary
Conducts prospective review to abstract Hierarchical Condition Categories (HCC's) codes to report for the calendar year. Communicates (via Epic and in person) with providers on any outstanding HCC capture opportunities. Conducts retrospective reviews to ensure that documentation supports reporting the Hierarchical Condition Category code prior to payor submission.
Essential Functions
  • All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
  • Conducts prospective review of charts to identify HCC opportunity.
  • Conducts retrospective review of charts to confirm documentation supports reporting.
  • Utilizes payor specific software to assist in capturing HCCs.
  • Communicates with providers about HCC opportunities for improvement.
  • Identifies suspect conditions that would potentially support reporting an HCC.
  • Participates in education offerings
  • Participates in monthly meetings
  • Performs other duties as assigned.

Supervisory/Management Responsibilities
  • This is a non-management job that will report to a supervisor, manager, director or executive.

Minimum Requirements
  • Education - High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree preferred
  • Experience - Five (5) years professional fee coding experience

In Lieu Of
  • NA

Required Certifications, Registrations, Licenses
  • Certified Professional Coder (CPC), and
  • Certified Risk Adjustment Coder (CRC)

Knowledge, Skills and Abilities
  • Knowledge of office equipment (fax/copier)
  • Proficient computer skills including word processing, spreadsheets, database
  • Data entry skills
  • Mathematical skills

Work Shift
Day (United States of America)
Location
Patewood Memorial Hospital
Facility
7002 Value-Based Care and Network Services
Department
70028459 HCC Coding Services
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

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