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Hcc Coders Jobs (NOW HIRING)

Mercor

HCC Coding Leader - Risk Adjustment

New York, NY · Remote

$110/hr

Risk-adjustment / HCC coding leader Type: Contract Compensation: $110/hour Location: Remote Role Responsibilities * Lead risk adjustment and HCC coding operations across Medicare Advantage , Medicaid ...

Cotiviti

Coder 1/HCC Risk Adjustment

$23 - $26.50/hr

We are currently looking for multiple Remote Risk Adjustment / HCC Coders (Coder 1) for full-time permanent positions. See what it's like to work as a Coder at Cotiviti: Responsibilities * Reviews ...

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Vertek Staffing

HCC Risk Adjustment Coder

Franklin, TN · Remote

$18 - $24/hr

HCC / Risk Adjustment Coder - Remote Risk Adjustment / HCC Coding Experience Required Required Education * High School Diploma required with submission Required Certifications Online certification ...

PedIM Healthcare

HCC Coder

Lecanto, FL

$13.75 - $18.50/hr

The Role We are seeking a proactive and compassionate HCC Coder to join our Primary Care team! This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance with ...

Pedim

HCC Coder

Lecanto, FL · On-site

$13.75 - $18.50/hr

The Role We are seeking a proactive and compassionate HCC Coder to join our Primary Care team! This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance with ...

Virtix Health LLC

HCC Coding Quality Specialist (Auditor)

$28 - $31.75/hr

You will be auditing the global team of Risk Adjustment coders. All HCC/Risk Adjustment auditors MUST be certified through either the AAPC or AHIMA. (Apprenticeship designations are not accepted ...

Monogram Health

HCC Certified Coder

$23 - $31.50/hr

HCC Certified Coder The Monogram HCC Certified Coder will abstract clinical information and assign appropriate diagnosis and procedure codes in accordance with nationally recognized coding guidelines.

HealthCare Resolution Services

Medical Coder

Columbia, MD · Remote

$19.25 - $25.50/hr

As an HCC Coding Analyst, you will play a vital role in ensuring accurate documentation and coding of patient records to optimize reimbursement from government programs such as the Centers for ...

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How much do hcc coders jobs pay per hour?

As of Jul 22, 2026, the average hourly pay for hcc coders in the United States is $26.26, according to ZipRecruiter salary data. Most workers in this role earn between $20.91 and $29.81 per hour, depending on experience, location, and employer.

What are HCC Coders?

HCC Coders are healthcare professionals who review and analyze patient medical records to assign accurate Hierarchical Condition Category (HCC) codes. These codes are used primarily for risk adjustment in Medicare Advantage and other value-based care programs, ensuring that healthcare providers receive appropriate reimbursement based on the complexity of their patients' conditions. HCC Coders must have a thorough understanding of medical terminology, coding guidelines, and regulatory requirements. Their work helps ensure the integrity of healthcare data and compliance with government regulations.

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, and healthcare regulations, typically supported by certifications such as CPC or CRC. Familiarity with coding software, electronic health records (EHRs), and ICD-10-CM coding systems is essential. Attention to detail, analytical thinking, and effective communication help ensure accurate code assignment and collaboration with healthcare providers. These skills are crucial for optimizing reimbursement, ensuring compliance, and maintaining data integrity in healthcare organizations.

What are some common challenges HCC Coders face in ensuring accurate and compliant coding?

HCC Coders often encounter challenges such as interpreting complex medical records, staying current with changing coding guidelines, and ensuring accurate risk adjustment coding for reimbursement purposes. Maintaining compliance with regulations while meeting productivity standards can be demanding, especially when documentation from providers is insufficient or unclear. Collaborating effectively with physicians and clinical staff is essential to clarify diagnoses and ensure all relevant conditions are captured for accurate coding.

What Does an HCC Coder Do?

An HCC coder, or hierarchical condition category coder, is someone who transcribes a patient’s medical history into a database using standardized codes. This includes diagnosis and treatment and is typically later used for insurance and medical billing purposes. As an HCC coder, you may go over a patient’s records to ensure accuracy and audit records and documentation to ensure the entering of codes was correct. You typically work in a hospital or other health care setting. There are several different jobs that fall into the HCC coder category, such as specialist, manager, trainer, auditor, and analyst.

What is the difference between Hcc Coders vs Medical Coders?

AspectHcc CodersMedical Coders
CertificationsHCC Coding Certification, Medical Coding CertificationCertified Professional Coder (CPC), Certified Coding Specialist (CCS)
Work EnvironmentHospitals, clinics, insurance companiesHospitals, physician offices, outpatient facilities
Industry UsageRisk adjustment, insurance billingMedical billing, claims processing
Search & Comparison IntentFocus on risk adjustment and insurance codingFocus on medical billing and claims

Hcc Coders primarily focus on risk adjustment coding for insurance purposes, requiring specific certifications and working mainly in insurance-related environments. Medical Coders handle billing and claims in healthcare settings, with different certifications. While both roles involve coding, Hcc Coders specialize in risk adjustment, whereas Medical Coders focus on medical billing processes.

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What cities are hiring for Hcc Coders jobs? Cities with the most Hcc Coders job openings:
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Hcc Coders jobs near you
Infographic showing various Hcc Coders job openings in the United States as of July 2026, with employment types broken down into 80% Full Time, 17% Part Time, 2% Contract, and 1% Nights. Highlights an 60% Physical, 1% Hybrid, and 39% Remote job distribution, with an average salary of $54,621 per year, or $26.3 per hour.
HCC Coding Leader - Risk Adjustment

HCC Coding Leader - Risk Adjustment

Mercor

New York, NY • Remote

$110/hr

Full-time

Posted 22 days ago

Job description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.

Position: Risk-adjustment / HCC coding leader
Type: Contract
Compensation: $110/hour
Location: Remote

Role Responsibilities

  • Lead risk adjustment and HCC coding operations across Medicare Advantage, Medicaid, and ACA risk adjustment programs.
  • Evaluate AI-generated HCC coding assignments and risk adjustment recommendations for clinical accuracy and regulatory compliance.
  • Review medical records to ensure complete and accurate capture of HCC-eligible conditions supported by clinical documentation.
  • Conduct and oversee retrospective and prospective chart reviews for risk score optimization.
  • Manage RADV audit preparation and response processes.
  • Collaborate with clinical, coding, and compliance teams to improve documentation and coding for risk adjustment purposes.

Qualifications

Must-Have

  • 5+ years of experience in risk adjustment coding, HCC coding, or Medicare Advantage coding operations, with at least 2 years in a leadership role.
  • Deep expertise in CMS-HCC, RxHCC, and/or ACA HHS-HCC risk adjustment methodologies.
  • Strong knowledge of ICD-10-CM coding guidelines as applied to HCC risk adjustment.
  • Experience with RADV audit preparation and CMS compliance requirements.
  • Familiarity with RAPS and EDGE submission processes.
  • Exceptional written and verbal English communication skills.
  • High attention to detail with the ability to identify coding inaccuracies and documentation gaps in AI-generated outputs.

Preferred

  • CRC (Certified Risk Coder), CCS, CPC, or RHIA credential.
  • Experience with risk adjustment analytics platforms and chart retrieval systems.
  • Background in health plan, Medicare Advantage organisation, or value-based care setting.
  • Familiarity with AI-assisted HCC coding tools and comfort evaluating AI-generated risk adjustment content.
  • Experience presenting risk adjustment performance to actuarial or executive teams.

Application Process (Takes 20–30 mins to complete)

  • Upload resume
  • AI interview based on your resume
  • Submit form

Resources & Support

  • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
  • For any help or support, reach out to: support@mercor.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.