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Hcc Coders Jobs (NOW HIRING)

Regal Medical Group, Inc.

$33 - $36/hr

We are looking for experienced HCC Risk Adjustment Auditors/Coders , Sr. to join our team! Position Summary: The HCC Risk Adjustment/Auditor is responsible for maintaining and monitoring the Quality ...

Regal Medical Group, Inc.

$25 - $27/hr

We are looking for HCC Risk Adjustment Auditors/Coders to join our team! Position Summary: The HCC Risk Adjustment/Auditor is responsible for maintaining and monitoring the Quality Assurance auditing ...

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

$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

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 · On-site

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 ...

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How much do hcc coders jobs pay per hour?

As of Jun 10, 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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Hcc Coders jobs near you
Infographic showing various Hcc Coders job openings in the United States as of June 2026, with employment types broken down into 78% Full Time, 20% Part Time, 1% Temporary, and 1% Nights. Highlights an 64% Physical, 2% Hybrid, and 34% Remote job distribution, with an average salary of $54,621 per year, or $26.3 per hour.
HCC Coding Specialist (Temporary, Part Time)

HCC Coding Specialist (Temporary, Part Time)

Virtix Health LLC

Remote

Part-time

Posted 23 days ago

Job description

About Us:
Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
JOB SUMMARY:
Job Description Summary
Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
Risk Adjustment Coding Specialists are an important part of the Team at Virtix Health. The HCC Coding Team Member will review medical records to abstract ICD-10 codes, specifically those that map to HCCs, RxHCCs, and ESRD models. Coders will follow Medicare guidelines, ICD-10-CM guidelines as well as client specific requirements.
Equipment provided
Encoder software with access to AHA Coding Clinic
This is a remote position
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member's performance objectives as outlined by the Team Member's immediate Leadership Team Member.
  • Part-Time is 20-29 hours per week. Team members may work no less than 4-hour blocks at a time, M-F between the hours of 6:00 AM - 9:00 PM EST
  • Flexible hours after quality and productivity goals are met.
  • Remote/Work from home (within the U.S.)
  • Must have a minimum of 6 months of recent retrospective HCC coding experience PLUS 1 years of additional coding experience.
  • A valid AAPC or AHIMA coding credential required.
  • Acceptable credentials would be CPC, CRC, COC, RHIT, CCS, or CCS-P. Apprenticeship designations are not accepted.
  • Will be required to maintain a quality score of 95% or higher.
  • Will be required to maintain an ongoing productivity level based on project requirements.
  • Review, analyze, and code patient medical records based on client specific guidelines.
  • Follow ICD-10-CM Coding Guidelines and interpret coding guidelines for accurate code assignment.
  • Follow Risk Adjustment Data Abstraction Rules.
  • Ensure individual compliance with all privacy and security rules and regulations and commit to the protection of all Company confidential information, including but not limited to, Personal Health Information.
  • Must have working knowledge and experience with systems such as EMRs, Billing systems, abstraction platforms, etc.
  • Must have a phone and reliable internet connection.
  • Team Member must be able to work from home and be independent in their coding skills.
  • Must be proficient in Microsoft programs like Excel and Outlook.
  • Excel: you should be able to open and add to a spreadsheet, perform basic formulas like adding or multiplying.
  • Outlook: you should be able to manage emails and schedule and attend meetings.
  • Ability to communicate effectively and professionally both verbally and written.
  • Ability to coordinate, analyze, observe, make decisions, and meet deadlines.
  • May be required to perform other duties as assigned by Leadership Team Member.

This is a remote position
Training:
Training schedule is a required 9am- 5pm EST Mon-Wed of the first week of employment.
Training Conducted when released to code team:
Part-Time (PT) New Hires must be available for coaching within a 4-hour block between 6:00 AM EST and 6:00 PM EST each day for the first 10 business days (Monday-Friday) after being released to the coding team.
PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member's function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

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