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Hcc Coders Jobs (NOW HIRING)

Altegra Health

Remote Certified Coders

Memphis, TN · Remote

$21.75 - $29.75/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk ...

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 ...

Altegra Health

Remote Certified Coders

Memphis, TN · On-site +1

$21.75 - $29.75/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk ...

Nevada HAND Inc

Project Manager HCC

Las Vegas, NV · On-site

As code issues arise in the field, review the code, and prepare a code analysis for review by your supervisor. Continue to increase code knowledge. Function as a code expert for HCC type of ...

Lee Health

Coder I - E/M

Cape Coral, FL · Remote

$20 - $25.45/hr

Responsible for Diagnostic, HCC, Retrospective Coding, Documentation Quality Assurance, and Ancillary Records. Requirements Educational Requirements Degree/Diploma Obtained Program of Study Required ...

New

Lee Health

Coder I - E/M

Cape Coral, FL · On-site +1

$20 - $25.45/hr

Responsible for Diagnostic, HCC, Retrospective Coding, Documentation Quality Assurance, and Ancillary Records. Requirements Educational Requirements Degree/Diploma Obtained Program of Study Required ...

New

Intus, Inc

Coding Associate

$55/hr

This role is focused exclusively on coding workflows: reviewing medical records, identifying diagnosis codes, validating documentation and ensuring compliance with CMS-HCC and risk adjustment ...

Strive Health

Risk Adjustment Coder

Denver, CO · Remote

$27.88 - $32.21/hr

HCC (Hierarchical Condition Category) Coding, medical coding, clinical terminology and anatomy/physiology, CMS coding guidelines, RADV Audits, and review of CPT and CPT II codes as applicable.

Strive Health

Risk Adjustment Coder

Denver, CO · On-site

$19.25 - $25.75/hr

HCC (Hierarchical Condition Category) Coding, medical coding, clinical terminology and anatomy/physiology, CMS coding guidelines, RADV Audits, and review of CPT and CPT II codes as applicable.

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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.

Risk Adjustment Informatics Specialist/Full Time/Hybrid

Corporate Services

Troy, MI • On-site

Other

Posted 22 days ago

Job description

GENERAL SUMMARY: 

Reporting to the Manager, Risk Adjustment and Value Based Payment, the Risk Adjustment Informatics Specialist has an important role in a high-profile group tasked with implementing system-wide improvements and new operational processes to ensure optimal and compliant participation in Risk Adjustment, HCC Coding, and other value based reimbursement models. Is responsible for complex program analytics and process improvement activities and acts with a high degree of autonomy focusing on Risk Adjustment, HCC Coding, and other Value Based Reimbursement programs. Collaborates with internal teams to develop and maintain program dashboards and report on all Risk Adjustment and HCC coding activities and proactively identify areas for improvement. Serves as a subject matter expert in all areas of Risk Adjustment methodologies and HCC coding and provide expertise to all areas across the health system. Maintains thorough knowledge of CMS and other program requirement updates and communicate changes to key technical and operational leaders to ensure continued compliance and optimal performance. This position requires strong interpersonal and communication skills and well-developed analytic and organizational skills. Develops and implements a comprehensive program to collect data and effectively report information from data to a variety of customers including conducting complex statistical analysis and developing new approaches to measurement and analysis. The customers and end users of this support service include physicians, other clinical service and hospital leaders, Revenue Cycle leadership, physician groups, the Board of Trustees, System leadership, and external oversight/regulatory bodies. This position generates reports and supports comparative data base assessment and maintenance regarding strategic and operational performance for performance review, operational effectiveness, and improvement efforts. The Risk Adjustment Informatics Specialist is a highly analytical thinker with talent for scrutinizing diverse data sources to identify areas of improvement in Risk Adjustment and HCC Coding

EDUCATION/EXPERIENCE REQUIRED: 

Bachelor's degree with a health care, science or business focus and strong technical computer knowledge or a bachelor's degree in computer science with strong health care experience required. 

Master's degree or equivalent experience in health care, science, business, engineering, or computer science preferred. Five (5) years of experience in a healthcare or business setting required. 

Seven (7) years of experience in a healthcare or business setting preferred. 

Quantitative analysis experience in data science capabilities including data mining, predictive modeling, machine learning, statistical modeling, large scale data acquisition, transformation, and structured and unstructured data analysis. 

Extensive experience in Risk Adjustment methodologies, Risk Adjustment Factor Score calculation, governmental programs, and HCC coding. 

Knowledge of and access to relevant System data or data gathering techniques. 

Expert in the use of Microsoft Office products, particularly Excel, but also Access, PowerPoint, Word, Project, PowerBI. 

Extensive knowledge of Medicare, Medicaid, Blue Cross and other third-party payers billing and reimbursement regulations/policies, particularly around Risk Adjustment, HCC Coding, and other value-based reimbursement programs. 

Experience in gathering and organizing data and information from disparate sources and presenting findings to leadership in a way that is useful for decision support, benchmarking, and quality performance tracking. 

Excellent oral and written communication skills, including the ability to teach complex technical/analytical concepts to System leadership, management, and staff. 

Comfortable communicating complex ideas and strategic recommendations to clinicians and executive leadership. 

Strong interpersonal skills; ability to communicate effectively with all levels of management and staff across the System. 

Project management and/or LEAN, Six Sigma experience a plus.

Additional Information
  • Organization: Corporate Services
  • Department: HCC Administration
  • Shift: Day Job
  • Union Code: Not Applicable

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