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Hcc Coding Manager Jobs in Texas (NOW HIRING)

Datavant

Auditor, HCC Risk Adjustment Coding

Dallas, TX · Remote

$29 - $32/hr

Any other tasks asked by quality supervisor What You Need to Succeed: * 2 years' HCC Coding ... and time management skills * Working knowledge of the business use of computer hardware and ...

DaMar Staffing

Value Based Coder II

Houston, TX · On-site

$18 - $23.75/hr

... management software, and encoder software Preferred/Desired Experience * 4+ years of experience in outpatient coding * 3+ years focused on risk adjustment and HCC principles #J-18808-Ljbffr

St Luke's Health

Value Based Coder II

Houston, TX · On-site

$25.30 - $35.74/hr

... management software, and encoder software. Preferred/Desired Experience ● 4+ years of experience in outpatient coding, ● 3+ years focused on risk adjustment and HCC principles Where You'll Work ...

CommonSpirit Health

Value Based Coder II

Houston, TX

$18 - $23.75/hr

... management software, and encoder software. Preferred/Desired Experience 4+ years of experience in outpatient coding, 3+ years focused on risk adjustment and HCC principles

St Luke's Health

Value Based Coder II

Houston, TX · On-site

$25.30 - $35.74/hr

... management software, and encoder software. Preferred/Desired Experience 4+ years of experience in outpatient coding, 3+ years focused on risk adjustment and HCC principles Where You'll Work Baylor St.

St. Luke's Health

Value Based Coder II

Houston, TX · On-site +1

$25.30 - $35.74/hr

... management software, and encoder software. Preferred/Desired Experience • 4+ years of experience in outpatient coding, • 3+ years focused on risk adjustment and HCC principles

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Hcc Coding Manager information

What is an HCC Coding Manager?

HCC Coding Managers are professionals responsible for overseeing the risk adjustment coding process using Hierarchical Condition Categories (HCC) in healthcare organizations. They manage teams of coders who review medical records and ensure accurate coding for diagnoses that impact risk adjustment and reimbursement, especially within Medicare Advantage and similar programs. Their role is crucial for maintaining compliance, optimizing revenue, and ensuring accurate reporting of patient health statuses. HCC Coding Managers also provide training, audit coding quality, and stay updated on regulatory changes.

What are the key skills and qualifications needed to thrive as an HCC Coding Manager?

To thrive as an HCC Coding Manager, you need extensive knowledge of Hierarchical Condition Category (HCC) coding, risk adjustment methodologies, and relevant healthcare regulations, typically supported by a coding certification such as CPC, CCS, or CRC. Proficiency with coding software, electronic health records (EHRs), and risk adjustment platforms is essential. Strong leadership, analytical thinking, attention to detail, and excellent communication skills set top candidates apart. These skills ensure accurate coding, regulatory compliance, and effective management of coding teams to optimize organizational reimbursement and quality outcomes.

What are the key challenges an HCC Coding Manager faces when ensuring coding accuracy and compliance across a team?

HCC Coding Managers often encounter challenges such as staying current with frequent regulatory changes, maintaining high levels of coding accuracy, and ensuring compliance with CMS guidelines. Managing a team of coders also involves providing ongoing training, conducting regular audits, and addressing discrepancies in risk adjustment coding. Effective communication and collaboration with both clinical staff and coding professionals are essential to foster a culture of accuracy and accountability, while also supporting team development and performance.

What are the most commonly searched types of Hcc Coding jobs in Texas?

The most popular types of Hcc Coding jobs in Texas are:

What cities in Texas are hiring for Hcc Coding Manager jobs?

Cities in Texas with the most Hcc Coding Manager job openings:

Infographic showing various Hcc Coding Manager job openings in Texas as of August 2026, with employment types broken down into 85% Full Time, 12% Part Time, and 3% Contract. Highlights an 74% In-person, 3% Hybrid, and 23% Remote job distribution.

HCC Coding Auditor - Health Plan Network

Irving, TX • On-site

CHRISTUS Health
Outpatient Health Care • 1 - 5K employees
Learn more about CHRISTUS Healthexternal

Other

Posted 5 days ago

CHRISTUS Health rating

6.7

Company rating: 6.7 out of 10

Based on 538 frontline employees who took The Breakroom Quiz

Job description

HCC Coding Auditor - Health Plan Network

US:TX:Irving | Medical Coding | Full Time

The HCC Coding Auditor will perform code audits and abstractions using the Official Coding Guidelines for ICD-10-CM and AHA Coding Clinic Guidance, following all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor will be involved with quality assurance auditing and risk adjustment code abstraction for the following programs: Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). This is a hybrid role.

Responsibilities:

  • Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
  • Performs Medical Record reviews and audits based on organizational priorities. These can include prospective and concurrent Clinical Documentation Improvement (CDI) workflows and retrospective auditing. Review and audits may lead to the addition, deletion, adjustment, or confirmation of diagnoses for risk adjustment.
  • Performs code abstraction and/or coding quality audits of medical records to ensure ICD-10CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS (HCC) Risk Adjustment guidelines.
  • Performs coding quality audits within multiple EMRs, databases, and/or vendor platforms to support employed and independent clinic risk adjustment strategies.
  • Identifies revenue, reimbursement, and provider educational opportunities while complying with state and federal regulations.
  • Prepares and/or performs auditing analysis and provides feedback on noncompliance issues detected through auditing.
  • Complies with all aspects of coding, abides by all ethical standards, and adheres to official coding guidelines.
  • Provides measurable, actionable solutions to providers that will result in improved accuracy for documentation and coding practices to ensure chronic conditions are recaptured annually.
  • Ensures that rendered physician services for claim submission and any subsequent payments are as accurate as possible while complying with regulatory guidelines, including CMS, DHS, and OIG.
  • Assist coding leadership by making recommendations for process improvements to enhance coding quality goals and outcomes further.
  • Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations by utilizing the current ICD-10-CM manual and other relevant materials.

Job Requirements:

Education/Skills

  • High School diploma or equivalent is required.
  • Excellent verbal and written communication skills.

Experience

  • Minimum of 1 year of experience in hospital inpatient/outpatient settings, medical office coding, or risk adjustment coding OR 3+ years of experience in one or more of the following areas: Claims Processing, Insurance Verification, Provider Credentialing, Member Services, Member Enrollment, Medical Records Management, Health Information Management, Medical Assisting, Nursing, Billing, Benefits and Eligibility, or Provider Education.

Licenses, Registrations, or Certifications

  • Coding certification from AAPC or AHIMA is required within six (6) months of hire:
    • Certified Professional Coder (CPC)
    • Certified Professional Coder-Apprentice (CPC-A)
    • Certified Risk Adjustment Coder (CRC)
    • Certified Risk Adjustment Coder-Apprentice (CRC-A)
    • Certified Coding Associate (CCA)
    • Certified Coding Specialist (CCS)
    • Registered Health Information Management Technician (RHIT)
    • Certified Coding Specialist for Providers (CPMA)
    • Certified Coding Specialist for Providers (CDEO)

Work Schedule: 5 Days - 8 Hours

Work Type: Full Time

What CHRISTUS Health employees say

Pay

Benefits

Hours and flexibility

Workplace

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About CHRISTUS Health

Sourced by ZipRecruiter

CHRISTUS Health is a prominent name in the healthcare industry, with its headquarters situated in Irving, TX, USA. Established in 1999, the company has since been devoted to providing comprehensive care and extending the healing ministry of Jesus Christ. This not-for-profit health system primarily operates more than 600 healthcare services and programs, including long-term care facilities, health insurance products, community clinics, and outreach services, serving both urban and rural populations.

Industry

Outpatient health care

Company size

1,001 - 5,000 Employees

Headquarters location

Irving, TX, US

Year founded

1999

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