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Hcc Coding Manager Jobs in Texas (NOW HIRING)

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HCC Risk Adjustment Coder

Dallas, TX · Remote

$25 - $26.70/hr

Any other task requested by management. What you will bring to the table: * A minimum of 2 years' HCC coding. * Extensive knowledge of ICD-10. * Ability to be flexible in the work environment. * A ...

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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.

Risk Adjustment Coding Specialist II - Houston

Houston, TX • On-site

Astrana Health, Inc.
See more jobs at Astrana Health, Inc.external

$66K - $78K/yr

Full-time

Re-posted 17 days ago

Job description

Risk Adjustment Coding Specialist II - Houston
Department: Quality - Risk Adjustment
Employment Type: Full Time
Location: 19500 HWY 249, Suite 570 Houston, TX 77070
Reporting To: Liz Francisco
Compensation: $66,000 - $78,000 / year
Description
We are currently seeking a highly motivated Risk Adjustment Coding Specialist to support our Houston market. In this role, you will support risk adjustment efforts by conducting high-volume chart reviews to identify coding gaps, trends, and opportunities for improved accuracy for our providers. You'll translate your findings into actionable insights, creating and delivering education to providers and practice leaders while navigating complex conversations. Additionally, you'll track and report on key performance metrics-such as HCC recapture rates, AWVs, and other KPIs, helping drive provider performance and overall program success.
We are seeking candidates who have experience with provider education and at least 3-5 years of risk adjustment experience! This position requires travel to provider offices twice a week in the Houston area.
Our Values:
  • Put Patients First
  • Empower Entrepreneurial Provider and Care Teams
  • Operate with Integrity & Excellence
  • Be Innovative
  • Work As One Team

What You'll Do
  • Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum, as appropriate for all IPAs managed by the company
  • Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC)
  • Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines
  • Interacts with physicians regarding coding, billing, documentation policies, procedures, and conflicting/ambiguous or non-specific documentation
  • Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing
  • Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements.
  • Provides recommendations to management related to process improvements, root-cause analysis, and/or barrier resolution applicable to Risk Adjustment initiatives.
  • Trains, mentors and supports new employees during the orientation process. Functions as a resource to existing staff for projects and daily work.
  • Provides peer to peer guidance through informal discussion and overread assignments. Supports coder training and orientation as requested by manager.
  • May assist or lead projects and/or higher work volume than Risk Adjustment Coding Specialist I
  • Other duties as assigned

Qualifications
  • Required Certification/Licensure: Must possess and maintain AAPC certification, CPC and CRC.
  • At least 3 years of experience in risk adjustment coding and/or billing experience required.
  • At least 1 year of experience with targeted provider education.
  • Reliable transportation/Valid Driver's License/Must be able to travel up to 75% of work time
  • PC skills and experience using Microsoft applications such as Word, Excel, and Outlook
  • Excellent presentation, verbal and written communication skills, and ability to collaborate
  • Must possess the ability to educate and train provider office staff members
  • Proficiency with healthcare coding software and Electronic Health Records (EHR) systems.

You're great for this role if:
  • Strong billing knowledge and/or Certified Professional Biller (CPB) through APPC
  • Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage
  • Strong PowerPoint and public speaking experience
  • Ability to work independently and collaborate in a team setting
  • Experience with Monday.com
  • Experience collaborating with, educating, and presenting to provider teams in a face-to-face setting

Environmental Job Requirements and Working Conditions
  • The national target pay range for this role is $66,000 - $78,000 per year. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
  • This role follows a hybridwork structure where the expectation is to work in the office, in the field and at home on a weekly basis. 19500 HWY 249, Suite 570 Houston, TX 77070. The expectation is to work in office or out in the field two times per week.

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.comto request an accommodation.
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

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