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Hcc Coding Specialist Jobs (NOW HIRING)

CorroHealth Inc

WI · On-site

$60 - $80/hr

Position Overview 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 ...

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How much do hcc coding specialist jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for hcc coding specialist in the United States is $27.40, according to ZipRecruiter salary data. Most workers in this role earn between $22.12 and $32.69 per hour, depending on experience, location, and employer.

What is an HCC Coding Specialist?

HCC Coding Specialists are healthcare professionals who review medical records and assign appropriate Hierarchical Condition Category (HCC) codes to ensure accurate risk adjustment and reimbursement for healthcare providers. They play a critical role in translating patient diagnoses and treatments into standardized codes used by insurance companies, especially for Medicare Advantage plans. Their expertise helps healthcare organizations capture the complexity of patient care and remain compliant with government regulations.

How does an HCC Coding Specialist collaborate with healthcare providers to ensure accurate risk adjustment coding?

HCC Coding Specialists frequently work closely with physicians and clinical staff to clarify documentation and ensure that diagnoses are captured accurately for risk adjustment purposes. Regular communication is essential, as coders often query providers when information is incomplete or ambiguous. This collaborative approach not only helps maintain compliance with coding guidelines but also supports optimal reimbursement and patient care outcomes. Team meetings and ongoing education sessions with providers are common, fostering a culture of accuracy and continuous improvement.

What are the key skills and qualifications needed to thrive as an HCC Coding Specialist, and why are they important?

To thrive as an HCC Coding Specialist, you need a thorough understanding of medical coding, risk adjustment models, and healthcare regulations, typically supported by a coding certification such as CPC, CRC, or CCS. Familiarity with coding software, electronic health record (EHR) systems, and risk adjustment tools is essential. Attention to detail, analytical thinking, and effective communication help ensure accuracy and collaboration with healthcare providers. These skills are crucial for optimizing reimbursement, maintaining compliance, and supporting quality patient care.

What is the difference between Hcc Coding Specialist vs Medical Coder?

AspectHcc Coding SpecialistMedical Coder
CertificationsHCC certifications, CPC or CCSCPC, CCS, or CCS-P
Work EnvironmentHealthcare facilities, insurance companiesHospitals, clinics, physician offices
Industry UsageRisk adjustment, Medicare AdvantageMedical billing, claims processing

Hcc Coding Specialists focus on risk adjustment coding for insurance and Medicare programs, requiring specific certifications like HCC. Medical Coders handle a broader range of medical billing and coding tasks across various healthcare settings. While both roles require coding certifications, Hcc Coding Specialists specialize in risk adjustment, making their work more targeted towards insurance and Medicare compliance.

Is Hcc coding a good career?

HCC coding specialists analyze healthcare data to assign risk scores for insurance purposes, requiring knowledge of medical coding and documentation. It offers opportunities for remote work, steady employment, and career advancement with certification and experience. The role is in demand within healthcare and insurance industries, making it a stable career choice for those interested in medical coding and data analysis.
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Hcc Coding Specialist jobs near you
Infographic showing various Hcc Coding Specialist job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, and 2% Contract. Highlights an 82% Physical, 2% Hybrid, and 16% Remote job distribution, with an average salary of $57,000 per year, or $27.4 per hour.

HCC Coding Specialist (Temporary, Full Time)

CorroHealth Inc

WI • On-site

$60 - $80/hr

Other

Posted 7 days ago

CorroHealth rating

8.1

Company rating: 8.1 out of 10

Based on 27 frontline employees who took The Breakroom Quiz

112th of 500 rated business services

Job description

Position Overview

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 and ICD-10-CM guidelines along with client‑specific requirements. Equipment and encoder software with access to the AHA Coding Clinic are provided. This is a remote position.

Essential Duties and Responsibilities
  • Full time (40 hours/week) with flexible hours after quality and productivity goals are met.
  • Work from home (within the U.S.).
  • Maintain a quality score of 95% or higher.
  • Maintain 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 compliance with all privacy and security rules and regulations, and protect all Company confidential information, including personal health information.
  • Have working knowledge and experience with systems such as EMRs, billing systems, abstraction platforms, etc.
  • Have a phone and a reliable internet connection.
  • Be independent in coding skills and able to work from home.
  • Proficient in Microsoft Excel and Outlook.
    • Excel: open and add to a spreadsheet, perform basic formulas like adding or multiplying.
    • Outlook: manage e‑mail and schedule and attend meetings.
  • Ability to communicate effectively and professionally, both verbally and in writing.
  • Ability to coordinate, analyze, observe, make decisions, and meet deadlines.
  • May be required to perform other duties as assigned by Leadership Team Member.
Qualifications
  • Minimum 1 year of retrospective HCC coding experience plus 1 year of additional coding experience.
  • Valid AAPC or AHIMA coding credential required (CPC, CRC, COC, RHIT, CCS, CCS‑P). Apprenticeship designations are not accepted.
  • Maintain a quality score of 95% or higher and meet productivity targets.
Physical Demands
  • Regular eye‑hand coordination and manual dexterity required to operate office equipment.
  • Work at a computer terminal for 6‑8 hours a day in an environment with constant interruptions.
  • Occasionally lift and move material weighing up to 20lbs.
  • Experience elevated levels of stress during periods of increased activity and multiple deadlines.
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