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Hcc Coding information

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$16

$28

$45

How much do hcc coding jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for hcc coding in Colorado is $28.91, according to ZipRecruiter salary data. Most workers in this role earn between $19.95 and $36.39 per hour, depending on experience, location, and employer.

What is HCC coding?

HCC coding stands for Hierarchical Condition Category coding, which is a risk adjustment model used primarily by Medicare to estimate future healthcare costs for patients. HCC coders review medical records to identify and assign the appropriate ICD-10 codes that capture a patient's diagnoses and health conditions. Accurate HCC coding ensures proper reimbursement for healthcare providers and helps reflect the complexity of a patient’s health status. This process is essential for risk adjustment in value-based care models.

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

To thrive as an HCC Coder, you need a solid understanding of medical coding, risk adjustment models, and clinical documentation, typically with a certification such as CPC, CCS, or CRC. Familiarity with coding software, EHR systems, and the CMS HCC risk adjustment model is essential. Attention to detail, analytical thinking, and effective communication skills distinguish top performers in this field. These skills ensure accurate coding for risk adjustment, which directly impacts healthcare reimbursement and compliance.

What are some common challenges faced by HCC coders, and how can they be addressed in a healthcare setting?

HCC Coders often encounter challenges such as incomplete or ambiguous medical documentation, frequent updates to coding guidelines, and the need for ongoing collaboration with providers to ensure accurate capture of risk adjustment data. These challenges can be addressed by maintaining open communication with clinicians, participating in regular training on coding updates, and utilizing auditing tools to review and improve documentation quality. Proactively seeking clarification and staying current with industry standards are key to success in this role.

What is the difference between Hcc Coding vs Medical Coding?

AspectHcc CodingMedical Coding
Required CredentialsCertification (e.g., CPC, CCS), specialized training in HCCCertification (e.g., CPC, CCS), general medical coding training
Work EnvironmentHealthcare facilities, insurance companies, risk adjustment teamsHospitals, clinics, physician offices, insurance companies
Industry UsageRisk adjustment, Medicare Advantage, MedicaidBilling, reimbursement, medical record management
Search & Comparison IntentHcc Coding vs Medical CodingMedical Coding

Hcc Coding focuses on risk adjustment and insurance reimbursement, requiring specialized knowledge of Hierarchical Condition Categories. Medical Coding covers a broader range of medical billing and record-keeping tasks. While both roles involve coding, Hcc Coding is more specialized for insurance and risk management, whereas Medical Coding is essential for general healthcare billing and documentation.

Is HCC coding a good career?

HCC coding, which involves hierarchical condition category coding for risk adjustment, is a growing field with demand in healthcare organizations. It typically requires certification, attention to detail, and knowledge of medical terminology and coding systems, offering stable employment opportunities. The career can lead to roles in healthcare administration, compliance, and data analysis.

What does an HCC coder do?

An HCC coder reviews medical records and assigns Hierarchical Condition Category (HCC) codes to accurately reflect a patient's health conditions. This coding supports risk adjustment for insurance reimbursement and requires knowledge of medical terminology, coding guidelines, and often the use of specialized coding software. Accurate HCC coding is essential for proper payment and healthcare data analysis.

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

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

What are popular job titles related to Hcc Coding jobs in Colorado?

For Hcc Coding jobs in Colorado, the most frequently searched job titles are:

What job categories do people searching Hcc Coding jobs in Colorado look for?

The top searched job categories for Hcc Coding jobs in Colorado are:

What cities in Colorado are hiring for Hcc Coding jobs?

Cities in Colorado with the most Hcc Coding job openings:

Hcc Coding jobs near you
Infographic showing various Hcc Coding job openings in Colorado as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $60,128 per year, or $28.9 per hour.

Coding Provider Educator Professional Fee

Mountain Region Support

Centennial, CO • On-site

$31.36 - $53.20/hr

Full-time

Posted 9 days ago

Job description


Job Summary and Responsibilities

As our Coding Provider Educator Professional Fee, you will facilitate and provide detailed analysis, reporting, training, and support for providers and care teams across various medical offices. Your primary objective is to promote accurate clinical documentation and identify risk adjustment opportunities through thorough chart reviews and data analytics.

Every day, you will develop and implement targeted training curriculums, lead educational sessions for providers, and create actionable plans for performance improvement. You will function independently, leveraging a comprehensive understanding of all revenue cycle components to address complex, high-scope projects that support the broader healthcare enterprise, including system billing and reporting.

To be successful in this role, you will need to demonstrate expertise in clinical documentation and revenue cycle management. You should be adept at interpreting complex data to drive improvements, possess strong leadership skills to guide clinical staff, and maintain a focus on the precision and efficiency of the healthcare enterprise’s billing and documentation processes.

  • Utilize advanced knowledge of disease management, anatomy, physiology, medical terminology, and pharmacology, while maintaining expertise in Optum Encoder, Coding Clinic Guidelines, CPT Assistant, Physician Coding/Billing Guidelines, LMRPs, CMS Program Memorandums, and all applicable Health Plan, AMA, ICD-10, and documentation changes.

  • Facilitate initial onboarding and continuous training for all Physicians and APPs. Educate providers—both in-person and remotely—on Risk Adjustment, Hierarchical Condition Categories (HCC), CMS documentation guidelines, and appropriate documentation utilizing MEAT criteria.

  • Conduct regular chart audits to identify patterns and opportunities for improved documentation. Systematically trend and track audit findings to update individual provider profiles, identifying specific strengths, areas for improvement, and conditional documentation and coding patterns.

  • Build and maintain collaborative, diplomatic relationships with Physicians and APPs. Remain flexible to accommodate provider schedules, ensuring that feedback, guidance, and ongoing support are provided effectively to meet their specific professional needs.

  • Demonstrate the ability to understand, retain, and research complex coding and billing rules, regulations, and requirements. Ensure that all assigned Physicians and APPs are fully trained and compliant with CMS guidelines and organizational standards.

  • Meet all established productivity and accuracy standards while managing complex projects and assigned deadlines. Utilize excellent problem-solving and organizational skills to work independently and perform under pressure, including the ability to present findings and data as required by management.

Along with CO, KS and NM, this position is open to remote/out of state candidates residing in only these states:

- Alabama- Arizona- Arkansas- Colorado 

- Florida- Georgia- Idaho- Indiana  

- Iowa- Kansas - Kentucky- Louisiana 

- Missouri- Mississippi- Nebraska- New Mexico 

- North Carolina- Ohio- Oklahoma- South Carolina 

- South Dakota- Tennessee- Texas- Utah 

- Virginia- West Virginia- Wyoming

Job Requirements

Required

  • High School Diploma/G.E.D.
  • Five (5) years of recent experience in provider audits, education, and training
  • Seven (7) years of experience coding professional fee records
  • CPC Source: AAPC or CCS or CCS-P, or RHIT, or RHIA Source: AHIMA Certified Professional Coder (CPC Certification) CCS (Certified Coding Specialist) CCS-P (Certified Coding Specialists – Physician based) RHIT (Registered Health Information Technician) RHIA (Registered Health Information Administrator)
  • Knowledge of professional fee coding rules and guidelines
  • Understand rules and regulations governing Medicare billing
  • Advanced Knowledge of NCCI, ICD-10-CM, CPT, HCPCS, and modifiers
  • Advanced knowledge of medical terminology and anatomy and physiology
  • Strong organizational, planning, scheduling and project management abilities
  • Excellent analytical ability to develop and analyze data to recommend solutions and solve complex
    problems
  • Experience with Epic and health care applications
  • Demonstrate excellent interpersonal, organizational, presentation, time-management, multi-tasking, and communication skills with strong attention to detail

Preferred

  • Associate's Degree or equivalent work experience in lieu of degree
Where You'll Work

With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

Qualifications:

Required

  • High School Diploma/G.E.D.
  • Five (5) years of recent experience in provider audits, education, and training
  • Seven (7) years of experience coding professional fee records
  • CPC Source: AAPC or CCS or CCS-P, or RHIT, or RHIA Source: AHIMA Certified Professional Coder (CPC Certification) CCS (Certified Coding Specialist) CCS-P (Certified Coding Specialists – Physician based) RHIT (Registered Health Information Technician) RHIA (Registered Health Information Administrator)
  • Knowledge of professional fee coding rules and guidelines
  • Understand rules and regulations governing Medicare billing
  • Advanced Knowledge of NCCI, ICD-10-CM, CPT, HCPCS, and modifiers
  • Advanced knowledge of medical terminology and anatomy and physiology
  • Strong organizational, planning, scheduling and project management abilities
  • Excellent analytical ability to develop and analyze data to recommend solutions and solve complex
    problems
  • Experience with Epic and health care applications
  • Demonstrate excellent interpersonal, organizational, presentation, time-management, multi-tasking, and communication skills with strong attention to detail

Preferred

  • Associate's Degree or equivalent work experience in lieu of degree
Employment Type: Full Time

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