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Hcc Coding Jobs in Georgia (NOW HIRING)

Urrly

Telehealth Nurse Practitioner

Atlanta, GA · Remote

$600 - $720/day

Document risk adjustment (HCC coding) during patient visits * Close HEDIS care gaps during visits * Review medical history, medications, preventive needs * Document visits using ICD-10 and CPT II ...

PruittHealth

Maint Dir HCC

Union City, GA

Manages employees in provision of maintenance services that protect the health and safety of patients/residents, personnel and the public and provided are consistent with Life Safety Code of the ...

PruittHealth

Maint Dir HCC

Warner Robins, GA

Manages employees in provision of maintenance services that protect the health and safety of patients/residents, personnel and the public and provided are consistent with Life Safety Code of the ...

PruittHealth

Maint Dir HCC

Union City, GA

Manages employees in provision of maintenance services that protect the health and safety of patients/residents, personnel and the public and provided are consistent with Life Safety Code of the ...

PruittHealth

Maint Dir HCC

Union City, GA · On-site

Manages employees in provision of maintenance services that protect the health and safety of patients/residents, personnel and the public and provided are consistent with Life Safety Code of the ...

PruittHealth

Maint Dir HCC

Toomsboro, GA · On-site

Manages employees in provision of maintenance services that protect the health and safety of patients/residents, personnel and the public and provided are consistent with Life Safety Code of the ...

PruittHealth

Maint Dir HCC

Toomsboro, GA

Manages employees in provision of maintenance services that protect the health and safety of patients/residents, personnel and the public and provided are consistent with Life Safety Code of the ...

PruittHealth

Maint Dir HCC

Toomsboro, GA

Manages employees in provision of maintenance services that protect the health and safety of patients/residents, personnel and the public and provided are consistent with Life Safety Code of the ...

COMPASSUS

Hospice Care Consultant

Kennesaw, GA

... Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders. The Hospice Care Consultant (HCC) is responsible for ...

FC Compassus LLC

Hospice Care Consultant

Kennesaw, GA · On-site

... Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders. The Hospice Care Consultant (HCC) is responsible for ...

PruittHealth

Business Office Manager HCC

Atlanta, GA · On-site

Codes Accounts Payable invoices, submits to the Executive Director for review, make a copy to keep in the business office and send original invoices to the Home Office weekly. * Communicates with ...

PruittHealth

Business Office Manager HCC

Albany, GA

Codes Accounts Payable invoices, submits to the Executive Director for review, make a copy to keep in the business office and send original invoices to the Home Office weekly. * Communicates with ...

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Hcc Coding information

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$13

$23

$36

How much do hcc coding jobs pay per hour?

As of May 30, 2026, the average hourly pay for hcc coding in Georgia is $23.21, according to ZipRecruiter salary data. Most workers in this role earn between $16.06 and $29.23 per hour, depending on experience, location, and employer.

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 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 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 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.

What are the most commonly searched types of Hcc Coding jobs in Georgia? The most popular types of Hcc Coding jobs in Georgia are:
What are popular job titles related to Hcc Coding jobs in Georgia? For Hcc Coding jobs in Georgia, the most frequently searched job titles are:
What job categories do people searching Hcc Coding jobs in Georgia look for? The top searched job categories for Hcc Coding jobs in Georgia are:
Hcc Coding jobs near you
Business Analyst with Risk Adjustment (Payor) || 1099 only || Need USC or GC only

Business Analyst with Risk Adjustment (Payor) || 1099 only || Need USC or GC only

Pantar Solutions inc

Atlanta, GA • On-site

Contractor

Posted 25 days ago

Job description

We are an Information Technology and Business Consulting firm specializing in Project-based Solutions and Professional Staffing Services. Please have a look at below position which is with our Client and let me know your interest ASAP. I would really appreciate if you could send me your MOST RECENT UPDATED RESUME: 

Title: Business Analyst – Risk Adjustment (Payor)

Location: Richmond or Atlanta  – Hybrid role

Long Term Contract || 1099 only || Need USC or GC only

Need strong Business Analyst – Risk Adjustment (Payor) with  risk adjustment analytics in a healthcare payer environment (Medicare Advantage, ACA (HIX/Exchange), or Medicaid), SQL, Excel, data visualization tools (Tableau/Power BI/SAS), healthcare data formats (claims, encounters, EMR, lab, and eligibility), regulatory processes (CMS, HHS, EDGE server, RADV/IVA audits), HCC coding models (CMS-HCC, HHS-HCC), ICD-10 codes, and claims data Exp.

Consultant LinkedIn profile must have been created before 2018/2019

Need 8-10+yrs of IT Exp. Profiles

Job Summary:Client is seeking a highly analytical and motivated Business Analyst – Risk Adjustment to support risk adjustment operations and data analytics initiatives. This role is critical in helping ensure accurate and compliant capture of risk adjustment data for government-sponsored programs such as Medicare Advantage and ACA (HIX/Exchange). The candidate will play a key role in translating business needs into technical solutions, driving insights, and enabling optimized risk scoring strategies.
Key Responsibilities:

  • Analyze and interpret risk adjustment data (claims, encounters, chart reviews, HCCs) to identify trends, data quality issues, and improvement opportunities.

  • Collaborate with stakeholders across actuarial, clinical coding, IT, and compliance teams to support risk score accuracy.

  • Translate regulatory and business requirements into user stories or functional specifications for data/reporting solutions.

  • Support CMS/HHS risk adjustment submission processes including EDGE server management and encounter reconciliation.

  • Assist in development and enhancement of dashboards/reports for risk score monitoring, suspecting models, and provider performance.

  • Monitor and interpret changes in CMS/HHS risk adjustment guidelines and apply to internal business processes.

  • Participate in audit support (e.g., RADV, IVA) and validation of risk adjustment data submissions.

  • Act as liaison between technical teams and business stakeholders to ensure delivery of actionable and scalable solutions.

Qualifications:

  • Bachelor's degree in Healthcare Administration, Business, Analytics, or related field (Master’s preferred).

  • 8+ years of experience in risk adjustment analytics in a healthcare payer environment (Medicare Advantage, Medicaid, or ACA).

  • Strong knowledge of HCC models (CMS-HCC, HHS-HCC), ICD-10 coding, and risk adjustment methodologies.

  • Experience with healthcare data formats: claims, encounters, EMR, lab, and eligibility.

  • Proficiency in SQL and Excel; experience with BI tools like Power BI, Tableau, or SAS preferred.

  • Familiarity with regulatory processes (CMS, HHS, EDGE server, RADV/IVA audits).

Preferred Skills:

  • Knowledge of data and reporting tools, including Cognos or Watson Health platforms.

  • Experience in Agile environments; ability to write and manage JIRA user stories and tasks.

  • Strong communication and stakeholder engagement skills across technical and business teams.

 
Thanks & Regards,
 
Babu