Value Based Coder II
$18 - $23.75/hr
Validate the accuracy and completeness of HCC documentation and coding. 2. Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns ...
$18 - $23.75/hr
Validate the accuracy and completeness of HCC documentation and coding. 2. Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns ...
$18 - $23.75/hr
Validate the accuracy and completeness of HCC documentation and coding. 2. Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns ...
$25.30 - $35.74/hr
Validate the accuracy and completeness of HCC documentation and coding. 2. Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns ...
$25.30 - $35.74/hr
Validate the accuracy and completeness of HCC documentation and coding. 2. Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns ...
Houston, TX · On-site +1
$25.30 - $35.74/hr
Validate the accuracy and completeness of HCC documentation and coding. 2. Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns ...
Houston, TX · On-site +1
$25.30 - $35.74/hr
Validate the accuracy and completeness of HCC documentation and coding. 2. Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns ...
Validate the accuracy and completeness of HCC documentation and coding. 2. Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns ...
Validate the accuracy and completeness of HCC documentation and coding. 2. Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns ...
Applies ethical coding principles (CMS, AMA, CPT, ICD-10-CM), HCC coding standards, and revenue cycle knowledge to assess coding accuracy and billing integrity. * Reviews clinical documentation to ...
Applies ethical coding principles (CMS, AMA, CPT, ICD-10-CM), HCC coding standards, and revenue cycle knowledge to assess coding accuracy and billing integrity. * Reviews clinical documentation to ...
Houston, TX · On-site
$26 - $29.50/hr
Ensure compliance with CMS guidelines, HCC (Hierarchical Condition Categories), and other regulatory requirements. * Work closely with the risk adjustment team, coding staff, and clinical leadership ...
Houston, TX · On-site
$26 - $29.50/hr
Ensure compliance with CMS guidelines, HCC (Hierarchical Condition Categories), and other regulatory requirements. * Work closely with the risk adjustment team, coding staff, and clinical leadership ...
Tyler, TX · On-site
$17.75 - $22.50/hr
Applies ethical coding principles (CMS, AMA, CPT, ICD-10-CM), HCC coding standards, and revenue cycle knowledge to assess coding accuracy and billing integrity. * Reviews clinical documentation to ...
Tyler, TX · On-site
$17.75 - $22.50/hr
Applies ethical coding principles (CMS, AMA, CPT, ICD-10-CM), HCC coding standards, and revenue cycle knowledge to assess coding accuracy and billing integrity. * Reviews clinical documentation to ...
Houston, TX · Remote
$70K - $85K/yr
Additionally, you'll track and report on key performance metrics--such as HCC recapture rates, AWVs ... Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes ...
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Houston, TX · Remote
$70K - $85K/yr
Additionally, you'll track and report on key performance metrics--such as HCC recapture rates, AWVs ... Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes ...
Dallas, TX · Remote
$25 - $26.70/hr
A minimum of 2 years' HCC coding. * Extensive knowledge of ICD-10. * Ability to be flexible in the work environment. * A strong knowledge base of medical terminology, medical abbreviations ...
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Dallas, TX · Remote
$25 - $26.70/hr
A minimum of 2 years' HCC coding. * Extensive knowledge of ICD-10. * Ability to be flexible in the work environment. * A strong knowledge base of medical terminology, medical abbreviations ...
Houston, TX · On-site
$70K - $85K/yr
Additionally, you'll track and report on key performance metrics-such as HCC recapture rates, AWVs ... Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes ...
Houston, TX · On-site
$70K - $85K/yr
Additionally, you'll track and report on key performance metrics-such as HCC recapture rates, AWVs ... Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes ...
Houston, TX · Remote
$70K - $85K/yr
Additionally, you'll track and report on key performance metrics-such as HCC recapture rates, AWVs ... Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes ...
Houston, TX · Remote
$70K - $85K/yr
Additionally, you'll track and report on key performance metrics-such as HCC recapture rates, AWVs ... Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes ...
Other administrative responsibilities not limited may be assigned by Director of HCC Coding/ACI as needed. The medical record coordinator is responsible for safeguarding patient records in line with ...
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Other administrative responsibilities not limited may be assigned by Director of HCC Coding/ACI as needed. The medical record coordinator is responsible for safeguarding patient records in line with ...
Dallas, TX · Remote
This position requires the coder to be highly proficient in the proper assignment of ICD-10 CM, PCS, CPT, HCPCS, HCC, HEDIS CAT II, E/M and modifier codes. Demonstrates the ability to provide ...
Dallas, TX · Remote
This position requires the coder to be highly proficient in the proper assignment of ICD-10 CM, PCS, CPT, HCPCS, HCC, HEDIS CAT II, E/M and modifier codes. Demonstrates the ability to provide ...
Houston, TX · On-site
This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215 The Organization Houston Community College (HCC) is composed ...
Houston, TX · On-site
This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215 The Organization Houston Community College (HCC) is composed ...
$17 - $22.75/hr
Knowledge of Medicare Advantage, HCC coding, and quality measures preferred. * Experience with EHR systems and Microsoft Excel . * Strong communication and organizational skills
$17 - $22.75/hr
Knowledge of Medicare Advantage, HCC coding, and quality measures preferred. * Experience with EHR systems and Microsoft Excel . * Strong communication and organizational skills
Webster, TX · On-site
$17 - $22.75/hr
Knowledge of Medicare Advantage, HCC coding, and quality measures preferred. * Experience with EHR systems and Microsoft Excel . * Strong communication and organizational skills
Webster, TX · On-site
$17 - $22.75/hr
Knowledge of Medicare Advantage, HCC coding, and quality measures preferred. * Experience with EHR systems and Microsoft Excel . * Strong communication and organizational skills
Houston, TX · On-site
$110K - $111K/yr
This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215 The Organization Houston Community College (HCC) is composed ...
Houston, TX · On-site
$110K - $111K/yr
This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215 The Organization Houston Community College (HCC) is composed ...
Webster, TX · On-site
$17 - $22.75/hr
Knowledge of Medicare Advantage, HCC coding, and quality measures preferred. * Experience with EHR systems and Microsoft Excel . * Strong communication and organizational skills
Webster, TX · On-site
$17 - $22.75/hr
Knowledge of Medicare Advantage, HCC coding, and quality measures preferred. * Experience with EHR systems and Microsoft Excel . * Strong communication and organizational skills
Dallas, TX · Remote
HCC, HEDIS CAT II and modifier codes for both professional and hospital charging, coding and billing. Demonstrates the ability to provide direction to coding staff as it relates to coding integrity ...
Dallas, TX · Remote
HCC, HEDIS CAT II and modifier codes for both professional and hospital charging, coding and billing. Demonstrates the ability to provide direction to coding staff as it relates to coding integrity ...
Houston, TX · On-site
This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215 The Organization Houston Community College (HCC) is composed ...
Houston, TX · On-site
This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215 The Organization Houston Community College (HCC) is composed ...
$17.07 is the 25th percentile. Wages below this are outliers.
$14.78 - $17.12
26% of jobs
$17.12 - $19.46
9% of jobs
$19.46 - $21.81
12% of jobs
The median wage is $22.98 / hr.
$21.81 - $24.15
9% of jobs
$24.15 - $26.49
11% of jobs
$26.49 - $28.83
5% of jobs
$30.59 is the 75th percentile. Wages above this are outliers.
$28.83 - $31.17
6% of jobs
$31.17 - $33.51
5% of jobs
$33.51 - $35.85
5% of jobs
$35.85 - $38.19
3% of jobs
$38.19 - $40.54
10% of jobs
$14
$25
$40
| Aspect | Hcc Coding | Medical Coding |
|---|---|---|
| Required Credentials | Certification (e.g., CPC, CCS), specialized training in HCC | Certification (e.g., CPC, CCS), general medical coding training |
| Work Environment | Healthcare facilities, insurance companies, risk adjustment teams | Hospitals, clinics, physician offices, insurance companies |
| Industry Usage | Risk adjustment, Medicare Advantage, Medicaid | Billing, reimbursement, medical record management |
| Search & Comparison Intent | Hcc Coding vs Medical Coding | Medical 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.

7.1
Based on 503 frontline employees who took The Breakroom Quiz
371st of 870 rated healthcare providers
Baylor St. Luke’s Medical Center is an 881-bed quaternary care academic medical center that is a joint venture between Baylor College of Medicine and CHI St. Luke’s Health. Located in the Texas Medical Center, the hospital is the home of the Texas Heart® Institute, a cardiovascular research and education institution founded in 1962 by Denton A. Cooley, MD. The hospital was the first facility in Texas and the Southwest designated a Magnet® hospital for Nursing Excellence by the American Nurses Credentialing Center, receiving the award five consecutive times. Baylor St. Luke’s also has three community emergency centers offering adult and pediatric care for the Greater Houston area.
The Value Based Coder II is an experienced professional within the Quality Management/Risk team, responsible for independently reviewing patient medical records to identify, assess, monitor, and review coding opportunities, with a growing emphasis on Hierarchical Condition Categories (HCC). This role focuses on developing and delivering provider education and contributing to process improvement initiatives. The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk-adjusting conditions and supporting provider documentation improvement.
1. Comprehensive Record Review & HCC Expertise: Independently review patient medical record information via population health tools on both a retroactive and prospective basis to identify, assess, monitor, and review network coding opportunities as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC documentation and coding.
2. Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns, trends, and opportunities for improvement related to HCC capture. Develop and deliver effective education materials and tools to help network providers improve clinical documentation and support Hierarchical Condition Category coding capture. Provide targeted provider 1:1 education on documentation best practices, HCC guidelines, and risk adjustment principles.
3. Compliance & Regulatory Insight: Continuously monitor and interpret evolving HCC coding guidelines, CMS regulations, and compliance trends within the risk adjustment landscape, applying this knowledge to daily coding and education efforts. Champion a culture of compliance by advocating for best practices and providing robust provider support to ensure CommonSpirit adheres to all federal and coding guidelines pertaining to HCC and risk adjustment. Safeguard medical records and preserve the confidentiality of personal health information through adherence to all relevant policies (release of medical record information, record retention, HIPAA privacy and security).
4. Process Improvement & Collaboration: Actively participate in network performance improvement initiatives, offering insights and solutions based on coding expertise. Collaborate with providers and office staff to address documentation deficiencies and coding gaps.
2+ years of experience in outpatient coding
2+ years focused on risk adjustment and HCC principles.
Advanced knowledge of CPT and ICD-10 coding, with significant expertise in HCC codingguidelines and risk adjustment models.
Strong understanding of federal and state guidelines on all coding systems and sponsored programs.
Proficiency in developing and delivering educational content.
Effective interpersonal, communication, and presentation skills (both verbal and written).
Ability to manage multiple priorities and work independently.
Computer literacy in medical information systems, records 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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Health care and social assistance, hospitals and non-profits
10,000+ Employees
Chicago, IL, US