Serves as a subject matter expert in all areas of Risk Adjustment methodologies and HCC coding and provide expertise to all areas across the health system. Maintains thorough knowledge of CMS and ...
Serves as a subject matter expert in all areas of Risk Adjustment methodologies and HCC coding and provide expertise to all areas across the health system. Maintains thorough knowledge of CMS and ...
Provides professional expertise and education in CPT, ICD and HCC coding. The Compliance Auditor/Educator is responsible for professional development of educational materials, clinical case studies ...
Provides professional expertise and education in CPT, ICD and HCC coding. The Compliance Auditor/Educator is responsible for professional development of educational materials, clinical case studies ...
Provides professional expertise and education in CPT, ICD and HCC coding. The Compliance Auditor/Educator is responsible for professional development of educational materials, clinical case studies ...
Provides professional expertise and education in CPT, ICD and HCC coding. The Compliance Auditor/Educator is responsible for professional development of educational materials, clinical case studies ...
Ambulatory Clinical Documentation Integrity Specialist (Remote)
Livonia, MI · Remote
$32.50 - $43.75/hr
Experience with compliant healthcare documentation, HCC coding requirements, alternate payment models in a multi-facility, integrated health care delivery system, revenue cycle or consulting ...
Ambulatory Clinical Documentation Integrity Specialist (Remote)
Livonia, MI · Remote
$32.50 - $43.75/hr
Experience with compliant healthcare documentation, HCC coding requirements, alternate payment models in a multi-facility, integrated health care delivery system, revenue cycle or consulting ...
Acts as a liaison for physicians, medical group leadership, clinical and ancillary departments regarding appropriate clinical documentation, coding rules and regulations, HCC Coding and Risk ...
Acts as a liaison for physicians, medical group leadership, clinical and ancillary departments regarding appropriate clinical documentation, coding rules and regulations, HCC Coding and Risk ...
Ambulatory Clinical Documentation Integrity Specialist (Remote)
Livonia, MI · On-site +1
$32.50 - $43.75/hr
Experience with compliant healthcare documentation, HCC coding requirements, alternate payment models in a multi-facility, integrated health care delivery system, revenue cycle or consulting ...
Ambulatory Clinical Documentation Integrity Specialist (Remote)
Livonia, MI · On-site +1
$32.50 - $43.75/hr
Experience with compliant healthcare documentation, HCC coding requirements, alternate payment models in a multi-facility, integrated health care delivery system, revenue cycle or consulting ...
Ambulatory Clinical Documentation Integrity Specialist (Remote)
Livonia, MI · Remote
$32.50 - $43.75/hr
Experience with compliant healthcare documentation, HCC coding requirements, alternate payment models in a multi-facility, integrated health care delivery system, revenue cycle or consulting ...
Ambulatory Clinical Documentation Integrity Specialist (Remote)
Livonia, MI · Remote
$32.50 - $43.75/hr
Experience with compliant healthcare documentation, HCC coding requirements, alternate payment models in a multi-facility, integrated health care delivery system, revenue cycle or consulting ...
Acts as a liaison for physicians, medical group leadership, clinical and ancillary departments regarding appropriate clinical documentation, coding rules and regulations, HCC Coding and Risk ...
Acts as a liaison for physicians, medical group leadership, clinical and ancillary departments regarding appropriate clinical documentation, coding rules and regulations, HCC Coding and Risk ...
Medical Coding Educator (Provider Education) - Full Time - Hybrid
Detroit, MI · On-site +1
$27 - $30.75/hr
You'll be the go-to resource for local, state, and federal coding guidelines, sharing insights on NCCI Edits, ICD-10CM, CPT, HCC, and compliance standards. Empower through Education: Develop and ...
Medical Coding Educator (Provider Education) - Full Time - Hybrid
Detroit, MI · On-site +1
$27 - $30.75/hr
You'll be the go-to resource for local, state, and federal coding guidelines, sharing insights on NCCI Edits, ICD-10CM, CPT, HCC, and compliance standards. Empower through Education: Develop and ...
Medical Coding Educator (Provider Education) - Full Time - Hybrid
Detroit, MI · On-site
$27 - $30.75/hr
You'll be the go-to resource for local, state, and federal coding guidelines, sharing insights on NCCI Edits, ICD-10CM, CPT, HCC, and compliance standards. • Empower through Education: Develop and ...
Medical Coding Educator (Provider Education) - Full Time - Hybrid
Detroit, MI · On-site
$27 - $30.75/hr
You'll be the go-to resource for local, state, and federal coding guidelines, sharing insights on NCCI Edits, ICD-10CM, CPT, HCC, and compliance standards. • Empower through Education: Develop and ...
Proficient in ICD-10 CM, CPT, HCC and HCPCS coding. * Able to recognize patterns and trends and escalate to supervisors to support root cause analysis. * Able to assist other team members. Additional ...
Proficient in ICD-10 CM, CPT, HCC and HCPCS coding. * Able to recognize patterns and trends and escalate to supervisors to support root cause analysis. * Able to assist other team members. Additional ...
Research Abstract Analyst III- Full time- Central Abstractor Office- One Ford Place
Detroit, MI · On-site
COE's, P4P, Utilization Review, System Registries, Risk Adjustment, NHSN Infection control, Hospital Acquired Conditions, CMS Core Measures, CMS HCC and Coding validation. * Provides coding ...
Research Abstract Analyst III- Full time- Central Abstractor Office- One Ford Place
Detroit, MI · On-site
COE's, P4P, Utilization Review, System Registries, Risk Adjustment, NHSN Infection control, Hospital Acquired Conditions, CMS Core Measures, CMS HCC and Coding validation. * Provides coding ...
Research Abstract Analyst III- Full time- Central Abstractor Office- One Ford Place
Detroit, MI · On-site
COE's, P4P, Utilization Review, System Registries, Risk Adjustment, NHSN Infection control, Hospital Acquired Conditions, CMS Core Measures, CMS HCC and Coding validation. * Provides coding ...
Research Abstract Analyst III- Full time- Central Abstractor Office- One Ford Place
Detroit, MI · On-site
COE's, P4P, Utilization Review, System Registries, Risk Adjustment, NHSN Infection control, Hospital Acquired Conditions, CMS Core Measures, CMS HCC and Coding validation. * Provides coding ...
The Supervisor utilizes knowledge of national coding guidelines (ICD-10), CPT, Hierarchical Condition Categories (HCC), standards of compliance, and clinical knowledge to identify opportunities and ...
The Supervisor utilizes knowledge of national coding guidelines (ICD-10), CPT, Hierarchical Condition Categories (HCC), standards of compliance, and clinical knowledge to identify opportunities and ...
The Supervisor utilizes knowledge of national coding guidelines (ICD-10), CPT, Hierarchical Condition Categories (HCC), standards of compliance, and clinical knowledge to identify opportunities and ...
The Supervisor utilizes knowledge of national coding guidelines (ICD-10), CPT, Hierarchical Condition Categories (HCC), standards of compliance, and clinical knowledge to identify opportunities and ...
... and explain HCC membership benefits Collaborate with install coordinators, vendors, and team ... codes Ability to read diagrams and blueprints Strong leadership, communication, and customer ...
... and explain HCC membership benefits Collaborate with install coordinators, vendors, and team ... codes Ability to read diagrams and blueprints Strong leadership, communication, and customer ...
Provider Education Coordinator
Troy, MI · On-site
... coding guidelines and regulations, NCCI Edits, ICD-10CM, CPT, Hierarchical Condition Categories (HCC), and standards of compliance. PRINCIPLE DUTIES AND RESPONSIBILITIES: 1. Analyze individual ...
Quick apply
Provider Education Coordinator
Troy, MI · On-site
... coding guidelines and regulations, NCCI Edits, ICD-10CM, CPT, Hierarchical Condition Categories (HCC), and standards of compliance. PRINCIPLE DUTIES AND RESPONSIBILITIES: 1. Analyze individual ...
Coding Denials & DRG Validation • Lead the coding denial team responsible for DRG downgrades, HCC validation, MS-DRG/APR-DRG disputes, modifier denials, and code-edit rejections. • Partner with ...
Quick apply
Coding Denials & DRG Validation • Lead the coding denial team responsible for DRG downgrades, HCC validation, MS-DRG/APR-DRG disputes, modifier denials, and code-edit rejections. • Partner with ...
Mobile Nurse Practitioner w/ Scribe, Kalamazoo MI
Waterford, MI · On-site
$100K - $130K/yr
... HCC, ICD-10 coding, and medical terminology - Experience working in various healthcare settings such as nursing homes, assisted living, memory care, and individual homes - Ability to perform basic ...
Quick apply
Mobile Nurse Practitioner w/ Scribe, Kalamazoo MI
Waterford, MI · On-site
$100K - $130K/yr
... HCC, ICD-10 coding, and medical terminology - Experience working in various healthcare settings such as nursing homes, assisted living, memory care, and individual homes - Ability to perform basic ...
Nurse Practitioner or Physician Assistant- Family Medicine
Detroit, MI · On-site
$97K - $128K/yr
Complete comprehensive and compliant diagnosis capture related to HCC (Hierarchical Condition Categories) and ICD-10 (International Classification of Diseases-10) Coding. * Address contractual and ...
Nurse Practitioner or Physician Assistant- Family Medicine
Detroit, MI · On-site
$97K - $128K/yr
Complete comprehensive and compliant diagnosis capture related to HCC (Hierarchical Condition Categories) and ICD-10 (International Classification of Diseases-10) Coding. * Address contractual and ...
Hcc Coding information
See Detroit, MI salary details
$18.14 is the 25th percentile. Wages below this are outliers.
$15.71 - $18.19
26% of jobs
$18.19 - $20.68
9% of jobs
$20.68 - $23.17
12% of jobs
The median wage is $24.41 / hr.
$23.17 - $25.66
9% of jobs
$25.66 - $28.15
11% of jobs
$28.15 - $30.63
5% of jobs
$32.50 is the 75th percentile. Wages above this are outliers.
$30.63 - $33.12
6% of jobs
$33.12 - $35.61
5% of jobs
$35.61 - $38.10
5% of jobs
$38.10 - $40.59
3% of jobs
$40.59 - $43.07
10% of jobs
$15
$27
$43
How much do hcc coding jobs pay per hour?
Is HCC coding a good career?
What is the highest paid coding job?
What are some common challenges faced by HCC Coders, and how can they be addressed in a healthcare setting?
What does HCC mean for coding?
What pays more, CCS or CPC?
What are the key skills and qualifications needed to thrive as an HCC Coder, and why are they important?
What is HCC coding?
What is the difference between Hcc Coding vs Medical Coding?
| 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.

Other
Posted 23 days ago
Job description
GENERAL SUMMARY:
Reporting to the Manager, Risk Adjustment and Value Based Payment, the Risk Adjustment Informatics Specialist has an important role in a high-profile group tasked with implementing system-wide improvements and new operational processes to ensure optimal and compliant participation in Risk Adjustment, HCC Coding, and other value based reimbursement models. Is responsible for complex program analytics and process improvement activities and acts with a high degree of autonomy focusing on Risk Adjustment, HCC Coding, and other Value Based Reimbursement programs. Collaborates with internal teams to develop and maintain program dashboards and report on all Risk Adjustment and HCC coding activities and proactively identify areas for improvement. Serves as a subject matter expert in all areas of Risk Adjustment methodologies and HCC coding and provide expertise to all areas across the health system. Maintains thorough knowledge of CMS and other program requirement updates and communicate changes to key technical and operational leaders to ensure continued compliance and optimal performance. This position requires strong interpersonal and communication skills and well-developed analytic and organizational skills. Develops and implements a comprehensive program to collect data and effectively report information from data to a variety of customers including conducting complex statistical analysis and developing new approaches to measurement and analysis. The customers and end users of this support service include physicians, other clinical service and hospital leaders, Revenue Cycle leadership, physician groups, the Board of Trustees, System leadership, and external oversight/regulatory bodies. This position generates reports and supports comparative data base assessment and maintenance regarding strategic and operational performance for performance review, operational effectiveness, and improvement efforts. The Risk Adjustment Informatics Specialist is a highly analytical thinker with talent for scrutinizing diverse data sources to identify areas of improvement in Risk Adjustment and HCC Coding
EDUCATION/EXPERIENCE REQUIRED:
Bachelor's degree with a health care, science or business focus and strong technical computer knowledge or a bachelor's degree in computer science with strong health care experience required.
Master's degree or equivalent experience in health care, science, business, engineering, or computer science preferred. Five (5) years of experience in a healthcare or business setting required.
Seven (7) years of experience in a healthcare or business setting preferred.
Quantitative analysis experience in data science capabilities including data mining, predictive modeling, machine learning, statistical modeling, large scale data acquisition, transformation, and structured and unstructured data analysis.
Extensive experience in Risk Adjustment methodologies, Risk Adjustment Factor Score calculation, governmental programs, and HCC coding.
Knowledge of and access to relevant System data or data gathering techniques.
Expert in the use of Microsoft Office products, particularly Excel, but also Access, PowerPoint, Word, Project, PowerBI.
Extensive knowledge of Medicare, Medicaid, Blue Cross and other third-party payers billing and reimbursement regulations/policies, particularly around Risk Adjustment, HCC Coding, and other value-based reimbursement programs.
Experience in gathering and organizing data and information from disparate sources and presenting findings to leadership in a way that is useful for decision support, benchmarking, and quality performance tracking.
Excellent oral and written communication skills, including the ability to teach complex technical/analytical concepts to System leadership, management, and staff.
Comfortable communicating complex ideas and strategic recommendations to clinicians and executive leadership.
Strong interpersonal skills; ability to communicate effectively with all levels of management and staff across the System.
Project management and/or LEAN, Six Sigma experience a plus.
- Organization: Corporate Services
- Department: HCC Administration
- Shift: Day Job
- Union Code: Not Applicable