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Hcc Coding Jobs in Frisco, TX (NOW HIRING)

Responsible for coding 2 Charts per hour. * Perform accurate HCC risk adjustment coding for Medicare populations * Review and code medical records in accordance with ICD and risk adjustment ...

As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk ...

HCC Risk Adjustment Coder

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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Hcc Coding information

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How much do hcc coding jobs pay per hour?

As of Sep 12, 2026, the average hourly pay for hcc coding in Frisco, TX is $25.73, according to ZipRecruiter salary data. Most workers in this role earn between $17.79 and $32.40 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 Frisco, TX?

The most popular types of Hcc Coding jobs in Frisco, TX are:

What cities near Frisco, TX are hiring for Hcc Coding jobs?

Cities near Frisco, TX with the most Hcc Coding job openings:

Infographic showing various Hcc Coding job openings in Frisco, TX as of September 2026, with employment types broken down into 2% Internship, 1% As Needed, 82% Full Time, 11% Part Time, and 4% Contract. Highlights an 78% Physical, 4% Hybrid, and 18% Remote job distribution, with an average salary of $53,519 per year, or $25.7 per hour.

HCC Coding Auditor - Health Plan Network

Irving, TX • On-site

CHRISTUS Health
Outpatient Health Care • 1 - 5K employees

Other

Posted 7 days ago


CHRISTUS Health rating

6.7

Company rating: 6.7 out of 10

Based on 538 frontline employees who took The Breakroom Quiz


Job description

HCC Coding Auditor - Health Plan Network

US:TX:Irving | Medical Coding | Full Time

The HCC Coding Auditor will perform code audits and abstractions using the Official Coding Guidelines for ICD-10-CM and AHA Coding Clinic Guidance, following all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor will be involved with quality assurance auditing and risk adjustment code abstraction for the following programs: Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). This is a hybrid role.

Responsibilities:

  • Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
  • Performs Medical Record reviews and audits based on organizational priorities. These can include prospective and concurrent Clinical Documentation Improvement (CDI) workflows and retrospective auditing. Review and audits may lead to the addition, deletion, adjustment, or confirmation of diagnoses for risk adjustment.
  • Performs code abstraction and/or coding quality audits of medical records to ensure ICD-10CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS (HCC) Risk Adjustment guidelines.
  • Performs coding quality audits within multiple EMRs, databases, and/or vendor platforms to support employed and independent clinic risk adjustment strategies.
  • Identifies revenue, reimbursement, and provider educational opportunities while complying with state and federal regulations.
  • Prepares and/or performs auditing analysis and provides feedback on noncompliance issues detected through auditing.
  • Complies with all aspects of coding, abides by all ethical standards, and adheres to official coding guidelines.
  • Provides measurable, actionable solutions to providers that will result in improved accuracy for documentation and coding practices to ensure chronic conditions are recaptured annually.
  • Ensures that rendered physician services for claim submission and any subsequent payments are as accurate as possible while complying with regulatory guidelines, including CMS, DHS, and OIG.
  • Assist coding leadership by making recommendations for process improvements to enhance coding quality goals and outcomes further.
  • Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations by utilizing the current ICD-10-CM manual and other relevant materials.

Job Requirements:

Education/Skills

  • High School diploma or equivalent is required.
  • Excellent verbal and written communication skills.

Experience

  • Minimum of 1 year of experience in hospital inpatient/outpatient settings, medical office coding, or risk adjustment coding OR 3+ years of experience in one or more of the following areas: Claims Processing, Insurance Verification, Provider Credentialing, Member Services, Member Enrollment, Medical Records Management, Health Information Management, Medical Assisting, Nursing, Billing, Benefits and Eligibility, or Provider Education.

Licenses, Registrations, or Certifications

  • Coding certification from AAPC or AHIMA is required within six (6) months of hire:
    • Certified Professional Coder (CPC)
    • Certified Professional Coder-Apprentice (CPC-A)
    • Certified Risk Adjustment Coder (CRC)
    • Certified Risk Adjustment Coder-Apprentice (CRC-A)
    • Certified Coding Associate (CCA)
    • Certified Coding Specialist (CCS)
    • Registered Health Information Management Technician (RHIT)
    • Certified Coding Specialist for Providers (CPMA)
    • Certified Coding Specialist for Providers (CDEO)

Work Schedule: 5 Days - 8 Hours

Work Type: Full Time


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About CHRISTUS Health

Sourced by ZipRecruiter

CHRISTUS Health is a prominent name in the healthcare industry, with its headquarters situated in Irving, TX, USA. Established in 1999, the company has since been devoted to providing comprehensive care and extending the healing ministry of Jesus Christ. This not-for-profit health system primarily operates more than 600 healthcare services and programs, including long-term care facilities, health insurance products, community clinics, and outreach services, serving both urban and rural populations.

Industry

Outpatient health care

Company size

1,001 - 5,000 Employees

Headquarters location

Irving, TX, US

Year founded

1999