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 ...
Alhambra, CA · Hybrid
$22 - $26/hr
Additional experience with HCC coding preferred * Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located ...
Alhambra, CA · Hybrid
$22 - $26/hr
Additional experience with HCC coding preferred * Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located ...
$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 ...
New Haven, CT · On-site
$35 - $47/hr
The HCC Documentation Lead will serve as a partner and subject matter expert on HCC coding and documentation for clinicians who are a part of our Clinically Integrated Network (CIN), Yale New Haven ...
New Haven, CT · On-site
$35 - $47/hr
The HCC Documentation Lead will serve as a partner and subject matter expert on HCC coding and documentation for clinicians who are a part of our Clinically Integrated Network (CIN), Yale New Haven ...
New York, NY · Remote
$75 - $105/hr
Review scenarios involving HEDIS, STAR measures, quality gap closure, HCC coding, value-based care documentation, and measure specifications * Evaluate quality reporting materials against rule ...
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New York, NY · Remote
$75 - $105/hr
Review scenarios involving HEDIS, STAR measures, quality gap closure, HCC coding, value-based care documentation, and measure specifications * Evaluate quality reporting materials against rule ...
Minimum 2 years of coding or related medical experience, including 1 year of HCC coding. * Advanced knowledge of medical terminology, anatomy, physiology, and disease processes. * Extensive ...
Minimum 2 years of coding or related medical experience, including 1 year of HCC coding. * Advanced knowledge of medical terminology, anatomy, physiology, and disease processes. * Extensive ...
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 ...
$15.50 - $20.50/hr
Risk adjustment, HCC coding experience, awareness and/or demonstrated knowledge. * Experienced with CMS Medicare Advantage Risk Adjustment Data Validation * Prior medical chart auditing and quality ...
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$15.50 - $20.50/hr
Risk adjustment, HCC coding experience, awareness and/or demonstrated knowledge. * Experienced with CMS Medicare Advantage Risk Adjustment Data Validation * Prior medical chart auditing and quality ...
Job Summary The risk coding specialist will help providers to implement coding guidelines and ... They will become experts in HCC-based risk adjustment (prior experience preferred, but not ...
Job Summary The risk coding specialist will help providers to implement coding guidelines and ... They will become experts in HCC-based risk adjustment (prior experience preferred, but not ...
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 ...
Validate the accuracy and completeness of HCC documentation and coding. 2. Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns ...
New Haven, CT · On-site
$35 - $47/hr
The HCC Documentation Lead will serve as a partner and subject matter expert on HCC coding and documentation for clinicians who are a part of our Clinically Integrated Network (CIN), Yale New Haven ...
New Haven, CT · On-site
$35 - $47/hr
The HCC Documentation Lead will serve as a partner and subject matter expert on HCC coding and documentation for clinicians who are a part of our Clinically Integrated Network (CIN), Yale New Haven ...
They will become experts in HCC-based risk adjustment (prior experience preferred, but not ... risk coding and adjustment. What are the categories of diseases that matter, and what are the ...
They will become experts in HCC-based risk adjustment (prior experience preferred, but not ... risk coding and adjustment. What are the categories of diseases that matter, and what are the ...
The HCC Documentation Lead will serve as a partner and subject matter expert on HCC coding and documentation for clinicians who are a part of our Clinically Integrated Network (CIN), Yale New Haven ...
The HCC Documentation Lead will serve as a partner and subject matter expert on HCC coding and documentation for clinicians who are a part of our Clinically Integrated Network (CIN), Yale New Haven ...
Monterey Park, CA · Hybrid
$22 - $26/hr
Additional experience with HCC coding preferred Environmental Job Requirements and Working Conditions * Our organization follows a hybrid work structure where the expectation is to work both in ...
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Monterey Park, CA · Hybrid
$22 - $26/hr
Additional experience with HCC coding preferred Environmental Job Requirements and Working Conditions * Our organization follows a hybrid work structure where the expectation is to work both in ...
Knoxville, TN · On-site
$15.50 - $20.50/hr
Risk adjustment, HCC coding experience, awareness and/or demonstrated knowledge. * Experienced with CMS Medicare Advantage Risk Adjustment Data Validation * Prior medical chart auditing and quality ...
Knoxville, TN · On-site
$15.50 - $20.50/hr
Risk adjustment, HCC coding experience, awareness and/or demonstrated knowledge. * Experienced with CMS Medicare Advantage Risk Adjustment Data Validation * Prior medical chart auditing and quality ...
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 ...
Eagan, MN · On-site
$31.48 - $39.35/hr
Reviews medical record information to identify complete and accurate diagnosis code capture based on CMS HCC categories * Maintains knowledge of relevant regulatory mandates and ensures activities ...
Eagan, MN · On-site
$31.48 - $39.35/hr
Reviews medical record information to identify complete and accurate diagnosis code capture based on CMS HCC categories * Maintains knowledge of relevant regulatory mandates and ensures activities ...
$18.33 is the 25th percentile. Wages below this are outliers.
$15.87 - $18.38
26% of jobs
$18.38 - $20.89
9% of jobs
$20.89 - $23.40
12% of jobs
The median wage is $24.66 / hr.
$23.40 - $25.92
9% of jobs
$25.92 - $28.43
11% of jobs
$28.43 - $30.94
5% of jobs
$32.83 is the 75th percentile. Wages above this are outliers.
$30.94 - $33.46
6% of jobs
$33.46 - $35.97
5% of jobs
$35.97 - $38.48
5% of jobs
$38.48 - $41
3% of jobs
$41 - $43.51
10% of jobs
$15
$27
$43
| 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