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Hcc Medical Coder information

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$17

$24

$37

How much do hcc medical coder jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for hcc medical coder in New York is $24.53, according to ZipRecruiter salary data. Most workers in this role earn between $19.71 and $26.30 per hour, depending on experience, location, and employer.

What is an HCC medical coder?

HCC Medical Coders are healthcare professionals who specialize in assigning diagnostic codes to patient medical records, specifically using the Hierarchical Condition Category (HCC) coding system. This system is used primarily for risk adjustment in Medicare Advantage and other value-based care programs. HCC coders review medical documentation to ensure accurate and complete coding, which directly impacts reimbursement and ensures compliance with regulations. Their work helps healthcare organizations receive appropriate funding based on the health status and complexity of their patient population.

What are some common challenges an HCC medical coder faces when ensuring coding accuracy for risk adjustment purposes?

HCC Medical Coders often encounter challenges such as incomplete or ambiguous physician documentation, which can make it difficult to assign the correct Hierarchical Condition Category (HCC) codes. Staying updated with frequent changes in coding regulations and payer requirements also requires ongoing education. Additionally, maintaining high productivity while ensuring 100% accuracy is crucial, as errors can impact both patient care outcomes and reimbursement for healthcare organizations. Collaborating closely with providers to clarify documentation and participating in regular audits are important aspects of overcoming these challenges.

What are the key skills and qualifications needed to thrive as an HCC medical coder, and why are they important?

To thrive as an HCC Medical Coder, you need a thorough understanding of ICD-10-CM coding guidelines, risk adjustment methodologies, and a relevant coding certification such as CPC or CRC. Familiarity with electronic health record (EHR) systems and medical coding software is essential for accurate and efficient data entry. Attention to detail, analytical thinking, and strong organizational skills set top performers apart in this role. These skills ensure accurate risk adjustment coding, regulatory compliance, and optimized reimbursement for healthcare organizations.

What is the difference between Hcc Medical Coder vs Medical Coder?

AspectHcc Medical CoderMedical Coder
CertificationsAHIMA or AAPC certifications, familiarity with HCC codingCPMA, CPC, or CCS certifications, general coding knowledge
Work EnvironmentHealthcare facilities, insurance companies, risk adjustment teamsHospitals, clinics, physician offices
Industry UsagePrimarily in risk adjustment, Medicare Advantage, and insurance billingGeneral medical billing and coding across various specialties

The main difference between an Hcc Medical Coder and a Medical Coder lies in their focus areas. Hcc Medical Coders specialize in risk adjustment coding using Hierarchical Condition Categories, often working with insurance companies and Medicare Advantage plans. Medical Coders have a broader scope, handling various medical billing and coding tasks across healthcare settings. Both roles require certification, but Hcc Medical Coders need specific knowledge of HCC coding systems and risk adjustment processes.

Is HCC Medical Coding a good career?

HCC Medical Coding is a growing field that involves assigning hierarchical condition categories to accurately represent patient health status for risk adjustment. It requires strong attention to detail, knowledge of medical terminology, and often certification, making it a stable career with demand in healthcare organizations. Many coders find it to be a rewarding profession with opportunities for remote work and career advancement.

What do HCC Medical Coders do?

HCC Medical Coders review and assign diagnosis codes to patient records to ensure accurate risk adjustment and reimbursement. They use coding systems like ICD-10 and often work with electronic health records, requiring attention to detail and certification in medical coding. Their work supports healthcare billing, compliance, and data analysis.

Which Hcc Medical Coder position pays the most?

Senior HCC Medical Coder positions typically offer the highest salaries within the coding field, often due to increased experience, specialized knowledge, and certification requirements such as CPC or CCS. These roles may also involve complex case reviews and higher responsibility, leading to higher compensation compared to entry-level or intermediate positions.

What are the most commonly searched types of Hcc Medical Coder jobs in New York?

The most popular types of Hcc Medical Coder jobs in New York are:

What are popular job titles related to Hcc Medical Coder jobs in New York?

For Hcc Medical Coder jobs in New York, the most frequently searched job titles are:

What job categories do people searching Hcc Medical Coder jobs in New York look for?

The top searched job categories for Hcc Medical Coder jobs in New York are:

What cities in New York are hiring for Hcc Medical Coder jobs?

Cities in New York with the most Hcc Medical Coder job openings:

Hcc Medical Coder jobs near you
Infographic showing various Hcc Medical Coder job openings in New York as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 12% Part Time, and 5% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $51,023 per year, or $24.5 per hour.

Remote | HCC Risk Adjustment Coding Consultant Up to $85/hour

24-MAG LLC

Manhattan, NY • Remote

$85/hr

Part-time

This job post has expired today. Applications are no longer accepted.

Job description

Specialised Part-Time Consulting OpportunityWe are sharing a specialised part-time consulting opportunity for United States-based healthcare coding and risk adjustment professionals experienced in HCC coding, Medicare Advantage risk adjustment, Medicaid managed care, ACA risk adjustment, RADV audit preparation, medical record review, documentation capture, and coding compliance.

This role supports current and upcoming remote consulting opportunities focused on AI-assisted risk adjustment coding evaluation, HCC recommendation review, documentation completeness assessment, and high-quality project execution. Selected professionals will apply coding and risk adjustment expertise to evaluate AI-generated HCC assignments, review documentation support, identify coding inaccuracies, and provide structured feedback based on detailed project criteria.

Key ResponsibilitiesProfessionals in this role may contribute to: Risk Adjustment & HCC Coding ReviewChart Review, RADV & Risk Score EvaluationStructured Coding Feedback & Quality ControlRisk Adjustment & HCC Coding ReviewReview risk adjustment coding workflows across Medicare Advantage, Medicaid managed care, and ACA risk adjustment programsEvaluate AI-generated HCC coding assignments and risk adjustment recommendations for clinical accuracy, documentation support, and regulatory complianceReview medical records to determine whether HCC-eligible conditions are fully and accurately supported by clinical documentationIdentify coding inaccuracies, unsupported diagnoses, documentation gaps, missed HCC opportunities, and compliance concernsChart Review, RADV & Risk Score EvaluationAssess retrospective and prospective chart review outputs for completeness, accuracy, and risk score relevanceEvaluate outputs related to CMS-HCC, RxHCC, and ACA HHS-HCC methodologiesSupport review of RADV audit preparation, audit response workflows, and risk adjustment data validation requirementsReview risk adjustment KPIs such as HCC capture rates, risk score accuracy, chart retrieval rates, and coding quality indicatorsStructured Coding Feedback & Quality ControlAnnotate AI-generated coding and risk adjustment outputs and provide structured feedback to support quality improvementExplain review decisions clearly, consistently, and with strong coding and compliance judgmentEvaluate outputs for alignment with CMS risk adjustment guidance, ICD-10-CM coding standards, Official Coding Guidelines, RAPS, EDGE submissions, and applicable compliance expectationsFollow detailed task instructions, quality criteria, and project-specific review guidelines accuratelyIdeal ProfileStrong candidates may have:5+ years of experience in risk adjustment coding, HCC coding, Medicare Advantage coding operations, or related healthcare coding workflowsAt least 2 years of leadership experience in risk adjustment, HCC coding, coding quality, chart review, or coding operationsDeep expertise in CMS-HCC, RxHCC, and/or ACA HHS-HCC risk adjustment methodologiesStrong knowledge of ICD-10-CM coding guidelines as applied to risk adjustment and HCC documentationExperience with RADV audit preparation, CMS compliance requirements, chart retrieval workflows, and risk adjustment quality reviewFamiliarity with RAPS and EDGE submission processesExceptional written and verbal English communication skillsHigh attention to detail and ability to identify coding inaccuracies, unsupported diagnoses, and documentation gaps in AI-generated outputsEducational BackgroundProfessional background in risk adjustment coding, HCC coding, medical coding, health information management, Medicare Advantage operations, managed care coding, value-based care, or coding compliance is highly relevantExperience in health plans, Medicare Advantage organizations, Medicaid managed care organizations, provider groups, value-based care organizations, or coding vendor environments may be especially valuablePractical experience with chart review systems, coding platforms, risk adjustment analytics tools, EHR documentation, and audit workflows may support project fitFormal education or training in health information management, medical coding, healthcare administration, nursing, clinical documentation, or a related healthcare field may be relevant depending on project scopeNice to HaveCRC, CCS, CPC, RHIA, or similar coding or health information credentialExperience with risk adjustment analytics platforms, chart retrieval systems, coding quality tools, or AI-assisted HCC coding workflowsBackground in health plan, Medicare Advantage, accountable care, or value-based care risk adjustment operationsFamiliarity with AI tools and comfort evaluating AI-generated risk adjustment and HCC coding contentExperience presenting risk adjustment performance, coding quality findings, or documentation improvement opportunities to actuarial, compliance, clinical, or executive teamsStrong ability to identify risk score integrity issues, documentation improvement opportunities, and coding compliance risksWhy This OpportunityApply HCC coding and risk adjustment expertise to structured remote healthcare project workContribute to high-quality AI-assisted risk adjustment coding and documentation reviewUse coding leadership, audit preparation experience, and compliance judgment in a focused review environmentWork on flexible assignments aligned with Medicare Advantage, managed care, ACA risk adjustment, and value-based care expertiseRemote structure with competitive hourly compensationContract DetailsIndependent contractor roleFully remote with flexible schedulingUnited States-based professionals are required for this opportunityPart-time project-based commitment depending on availability, onboarding status, and project needsCompetitive rates of up to $85 per hour depending on risk adjustment experience, HCC coding expertise, leadership background, and project scopeWeekly payments via Stripe or WiseProjects may be extended, shortened, or adjusted depending on scope and performanceWork will not involve access to confidential or proprietary information from any employer, client, or institutionAbout the PlatformThis opportunity is available through 24-MAG LLC. We connect experienced professionals with remote consulting opportunities across technical, evaluation, and project-based workstreams.

By submitting this application, you acknowledge that your information may be processed by 24-MAG LLC for recruitment and opportunity matching in accordance with our Privacy Policy: https://www.24-mag.com/privacy-policy.

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