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Hcc Medical Coder Jobs (NOW HIRING)

Icon Information Consultants

Certified Medical Coder

$27/hr

Review inpatient and outpatient medical records to validate HCC diagnoses. * Determine whether submitted diagnosis codes meet CMS and HHS documentation requirements. * Ensure documentation satisfies ...

Lynn Community Health Center

Medical Coder II

Lynn, MA · On-site

$19.25 - $25.75/hr

Medical Coder The entry level Medical Coder is responsible for documentation improvement and ... HCC or DxCG coding experience. * Advanced skills with Microsoft applications which may include ...

Lynn Community Health Center

Medical Coder II

Lynn, MA · On-site

$22.20 - $29.88/hr

The entry level Medical Coder is responsible for documentation improvement and integrity and serves ... HCC or DxCG coding experience. * Advanced skills with Microsoft applications which may include ...

Pride Global

Medical Coder

Minneapolis, MN · On-site

$17 - $18/hr

Perform CMS-HCC/Risk Adjustment coding and medical record review when applicable. * Apply ICD-10-CM, CPT, HCPCS, and modifier coding guidelines. * Review documentation for completeness, accuracy, and ...

Mercor

HCC Coding Leader - Risk Adjustment

New York, NY · Remote

$110/hr

Review medical records to ensure complete and accurate capture of HCC-eligible conditions supported ... CRC (Certified Risk Coder) , CCS , CPC , or RHIA credential. * Experience with risk adjustment ...

RELI Group, Inc.

Medical Coder

$45K - $55K/yr

Experience in Risk Adjustment Data Validation or CMS-HCC audits preferred * Experience in performing medical record coding audits including complex medical record abstraction. * Ability to work ...

RELI Group

Medical Coder

Baltimore, MD · On-site +1

$45K - $55K/yr

Experience in Risk Adjustment Data Validation or CMS-HCC audits preferred * Experience in performing medical record coding audits including complex medical record abstraction. * Ability to work ...

RELI GROUP INC

Medical Coder

Baltimore, MD

$45K - $55K/yr

Experience in Risk Adjustment Data Validation or CMS-HCC audits preferred * Experience in performing medical record coding audits including complex medical record abstraction. * Ability to work ...

RELI Group Inc.

Medical Coder

Baltimore, MD · On-site +1

$45K - $55K/yr

Experience in Risk Adjustment Data Validation or CMS-HCC audits preferred * Experience in performing medical record coding audits including complex medical record abstraction. * Ability to work ...

RELI Group, Inc.

Medical Coder

Windsor Mill, MD · On-site

$45K - $55K/yr

Experience in Risk Adjustment Data Validation or CMS-HCC audits preferred * Experience in performing medical record coding audits including complex medical record abstraction. * Ability to work ...

RELI GROUP INC

Medical Coder

Baltimore, MD

$45K - $55K/yr

Experience in Risk Adjustment Data Validation or CMS-HCC audits preferred * Experience in performing medical record coding audits including complex medical record abstraction. * Ability to work ...

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All JobsHealthcare JobsHospital JobsMedical Coder JobsHcc Medical Coder Jobs

Hcc Medical Coder information

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$15

$22

$34

How much do hcc medical coder jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for hcc medical coder in the United States is $22.42, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $24.04 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.
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Hcc Medical Coder jobs near you
Infographic showing various Hcc Medical Coder job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 15% Part Time, and 7% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $46,638 per year, or $22.4 per hour.

Certified Medical Coder

Icon Information Consultants

Remote

$27/hr

Other

Posted 6 days ago

Job description

Certified Medical Coder (CRC) - Risk Adjustment
Key Details
Location: 100% Remote (Must reside in an approved state)
Duration: Contract (Potential for extension)
Schedule: Monday-Friday, 7:00 AM-4:00 PM or 8:00 AM-5:00 PM (Local Time)
Hours: 40 hours per week, with 5-10 hours of overtime as needed (Candidates must be willing to work overtime)
Compensation: $27.00 per hour
Employment Type: W2 - contract (Not open to C2C, 1099, or visa sponsorship)
Role Overview
Our client is seeking an experienced Certified Risk Adjustment Medical Coder (CRC) to support CMS and HHS Risk Adjustment Data Validation (RADV) audits. This position is responsible for reviewing inpatient and outpatient medical records to validate Hierarchical Condition Categories (HCCs) while ensuring compliance with CMS documentation standards, ICD-10 coding guidelines, and regulatory requirements. The ideal candidate will have extensive experience performing CMS and HHS RADV audits, vendor-side coding reviews, and risk adjustment auditing while maintaining exceptional coding accuracy and productivity standards.
Key Responsibilities
  • Review inpatient and outpatient medical records to validate HCC diagnoses.
  • Determine whether submitted diagnosis codes meet CMS and HHS documentation requirements.
  • Ensure documentation satisfies M.E.A.T. (Monitor, Evaluate, Assess, Treat) criteria.
  • Perform coding reviews using ICD-10 Official Coding Guidelines and AHA Coding Clinic guidance.
  • Support CMS Contract-Level RADV, HHS RADV, and IPM audit activities.
  • Maintain a minimum of 95% coding accuracy while meeting productivity expectations.
  • Research coding questions and provide recommendations for complex or unusual coding scenarios.
  • Review unlisted procedure codes and identify more appropriate coding alternatives when applicable.
  • Support Claims and Provider Relations teams by resolving coding-related issues.
  • Maintain coding resources, documentation libraries, and HIPAA code updates.
  • Serve as a coding subject matter expert for internal stakeholders.
  • Maintain compliance with HIP nd all applicable coding regulations.

Required Qualifications
  • Certified Risk Adjustment Coder (CRC) certification through AAPC or AHIMA (Required)
  • Bachelor's degree or equivalent professional experience
  • 5+ years of professional medical coding experience
  • 5+ years of risk adjustment auditing experience focused on CMS and HHS RADV reviews
  • Prior experience performing:
    • CMS Contract-Level RADV audits
    • HHS RADV audits
    • IPM audits
    • Vendor coding reviews
  • Strong knowledge of:
    • Hierarchical Condition Categories (HCC)
    • ICD-10 Official Coding Guidelines
    • AHA Coding Clinic
    • CMS RADV Medical Reviewer Guidance
    • Medicare Advantage
    • Affordable Care Act (ACA) lines of business
  • Intermediate to advanced Microsoft Excel skills
  • Ability to consistently achieve 95%+ coding accuracy
  • Strong analytical, organizational, and communication skills
  • Ability to work independently in a remote environment

Preferred Qualifications
  • Experience supporting Claims or Provider Relations teams
  • Knowledge of insurance claims processing
  • Experience researching complex coding scenarios and regulatory guidance

Apply