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Hcc Medical Coder Jobs (NOW HIRING)

RHIA, RHIT, CRC, CCS, CCS-P, CPC, CPC-H (Nationally certified medical coder as certified by either AAPC or AHIMA) or 4 years equivalent work experience. * 5+ years of HCC medical coding, record ...

High School Diploma or equivalent * 3+ years HCC Risk Adjustment Coding. * CPC or CRC certification ... Medical, Rx, Dental & Vision Insurance * Personal and Family Sick Time & Company Paid Holidays

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 ...

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 ...

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 ...

Senior Medical Coder

Baltimore, MD · On-site +1

$65K - $75K/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 ...

Senior Medical Coder

Baltimore, MD · On-site +1

$65K - $75K/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 ...

Remote Certified Coders

Memphis, TN · Remote

$21.75 - $29.75/hr

... as a medical coder/abstractor. Extensive knowledge of ICD-9-CM outpatient diagnosis coding guidelines (with knowledge and demonstrated understanding of CMS HCC Risk Adjustment coding and data ...

Medical Billing Coder

Wellesley, MA · Remote

$20.50 - $27.50/hr

Utilize comprehensive knowledge American Hospital Association (AHA) coding principles of CPT, HCPCS, ICD9-CM/ICD10-CM diagnosis and procedure codes to evaluate medical record documentation for HCC ...

Remote Certified Coders

Memphis, TN · On-site +1

$21.75 - $29.75/hr

... medical coder/abstractor. • Extensive knowledge of ICD-9-CM outpatient diagnosis coding guidelines (with knowledge and demonstrated understanding of CMS HCC Risk Adjustment coding and data ...

Hospitalist Coder

Dallas, TX · On-site

$24.10 - $36.17/hr

Remote Medical Coder (Multi-Specialty Professional Services) Position Overview: We are seeking a ... Alternatively, 1 year of professional coding experience combined with 2 years of HCC experience ...

$20 - $25/hr

Medical Coder - Multi-Specialty (Hospital & Clinic) Location: Kingwood or Remote Employment Type ... HCC/RAF capture where applicable • Participate in internal audits and quality assurance ...

Risk Adjustment Coder

Denver, CO · Remote

$27.88 - $32.21/hr

HCC (Hierarchical Condition Category) Coding, medical coding, clinical terminology and anatomy/physiology, CMS coding guidelines, RADV Audits, and review of CPT and CPT II codes as applicable.

$20 - $25/hr

Medical Coder - Multi-Specialty (Hospital & Clinic) Location: Kingwood or Remote Employment Type ... HCC/RAF capture where applicable • Participate in internal audits and quality assurance ...

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Hcc Medical Coder information

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$15

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How much do hcc medical coder jobs pay per hour?

As of Jun 23, 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.

Is HCC coding a good career?

HCC medical coding is a growing field that involves assigning Hierarchical Condition Category codes for risk adjustment in healthcare. It offers opportunities for stable employment, especially for those with coding certifications and knowledge of medical terminology and coding systems. The role typically requires attention to detail and familiarity with electronic health records.

What is the highest paid medical coder?

HCC Medical Coders, especially those with advanced certifications and extensive experience, tend to earn the highest salaries in medical coding. Senior coders working in specialized areas or in management roles can also achieve higher pay, often exceeding $70,000 annually depending on location and employer.

What is an HCC in medical coding?

In medical coding, an HCC (Hierarchical Condition Category) is a risk adjustment model used to predict healthcare costs based on a patient's health conditions. HCC coding is essential for accurate reimbursement in Medicare Advantage and involves identifying and coding chronic and serious illnesses using specific ICD-10 codes. Medical coders specializing in HCC must understand the risk adjustment process and stay current with coding guidelines.

What are HCC Medical Coders?

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 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.

How much do HCC coders make in the US?

HCC medical coders in the US typically earn between $50,000 and $70,000 annually, depending on experience, certification, and location. Advanced skills in risk adjustment coding and familiarity with coding software can lead to higher salaries.

What are some common challenges HCC Medical Coders face 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.
More about Hcc Medical Coder jobs
What cities are hiring for Hcc Medical Coder jobs? Cities with the most Hcc Medical Coder job openings:
What are the most commonly searched types of Hcc Medical Coder jobs? The most popular types of Hcc Medical Coder jobs are:
What states have the most Hcc Medical Coder jobs? States with the most job openings for Hcc Medical Coder jobs include:
Infographic showing various Hcc Medical Coder job openings in the United States as of June 2026, with employment types broken down into 100% Part Time. Highlights an 62% Physical, 2% Hybrid, and 36% Remote job distribution, with an average salary of $46,638 per year, or $22.4 per hour.
Coding Manager (Risk Adjustment)

Coding Manager (Risk Adjustment)

Cotiviti

On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago


Cotiviti rating

8.3

Company rating: 8.3 out of 10

Based on 33 frontline employees who took The Breakroom Quiz

39th of 204 rated it services


Job description

Overview

The Coding Manager leads a team of coders, directly or indirectly, to deliver key components to the Cotiviti coding program. This role works with the Director of Coding, the Client team and other areas related to production, QA, and analytics for oversight of ongoing production and quality accuracy.

Responsibilities
  • Work with the Director, Coding Services to oversee CMS-HCC and HHS- HCC coding production and quality including the management of staff, hiring, promoting, evaluating, and training, disciplining, and mentoring at the client team level.
  • Facilitates all production meetings with Reporting, Data Capacity operations planning, and leadership to develop coding and abstraction production plans. Communicates production plans, quality goals and project priorities to internal Coding teams as well as external vendor partners in preparation for on-boarding and/or scheduling of all client projects, including on and offshore coding.
  • Resolve issues that impact coding production and the full utilization of coding abstraction services for MRA, CRA and Medicaid. This will involve working closely with chart retrieval staff, IT, Production Analytics, HR, Trainers, and the QA team.
  • Utilize Coding forecast and coding output data to monitor coding productivity and quality; address coders work performance concerns through meeting with the Coder and/or coding vendor leadership to develop an action plan as needed regarding production and quality accuracy standards.  This includes the development of monitoring tools as needed to continually assess staff progress toward goal achievement.
  • Constructs and communicates internal system reports for all coders (Coder I, Coder II, QA I and QA II and Team Leads) in the Clinical Coding Department. These reports cross production and quality accuracy. Reports are reviewed daily, weekly, monthly, quarterly, and yearly as needed.
  • Ensures completion of various chart types (physician, hospital outpatient, hospital inpatient) from both a production and quality accuracy perspective.
  • Frequently meets with clients to provide meaningful updates on project progress; works closely with client success and coding quality to ensure successful deliverables.
  • Hire, develop, coach, lead and retain top-tier talent, with a focus on building and improving a team and culture that is able to assist in employing best in class practices to support and drive high levels of internal and external customer satisfaction.
  • Complete all responsibilities as outlined in the annual performance review and/or goal setting.
  • Complete all special projects and other duties as assigned.
  • Must be able to perform duties with or without reasonable accommodation.

This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change.

Qualifications
  • Bachelor's degree, Coding certification; RHIA, RHIT, CRC, CCS, CCS-P, CPC, CPC-H (Nationally certified medical coder as certified by either AAPC or AHIMA) or 4 years equivalent work experience.
  • 5+ years of HCC medical coding, record abstraction experience, including supervisory experience.
  • Ability to establish, monitor and enforce staffing schedules and production schedules.
  • Ability to analyze data to identify trends, outliers or areas that need attention from both a production and quality perspective, and implement changes as needed.
  • Ability to act as a coding resource or QA resource for Medicare Risk Adjustment, Commercial Risk Adjustment and Medicaid when production volume is required.
  • Excellent written and verbal skills including coaching and interpersonal skills, and client interaction.
  • Strong knowledge of medical terminology and anatomy and physiology.
  • Analytical and critical thinking skills to understand data to influence decision making.
  • Computer and technology literate.
  • Manage multiple client deliverables and competing deadlines simultaneously.
  • Awareness and adherence to HIPAA privacy and security regulations.
  • Must remain flexible to provide assistance in any emergent situations and/or projects.
  • Must be able to perform duties with or without reasonable accommodation.
  • Work is performed in an office setting with some possible travel.

Mental Requirements:

  • Communicating with others to exchange information.
  • Assessing the accuracy, neatness, and thoroughness of the work assigned.

Physical Requirements and Working Conditions:

  • Remaining in a stationary position, often standing or sitting for prolonged periods.
  • Repeating motions that may include the wrists, hands, and/or fingers.
  • Must be able to provide a dedicated, secure work area.
  • Must be able to provide high-speed internet access/connectivity and office setup and maintenance.

Base compensation ranges from $82,000 to $102,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. 

Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.

Date of posting: 6/15/2026

Applications are assessed on a rolling basis. We anticipate that the application window will close on 8/30/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

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#LI-RemoteEmployment Type: OTHER

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