Apple Valley, CA · On-site
$110K - $143K/yr
Strong knowledge of Medicare Advantage, HCC coding, and risk adjustment * Proficient in EMR documentation and medical coding best practices * Excellent communication and patient engagement skills ...
Apple Valley, CA · On-site
$110K - $143K/yr
Strong knowledge of Medicare Advantage, HCC coding, and risk adjustment * Proficient in EMR documentation and medical coding best practices * Excellent communication and patient engagement skills ...
Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). Detail-oriented; skilled ... Preferred Qualifications Familiar with the Hierarchical Condition Categories (HCC) risk adjustment ...
Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). Detail-oriented; skilled ... Preferred Qualifications Familiar with the Hierarchical Condition Categories (HCC) risk adjustment ...
Long Beach, CA · On-site +1
$49K - $107K/yr
... Professional Coder (CPC) or Certified Coding Specialist (CCS). • Detail-oriented; skilled in ... HCC) risk adjustment model. • Background in supporting risk adjustment management activities and ...
Long Beach, CA · On-site +1
$49K - $107K/yr
... Professional Coder (CPC) or Certified Coding Specialist (CCS). • Detail-oriented; skilled in ... HCC) risk adjustment model. • Background in supporting risk adjustment management activities and ...
Required Qualifications At least 5 years of coding, medical record chart review, and risk adjustment data validation experience, or equivalent combination of relevant education and experience.
Required Qualifications At least 5 years of coding, medical record chart review, and risk adjustment data validation experience, or equivalent combination of relevant education and experience.
Long Beach, CA · On-site +1
$49K - $107K/yr
Required Qualifications • At least 5 years of coding, medical record chart review, and risk adjustment data validation experience, or equivalent combination of relevant education and experience ...
Long Beach, CA · On-site +1
$49K - $107K/yr
Required Qualifications • At least 5 years of coding, medical record chart review, and risk adjustment data validation experience, or equivalent combination of relevant education and experience ...
Long Beach, CA · On-site
$137K - $184K/yr
Drives organizational risk adjustment policy, program standards, and performance, and maintains ... coding results, encounter submission rates, HCC documentation outcomes, and performance against ...
Long Beach, CA · On-site
$137K - $184K/yr
Drives organizational risk adjustment policy, program standards, and performance, and maintains ... coding results, encounter submission rates, HCC documentation outcomes, and performance against ...
Long Beach, CA · On-site +1
$137K - $184K/yr
Drives organizational risk adjustment policy, program standards, and performance, and maintains ... coding results, encounter submission rates, HCC documentation outcomes, and performance against ...
Long Beach, CA · On-site +1
$137K - $184K/yr
Drives organizational risk adjustment policy, program standards, and performance, and maintains ... coding results, encounter submission rates, HCC documentation outcomes, and performance against ...
Analyze Hierarchical Condition Category (HCC) coding and Risk Adjustment Factor (RAF) scores to identify documentation gaps and ensure alignment with CMS risk adjustment models. * Support provider ...
Analyze Hierarchical Condition Category (HCC) coding and Risk Adjustment Factor (RAF) scores to identify documentation gaps and ensure alignment with CMS risk adjustment models. * Support provider ...
Burlingame, CA · On-site
$285K - $332K/yr
Analyze Hierarchical Condition Category (HCC) coding and Risk Adjustment Factor (RAF) scores to identify documentation gaps and ensure alignment with CMS risk adjustment models. * Support provider ...
Burlingame, CA · On-site
$285K - $332K/yr
Analyze Hierarchical Condition Category (HCC) coding and Risk Adjustment Factor (RAF) scores to identify documentation gaps and ensure alignment with CMS risk adjustment models. * Support provider ...
Analyze Hierarchical Condition Category (HCC) coding and Risk Adjustment Factor (RAF) scores to identify documentation gaps and ensure alignment with CMS risk adjustment models. * Support provider ...
Analyze Hierarchical Condition Category (HCC) coding and Risk Adjustment Factor (RAF) scores to identify documentation gaps and ensure alignment with CMS risk adjustment models. * Support provider ...
Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), Certified Coding ... Requires an in-depth understanding of risk adjustment models (CMS-HCC, HHS-HCC), Official Coding ...
Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), Certified Coding ... Requires an in-depth understanding of risk adjustment models (CMS-HCC, HHS-HCC), Official Coding ...
Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), Certified Coding ... Requires an in-depth understanding of risk adjustment models (CMS-HCC, HHS-HCC), Official Coding ...
Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), Certified Coding ... Requires an in-depth understanding of risk adjustment models (CMS-HCC, HHS-HCC), Official Coding ...
Los Angeles, CA · Remote
$600 - $720/day
Document HCC (risk adjustment) during visits * Close HEDIS (quality measures) care gaps * Review history, meds, preventive needs * Code with ICD-10 and CPT II * Deliver care plans and follow-up * ...
Los Angeles, CA · Remote
$600 - $720/day
Document HCC (risk adjustment) during visits * Close HEDIS (quality measures) care gaps * Review history, meds, preventive needs * Code with ICD-10 and CPT II * Deliver care plans and follow-up * ...
Victorville, CA · On-site
$23.31 - $24.92/hr
Conduct Risk Adjustment Data Validation (RADV) audits as requested by HCC Manager. * Orient ... Certified Professional Coder (CPC). Must maintain certification * Completion of anatomy course ...
Victorville, CA · On-site
$23.31 - $24.92/hr
Conduct Risk Adjustment Data Validation (RADV) audits as requested by HCC Manager. * Orient ... Certified Professional Coder (CPC). Must maintain certification * Completion of anatomy course ...
Los Angeles, CA · Remote
$65K - $130K/yr
CPMA (Certified Professional Medical Auditor), CHC (Certified in Healthcare Compliance), HCC (Risk Adjustment Coding Certification) or Specialty Certification * Familiarity with revenue cycle ...
Los Angeles, CA · Remote
$65K - $130K/yr
CPMA (Certified Professional Medical Auditor), CHC (Certified in Healthcare Compliance), HCC (Risk Adjustment Coding Certification) or Specialty Certification * Familiarity with revenue cycle ...
Orange, CA · On-site
$85K - $115K/yr
Knowledge of HCC risk adjustment, RAF methodologies, capitation payment model, DOFR, claim processing, bid design, and CMS regulatory requirements. * Experience analyzing pharmacy adherence metrics ...
Orange, CA · On-site
$85K - $115K/yr
Knowledge of HCC risk adjustment, RAF methodologies, capitation payment model, DOFR, claim processing, bid design, and CMS regulatory requirements. * Experience analyzing pharmacy adherence metrics ...
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
$18.09 is the 25th percentile. Wages below this are outliers.
$15.66 - $18.14
26% of jobs
$18.14 - $20.62
9% of jobs
$20.62 - $23.10
12% of jobs
The median wage is $24.34 / hr.
$23.10 - $25.58
9% of jobs
$25.58 - $28.06
11% of jobs
$28.06 - $30.54
5% of jobs
$32.40 is the 75th percentile. Wages above this are outliers.
$30.54 - $33.02
6% of jobs
$33.02 - $35.50
5% of jobs
$35.50 - $37.98
5% of jobs
$37.98 - $40.46
3% of jobs
$40.46 - $42.94
10% of jobs
$15
$27
$42
To thrive as an HCC Risk Adjustment Coder, you need a solid understanding of medical coding, ICD-10-CM coding guidelines, and clinical documentation, often demonstrated by a certification such as CPC, CRC, or CCS-P. Familiarity with EHR systems, risk adjustment software, and coding databases is commonly required. Attention to detail, analytical thinking, and strong communication skills set top coders apart in this field. These skills are critical for accurately capturing patient risk, ensuring compliance, and supporting optimal reimbursement for healthcare organizations.
HCC Risk Adjustment Coders often encounter challenges such as incomplete or ambiguous provider documentation, frequent code updates, and tight coding accuracy standards. Staying current on industry coding guidelines, maintaining open communication with providers, and participating in regular training programs are essential strategies for overcoming these hurdles. Coders who proactively seek clarification, double-check their work, and embrace ongoing learning typically excel in this role. Addressing these challenges effectively not only improves coding quality but also supports accurate reimbursement and risk adjustment reporting.
An HCC Risk Adjustment Coder reviews medical records to identify and assign accurate Hierarchical Condition Category (HCC) codes based on documented diagnoses. These codes help determine risk adjustment scores, which impact healthcare reimbursements for Medicare Advantage and other risk-adjusted plans. Coders ensure compliance with CMS guidelines, improve documentation accuracy, and support proper reimbursement for patient care. Strong knowledge of ICD-10-CM coding, medical terminology, and risk adjustment models is essential for this role.
Apple Valley, CA • On-site
$110K - $143K/yr
Full-time
Medical, Dental, Vision, Life, Retirement
This job post has expired today. Applications are no longer accepted.
Choice Medical Group has been serving the local area for over 30 years and has a network of over 200+ physicians. Choice Medical Group is physician owned and located in Apple Valley, CA. We are seeking a compassionate and detail-oriented Nurse Practitioner or Physician Assistant to join our care team. This role focuses on delivering high-quality preventive care through Annual Wellness Visits (AWVs), accurate HCC (Hierarchical Condition Category) recapture, and comprehensive medication reconciliation. Youll play a critical role in improving patient outcomes and supporting value-based care initiatives.
you will have a full staff, full benefits, including Medical, Dental, Vision, Life, and a very generous 401k offering.
QUALIFICATIONS:
Must have valid, and kept current/in good standing throughout employment:
CA Registered Nursing License
CA Nurse Practitioner License
CA Nurse Practitioner Furnishing License
CA Physcian Assistant License
DEA
BLS
ACLS
Must not be on OIG/GSA exclusion list (qualified to see Medicare patients)
Minimum 1 year of clinical experience (HCC or primary care experience preferred)
Preferred Skills
Key Responsibilities
As an Equal opportunity employer, DBA Choice Medical Group is committed to a diverse workforce. Employment decisions regarding recruitment and selection will be made without discrimination based on race, color, religion, national origin gender, age sexual orientation, physical or mental disability, genetic information or characteristic, gender identity, and expression, veteran status, or other non-job related characteristics or other prohibited grounds specified in applicable federal, state and local laws. In order to ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Era Veterans Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact this post for assistance.
For more information about equal employment opportunity protections, please view the EEO is the Law poster.
NOTICE: EMPLOYEE POLYGRAPH PROTECTION ACT
YOUR RIGHTS UNDER THE FAMILY AND MEDICAL LEAVE ACT
PAY TRANSPARENCY NONDISCRIMINATION PROVISION
Our environment respects individual differences and recognizes each employee as an integral member of our company. Our workforce reflects these values and celebrates the individuals who make up our growing team.
Choice Medical Group provides a work environment free of harassment and prohibited conduct. We promote and support individual differences and diversity of thoughts and opinion.
Job Type: Full-time
Benefits:
Work Location: In person
