ZipRecruiter

Log In

1

Hcc Risk Adjustment Coder Jobs in Georgia (NOW HIRING)

Urrly

Telehealth Nurse Practitioner

Atlanta, GA · Remote

$600 - $720/day

Document risk adjustment (HCC coding) during patient visits * Close HEDIS care gaps during visits * Review medical history, medications, preventive needs * Document visits using ICD-10 and CPT II ...

Humana

Clinical Coding Educator

Valdosta, GA · On-site +1

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Clinical Coding Educator

Valdosta, GA · On-site +1

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Clinical Coding Educator

Lavonia, GA · On-site +1

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Clinical Coding Educator

Milledgeville, GA · On-site +1

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Clinical Coding Educator

Macon, GA · On-site +1

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Clinical Coding Educator

Marietta, GA · On-site +1

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Clinical Coding Educator

Valdosta, GA · On-site +1

$59.30K - $80.90K/yr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Clinical Coding Educator

Monroe, GA · On-site +1

$59.30K - $80.90K/yr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Clinical Coding Educator

Marietta, GA · On-site +1

$59.30K - $80.90K/yr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Clinical Coding Educator

Monroe, GA · On-site +1

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Clinical Coding Educator

Macon, GA · On-site +1

$59.30K - $80.90K/yr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Clinical Coding Educator

Lawrenceville, GA · On-site +1

$59.30K - $80.90K/yr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Clinical Coding Educator

Milledgeville, GA · On-site +1

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Clinical Coding Educator

Milledgeville, GA · On-site +1

$59.30K - $80.90K/yr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Clinical Coding Educator

Lawrenceville, GA · On-site +1

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Clinical Coding Educator

Valdosta, GA · On-site +1

$59.30K - $80.90K/yr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Clinical Coding Educator

Lavonia, GA · On-site +1

$59.30K - $80.90K/yr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

next page

Showing results 1-20

People also search for

All JobsHcc Risk Adjustment Coder JobsHcc Risk Adjustment Coder Jobs in Georgia

Hcc Risk Adjustment Coder information

See Georgia salary details

$13

$23

$36

How much do hcc risk adjustment coder jobs pay per hour?

As of May 30, 2026, the average hourly pay for hcc risk adjustment coder in Georgia is $23.21, according to ZipRecruiter salary data. Most workers in this role earn between $16.06 and $29.23 per hour, depending on experience, location, and employer.

What is an HCC Risk Adjustment Coder job?

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.

What are the key skills and qualifications needed to thrive in the Hcc Risk Adjustment Coder position, and why are they important?

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.

What are some common challenges faced by HCC Risk Adjustment Coders, and how can they overcome them?

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.
More about Hcc Risk Adjustment Coder jobs
What are the most commonly searched types of Hcc Risk Adjustment Coder jobs in Georgia? The most popular types of Hcc Risk Adjustment Coder jobs in Georgia are:
What are popular job titles related to Hcc Risk Adjustment Coder jobs in Georgia? For Hcc Risk Adjustment Coder jobs in Georgia, the most frequently searched job titles are:
What job categories do people searching Hcc Risk Adjustment Coder jobs in Georgia look for? The top searched job categories for Hcc Risk Adjustment Coder jobs in Georgia are:
Hcc Risk Adjustment Coder jobs near you
Business Analyst with Risk Adjustment (Payor) || 1099 only || Need USC or GC only

Business Analyst with Risk Adjustment (Payor) || 1099 only || Need USC or GC only

Pantar Solutions inc

Atlanta, GA • On-site

Contractor

Posted 24 days ago

Job description

We are an Information Technology and Business Consulting firm specializing in Project-based Solutions and Professional Staffing Services. Please have a look at below position which is with our Client and let me know your interest ASAP. I would really appreciate if you could send me your MOST RECENT UPDATED RESUME: 

Title: Business Analyst – Risk Adjustment (Payor)

Location: Richmond or Atlanta  – Hybrid role

Long Term Contract || 1099 only || Need USC or GC only

Need strong Business Analyst – Risk Adjustment (Payor) with  risk adjustment analytics in a healthcare payer environment (Medicare Advantage, ACA (HIX/Exchange), or Medicaid), SQL, Excel, data visualization tools (Tableau/Power BI/SAS), healthcare data formats (claims, encounters, EMR, lab, and eligibility), regulatory processes (CMS, HHS, EDGE server, RADV/IVA audits), HCC coding models (CMS-HCC, HHS-HCC), ICD-10 codes, and claims data Exp.

Consultant LinkedIn profile must have been created before 2018/2019

Need 8-10+yrs of IT Exp. Profiles

Job Summary:Client is seeking a highly analytical and motivated Business Analyst – Risk Adjustment to support risk adjustment operations and data analytics initiatives. This role is critical in helping ensure accurate and compliant capture of risk adjustment data for government-sponsored programs such as Medicare Advantage and ACA (HIX/Exchange). The candidate will play a key role in translating business needs into technical solutions, driving insights, and enabling optimized risk scoring strategies.
Key Responsibilities:

  • Analyze and interpret risk adjustment data (claims, encounters, chart reviews, HCCs) to identify trends, data quality issues, and improvement opportunities.

  • Collaborate with stakeholders across actuarial, clinical coding, IT, and compliance teams to support risk score accuracy.

  • Translate regulatory and business requirements into user stories or functional specifications for data/reporting solutions.

  • Support CMS/HHS risk adjustment submission processes including EDGE server management and encounter reconciliation.

  • Assist in development and enhancement of dashboards/reports for risk score monitoring, suspecting models, and provider performance.

  • Monitor and interpret changes in CMS/HHS risk adjustment guidelines and apply to internal business processes.

  • Participate in audit support (e.g., RADV, IVA) and validation of risk adjustment data submissions.

  • Act as liaison between technical teams and business stakeholders to ensure delivery of actionable and scalable solutions.

Qualifications:

  • Bachelor's degree in Healthcare Administration, Business, Analytics, or related field (Master’s preferred).

  • 8+ years of experience in risk adjustment analytics in a healthcare payer environment (Medicare Advantage, Medicaid, or ACA).

  • Strong knowledge of HCC models (CMS-HCC, HHS-HCC), ICD-10 coding, and risk adjustment methodologies.

  • Experience with healthcare data formats: claims, encounters, EMR, lab, and eligibility.

  • Proficiency in SQL and Excel; experience with BI tools like Power BI, Tableau, or SAS preferred.

  • Familiarity with regulatory processes (CMS, HHS, EDGE server, RADV/IVA audits).

Preferred Skills:

  • Knowledge of data and reporting tools, including Cognos or Watson Health platforms.

  • Experience in Agile environments; ability to write and manage JIRA user stories and tasks.

  • Strong communication and stakeholder engagement skills across technical and business teams.

 
Thanks & Regards,
 
Babu