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Hcc Risk Adjustment Coder Jobs in Nevada (NOW HIRING)

Aledade

Clinical Risk Educator, Remote

Las Vegas, NV

... coding, medical terminology, human anatomy and physiology, clinical indicators associated with disease processes and pharmacology is required * Subject matter expertise on the CMS HCC Risk Adjustment ...

P3 Health Partners

MRA Adjustment Analyst

Henderson, NV

$70K - $80K/yr

Identify provider education opportunities based on coding results, queries, prospective performance ... At least 5 years previous work experience within risk adjustment. Education * Bachelor's degree ...

P3 Health Partners

MRA Adjustment Analyst

Henderson, NV · On-site +1

$70K - $80K/yr

Identify provider education opportunities based on coding results, queries, prospective performance ... At least 5 years previous work experience within risk adjustment. Education * Bachelor's degree ...

CenterWell

Nurse Practitioner - IPA

Las Vegas, NV

Are you a Risk Adjustment and HCC expert? Do you enjoy educating and leading clinicians? This will ... Close quality gaps, improve identification and capture of HCC codes, and improve medication ...

Optum

Clinical Quality Analyst Coding

Las Vegas, NV · On-site

... Risk Adjustment CMS Documentation & Coding Guidelines by providing tools to allow for greater meaningful information exchange to allow providers to identify potential new clinical conditions early ...

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Hcc Risk Adjustment Coder information

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$16

$27

$44

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

As of Jun 9, 2026, the average hourly pay for hcc risk adjustment coder in Nevada is $27.99, according to ZipRecruiter salary data. Most workers in this role earn between $19.33 and $35.24 per hour, depending on experience, location, and employer.

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.

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 most commonly searched types of Hcc Risk Adjustment Coder jobs in Nevada? The most popular types of Hcc Risk Adjustment Coder jobs in Nevada are:
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Hcc Risk Adjustment Coder jobs near you
Infographic showing various Hcc Risk Adjustment Coder job openings in Nevada as of May 2026, with employment types broken down into 98% Full Time, and 2% Part Time. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $58,229 per year, or $28 per hour.
Clinical Risk Educator, Remote

Clinical Risk Educator, Remote

Aledade

Las Vegas, NV

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 20 days ago

Aledade rating

8.5

Company rating: 8.5 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

45th of 426 rated business services

Job description

The Clinical Risk Educator is responsible for developing and delivering educational content designed to improve accurate and complete clinical documentation practices. This role supports the clinical audiences of our external partner practices as well as Aledade's clinical and non-clinical staff internally.  
 
Key responsibilities include performing retrospective medical chart reviews to pinpoint areas for improvement, interpreting performance data to uncover learning opportunities, and leading diagnosis documentation education for clinical audiences. The Clinical Risk Educator collaborates with colleagues and leadership to design and implement educational materials that align with regulatory compliance and value-based care principles. 
 
This position requires a deep understanding of clinical documentation concepts, clinical practice, and general outpatient practice workflows. It also demands a commitment to fostering education that promotes high-quality, compliant documentation practices within a value-based care framework. 
 
Candidates should be comfortable working remotely/work from home anywhere within the US.
Primary Duties:
  • The Clinical Risk Educator performs qualitative retrospective chart reviews for prioritized practices to ensure complete and accurate clinical documentation, utilizing quantitative measures to track the frequency and types of documentation errors and gaps. By analyzing review outcomes, they pinpoint specific areas for improvement in coding and clinical documentation while identifying trends and patterns that may indicate systemic issues or training needs. This role involves synthesizing concise, high-level summaries to illustrate findings, highlighting critical areas of concern, and prioritizing recommendations for improvement. Additionally, the Educator conducts educational sessions for Aledade ACO member practices and their key staff-delivered either in person or virtually-covering review findings, clinical documentation, and risk adjustment concepts.
  • Serve as an individual contributor on the Risk Education team, collaborating with team members to develop and update educational materials related to  clinical documentation for both internal and external audiences, inclusive of reference guides, slide decks, and toolkits. Conduct ongoing annual reviews of repository content to ensure alignment with  CMS regulatory updates. 
  • Research, investigate and remain up to date on both clinical and coding guidelines as they relate to clinician documentation improvement.
  • Serve as a resource for appropriate clinical documentation and coding practices for assigned region.
Minimum Qualifications:
  • Bachelor's degree in a healthcare related field or equivalent work experience required 
  • 5+ years of clinical experience (in particular nursing or international medical backgrounds)
  • Current medical coding certification such as Certified Professional Coder (CPC), Certified Coding Specialist - Physician-based (CCS-P), Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Expert Outpatient (CDEO), Certified Clinical Documentation Specialist-Outpatient (CCDS-O), etc. through AAPC, ACDIS, or AHIMA
  • 2+ years of clinical documentation improvement experience
  • Extensive knowledge of ICD-10-CM, HCPCS and CPT coding, medical terminology, human anatomy and physiology, clinical indicators associated with disease processes and pharmacology is required
  • Subject matter expertise on the CMS HCC Risk Adjustment program, methodology, and impact to value-based contracts
  • Comfortable presenting to large and small groups in person and in virtual format (Google Meet, Zoom, etc.)
  • Ability to work both independently and collaboratively 
  • Flexible and able to multi-task and prioritize work load on a daily basis
  • Availability for market-specific events, including the execution of 1-2 Saturday events per year in select markets
  • Flexibility to work occasional evening hours, with the potential for 1-2 evenings per month on a national scale
Preferred KSA's:
  • Active nursing credential as Registered Nurse (RN), Licensed Practical Nurse (LPN), or international medical graduate (IMG)
  • Background in working directly with providers in an outpatient setting 
  • Experience developing and delivering clinical education and training via Google Slides or Powerpoint presentations
  • Ability to use insights from clinical and quality data to address opportunities for improvement
  • Advanced knowledge of Medicare billing and coding regulations, along with a deep understanding of CMS compliance standards and guidelines
  • General understanding of the billing requirements and reimbursement structures for FQHCs/RHCs
  • Willingness to travel as needed to Aledade's headquarters or markets
Physical Requirements:
  • Sitting for prolonged periods of time. Extensive use of computers and keyboard. Occasional walking and lifting may be required.
  • Willingness to travel as needed to Aledade's headquarters or markets (est. up to 25% across the year).
$69,000 - $91,000 a year
Salary Range: $69,000 - $91,000 base + bonus + equity
Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience.
Who We Are:
Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.

What Does This Mean for You?
At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.

In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:

Flexible work schedules and the ability to work remotely are available for many roles
Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners
Robust time-off plan (21 days of PTO in your first year)
Two paid volunteer days and 11 paid holidays
12 weeks paid parental leave for all new parents
Six weeks paid sabbatical after six years of service
Educational Assistant Program and Clinical Employee Reimbursement Program
401(k) with up to 4% match
Stock options
And much more!

At Aledade, we don't just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.

Privacy Policy: By applying for this job, you agree to Aledade's Applicant Privacy Policy available at  https://www.aledade.com/privacy-policy-applicants
We may use automated tools, including artificial intelligence (AI), to help organize and evaluate application materials. These tools support our recruiters and hiring managers by helping manage large applicant pools. Human judgment plays an essential role in our hiring process, including in the oversight and use of any automated tools. If you would like more information about our screening and hiring process, please contact us.
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About Aledade

Sourced by ZipRecruiter

Aledade is a leader in population health that is using innovative, value based solutions to transform the way physicians interact with their patients. We are on a mission to change healthcare for the better and solve complex problems within the healthcare system. We follow the simple but radical idea that Aledade only succeeds when our partner practices succeed. From our cutting-edge technology platform to practice transformation services, we provide physicians with everything they need to create and run an accountable care organization (ACO), revamping the way they practice and getting them back to where they should be: quarterbacking their patients' health care! Our customized solutions help clinicians in communities across America preserve their autonomy, deliver better care to their patients, reduce overall costs, and keep independent physician practices flourishing.

Industry

Health care and social assistance

Company size

501 - 1,000 Employees

Headquarters location

Bethesda, MD, US

Year founded

2014

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