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Hcc Risk Adjustment Coder Jobs in New York (NOW HIRING)

MJHS

Director, Provider Education & Risk Adjustment

Manhattan, NY · On-site

$175K - $200K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

New York, NY Zip Code: 10041 Category: Management - Non-Clinical Agency: Elderplan Status: Regular ... They will provide feedback to Operations-Risk Adjustment management and work collaboratively and ...

Mercor

CDI Leader - Clinical Documentation

New York, NY · Remote

$84/hr

Experience with HCC risk adjustment and outpatient CDI programs. * Background in RN , RHIA , CCS , or similar clinical or coding credential. * Familiarity with AI-assisted CDI tools (e.g., Nuance DAX ...

Stanford Health Care

Physician Educator III

Newark, NJ

$44.13 - $57.36/hr

... risk adjustment methodologies. * Reviewing medical records to ensure accurate HCC coding and identify opportunities for recapture and suspect diagnoses. * Evaluating medical records to verify that ...

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Hcc Risk Adjustment Coder information

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

As of Aug 16, 2026, the average hourly pay for hcc risk adjustment coder in New York is $30.08, according to ZipRecruiter salary data. Most workers in this role earn between $20.77 and $37.88 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?

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.

Is Hcc Risk Adjustment Coder coding a good career?

Hcc Risk Adjustment Coder is a specialized healthcare role focused on accurate coding for risk adjustment purposes, often requiring knowledge of medical terminology and coding systems like ICD-10. It offers steady employment opportunities, especially in healthcare organizations and insurance companies, with potential for certification and career advancement. The role typically involves working in an office environment and may require ongoing education to stay current with coding updates.

How much do Hcc Risk Adjustment Coders make in the US?

Hcc Risk Adjustment Coders in the US typically earn between $50,000 and $80,000 annually, depending on experience, certification, and location. Experienced coders with certifications like CPC or CCS may earn higher salaries, especially in healthcare hubs or with specialized skills in coding and documentation. Salaries can also vary based on whether the role is remote or onsite and the complexity of the coding tasks involved.

What are the most commonly searched types of Hcc Risk Adjustment Coder jobs in New York?

The most popular types of Hcc Risk Adjustment Coder jobs in New York are:

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Hcc Risk Adjustment Coder jobs near you
Infographic showing various Hcc Risk Adjustment Coder job openings in New York as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 11% Part Time, 1% Temporary, and 2% Contract. Highlights an 87% Physical, 5% Hybrid, and 8% Remote job distribution, with an average salary of $62,559 per year, or $30.1 per hour.

Manager of Risk Adjustment Analytics

Village Care

Manhattan, NY • On-site

$135K - $152K/yr

Full-time

Posted 6 days ago

Job description

Position:Manager of Risk Adjustment Analytics
Location: Hybrid (Must Reside in NY/NJ/CT)
Work Schedule: Monday - Friday, 9:00am - 5:00pm
Compensation: $135,292.44 - $152,204.00 Annual Salary
Our Organization
VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services.
Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years.
Scope of the Role
The Manager of Risk Adjustment Analytics strengthens VillageCare Max's ability to monitor and improve performance in shared savings arrangements across Medicare Advantage, Medicaid, commercial, and traditional Medicare. This role exists to translate complex risk adjustment and value-based care data into clear insights that guide forecasting, operational decisions, and improvement priorities.
Key responsibilities include leading risk adjustment analytics with an initial emphasis on Medicare Advantage and Medicare; tracking risk-score movement and flagging anomalies; applying expert knowledge of CMS/HCC methodology and claims-based data; building dashboards and concise reporting for internal and external stakeholders; and collaborating with Performance, Finance, and data engineering teams to ensure data is reliable and analysis-ready.
Required qualifications:
- 6-10 years in risk adjustment and/or healthcare analytics
- Deep expertise in Medicare Advantage risk adjustment, HCC modeling, and CMS methodologies
- Strong knowledge of value-based care contracts, policy, operations, and financial methods
- Proficiency with SAS, SQL, and data mining tools
- Bachelor's degree required (Master's preferred)
If you're ready to deliver rigorous analytics that informs action, apply today.
A Typical Workday
Your day is structured around focused analysis time and cross-functional touchpoints. You may start by reviewing updated risk score outputs and trend views, then align with Performance and Finance partners on what leaders need explained or forecasted for upcoming contract discussions. Midday often includes refining visualizations so insights are easy to interpret, followed by working sessions with data ingestion and engineering to validate claims availability and resolve data questions before conclusions are shared.
As the day progresses, you synthesize findings into a clear narrative-what changed, why it matters, and what actions are implied-then prepare materials for stakeholder readouts. In this fast-paced environment, you balance detail-oriented validation with timely delivery, supporting VillageCare Max's learning and improvement across shared savings programs.

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