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Hcc Risk Adjustment Coder Jobs in Tennessee (NOW HIRING)

Altegra Health

Remote Certified Coders

Memphis, TN · Remote

$21.75 - $29.75/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Report work-related concerns to assigned Coder Advocate and if not adequately addressed to Sr. ...

Altegra Health

Remote Certified Coders

Memphis, TN · On-site +1

$21.75 - $29.75/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Qualifications: • Active nursing license (RN or LPN) and/or certified coder certification through ...

Humana

Clinical Coding Educator

Brentwood, TN · 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

Fayetteville, TN · 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

Cosby, TN · 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

Hermitage, TN · 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

Lenoir City, TN · 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

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

As of May 29, 2026, the average hourly pay for hcc risk adjustment coder in Tennessee is $24.95, according to ZipRecruiter salary data. Most workers in this role earn between $17.21 and $31.39 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.
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Hcc Risk Adjustment Coder jobs near you
Certified Medical Coder

Certified Medical Coder

University Physicians' Association

Knoxville, TN

$19.25 - $26.50/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago

Job description

Description

University Health Network is looking for a full-time Certified Medical Coder to focus on risk adjustment for the clinically integrated network associated with The University of Tennessee Medical Center and University Physicians' Association.


This position requires normal business hours Monday-Friday. This is a remote position with occasional on-site meetings. Candidate must be able to maintain HIPAA privacy requirements when working from home. Candidate must be located in the Knoxville, TN region.


This role involves performing detailed clinical documentation and risk adjustment reviews and accurately coding procedures and diagnoses using ICD-10-CM, CPT, HCPCS, and modifiers for professional services associated with The University of Tennessee Medical Center and University Physicians' Association.


Essential Duties and Responsibilities (this list does not include all duties assigned)

Performs coding services while meeting daily production and quality goals

  • Conduct thorough reviews of clinical documentation to ensure accuracy and compliance with coding standards.
  • Assign appropriate ICD-10-CM, CPT, HCPCS, and modifiers for professional services.
  • Collaborate with healthcare providers to clarify diagnoses and procedures to ensure accurate coding.
  • Uses CMS and HHS risk adjustment mapping tools to identify HCC coding and documentation opportunities
  • Participate in ongoing education and training to stay current with coding updates and guidelines
  • Actively participates in designated team meetings
  • Consistently meets coding productivity and accuracy standards while managing different responsibilities and workflows. If unable to maintain productivity and accuracy standards, team members will work onsite at the UHN office until standards are met and maintained.

Partners with providers, practice staff, and UHN Coding team to improve quality and efficiencies in coding and documentation

  • Educates and coaches on compliant coding and documentation practices and accurate risk adjustment guidelines
  • Facilitates and supports a culture of compliance, ethics, and integrity
  • Recognized as an expert in risk adjustment coding compliance
  • Interacts effectively and builds respectful working relationships across the organization.

Maintains HIPPA Guidelines for privacy

  • Respects the privacy of all patients 100% of the time
  • Understands and abides by HIPAA laws and regulations and UPA HIPAA policy at all times
  • Obtains consent to release protected health information
  • Reports all HIPAA issues to the Supervisor

Remains current on coding rules and guidelines

  • Remains up to date with official AMA ICD-10 coding guidelines and regulations, Medicare, other MA and commercial plans, and internal guidelines
  • Remains up to date with CMS and HHS HCC risk adjustment models
  • Meets CEU requirements and remains in good standing with AAPC/AHIMA certifications

Full benefit package available, including PTO, Medical, Dental, Vision, STD/LTD, Life Insurance, 401k + Company Match, and more!

Requirements

  • Current CPC or RHIT certification required.
  • CRC required within 6-months of hire
  • Preferred at least two years of professional medical coding experience in an ambulatory care setting. E/M coding experience a plus.
  • Preferred experience and knowledge of HCC coding, knowledge related to chronic illness diagnosis, treatment, and management
  • Must be a team player with effective written and verbal communication, relationship-building, and interpersonal skills
  • Must be initiative-taking, highly organized, and have excellent time management
  • Must possess good problem solving and critical thinking skills
  • Exceptional attention to detail and proficiency in Microsoft Outlook (Outlook, Word, Excel, and PowerPoint)
  • Demonstrates integrity by adhering to high standards of personal and professional conduct

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