Franklin, TN · Remote
$18 - $24/hr
HCC / Risk Adjustment Coder - Remote Risk Adjustment / HCC Coding Experience Required Required Education * High School Diploma required with submission Required Certifications Online certification ...
Franklin, TN · Remote
$18 - $24/hr
HCC / Risk Adjustment Coder - Remote Risk Adjustment / HCC Coding Experience Required Required Education * High School Diploma required with submission Required Certifications Online certification ...
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. ...
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. ...
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 ...
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 ...
Demonstrate the ability to teach and evaluate clinical staff as it relates to HCC/RAF management at the clinic level. * Maintain compliance with AAPC coding standards and CMS Risk Adjustment ...
Demonstrate the ability to teach and evaluate clinical staff as it relates to HCC/RAF management at the clinic level. * Maintain compliance with AAPC coding standards and CMS Risk Adjustment ...
Demonstrate the ability to teach and evaluate clinical staff as it relates to HCC/RAF management at the clinic level. * Maintain compliance with AAPC coding standards and CMS Risk Adjustment ...
Demonstrate the ability to teach and evaluate clinical staff as it relates to HCC/RAF management at the clinic level. * Maintain compliance with AAPC coding standards and CMS Risk Adjustment ...
Demonstrate the ability to teach and evaluate clinical staff as it relates to HCC/RAF management at the clinic level. * Maintain compliance with AAPC coding standards and CMS Risk Adjustment ...
Demonstrate the ability to teach and evaluate clinical staff as it relates to HCC/RAF management at the clinic level. * Maintain compliance with AAPC coding standards and CMS Risk Adjustment ...
Knoxville, TN · On-site
$23.50 - $26.75/hr
Remains up to date with CMS and HHS HCC risk adjustment models * Ensures coding staff is current on coding rules and guidelines * Meets CEU requirements and remains in good standing with AAPC/AHIMA ...
Knoxville, TN · On-site
$23.50 - $26.75/hr
Remains up to date with CMS and HHS HCC risk adjustment models * Ensures coding staff is current on coding rules and guidelines * Meets CEU requirements and remains in good standing with AAPC/AHIMA ...
Knoxville, TN · Remote
$23.50 - $26.75/hr
Remains up to date with CMS and HHS HCC risk adjustment models * Ensures coding staff is current on coding rules and guidelines * Meets CEU requirements and remains in good standing with AAPC/AHIMA ...
Knoxville, TN · Remote
$23.50 - $26.75/hr
Remains up to date with CMS and HHS HCC risk adjustment models * Ensures coding staff is current on coding rules and guidelines * Meets CEU requirements and remains in good standing with AAPC/AHIMA ...
Knoxville, TN · On-site
$23.50 - $26.75/hr
Remains up to date with CMS and HHS HCC risk adjustment models * Ensures coding staff is current on coding rules and guidelines * Meets CEU requirements and remains in good standing with AAPC/AHIMA ...
Quick apply
Knoxville, TN · On-site
$23.50 - $26.75/hr
Remains up to date with CMS and HHS HCC risk adjustment models * Ensures coding staff is current on coding rules and guidelines * Meets CEU requirements and remains in good standing with AAPC/AHIMA ...
... HCC) conditions applicable to Medicare Risk Adjustment reimbursement initiatives is captured • Develop tools and metrics to improve accuracy and completeness of coding and documentation • Provide ...
... HCC) conditions applicable to Medicare Risk Adjustment reimbursement initiatives is captured • Develop tools and metrics to improve accuracy and completeness of coding and documentation • Provide ...
... HCC) conditions applicable to Medicare Risk Adjustment reimbursement initiatives is captured • Develop tools and metrics to improve accuracy and completeness of coding and documentation • Provide ...
... HCC) conditions applicable to Medicare Risk Adjustment reimbursement initiatives is captured • Develop tools and metrics to improve accuracy and completeness of coding and documentation • Provide ...
Serves as a subject matter expert on coding. * Leads and consults with operations on ad hoc requests/special projects. * Works collaboratively with Enterprise Risk Adjustment team, Business ...
Serves as a subject matter expert on coding. * Leads and consults with operations on ad hoc requests/special projects. * Works collaboratively with Enterprise Risk Adjustment team, Business ...
Serves as a subject matter expert on coding. * Leads and consults with operations on ad hoc requests/special projects. * Works collaboratively with Enterprise Risk Adjustment team, Business ...
Serves as a subject matter expert on coding. * Leads and consults with operations on ad hoc requests/special projects. * Works collaboratively with Enterprise Risk Adjustment team, Business ...
Knoxville, TN · On-site
$15.50 - $20.50/hr
Process Comprehensive Medical Chart reviews for abstraction of ICD-10 codes and accuracy of diagnosis with focused attention on Risk Adjustment HCC coding. * Accurately and effectively communicate ...
Knoxville, TN · On-site
$15.50 - $20.50/hr
Process Comprehensive Medical Chart reviews for abstraction of ICD-10 codes and accuracy of diagnosis with focused attention on Risk Adjustment HCC coding. * Accurately and effectively communicate ...
$15.50 - $20.50/hr
Process Comprehensive Medical Chart reviews for abstraction of ICD-10 codes and accuracy of diagnosis with focused attention on Risk Adjustment HCC coding. * Accurately and effectively communicate ...
Quick apply
$15.50 - $20.50/hr
Process Comprehensive Medical Chart reviews for abstraction of ICD-10 codes and accuracy of diagnosis with focused attention on Risk Adjustment HCC coding. * Accurately and effectively communicate ...
Nashville, TN · Hybrid
... HCC Mode; or any combination of education and experience, which would provide an equivalent ... Prefer AAPC Certified Risk Adjustment Coder (CRC) certification. Job Level: Manager Workshift: 1st ...
Nashville, TN · Hybrid
... HCC Mode; or any combination of education and experience, which would provide an equivalent ... Prefer AAPC Certified Risk Adjustment Coder (CRC) certification. Job Level: Manager Workshift: 1st ...
Nashville, TN · Hybrid
... HCC Mode; or any combination of education and experience, which would provide an equivalent ... Prefer AAPC Certified Risk Adjustment Coder (CRC) certification. Please be advised that Elevance ...
Nashville, TN · Hybrid
... HCC Mode; or any combination of education and experience, which would provide an equivalent ... Prefer AAPC Certified Risk Adjustment Coder (CRC) certification. Please be advised that Elevance ...
Brentwood, TN · On-site
$33 - $44.25/hr
Subject matter expertise in importance of excellent provider documentation and how it translates into coding accu-racy, risk adjustment best practices, and supports medical necessity which improves ...
Brentwood, TN · On-site
$33 - $44.25/hr
Subject matter expertise in importance of excellent provider documentation and how it translates into coding accu-racy, risk adjustment best practices, and supports medical necessity which improves ...
Brentwood, TN · Remote
$33 - $44.25/hr
Subject matter expertise in importance of excellent provider documentation and how it translates into coding accu-racy, risk adjustment best practices, and supports medical necessity which improves ...
Brentwood, TN · Remote
$33 - $44.25/hr
Subject matter expertise in importance of excellent provider documentation and how it translates into coding accu-racy, risk adjustment best practices, and supports medical necessity which improves ...
Nashville, TN · On-site
Keeps informed of HCC coding regulations and manages the HCC workflow within the department ... risk adjustment coding and compliance * Evaluate and optimize end to tend practice clinical ...
Nashville, TN · On-site
Keeps informed of HCC coding regulations and manages the HCC workflow within the department ... risk adjustment coding and compliance * Evaluate and optimize end to tend practice clinical ...
$16.63 is the 25th percentile. Wages below this are outliers.
$14.40 - $16.68
26% of jobs
$16.68 - $18.96
9% of jobs
$18.96 - $21.24
12% of jobs
The median wage is $22.38 / hr.
$21.24 - $23.52
9% of jobs
$23.52 - $25.80
11% of jobs
$25.80 - $28.09
5% of jobs
$29.80 is the 75th percentile. Wages above this are outliers.
$28.09 - $30.37
6% of jobs
$30.37 - $32.65
5% of jobs
$32.65 - $34.93
5% of jobs
$34.93 - $37.21
3% of jobs
$37.21 - $39.49
10% of jobs
$14
$24
$39
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.
$18 - $24/hr
Contractor
Posted 28 days ago
Risk Adjustment / HCC Coding Experience Required
Required EducationOnline certification verification required with submission.
Candidates must possess one of the following certifications:
CRC Certification is highly preferred.
ScheduleThe HCC / Risk Adjustment Coder is responsible for reviewing medical records and clinical documentation to accurately identify, validate, and code chronic and acute conditions impacting patient risk scores and reimbursement.
The coder will ensure accurate assignment of ICD-10-CM diagnosis codes in accordance with CMS Risk Adjustment guidelines, Official ICD-10-CM Coding Guidelines, and client-specific requirements. This role supports Risk Adjustment initiatives through retrospective chart reviews, prospective reviews, coding validation, provider education support, and quality assurance activities.
The HCC Coder will collaborate with providers, CDI professionals, quality teams, population health departments, and coding leadership to ensure complete and accurate capture of chronic conditions and disease burden.
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Vertek Solutions is a boutique staffing firm that specializes in recruiting top level IT talent who can enhance our clients’ teams. Our team works every day to foster relationships with both our consultants and clients to understand their needs and ensure that we are providing a solution that is mutually beneficial.
Recruiting and staffing services
11 - 50 Employees
Franklin, TN, US
2006
