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Hcc Risk Adjustment Coder Jobs in Texas (NOW HIRING)

Bachelor's degree in relevant field of study preferred or 3-5 years related work experience coder with a minimum of 5 year's coding experience in risk adjustment both ACA and MA. * Expert knowledge ...

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Payer Coding Ops Hourly

Dallas, TX · Remote

$25 - $26.70/hr

... HCC (Hierarchical Condition Category) coder you will review medical records to identify and code ... for risk adjustment and reimbursement purposes. You will play a critical role in translating ...

CDI Audit Educator RN

Dallas, TX · On-site +1

$34.50 - $46.25/hr

The Coding and CDI Audit/Educator is identified as the highest-level coding subject matter expert ... CDI audits specific to PDx, POA, query compliance, risk adjustments variables, clinical substance ...

CDI Audit Educator RN

Dallas, TX · On-site +1

$34.50 - $46.25/hr

The Coding and CDI Audit/Educator is identified as the highest-level coding subject matter expert ... CDI audits specific to PDx, POA, query compliance, risk adjustments variables, clinical substance ...

CDI Audit Educator RN

Dallas, TX · On-site +1

$34.50 - $46.25/hr

The Coding and CDI Audit/Educator is identified as the highest-level coding subject matter expert ... CDI audits specific to PDx, POA, query compliance, risk adjustments variables, clinical substance ...

CDI Audit Educator RN

Dallas, TX · On-site

$34.50 - $46.25/hr

The Coding and CDI Audit/Educator is identified as the highest-level coding subject matter expert ... CDI audits specific to PDx, POA, query compliance, risk adjustments variables, clinical substance ...

CDI Audit Educator RN

Dallas, TX · On-site +1

$34.50 - $46.25/hr

The Coding and CDI Audit/Educator is identified as the highest-level coding subject matter expert ... CDI audits specific to PDx, POA, query compliance, risk adjustments variables, clinical substance ...

This role is responsible for ensuring the accuracy, consistency, and effectiveness of second-level coding quality review workflows that support risk adjustment, DRG integrity, regulatory compliance ...

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Hcc Risk Adjustment Coder information

See Texas salary details

$14

$25

$40

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

As of Jul 1, 2026, the average hourly pay for hcc risk adjustment coder in Texas is $25.61, according to ZipRecruiter salary data. Most workers in this role earn between $17.69 and $32.26 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 Texas? The most popular types of Hcc Risk Adjustment Coder jobs in Texas are:
Client Coding Project Manger (CCPM)

Client Coding Project Manger (CCPM)

Datavant

Dallas, TX • On-site

$7.5K/mo

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 2 days ago

Be an early applicant


Datavant rating

7.0

Company rating: 7.0 out of 10

Based on 100 frontline employees who took The Breakroom Quiz

130th of 207 rated it services


Job description

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health.
By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare.

What We're Looking For:

The Client Coding Project Manager will provide superior quality by performing audits pertaining to risk adjustment coding efforts. They will be responsible for daily operations pertaining to auditing functions as assigned. The CCPM will provide superior customer experience by educating internally and externally on opportunities for improvement discovered during auditing. This individual will work closely with Management to implement benchmarks, establish acceptable thresholds, and effective quality assurance programs.

What You Will Do:

  • Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors.
  • Provides expertise as it relates to coding compliance for new and existing services, while ensuring compliance with organizational, federal, state, and third-party requirements.
  • Assist in the methods to effectively communicate information through presentations, reports, educational programs, memoranda, etc. by providing formal and informal education to QA specialists, coding vendors and staff.
  • Report findings to Leadership in a timely, consistent and effective manner ensuring that appropriate changes are implemented.
  • Support audit processes ensuring work flows and results are properly documented and maintained. Identify process improvements as needed.
  • Assist in the development of an effective training program regarding correct coding techniques/practices.
  • Assist with training new auditors and training of other staff as needed.
  • Create methods to share information on the program, quality, and initiatives with Management on a monthly cadence at minimum.
  • Maintain a quality assurance program.
  • Play a key role in ensuring coding compliance and accuracy.
  • Perform other duties as assigned.

What You Need to Succeed:

  • Bachelor's degree in relevant field of study preferred or 3-5 years related work experience coder with a minimum of 5 year's coding experience in risk adjustment both ACA and MA.
  • Expert knowledge of Risk Adjustment.
  • 1+ years experience in project management.
  • Research and problem resolution skills.
  • Proficient in Microsoft and G-Suite applications. Excel skills are a must.
  • Exceptional interpersonal relationship skills.
  • Consistent demonstration of commitment to quality, customer focus, productivity, and process improvement.
  • Strong communication skills to effectively interact all levels of the organization, business unit leaders, and staff in a tactful and positive manner.
  • Exceptional interpersonal skills, proven success in complex and ambiguous environments.
  • Ability to work independently, with high productivity, and regularly meet deadlines.
  • Demonstrates excellent written and verbal communication skills conforming to all rules of punctuation, grammar, diction and professional style.
  • Experience in initiating, developing and monitoring policies, internal control procedures and operating standards.

What We Offer:

  • Comprehensive health, dental, and vision insurance
  • Paid time off (PTO) plan, offering X days per year, plus holidays
  • Retirement savings plan
  • Opportunities for career growth and development
  • Employee wellness programs
  • Additional benefits based on location and role

Physical Requirements:

    • Sitting or standing for duration of work shift (or alternating between the two)

We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.
At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services.
The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job.

The estimated total cash compensation range for this role is:
$75,000—$90,000 USD

To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis.

For more information about how we collect and use your data, please review our Privacy Policy.


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