... HCC) capture, and improve risk adjustment outcomes. Assists with medical record retrieval ... CERTIFICATION Coding certification within 2 years of employment (e.g., Certified Professional Coder ...
... HCC) capture, and improve risk adjustment outcomes. Assists with medical record retrieval ... CERTIFICATION Coding certification within 2 years of employment (e.g., Certified Professional Coder ...
Director, Clinical Documentation Improvement
Houston, TX · On-site
$76K - $104K/yr
Provider Education and Audit Workflow ● Develop and maintain a comprehensive provider education library covering risk adjustment best practices, HCC coding, and documentation specificity. ● ...
Quick apply
Director, Clinical Documentation Improvement
Houston, TX · On-site
$76K - $104K/yr
Provider Education and Audit Workflow ● Develop and maintain a comprehensive provider education library covering risk adjustment best practices, HCC coding, and documentation specificity. ● ...
Director, Clinical Documentation Improvement
Houston, TX · On-site
$76K - $104K/yr
Provider Education and Audit Workflow • Develop and maintain a comprehensive provider education library covering risk adjustment best practices, HCC coding, and documentation specificity. • ...
Director, Clinical Documentation Improvement
Houston, TX · On-site
$76K - $104K/yr
Provider Education and Audit Workflow • Develop and maintain a comprehensive provider education library covering risk adjustment best practices, HCC coding, and documentation specificity. • ...
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
Consulting Actuary - ACA Risk Adjustment
Houston, TX · On-site
$143K - $229K/yr
Deep experience with ACA Risk Adjustment , including HHS-HCC model methodology, risk score ... Strong understanding of diagnosis coding (ICD-10-CM) , provider documentation practices, and their ...
Consulting Actuary - ACA Risk Adjustment
Houston, TX · On-site
$143K - $229K/yr
Deep experience with ACA Risk Adjustment , including HHS-HCC model methodology, risk score ... Strong understanding of diagnosis coding (ICD-10-CM) , provider documentation practices, and their ...
CPC Coder
Houston, TX · On-site
$65 - $90/hr
Medical Coder - Multi-Specialty (Hospital & Clinic) Location: Kingwood or Remote Employment Type ... HCC/RAF risk adjustment concepts * Experience with EMR systems (eCW preferred but not required ...
New
CPC Coder
Houston, TX · On-site
$65 - $90/hr
Medical Coder - Multi-Specialty (Hospital & Clinic) Location: Kingwood or Remote Employment Type ... HCC/RAF risk adjustment concepts * Experience with EMR systems (eCW preferred but not required ...
New
Administrative- Certified Coder
Dallas, TX · On-site
$65 - $90/hr
Knowledgeable in ICD-9/ICD-10-CM/PCS, CPT-4/HCPCS, HCC and HEDIS CAT II, Risk Adjustment - REQUIRED ... Ability to assign CPT codes - REQUIRED * Knowledge & proficiency of EPIC EHR and 3M 360 coding is ...
New
Administrative- Certified Coder
Dallas, TX · On-site
$65 - $90/hr
Knowledgeable in ICD-9/ICD-10-CM/PCS, CPT-4/HCPCS, HCC and HEDIS CAT II, Risk Adjustment - REQUIRED ... Ability to assign CPT codes - REQUIRED * Knowledge & proficiency of EPIC EHR and 3M 360 coding is ...
New
... 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 ...
... 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 ...
Certified Risk Adjustment Coder (CRC) -- demonstrates expertise in HCC methodology and risk adjustment documentation standards * Certified Professional Coder (CPC) -- demonstrates proficiency in ...
Quick apply
Certified Risk Adjustment Coder (CRC) -- demonstrates expertise in HCC methodology and risk adjustment documentation standards * Certified Professional Coder (CPC) -- demonstrates proficiency in ...
Coder - RCO Coding (Remote)
Galveston, TX · Remote
$17.50 - $23.50/hr
CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional services for Inpatient and/or professional and hospital outpatient technical services for multiple ...
Coder - RCO Coding (Remote)
Galveston, TX · Remote
$17.50 - $23.50/hr
CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional services for Inpatient and/or professional and hospital outpatient technical services for multiple ...
Required Credentials (One or More) • Certified Risk Adjustment Coder (CRC) - demonstrates expertise in HCC methodology and risk adjustment documentation standards • Certified Professional Coder ...
Required Credentials (One or More) • Certified Risk Adjustment Coder (CRC) - demonstrates expertise in HCC methodology and risk adjustment documentation standards • Certified Professional Coder ...
... HCC conditions * ICD-10-CM coding principles, including clinical specificity, laterality, condition relationships, and complications * CMS risk-adjustment requirements and organizational ...
Quick apply
... HCC conditions * ICD-10-CM coding principles, including clinical specificity, laterality, condition relationships, and complications * CMS risk-adjustment requirements and organizational ...
CRC - Cert Risk Adjustment Coder by the American Academy of Professional Coders (AAPC) * RHIA - Cert-Reg Health Inform. Admins by the American Health Information Management Association (AHIMA) * RHIT ...
CRC - Cert Risk Adjustment Coder by the American Academy of Professional Coders (AAPC) * RHIA - Cert-Reg Health Inform. Admins by the American Health Information Management Association (AHIMA) * RHIT ...
CRC - Cert Risk Adjustment Coder by the American Academy of Professional Coders (AAPC) * RHIA - Cert-Reg Health Inform. Admins by the American Health Information Management Association (AHIMA) * RHIT ...
CRC - Cert Risk Adjustment Coder by the American Academy of Professional Coders (AAPC) * RHIA - Cert-Reg Health Inform. Admins by the American Health Information Management Association (AHIMA) * RHIT ...
Client Coding Project Manger (CCPM)
Dallas, TX · On-site
$7.5K/mo
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 ...
Quick apply
Client Coding Project Manger (CCPM)
Dallas, TX · On-site
$7.5K/mo
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 ...
Coding Analyst Sr.
Grand Prairie, TX · On-site
AAPC Certified Risk Adjustment Coder (CRC) is highly preferred. * Knowledge of medical terminology and anatomy strongly preferred. Please be advised that Elevance Health only accepts resumes for ...
Coding Analyst Sr.
Grand Prairie, TX · On-site
AAPC Certified Risk Adjustment Coder (CRC) is highly preferred. * Knowledge of medical terminology and anatomy strongly preferred. Please be advised that Elevance Health only accepts resumes for ...
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more About the Job: We are currently recruiting RNs, LPNs, MA's, Certified Coders ...
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more About the Job: We are currently recruiting RNs, LPNs, MA's, Certified Coders ...
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more About the Job: We are currently recruiting RNs, LPNs, MA's, Certified Coders ...
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more About the Job: We are currently recruiting RNs, LPNs, MA's, Certified Coders ...
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 ...
Quick apply
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 ...
Hcc Risk Adjustment Coder information
See Texas salary details
$17.07 is the 25th percentile. Wages below this are outliers.
$14.78 - $17.12
26% of jobs
$17.12 - $19.46
9% of jobs
$19.46 - $21.81
12% of jobs
The median wage is $22.98 / hr.
$21.81 - $24.15
9% of jobs
$24.15 - $26.49
11% of jobs
$26.49 - $28.83
5% of jobs
$30.59 is the 75th percentile. Wages above this are outliers.
$28.83 - $31.17
6% of jobs
$31.17 - $33.51
5% of jobs
$33.51 - $35.85
5% of jobs
$35.85 - $38.19
3% of jobs
$38.19 - $40.54
10% of jobs
$14
$25
$40
How much do hcc risk adjustment coder jobs pay per hour?
As of Sep 3, 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 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.
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 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 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:
What are popular job titles related to Hcc Risk Adjustment Coder jobs in Texas?
For Hcc Risk Adjustment Coder jobs in Texas, the most frequently searched job titles are:
- Risk Adjustment Provider Educator
- Certified Equity Professional Cep
- Remote Risk Adjustment Coder
- Remote Hcc Risk Adjustment Coding
- Contractual Remote Hcc Coder
- Entry Level Risk Adjustment Coder
- Internship Remote Risk Adjustment Coder
- Seasonal Optum Health Coding Risk Adjustment
- Remote Home Health Coder
- Ltss Coordinator
What job categories do people searching Hcc Risk Adjustment Coder jobs in Texas look for?
The top searched job categories for Hcc Risk Adjustment Coder jobs in Texas are:
Full-time
Posted 9 days ago
University Health System (San Antonio) rating
8.0
Based on 64 frontline employees who took The Breakroom Quiz
89th of 898 rated healthcare providers
Job description
POSITION SUMMARY/RESPONSIBILITIES
The Risk Adjustment Data Analyst supports Community First Health Plans' Risk Adjustment program through data analysis, reporting, medical record retrieval, and performance monitoring activities. Coordinates with internal departments, provider networks, and external vendors to ensure accurate and timely collection, analysis, and reporting of risk adjustment data. Utilize health informatics and analytics tools to identify trends, monitor key performance indicators, support Hierarchical Condition Category (HCC) capture, and improve risk adjustment outcomes. Assists with medical record retrieval initiatives, data validation, provider performance analysis, and regulatory reporting to ensure compliance with CMS requirements and organizational goals.
EDUCATION/EXPERIENCE
Bachelor’s degree in a related field preferred. Two (2) years of experience in healthcare data analysis and medical record retrieval required. Experience in Risk Adjustment, managed care, health plan operations, or healthcare analytics preferred. Knowledge of healthcare data, electronic health records (EHRs), and medical record retrieval processes preferred. Proficiency in Microsoft Excel and strong analytical, organizational, and communication skills required. Ability to work effectively with providers, vendors, and cross-functional teams.
CERTIFICATION
Coding certification within 2 years of employment (e.g., Certified Professional Coder - CPC, Certified Coding Specialist - CCS and/or data analytics certification (e.g., CHDA, Microsoft Power BI Data Analyst Associate) within two (2) years of employment, based on the requirements of their role.
What University Health System (San Antonio) employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom