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Hcc Risk Adjustment Coder Jobs in Philadelphia, PA

Become a part of our caring community The Risk Adjustment Coding Analyst provides operational, analytical, and administrative support to business leaders and teams. You will analyze data to support ...

Medical Coder

Philadelphia, PA ยท On-site

$14.80/hr

The coder will identify risk adjustment codes based upon coding guidelines. The coder will be knowledgeable and familiar with computers and technology. The coder will be a certified professional ...

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Hcc Risk Adjustment Coder information

See Philadelphia, PA salary details

$16

$27

$43

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

As of Sep 11, 2026, the average hourly pay for hcc risk adjustment coder in Philadelphia, PA is $27.74, according to ZipRecruiter salary data. Most workers in this role earn between $19.18 and $34.95 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 Philadelphia, PA?

The most popular types of Hcc Risk Adjustment Coder jobs in Philadelphia, PA are:

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For Hcc Risk Adjustment Coder jobs in Philadelphia, PA, the most frequently searched job titles are:

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The top searched job categories for Hcc Risk Adjustment Coder jobs in Philadelphia, PA are:

Infographic showing various Hcc Risk Adjustment Coder job openings in Philadelphia, PA as of September 2026, with employment types broken down into 70% Full Time, and 30% Part Time. Highlights an 100% In-person job distribution, with an average salary of $57,702 per year, or $27.7 per hour.

Remote HCC medical coder

Philadelphia, PA โ€ข Remote

$20 - $23/hr

Full-time

Medical, Dental, Vision

Posted 7 days ago


Job description

Contract Length: 5 Months - starting September 16th , 24th or 28th

Shift: Start time is flexible, need to log 40 hours. M-F

Day-to-Day Responsibilities

Insight Global is seeking experienced HCC Risk Adjustment Medical Coders for a high-volume seasonal project supporting Medicare risk adjustment initiatives. Responsible for coding 2 Charts per hour.

  • Perform accurate HCC risk adjustment coding for Medicare populations
  • Review and code medical records in accordance with ICD and risk adjustment guidelines
  • Meet established quality standards and productivity metrics
  • Complete coding work while maintaining an average throughput of approximately 2 charts per hour

Must Haves:

-Medicare HCC experience is required

-ICD 10 experience

-2 years experience as a risk adjustment coder

-CCS certified(AHIMA) or CPC certified (AAPC)

Plusses:

  • Exposure to Medicaid HCC Coding

Pay Rate: Up to $23/hour