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Hcc Risk Adjustment Coder Jobs in Philadelphia, PA

Ennoble Care

Sr. Medical Economics Analyst

Marlton, NJ · Remote

$120K - $140K/yr

Collaborate with revenue cycle and coding teams to optimize documentation and billing accuracy ... Thorough understanding of and hands-on experience with Medicare risk adjustment and CMS-HCC models

Mathis Consultants

Be Seen First

Family Nurse Practitioner - Virtual Complex Care | Delaware

Wilmington, DE · Remote

$135K/yr

HCC coding and risk adjustment * HEDIS and STAR measures * Quality-gap identification and closure * Population health * Value-based reimbursement models * Care transitions and post-discharge ...

Strive Health

Nurse Practitioner

Ewing Township, NJ · On-site

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. * Presents patient cases and provides ...

Strive Health

Nurse Practitioner

Trenton, NJ · On-site

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. * Presents patient cases and provides ...

Strive Health

Nurse Practitioner

Trenton, NJ · On-site

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. * Presents patient cases and provides ...

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Hcc Risk Adjustment Coder information

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$27

$43

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

As of Sep 13, 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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Hcc Risk Adjustment Coder jobs near you
Infographic showing various Hcc Risk Adjustment Coder job openings in Philadelphia, PA as of September 2026, with employment types broken down into 67% Full Time, 11% Part Time, and 22% Contract. Highlights an 67% In-person, and 33% Remote job distribution, with an average salary of $57,702 per year, or $27.7 per hour.

Clinical Documentation Spec III PRN - Remote

Camden, NJ • Remote

Cooper University Hospital
Health Care and Social Assistance • 5 - 10K employees
Learn more about Cooper University Hospitalexternal

$70/hr

Full-time, Part-time, Per diem

Medical, Dental, Vision, Life, Retirement

Posted 14 days ago

Cooper University Health Care rating

7.5

Company rating: 7.5 out of 10

Based on 133 frontline employees who took The Breakroom Quiz

Job description

About Us

At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs.  Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development.

Discover why Cooper University Health Care is the employer of choice in South Jersey.

Short Description

This is a remote position.  You must self provide high speed internet access and a phone line.  Depending on shortages, you may be required to self-provide additional monitors (you will need to work on a minimum of 2 monitors).  This job does not require any travel.

  •  Responsible for ensuring the overall quality and completeness of medical record
  •  Documentation for all payor groups, all DRG's, including MS, AP, and APR.
  •  Facilitates modifications to clinical documentation through concurrent interaction with physicians, nursing staff, other patient caregivers and Health Information coding staff to support that appropriate reimbursement and clinical severity is captured for the level of service rendered to all inpatients.
  • Supports timely, accurate and complete documentation of clinical information used for measuring and reporting physician and hospital outcomes
  • Educates all members of the patient care team on an ongoing basis, as needed.
  • Professional team player, able to communicate well with others on all levels.
  • Regular electronic contacts with other personnel throughout and outside the hospital
  • Contacts may be in by telephone or through e-mail correspondence.
  • Flexible with a working knowledge of all areas of adult pediatric and obstetric medicine
  • Ability to sit for very long periods of time, manual dexterity and mobility for extensive use of computer screen, keyboard, copy and facsimile machines, reader/printer and other office equipment.
  • Adequate to perform essential functions of the job with the type of judgments and potential consequences outlined above.
Experience Required
  • EPIC EHR
  • CDE ONE, Solventum
  • 5 years minimum experience as Clinical Documentation Specialist in an acute setting, preferably Level 1 Trauma Center. 
  • CDI Subject matter expert for ALL PAYORS, all DRG groups (MS-DRG, APR-DRG, AP-DRG Elixhauser, risk variables)

PSI/HAC/HCC (Risk adjustment coding) knowledge/experience and Vizient Calculator 

Education Requirements

International Medical Graduate (IMG) from an accredited medical school preferred.bachelor's degree or equivalent medical education required.

License/Certification Requirements
  • CCDS or CDIP required.
  • Coding certification: CCS, CRC, or CIC required. 
Special Requirements

Essential mental abilities: excellent critical thinking skills, able to assess, evaluate and teach.  Must be self governed, disciplined, and organized.  

Requires excellent work ethics, analytical thinking, problem solving, excellent computer skills, excellent verbal and written communication with knowledge of email etiquette . Must be proficient in Word, Excel, PowerPoint and typing (60 WPM)

Salary Min ($)USD $41.00Salary Max ($)USD $70.00Employment Type: OTHER

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