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Hcc Risk Adjustment Coder Jobs (NOW HIRING)

HCC Coder

Lecanto, FL · On-site

$13.75 - $18.50/hr

The Role We are seeking a proactive and compassionate HCC Coder to join our Primary Care team ... This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance ...

Risk Adjustment Coder II

Houston, TX · On-site

$27.69 - $34.61/hr

Job Profile JOB SUMMARY The Risk Adjustment Coder II provides advanced support for complex medical record reviews to ensure the correct capture of chronic conditions and complexities to calculate a ...

HCC Coder

Lecanto, FL

$13.75 - $18.50/hr

The Role We are seeking a proactive and compassionate HCC Coder to join our Primary Care team ... This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance ...

... Risk HRA/HCC Assessment forms Medicare Advantage plans suspect HCC condition forms prior to ... Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) Visit us online at www.

Risk Adjustment Coder II

Houston, TX · On-site

$27.69 - $34.61/hr

Job Profile JOB SUMMARY The Risk Adjustment Coder II provides advanced support for complex medical record reviews to ensure the correct capture of chronic conditions and complexities to calculate a ...

Using SQL code, mine data on medical spend, clinical data and population health data and derive ... Familiarity with CMS-HCC and HHS-HCC risk Adjustment Models * Familiarity with HEDIS and MSSP ...

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Hcc Risk Adjustment Coder information

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$15

$27

$43

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

As of Jul 22, 2026, the average hourly pay for hcc risk adjustment coder in the United States is $27.49, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $34.62 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 cities are hiring for Hcc Risk Adjustment Coder jobs? Cities with the most Hcc Risk Adjustment Coder job openings:
What are the most commonly searched types of Hcc Risk Adjustment Coder jobs? The most popular types of Hcc Risk Adjustment Coder jobs are:
What states have the most Hcc Risk Adjustment Coder jobs? States with the most job openings for Hcc Risk Adjustment Coder jobs include:
Infographic showing various Hcc Risk Adjustment Coder job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 77% Full Time, 14% Part Time, and 8% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution, with an average salary of $57,182 per year, or $27.5 per hour.

Certified Medical Coder - Risk Adjustment (HCC)

Porter Cares, Inc.

Pompano Beach, FL

$50K - $54K/yr

Full-time

Posted 13 days ago


Job description

Porter is hiring a Risk Adjustment Coder to join our Team!
 
Porter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. We deliver understanding, compassion, information, and peace of mind for your members. Driven by robust AI analytics, Porter's Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member's specific needs, and directs Porter's team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience. 
 
Position Overview
We are seeking a certified coder with expertise in risk adjustment coding and a specialization in in-home health assessments. The ideal candidate will have a strong understanding of CMS risk adjustment and quality initiatives, exceptional attention to coding quality, and experience managing the provider query process. This role also requires the ability to handle multiple clients, each with unique coding requirements, while ensuring accuracy and compliance. Proficiency in utilizing coding clinics for provider education and feedback is essential. This role will be instrumental in ensuring the accuracy of coding and improving the efficiency of our assessment workflows. A key expectation is that the Risk Adjustment Coder will maintain 98% coding accuracy.
 
Schedule: Monday - Friday (some weekends and overtime)
Start: 8am-8:30am ET
On-site: Pompano Beach, FL
*This is not a lead or manager position
 
Key Responsibilities
Assign accurate ICD-10, CPT, and CPT II codes based on documentation from in-home assessments, ensuring  compliance with CMS risk adjustment and quality guidelines.
Manage the provider query process to clarify documentation and ensure the completeness and accuracy of patient diagnoses, particularly related to chronic conditions.
Handle multiple clients with varying coding requirements, maintaining high standards of accuracy and adapting to specific client guidelines.
Utilize coding clinics and other reference materials to provide providers with targeted feedback and education on improving documentation and coding accuracy.
Maintain a minimum of 98% coding accuracy to meet performance expectations and ensure compliance.
Stay current with coding standards, risk adjustment methodologies, and CMS regulatory changes to ensure ongoing compliance and optimal coding practices.
Collaborate with clinical teams to review documentation and provide insights on areas for improvement in coding and documentation.
Support coding education initiatives by creating and delivering training materials to providers, particularly focused on improving documentation practices.
Maintain confidentiality and ensure full compliance with HIPAA regulations.
 
 
$50,000 - $54,000 a year
This is not a leadership or senior position.
Qualifications
- Certification Required - CPC or CSS
- Minimum 5 years of experience in risk adjustment coding, with specific experience in in-home assessments.
- Expertise in managing provider queries and improving provider documentation through coding feedback.
- Proficiency in using coding clinics and reference tools for accurate coding and provider education.
- Strong knowledge of CMS risk adjustment and quality initiatives, including Hierarchical Condition Categories (HCCs).
- Experience with electronic medical records (EMR) and coding tools.
- Excellent communication skills, with the ability to collaborate with providers and clinical teams to drive coding improvements.
- Strong attention to detail, prioritizing coding quality and compliance.
 
Preferred Qualifications
Experience in coding audits and providing actionable feedback to providers.
Knowledge of healthcare reimbursement models and regulations impacting risk adjustment coding.
Prior experience in telehealth or in-home care settings.
 
Benefits
Competitive wage and benefits package.
Opportunities for professional growth and continuing education.
A supportive, collaborative work environment.
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
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