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Hcc Risk Adjustment Coding Jobs (NOW HIRING)

Boston Medical Center

Risk Adjustment Coder

$19.25 - $25.50/hr

The Risk Adjustment Coder determines the appropriate ICD10-CM diagnoses codes based on clinical ... HCC's and other RA methodologies, ICD-10-CM coding guidelines, Office of Inspector General (OIG ...

Regal Medical Group, Inc.

$33 - $36/hr

This position works to improve the quality of coding documentation and data in the medical record and HCC database. The HCC Risk Adjustment/Auditor reports on the accuracy and consistency of the data ...

Regal Medical Group, Inc.

$25 - $27/hr

This position works to improve the quality of coding documentation and data in the medical record and HCC database. The HCC Risk Adjustment/Auditor reports on the accuracy and consistency of the data ...

Gather Health

Risk Adjustment Coding Specialist

Boston, MA · On-site

$65K - $85K/yr

With deep expertise in the CMS-HCC Risk Adjustment Payment Model (V28), Hierarchical Condition Category (HCC) and CPT coding, the Specialist will serve as a trusted partner to providers, offering 1:1 ...

Gather Health

Risk Adjustment Coding Specialist

Boston, MA · On-site

$65K - $85K/yr

With deep expertise in the CMS-HCC Risk Adjustment Payment Model (V28), Hierarchical Condition Category (HCC) and CPT coding, the Specialist will serve as a trusted partner to providers, offering 1:1 ...

Village Care

Risk Adjustment Coder

Manhattan, NY · On-site

$77.51K - $87.20K/yr

Ideal candidates will have at least three recent years of experience in HCC/Risk Adjustment and/or inpatient coding, complemented by relevant certifications such as CPC, CRC, RHIT, or RHIA from AAPC ...

Village Care

Risk Adjustment Coder

Manhattan, NY · On-site

$77.51K - $87.20K/yr

Ideal candidates will have at least three recent years of experience in HCC/Risk Adjustment and/or inpatient coding, complemented by relevant certifications such as CPC, CRC, RHIT, or RHIA from AAPC ...

Strive Health

Risk Adjustment Coder

Denver, CO · Remote

$27.88 - $32.21/hr

HCC (Hierarchical Condition Category) Coding, medical coding, clinical terminology and anatomy ... Supports all Strive risk adjustment projects to comply with all CMS requirements by analyzing ...

Strive Health

Risk Adjustment Coder

Denver, CO · On-site

$19.25 - $25.75/hr

HCC (Hierarchical Condition Category) Coding, medical coding, clinical terminology and anatomy ... Supports all Strive risk adjustment projects to comply with all CMS requirements by analyzing ...

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$13

$27

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

As of May 31, 2026, the average hourly pay for hcc risk adjustment coding in the United States is $27.43, according to ZipRecruiter salary data. Most workers in this role earn between $20.67 and $33.65 per hour, depending on experience, location, and employer.

What is an HCC Risk Adjustment Coding job?

An HCC Risk Adjustment Coding job involves reviewing medical records to assign Hierarchical Condition Category (HCC) codes based on documented diagnoses. Coders ensure accurate risk adjustment by following ICD-10-CM coding guidelines, which impact reimbursement for healthcare providers and insurance plans. This role requires knowledge of medical terminology, compliance regulations, and risk adjustment models used in Medicare Advantage and other programs.

What are the key skills and qualifications needed to thrive in the Hcc Risk Adjustment Coding position, and why are they important?

To thrive as an HCC Risk Adjustment Coder, you need a strong understanding of medical coding guidelines, ICD-10-CM codes, and risk adjustment principles, typically supported by a certification such as CPC, CRC, or CCS-P. Familiarity with electronic health record systems and risk adjustment software is essential for accurate coding and data analysis. Attention to detail, critical thinking, and effective communication skills are important soft skills for ensuring documentation integrity and collaborating with healthcare providers. These competencies are crucial to accurately capture patient complexity, optimize reimbursement, and support compliance in healthcare organizations.

What are the typical challenges faced by HCC Risk Adjustment Coders, and how can they overcome them?

HCC Risk Adjustment Coders often face challenges such as interpreting complex medical records, staying up-to-date with evolving coding guidelines, and ensuring thorough documentation to support accurate risk scoring. To overcome these challenges, coders should engage in continuous education, collaborate closely with healthcare providers for clarification, and utilize available coding resources and team support. Staying organized and maintaining a detail-oriented approach will also help ensure that codes are assigned correctly and all relevant conditions are captured. Working as part of a supportive team can further ease the process, providing opportunities for knowledge sharing and professional development.
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Hcc Risk Adjustment Coding jobs near you
Infographic showing various Hcc Risk Adjustment Coding job openings in the United States as of May 2026, with employment types broken down into 18% Full Time, 40% Part Time, 20% Temporary, 18% Contract, 2% Nights, and 2% Summer. Highlights an 46% Physical, 24% Hybrid, and 30% Remote job distribution, with an average salary of $57,055 per year, or $27.4 per hour.
HCC Risk Adjustment Coding Coordinator

HCC Risk Adjustment Coding Coordinator

The University Of Iowa

Iowa City, IA • On-site, Remote

Other

Posted 16 days ago

University Of Iowa rating

6.8

Company rating: 6.8 out of 10

Based on 84 frontline employees who took The Breakroom Quiz

401st of 530 rated colleges and universities

Job description

UI Health Care has a new opportunity for an HCC Risk Adjustment Coding Coordinator to join Finance and Accounting's Revenue Integrity team.  The position plays a pivotal role in ensuring the accuracy and completeness of HCC (Hierarchical Condition Categories) risk coding to optimize risk-adjusted payment models and improve patient outcomes.

Under the direction of the Risk Adjustment Program Manager, the HCC Risk Adjustment Coding Coordinator is responsible for supporting all aspects of the UI Health Care Risk Coding Program, including but not limited to pre-visit coding support, provider and coder education, and post-visit auditing.

The ideal candidate will possess a thorough understanding of risk coding methodologies and risk adjustment, and the ability to drive compliance and performance across multiple departments in a complex healthcare environment.

This position is eligible to participate in remote work and applicants who wish to work remotely will be considered.  Training will be held either on-site or virtually from the Hospital Support Services Building at a length determined by the supervisor.  Remote eligibility will be evaluated upon satisfactory training.  Per policy, work arrangements will be reviewed annually, and must comply with the remote work program and related policies and employee travel policy when working at a remote location.

Position responsibilities:

  • Support the HCC risk adjustment coding program across the organization, ensuring that coding practices align with CMS guidelines and other regulatory requirements.

  • Collaborate with clinical, operational, and financial leaders to optimize HCC coding and documentation workflows.

  • Review documentation available in the medical record (Epic) to facilitate workflows that support the clinical picture/severity of illness/complexity of the patient care rendered to patients.

  • Utilize available coding resources to determine the appropriate ICD-10-CM diagnosis codes mapped to HCCs.

  • Actively participate in and maintain coding quality and productivity benchmarks.

  • Collaborate with department and coding teams to perform retrospective and other targeted medical record reviews, ensuring documentation accuracy, evaluating clinical severity, identifying quality concerns, and supporting continuous improvement across evolving review priorities.

  • Provide ongoing feedback to physicians and other providers regarding coding guidelines and requirements.

  • Develop and implement educational programming for providers, departments, and clinic staff relating to risk coding and documentation compliance as well as new policies and procedures.

  • Engage with cross-functional teams and stakeholders, fostering a culture of collaboration and continuous improvement.

  • Stay up to date with changes in HCC coding regulations, ensuring organizational compliance, and implementing necessary updates to processes.

Required Qualifications:

  • Bachelor's degree in healthcare administration, business, finance, or a related field or an equivalent amount of education and experience is required.

  • CPC, CCS-P, CCS-H, RHIT, or RHIA certification is required.

  • CRC certification is required.

  • 3 years of experience in risk adjustment medical coding

  • Strong knowledge of HCC coding guidelines, CMS risk adjustment models, and regulatory requirements.

  • Knowledge of insurance regulations and Medicare and Medicaid guidelines as related to clinical documentation and clinical indicators

  • Strong problem-solving and research skills 

  • Strong clinical knowledge related to chronic illness diagnosis, treatment and management

  • Ability to interpret CMS regulations and guidance

  • Demonstrated ability to provide coding advice to all areas of coding staff, other departments throughout UI Health Care, and other entities as requested

  • Ability to analyze complex clinical scenarios and apply critical thinking

  • Proven ability to effectively plan, prioritize, and organize tasks to achieve strategic goals

  • Excellent written, verbal, and interpersonal communication skills

  • Proficiency with MS Word, PowerPoint, and Excel, including database and spreadsheet analysis

  • Demonstrated experience working effectively in a welcoming and respectful workplace environment.

Desired Qualifications:

  • 3+ years in risk adjustment medical coding

  • Experience with Medicare Advantage, MSSP, or other value-based care models

  • Familiarity with population health initiatives and care coordination in an ACO or similar setting

  • Experience performing coding audits

  • Knowledge of UI Health Care policies and procedures

  • Experience with Epic

Application Process: To be considered, applicants must upload a cover letter and resume (under the submission of relevant materials) that clearly address how they meet the listed required and desired qualifications of this position. Job openings are posted for a minimum of 7 calendar days. Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and credential/education verification.

 Up to 5 professional references will be requested at a later step in the recruitment process. For questions, contact Sharon Walther at sharon-walther@uiowa.edu.

This position is not eligible for University sponsorship for employment authorization now or in the future.

Additional Information
  • Classification Title: Compliance Coordinator
  • Appointment Type: Professional and Scientific
  • Schedule: Full-time
Compensation
  • Pay Level: 3B
Contact Information
  • Organization: Healthcare
  • Contact Name: Sharon Walther
  • Contact Email: sharon-walther@uiowa.edu

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