Long Beach, CA · Remote
$24.50 - $33.50/hr
Certified Coding Specialist - Physician Based (CCS-P). Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model. Background in supporting risk adjustment management activities and ...
Long Beach, CA · Remote
$24.50 - $33.50/hr
Certified Coding Specialist - Physician Based (CCS-P). Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model. Background in supporting risk adjustment management activities and ...
Victorville, CA · On-site
$100K - $140K/yr
Strong knowledge of Medicare Advantage, HCC coding, and risk adjustment * Proficient in EMR documentation and medical coding best practices * Excellent communication and patient engagement skills ...
Victorville, CA · On-site
$100K - $140K/yr
Strong knowledge of Medicare Advantage, HCC coding, and risk adjustment * Proficient in EMR documentation and medical coding best practices * Excellent communication and patient engagement skills ...
Long Beach, CA · On-site +1
$17.85 - $38.69/hr
... Coding Specialist - Physician Based (CCS-P). • Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model. • Background in supporting risk adjustment management activities and ...
Long Beach, CA · On-site +1
$17.85 - $38.69/hr
... Coding Specialist - Physician Based (CCS-P). • Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model. • Background in supporting risk adjustment management activities and ...
Long Beach, CA · On-site
$137K - $184K/yr
Drives organizational risk adjustment policy, program standards, and performance, and maintains ... coding results, encounter submission rates, HCC documentation outcomes, and performance against ...
Long Beach, CA · On-site
$137K - $184K/yr
Drives organizational risk adjustment policy, program standards, and performance, and maintains ... coding results, encounter submission rates, HCC documentation outcomes, and performance against ...
Long Beach, CA · On-site +1
$137K - $184K/yr
Drives organizational risk adjustment policy, program standards, and performance, and maintains ... coding results, encounter submission rates, HCC documentation outcomes, and performance against ...
Long Beach, CA · On-site +1
$137K - $184K/yr
Drives organizational risk adjustment policy, program standards, and performance, and maintains ... coding results, encounter submission rates, HCC documentation outcomes, and performance against ...
Los Angeles, CA · On-site
$65K/yr
CPMA (Certified Professional Medical Auditor), CHC (Certified in Healthcare Compliance), HCC (Risk Adjustment Coding Certification) or Specialty Certification * Familiarity with revenue cycle ...
Los Angeles, CA · On-site
$65K/yr
CPMA (Certified Professional Medical Auditor), CHC (Certified in Healthcare Compliance), HCC (Risk Adjustment Coding Certification) or Specialty Certification * Familiarity with revenue cycle ...
Apple Valley, CA · On-site
$110K - $143K/yr
Strong knowledge of Medicare Advantage, HCC coding, and risk adjustment * Proficient in EMR documentation and medical coding best practices * Excellent communication and patient engagement skills ...
Apple Valley, CA · On-site
$110K - $143K/yr
Strong knowledge of Medicare Advantage, HCC coding, and risk adjustment * Proficient in EMR documentation and medical coding best practices * Excellent communication and patient engagement skills ...
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 ...
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 ...
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 ...
Analyze Hierarchical Condition Category (HCC) coding and Risk Adjustment Factor (RAF) scores to identify documentation gaps and ensure alignment with CMS risk adjustment models. * Support provider ...
Analyze Hierarchical Condition Category (HCC) coding and Risk Adjustment Factor (RAF) scores to identify documentation gaps and ensure alignment with CMS risk adjustment models. * Support provider ...
Required Qualifications At least 5 years of coding, medical record chart review, and risk adjustment data validation experience, or equivalent combination of relevant education and experience.
Required Qualifications At least 5 years of coding, medical record chart review, and risk adjustment data validation experience, or equivalent combination of relevant education and experience.
Burlingame, CA · On-site
$285K - $332K/yr
Analyze Hierarchical Condition Category (HCC) coding and Risk Adjustment Factor (RAF) scores to identify documentation gaps and ensure alignment with CMS risk adjustment models. * Support provider ...
Burlingame, CA · On-site
$285K - $332K/yr
Analyze Hierarchical Condition Category (HCC) coding and Risk Adjustment Factor (RAF) scores to identify documentation gaps and ensure alignment with CMS risk adjustment models. * Support provider ...
Long Beach, CA · On-site +1
$49K - $107K/yr
Required Qualifications • At least 5 years of coding, medical record chart review, and risk adjustment data validation experience, or equivalent combination of relevant education and experience ...
Long Beach, CA · On-site +1
$49K - $107K/yr
Required Qualifications • At least 5 years of coding, medical record chart review, and risk adjustment data validation experience, or equivalent combination of relevant education and experience ...
Analyze Hierarchical Condition Category (HCC) coding and Risk Adjustment Factor (RAF) scores to identify documentation gaps and ensure alignment with CMS risk adjustment models. * Support provider ...
Analyze Hierarchical Condition Category (HCC) coding and Risk Adjustment Factor (RAF) scores to identify documentation gaps and ensure alignment with CMS risk adjustment models. * Support provider ...
Requires an in-depth understanding of risk adjustment models (CMS-HCC, HHS-HCC), Official Coding Guidelines, payer policies, and regulatory requirements (CMS, HHS, OIG, DHCS) * Requires exceptional ...
Requires an in-depth understanding of risk adjustment models (CMS-HCC, HHS-HCC), Official Coding Guidelines, payer policies, and regulatory requirements (CMS, HHS, OIG, DHCS) * Requires exceptional ...
Requires an in-depth understanding of risk adjustment models (CMS-HCC, HHS-HCC), Official Coding Guidelines, payer policies, and regulatory requirements (CMS, HHS, OIG, DHCS) * Requires exceptional ...
Requires an in-depth understanding of risk adjustment models (CMS-HCC, HHS-HCC), Official Coding Guidelines, payer policies, and regulatory requirements (CMS, HHS, OIG, DHCS) * Requires exceptional ...
Costa Mesa, CA · On-site
$36.75 - $49.50/hr
Familiarity and understanding of CMS HCC models, Risk Adjustment coding and data validation requirements (preferred) * Working knowledge of ICD-10-CM outpatient diagnosis coding guidelines (knowledge ...
Quick apply
Costa Mesa, CA · On-site
$36.75 - $49.50/hr
Familiarity and understanding of CMS HCC models, Risk Adjustment coding and data validation requirements (preferred) * Working knowledge of ICD-10-CM outpatient diagnosis coding guidelines (knowledge ...
$13.96 - $16.84
0% of jobs
$16.84 - $19.72
17% of jobs
$21.12 is the 25th percentile. Wages below this are outliers.
$19.72 - $22.60
17% of jobs
The median wage is $25.08 / hr.
$22.60 - $25.48
19% of jobs
$25.48 - $28.36
9% of jobs
$28.36 - $31.24
7% of jobs
$33.13 is the 75th percentile. Wages above this are outliers.
$31.24 - $34.12
8% of jobs
$34.12 - $37
6% of jobs
$37 - $39.87
4% of jobs
$39.87 - $42.75
6% of jobs
$42.75 - $45.63
5% of jobs
$13
$28
$45
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.
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.
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.
$24.50 - $33.50/hr
Full-time
Posted 13 days ago
8.0
Based on 195 frontline employees who took The Breakroom Quiz
146th of 281 rated insurance
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Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Health care and social assistance
10,000+ Employees
Long Beach, CA, US
1980
