CDCE Data Analyst
Atlanta, GA · On-site
... coding accuracy, and provider documentation practices. The analyst plays a key role in driving improvements in Case Mix Index (CMI), risk adjustment, and departmental performance by identifying ...
Atlanta, GA · On-site
... coding accuracy, and provider documentation practices. The analyst plays a key role in driving improvements in Case Mix Index (CMI), risk adjustment, and departmental performance by identifying ...
Atlanta, GA · On-site
... coding accuracy, and provider documentation practices. The analyst plays a key role in driving improvements in Case Mix Index (CMI), risk adjustment, and departmental performance by identifying ...
Audit vendor and internal risk adjustments coding to ensure accuracy and identify and mitigate any risks. * Receive and review patient charts and documents for accuracy * Ensure that all codes are ...
Audit vendor and internal risk adjustments coding to ensure accuracy and identify and mitigate any risks. * Receive and review patient charts and documents for accuracy * Ensure that all codes are ...
HS Diploma or associate degree * 2 years of experience in medical coding and billing training, risk adjustment coding or Hierarchical Condition Category (HCC) coding required; or equivalent ...
HS Diploma or associate degree * 2 years of experience in medical coding and billing training, risk adjustment coding or Hierarchical Condition Category (HCC) coding required; or equivalent ...
Fort Stewart, GA · On-site
$17.25 - $22/hr
HS Diploma or associate degree * 2 years of experience in medical coding and billing training, risk adjustment coding or Hierarchical Condition Category (HCC) coding required; or equivalent ...
Fort Stewart, GA · On-site
$17.25 - $22/hr
HS Diploma or associate degree * 2 years of experience in medical coding and billing training, risk adjustment coding or Hierarchical Condition Category (HCC) coding required; or equivalent ...
Manage specific assigned geographic areas and successfully drive the FUJIFILM HCC Risk Biomarkers ... Liaise with office and laboratory staff to provide reimbursement support and test coding.
Manage specific assigned geographic areas and successfully drive the FUJIFILM HCC Risk Biomarkers ... Liaise with office and laboratory staff to provide reimbursement support and test coding.
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
Help us insure it Tokio Marine HCC is a global industry-leading specialty insurance group, backed ... Mind Over Risk" philosophy. More than an insurance company, we are an organization built on ...
Help us insure it Tokio Marine HCC is a global industry-leading specialty insurance group, backed ... Mind Over Risk" philosophy. More than an insurance company, we are an organization built on ...
Identify emerging risks and recommend timely strategy or policy adjustments Credit Strategy & Test ... Code and implement credit strategies within GreenSky's decision engine * Translate analytical ...
Identify emerging risks and recommend timely strategy or policy adjustments Credit Strategy & Test ... Code and implement credit strategies within GreenSky's decision engine * Translate analytical ...
Identify emerging risks and recommend timely strategy or policy adjustments Credit Strategy & Test ... Code and implement credit strategies within GreenSky's decision engine * Translate analytical ...
Identify emerging risks and recommend timely strategy or policy adjustments Credit Strategy & Test ... Code and implement credit strategies within GreenSky's decision engine * Translate analytical ...
Identify emerging risks and recommend timely strategy or policy adjustments Credit Strategy & Test ... Code and implement credit strategies within GreenSky's decision engine * Translate analytical ...
Identify emerging risks and recommend timely strategy or policy adjustments Credit Strategy & Test ... Code and implement credit strategies within GreenSky's decision engine * Translate analytical ...
Kennesaw, GA · On-site
$74K - $112K/yr
... adjustments, where applicable. The pay range is the range THMCC, in good faith, believes is ... HCC. Applying our Mind Over Risk philosophy to writing insurance allows our customers to take on ...
Kennesaw, GA · On-site
$74K - $112K/yr
... adjustments, where applicable. The pay range is the range THMCC, in good faith, believes is ... HCC. Applying our Mind Over Risk philosophy to writing insurance allows our customers to take on ...
Atlanta, GA · On-site
... coding and provider documentation practices. The CDI Data analyst will play a key role in driving improvements in case mix index (CMI), risk adjustment, and departmental focus on identified trends.
Atlanta, GA · On-site
... coding and provider documentation practices. The CDI Data analyst will play a key role in driving improvements in case mix index (CMI), risk adjustment, and departmental focus on identified trends.
Atlanta, GA · On-site
$84K - $112K/yr
Evaluating acuity, case-mix, and coding impacts across populations * Write advanced SQL queries to ... CMS revenue and risk adjustment data * Value-based performance datasets * Strong proficiency in SQL ...
Atlanta, GA · On-site
$84K - $112K/yr
Evaluating acuity, case-mix, and coding impacts across populations * Write advanced SQL queries to ... CMS revenue and risk adjustment data * Value-based performance datasets * Strong proficiency in SQL ...
Atlanta, GA · On-site
$84K - $112K/yr
Evaluating acuity, case-mix, and coding impacts across populations * Write advanced SQL queries to ... CMS revenue and risk adjustment data * Value-based performance datasets * Strong proficiency in SQL ...
Atlanta, GA · On-site
$84K - $112K/yr
Evaluating acuity, case-mix, and coding impacts across populations * Write advanced SQL queries to ... CMS revenue and risk adjustment data * Value-based performance datasets * Strong proficiency in SQL ...
Maintain timely and accurate medical documentation and coding practices consistent with risk adjustment standards, company policies, and regulatory requirements. Provide Flexible Clinical Coverage ...
Maintain timely and accurate medical documentation and coding practices consistent with risk adjustment standards, company policies, and regulatory requirements. Provide Flexible Clinical Coverage ...
Augusta, GA · On-site
$103K - $131K/yr
Maintain timely and accurate medical documentation and coding practices consistent with risk adjustment standards, company policies, and regulatory requirements. Provide Flexible Clinical Coverage ...
Augusta, GA · On-site
$103K - $131K/yr
Maintain timely and accurate medical documentation and coding practices consistent with risk adjustment standards, company policies, and regulatory requirements. Provide Flexible Clinical Coverage ...
Smyrna, GA · On-site
$108K - $136K/yr
Maintain timely and accurate medical documentation and coding practices consistent with risk adjustment standards, company policies, and regulatory requirements. Provide Flexible Clinical Coverage ...
Smyrna, GA · On-site
$108K - $136K/yr
Maintain timely and accurate medical documentation and coding practices consistent with risk adjustment standards, company policies, and regulatory requirements. Provide Flexible Clinical Coverage ...
Maintain timely and accurate medical documentation and coding practices consistent with risk adjustment standards, company policies, and regulatory requirements. Provide Flexible Clinical Coverage ...
Maintain timely and accurate medical documentation and coding practices consistent with risk adjustment standards, company policies, and regulatory requirements. Provide Flexible Clinical Coverage ...
$12.72 - $15.35
0% of jobs
$15.35 - $17.97
17% of jobs
$19.24 is the 25th percentile. Wages below this are outliers.
$17.97 - $20.59
17% of jobs
The median wage is $22.85 / hr.
$20.59 - $23.22
19% of jobs
$23.22 - $25.84
9% of jobs
$25.84 - $28.46
7% of jobs
$30.18 is the 75th percentile. Wages above this are outliers.
$28.46 - $31.09
8% of jobs
$31.09 - $33.71
6% of jobs
$33.71 - $36.33
4% of jobs
$36.33 - $38.96
6% of jobs
$38.96 - $41.58
5% of jobs
$12
$25
$41
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.
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.
For Hcc Risk Adjustment Coding jobs in Georgia, the most frequently searched job titles are:
The top searched job categories for Hcc Risk Adjustment Coding jobs in Georgia are:

Atlanta, GA • On-site
Full-time
Re-posted 10 days ago
7.7
Based on 220 frontline employees who took The Breakroom Quiz
Be inspired. Be rewarded. Belong. At Emory Healthcare.
At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:
Overview
The CDCE Data Analyst at Emory Healthcare provides strategic and operational support through the analysis of clinical, financial, and claims data. This role is responsible for leveraging large datasets-including MEDPAR, Vizient, Quality data, and internal claims-to benchmark organizational performance and identify opportunities for improvement in Clinical Documentation Integrity (CDI), coding accuracy, and provider documentation practices. The analyst plays a key role in driving improvements in Case Mix Index (CMI), risk adjustment, and departmental performance by identifying trends and delivering actionable insights. This position collaborates closely with mid-revenue cycle leadership, vendors, and digital teams, utilizing platforms such as Epic, Solventum, Vizient, and other systems to support data-driven decision-making and business application optimization.
Key ResponsibilitiesData Extraction, Validation, and AnalysisQualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.
ACCOMMODATIONS: EHC will provide reasonable accommodation to qualified individuals with disabilities upon request. To request this document in an alternate format or to request a reasonable accommodation, please contact the Office of Leave and Accommodations.
PHYSICAL REQUIREMENTS: (Medium-Heavy) 36-75 lbs., 0-33% of the work day (occasionally); 20-35 lbs., 34-66% of the workday; (frequently); 10-20 lbs., 67-100% of the workday (constantly); Lifting 75 lbs. max; Carrying of objects up to 35 lbs.; Occasional to frequent standing & walking; Occasional sitting; Close eye work (computers, typing, reading, writing); Physical demands may vary depending on assigned work area and work tasks. ENVIRONMENTAL FACTORS: Factors affecting environmental conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure; Bio-hazardous waste Chemicals/gases/fumes/vapors; Communicable diseases; Electrical shock; Floor Surfaces; Hot/Cold Temperatures; Indoor/Outdoor conditions; Latex; Lighting; Patient care/handling injuries; Radiation; Shift work; Travel may be required; Use of personal protective equipment, including respirators; environmental conditions may vary depending on assigned work area and work tasks.
Employment Type: FULL_TIMEGet the full story on Breakroom
Sourced by ZipRecruiter
Hospitals
10,000+ Employees
NE Atlanta, GA, US
1905