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Hcc Risk Adjustment Coding Jobs in Michigan (NOW HIRING)

Population Health Manager

Jackson, MI ยท On-site

$76K - $91K/yr

Analyze risk through HCC/ICD10 coding and patient assessments to develop performance improvement strategies * Collaborate with coding specialists and healthcare providers to improve documentation ...

Analyze risk through HCC/ICD10 coding and patient assessments to develop performance improvement strategies * Collaborate with coding specialists and healthcare providers to improve documentation ...

Geriatrics Nurse Practitioner

Lansing, MI ยท On-site

$120K - $140K/yr

Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International Classification of Diseases-10) Coding, and Health Risk Assessments (HRAs). (preferred) * Bilingual: Spanish ...

New

Nurse Practitioner

Burton, MI ยท On-site

$129K - $148K/yr

Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International Classification of Diseases-10) Coding, and Health Risk Assessments (HRAs). * Passion for teamwork and the ...

CNC Mill Setup Technician

Taylor, MI ยท On-site

$24 - $32/hr

Read and interpret part drawings, geometrical specs, and G-code programs * Monitor machine ... Review CMM reports and make real-time adjustments as needed * Perform routine maintenance and ...

Nurse Practitioner

Burton, MI ยท On-site

$129K - $148K/yr

Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International Classification of Diseases-10) Coding, and Health Risk Assessments (HRAs). * Passion for teamwork and the ...

Showing results 41-60

Hcc Risk Adjustment Coding information

What are the key skills and qualifications needed to thrive in HCC Risk Adjustment Coding?

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.

What is an HCC Risk Adjustment Coding?

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 most commonly searched types of Hcc Risk Adjustment Coding jobs in Michigan?

The most popular types of Hcc Risk Adjustment Coding jobs in Michigan are:

What are popular job titles related to Hcc Risk Adjustment Coding jobs in Michigan?

For Hcc Risk Adjustment Coding jobs in Michigan, the most frequently searched job titles are:

What job categories do people searching Hcc Risk Adjustment Coding jobs in Michigan look for?

The top searched job categories for Hcc Risk Adjustment Coding jobs in Michigan are:

Infographic showing various Hcc Risk Adjustment Coding job openings in Michigan as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 9% Part Time, 1% Temporary, and 4% Contract. Highlights an 87% Physical, 5% Hybrid, and 8% Remote job distribution.

Clinical Documentation Specialist Outpatient

Spectrum Health

Southfield, MI โ€ข On-site

$32 - $43/hr

Full-time

Medical, Vision, Retirement

Posted 9 days ago


Job description

Job Summary
Identifies factors influencing the complexity and severity of patient diagnoses. Works collaboratively with providers in the ambulatory setting to ensure overall specificity, accuracy and completeness of clinical documentation to support the highest integrity of the medical record. Reports to the Manager of Outpatient Clinical Documentation Integrity (CDI).
Essential Functions
  • Utilizes clinical and/or coding expertise, clinical documentation integrity practices and facility specific tools for best practice and compliance with the mission and vision of revenue cycle.

  • Provides daily evaluation of documentation by the Medical Staff and healthcare team including lab results, diagnostic information and treatment plans to assure appropriate documentation supports reported diagnoses.

  • Reviews and makes recommendations for improvement to the overall quality, integrity and completeness of clinical documentation by utilizing knowledge of ICD-10 and CMS guidelines, compliance, policies and procedures.

  • Partners with the CDI Outpatient team members to guide, support and sponsor the CDI Program

  • Communicates with ambulatory providers and healthcare team members to clarify documentation necessary for complete and accurate coding for proper reimbursement via electronic query practices.

  • Educates healthcare team about clinical documentation and coding guidelines via presentations, departmental meetings and documentation tips.

  • Licensed Clinical CDS performs medical record reviews to ensure complete documentation and accurate code capture based on Provider performance.

  • Certified Coding CDS performs medical record reviews and assigns final diagnosis codes prior to payer submission.

Qualifications
Required
  • Bachelor's Degree or equivalent nursing, health-related field, and/or business administration (or equivalent work experience).

  • 5 years of relevant experience Minimum 5 years' experience required in a clinical setting and/or minimum 5 years' experience in a coding setting.

  • LIC-Registered Nurse (RN) - STATE_MI State of Michigan Upon Hire Or

  • CRT-Coding Specialist (CCS) - AHIMA American Health Information Management Association Upon Hire Or

  • CRT-Registered Health Information Technician (RHIT) - AHIMA American Health Information Management Association Upon Hire Or

  • CRT-Registered Health Information Administrator (RHIA) - AHIMA American Health Information Management Association Upon Hire Or

  • CRT-Professional Coder, Certified - Hospital Outpatient (CPC-H) - UNKNOWN Unknown Upon Hire Or

  • CRT-Outpatient Coder, Certified (COC) - UNKNOWN Unknown Upon Hire

    About Corewell Health

    As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.


    How Corewell Health cares for you
    • Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
    • On-demand pay program powered by Payactiv
    • Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
    • Optional identity theft protection, home and auto insurance
    • Traditional and Roth retirement options with service contribution and match savings
    • Eligibility for benefits is determined by employment type and status

    Primary Location

    SITE - Corewell Health Southfield Center - 26901 Beaumont Blvd

    Department Name

    Risk Adjustment CDI - Corporate

    Employment Type

    Full time

    Shift

    Day (United States of America)

    Weekly Scheduled Hours

    40

    Hours of Work

    8 a.m. to 4:30 p.m.

    Days Worked

    Monday to Friday

    Weekend Frequency

    N/A

    CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

    Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

    Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

    An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

    You may request assistance in completing the application process by calling 616.486.7447.