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Hcc Risk Adjustment Coding Jobs in New Jersey (NOW HIRING)

Jj

Dir, HCC -Joints, Dig./Comm Ex

New Brunswick, NJ · On-site

Familiarity with industry codes such asAdvaMed. Other * Language: English (required). * Travel: Up ... Audit and Compliance Trends, Audit Management, Compliance Management, Compliance Risk, Consulting ...

Jj

Dir, HCC -Joints, Dig./Comm Ex

Raritan, NJ · On-site

Familiarity with industry codes such asAdvaMed. Other * Language: English (required). * Travel: Up ... Audit and Compliance Trends, Audit Management, Compliance Management, Compliance Risk, Consulting ...

Axia Women's Health

Director, Coding

Voorhees, NJ · On-site

Its rapidly growing network spans OB/GYN care, breast health, high-risk pregnancy care ... Reviews KPIs daily and take an active role in making appropriate adjustments to ensure goals are ...

Axia Women's Health

Director, Coding

Voorhees, NJ · On-site

Its rapidly growing network spans OB/GYN care, breast health, high-risk pregnancy care ... Reviews KPIs daily and take an active role in making appropriate adjustments to ensure goals are ...

Ennoble Care

Actuary

Marlton, NJ · Remote

$150/hr

Thorough understanding of and hands-on experience with Medicare risk adjustment and CMS-HCC models * Experience working with CMS and CMMI total cost of care (ACO) programs * Proven track record ...

BoldAge PACE

PCP Nurse Practitioner

Oceanport, NJ · On-site

Accurately document diagnoses with attention to proper coding practices, supporting risk adjustment and quality reporting metrics. * Provide coverage for the 24/7 on-call rotation, addressing ...

BoldAge PACE

PCP Nurse Practitioner

Oceanport, NJ · On-site

$130K - $140K/yr

Accurately document diagnoses with attention to proper coding practices, supporting risk adjustment and quality reporting metrics. * Provide coverage for the 24/7 on-call rotation, addressing ...

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Hcc Risk Adjustment Coding information

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

As of Aug 16, 2026, the average hourly pay for hcc risk adjustment coding in New Jersey is $28.06, according to ZipRecruiter salary data. Most workers in this role earn between $21.15 and $34.42 per hour, depending on experience, location, and employer.

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 New Jersey?

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

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

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Hcc Risk Adjustment Coding jobs near you
Infographic showing various Hcc Risk Adjustment Coding job openings in New Jersey as of August 2026, with employment types broken down into 2% As Needed, 89% Full Time, 7% Part Time, and 2% Temporary. Highlights an 89% In-person, 4% Hybrid, and 7% Remote job distribution, with an average salary of $58,356 per year, or $28.1 per hour.

Dir, HCC -Joints, Dig./Comm Ex

Jj

New Brunswick, NJ • On-site

Full-time

Re-posted 19 days ago

Job description

At Johnson & Johnson,we believe health is everything. Our strength in healthcare innovation empowers us to build aworld where complex diseases are prevented, treated, and cured,where treatments are smarter and less invasive, andsolutions are personal.Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity.Learn more at jnj.com.

As guided by Our Credo, Johnson & Johnson is responsible to our employees who work with us throughout the world. We provide an inclusive work environment where each person is considered as an individual. At Johnson & Johnson, we respect the diversity and dignity of our employees and recognize their merit.

Job Function:

Legal & Compliance

Job Sub Function:

Health Care Compliance

Job Category:

Professional

All Job Posting Locations:

New Brunswick, New Jersey, United States of America, Raritan, New Jersey, United States of America, Raynham, Massachusetts, United States of America, Warsaw, Indiana, United States of America, West Chester, Pennsylvania, United States of America

Job Description:

DePuy Synthes is recruiting for a(n) Director, HCC Joints & Digital and Commercial Excellence,locatedin West Chester PA, Raynham MA, Warsaw IN, or Raritan/New Brunswick NJ.

Job Overview

This role provides strategic leadership for healthcare compliance within a highly dynamic and regulated environment while enabling compliant and sustainable growth across DePuy Synthes' Joints & Digital and Commercial Excellence businesses.The Director will also have responsibility for Government Contract Compliance (GCC).

This is a high-impact role offering broad visibility across Orthopedics, with the opportunity to influence decision-making, strengthen a culture of integrity, and support innovation that improves patient outcomes worldwide.

This role reports to the Chief Compliance Officer and partners with the Joints & Digital and Commercial Excellence Global Presidents.

Key Responsibilities

  • Serves as a trusted advisor and provides strategic HCC leadership and oversight for Joints & Digital, Commercial Excellence and Government Contract Compliance across all DePuy Synthes businesses.

  • Serves as a thought partner to senior leaders, advising on complex business initiatives, commercialization strategies, medical affairs activities, and emerging business models in a manner that enables compliant execution.

  • Activelyparticipatesas a member of relevant business leadership teams, embedding compliance perspectives early into strategy development and execution discussions.

  • Assures the independence and visibility of compliance activities and reinforces the message that Health Care Compliance (HCC) and Government Contract Compliance (GCC) are company priorities.

  • Ensures the Compliance Program effectively corrects, prevents, and detects violations of laws, regulations, and policies; and implements corrective actions as needed.

  • Buildspartnerships with senior management tomaintainan appropriate cultureof compliance and drive a sustainable compliance program.

  • Oversees follow-up and resolution of investigations generated by the program (including for-cause investigations and anonymous reports), as directed by legal counsel.

  • Lead, coach, and develop a team of high-performing compliance professionals, fostering a culture of accountability, empowerment, inclusion, and continuous improvement.

Qualifications

Education

  • Required: Bachelor's degree in business, life sciences, healthcare, law, ora relatedfield.

  • Preferred: Master's degree (MBA, MPH) or Juris Doctor (JD).

Experience and Skills

Required:

  • Minimum 10-12 years of progressive experience in healthcare compliance, legal, regulatory, or risk management roles, preferably within medical devices, pharmaceuticals, or life sciences.

  • Demonstrated leadership experience supporting complex, matrixed commercial organizations.

  • Strong knowledge of U.S. healthcare laws and regulations (e.g.,AntiKickbackStatute, False Claims Act, Sunshine Act).

  • Proven ability to influence senior stakeholders and drive compliant business decisions infastpacedenvironments.

  • Experience leading teams and managingcrossfunctionalinitiatives.

  • Deep knowledge of compliance frameworks, due diligence, monitoring, and operational risk management.

  • Excellent judgment, communication, and executive presence.

Preferred:

  • Experience supporting Joints & Digital, Commercial Excellence, Government Contract Compliance (GCC).

  • Prior experience in a global orlargescaleU.S. MedTech organization.

  • Background partnering with sales, marketing, and medical education teams.

  • Experience supporting business transformations, divestitures, or organizational change.

  • Familiarity with industry codes such asAdvaMed.

Other

  • Language: English (required).

  • Travel: Up to 20% domestic travel.

  • Certifications: Compliance, legal, or ethics certifications (e.g., CHC) preferred.

For more information on how we support the whole health of our employees throughout their wellness, career, and life journey, please visitwww.careers.jnj.com.

Johnson & Johnson announced plans to separate ourOrthopaedicsbusiness toestablisha standaloneorthopaedicscompany, operating as DePuy Synthes. The process of the planned separation isanticipatedto be completed within 18 to24 months, subject to legal requirements, including consultation with works councils and other employee representative bodies, as may berequired, regulatory approvals and other customary conditions and approvals. Should you accept this position, it isanticipatedthat, following conclusion of the transaction, you would be an employee of DePuySynthesand your employment would be governed by DePuy Synthes employment processes, programs, policies, and benefit plans. In that case, details of any planned changes would be provided to you by DePuy Synthes atan appropriate timeand subject to any necessary consultation processes.

Johnson & Johnsonisan Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by federal,stateor local law. We actively seek qualified candidates who areprotectedveterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act.

Johnson & Johnsoniscommitted to providing an interview process that is inclusive of our applicants' needs. If you are an individual with a disability and would like to requestan accommodation, external applicants please contact us viahttps://www.jnj.com/contact-us/careers, internal employees contactAskGSto be directed to your accommodation resource.

#LI-Hybrid

#DePuySynthesCareers

Required Skills:

Preferred Skills:

Audit and Compliance Trends, Audit Management, Compliance Management, Compliance Risk, Consulting, Corporate Governance, Healthcare Industry, Health Care Regulation, Interpersonal Influence, Leadership, Legal Services, Medical Compliance, Organizing, Process Improvements, Program Management, Tactical Planning, Technical Credibility

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