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

Strive Health

Nurse Practitioner

Ewing Township, NJ · On-site

$112 - $140/hr

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 ...

Socket.dev

Nurse Practitioner

Wayne, NJ · On-site

$112 - $140/hr

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 ...

Strive Health

Nurse Practitioner

Trenton, NJ · On-site

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 ...

Strive Health

Nurse Practitioner

Newark, NJ · On-site

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 ...

Strive Health

Nurse Practitioner

Wayne, NJ · On-site

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 ...

Strive Health

Nurse Practitioner

Wayne, NJ · On-site

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 ...

Strive Health

Nurse Practitioner

Trenton, NJ · On-site

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 ...

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 ...

Strive Health

Nurse Practitioner

Newark, NJ · On-site

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 ...

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Hcc Risk Adjustment Coding information

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$13

$28

$44

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

As of Sep 6, 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 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 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.

Is Hcc Risk Adjustment Coding a good career?

Hcc Risk Adjustment Coding is a growing field within healthcare that involves analyzing patient data to improve risk adjustment models, often requiring knowledge of medical terminology and coding systems like ICD-10. It offers opportunities for stable employment, remote work, and career advancement, especially for those with certification and experience in medical coding. The role is in demand as healthcare organizations focus on accurate risk assessment and reimbursement.

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:

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

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

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

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

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 75% Full Time, and 25% Temporary. Highlights an 75% In-person, and 25% Remote job distribution, with an average salary of $58,356 per year, or $28.1 per hour.

Lead HIM Coding Specialist, Health Information Management, Full Time, Day

Valley Health

Ridgewood, NJ • On-site

$41.30 - $51.62/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 19 days ago

Job description

Position Summary

The Lead HIM Coding Specialist serves as a subject matter expert in inpatient coding and DRG validation and is responsible for performing high-level second-level reviews of coded data to ensure compliance with federal regulations, coding guidelines, and hospital policies. This role audits for accurate MS-DRG/APR-DRG assignment and drives improvements in documentation practices and revenue integrity. The Lead HIM Coding Specialist collaborates closely with CDI, Coding, and Compliance teams to identify trends, mitigate risk, and strengthen audit readiness. This position is instrumental in proactive denial prevention, strategic focus audits, and provides mentorship to coding staff.

Education

High School Diploma or equivalent required. Certified Coding Specialist (CCS) required. Associate or bachelor’s degree in health information management, Health Sciences, or related field preferred. RHIT, RHIA, CDIP, CCDS, or CPC certifications preferred.

Experience

  • Minimum of 5 years of inpatient coding experience in an acute care hospital
  • Minimum of 2 years in DRG validation, coding audit leadership, or CDI collaboration
  • Demonstrated experience in managing and analyzing denial trends, audit outcomes, and documentation variances
  • Experience working with CDI queries and payer clinical validation denials preferred
  • Advanced use of EHRs (Meditech, EPIC, Cerner), encoders (3M, Truc ode), and data analytics tools (Excel, Power Point, or Word)

Skills

  • Expertise in ICD-10-CM/PCS and MS-DRG/APR-DRG assignment
  • Proficiency in DRG reimbursement methodologies, clinical indicators, and coding rules across payers
  • Strong regulatory knowledge including CMS, OIG work plans, PEPPER targets, and HACs/PSIs
  • Ability to conduct complex clinical documentation reviews and support DRG integrity with providers
  • Skilled in developing and delivering coder education and clinical documentation training
  • High proficiency in data analytics to identify trends, conduct root cause analysis, and generate strategic reporting
  • Advanced communication and negotiation skills to collaborate with CDI, providers, and revenue cycle stakeholders
  • Demonstrated ability to manage pre- and post-bill audit workflows with minimal supervision
  • Familiarity with risk adjustment models, severity of illness (SOI), risk of mortality (ROM), and case mix index (CMI) trending

Job Location

The Valley Health System-Ridgewood

Shift

Day (United States of America)

Benefits

  • Medical/Prescription, Dental & Vision Discount Program (Full Time/Part Time Employees)
  • Group Term Life Insurance and AD&D(Full Time Employees)
  • Flexible Spending Accounts and Commuter Benefit Plans
  • Supplemental Voluntary Benefits ( e.g. Short-term and Long-term Disability, Whole Life Insurance, Legal Support, etc.)
  • 6 Paid Holidays, Paid Time Off (varies), Wellness Time Off, Extended Illness
  • Retirement Plan
  • Tuition Assistance 
  • Employee Assistance Program (EAP)
  • Valley Health LifeStyles Fitness Center Membership Discount
  • Day Care Discounts for Various Daycare Facilities
Salary Joining Valley Health System means becoming part of a dedicated team that values the highest quality of care in a supportive environment. In our commitment to high performance and reliability, we encourage and recognize exceptional individual performance through our industry leading compensation practices including a starting salary and benefits in accordance with your role, experience, education, and licensure. Actual individual salaries vary depending on these factors. The salary listed does not include other forms of compensation or benefits. Pay Range: $41.30 - $51.62 (per hour) 



EEO Statement

Valley Health System does not discriminate on the basis of ancestry, age, atypical hereditary cellular or blood trait, civil union status, color, creed, disability, domestic partnership, gender, gender identity or expression, familial status, genetic information, liability for service in the Armed Forces of the United States, marital status, medical condition or illness, mental or physical handicap, national origin, nationality, perceived disability, pregnancy, race, refusal to submit to genetic testing or make available results of such tests, religion, sex, sexual orientation, veteran’s status or any other protected basis, in accordance with all applicable Federal, State and Local laws. This applies to all areas of employment, including recruitment, hiring, training and development, promotion, transfer, termination, layoff, compensation, benefits, social and recreational programs, and all other conditions and privileges of employment.

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About Valley Health

Sourced by ZipRecruiter

Valley Health System is a not-for-profit network of hospitals, urgent cares, physician practices, and services. Expanding across Virginia, West Virginia, and Maryland, we are devoted to the health of all who call our 18-county area home. A vital resource for healthcare, we are the region's largest employer, a dependable community partner, and are at the leading edge of clinical innovations.x

Industry

Health and personal care stores

Company size

5,001 - 10,000 Employees

Headquarters location

Winchester, VA, US

Social media

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