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Hcc Risk Adjustment Coding Jobs in North Carolina

Wilmington Health PLLC

Actuary

Wilmington, NC · On-site

Analyze risk adjustment data, including HCC/RAF trends, coding patterns, demographic factors, disease burden, and documentation opportunities. * Develop reports, dashboards, and executive summaries ...

Avance Care

Coding Manager - Hybrid/Durham

Durham, NC · Hybrid

... risk through primary care advocacy, research, collaboration, structured communication, and ... Support Avance Care's strategic execution of ACO agreements, as they relate HCC/RAF, CPT Category ...

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All JobsHcc Risk Adjustment Coding JobsHcc Risk Adjustment Coding Jobs in North Carolina

Hcc Risk Adjustment Coding information

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$11

$22

$36

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

As of Jul 27, 2026, the average hourly pay for hcc risk adjustment coding in North Carolina is $22.98, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $28.17 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Hcc Risk Adjustment Coding position, and why are they important?

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 job?

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 popular job titles related to Hcc Risk Adjustment Coding jobs in North Carolina? For Hcc Risk Adjustment Coding jobs in North Carolina, the most frequently searched job titles are:
What job categories do people searching Hcc Risk Adjustment Coding jobs in North Carolina look for? The top searched job categories for Hcc Risk Adjustment Coding jobs in North Carolina are:
What cities in North Carolina are hiring for Hcc Risk Adjustment Coding jobs? Cities in North Carolina with the most Hcc Risk Adjustment Coding job openings:
Hcc Risk Adjustment Coding jobs near you
Infographic showing various Hcc Risk Adjustment Coding job openings in North Carolina as of July 2026, with employment types broken down into 1% As Needed, 75% Full Time, 18% Part Time, and 6% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution, with an average salary of $47,789 per year, or $23 per hour.
Risk Adjustment Coding Specialist II

Risk Adjustment Coding Specialist II

Millennium Physician Group

Concord, NC

$22 - $33/hr

Full-time

Posted 2 days ago

Millennium Physician Group rating

6.3

Company rating: 6.3 out of 10

Based on 62 frontline employees who took The Breakroom Quiz

670th of 890 rated healthcare providers

Job description

Job Description Summary

Under the direction of Burden of Illness department leadership, the Risk Adjustment Coding Specialist is responsible for various aspects of decision-making and coding reviews to facilitate, obtain, validate, and reconcile appropriate provider documentation for clinical conditions that accurately reflect the severity of illness and complexity of patient care.

How will you make an impact & Requirements

Responsibilities

  • Perform prospective medical record reviews forclinical indicators supportive of an underlying diagnosis to be presented to a clinician for review during a subsequent face-to-face encounter.
  • Review the encounter level patient medical record and provider selected ICD-10-CM diagnosis codes in real time prior to claim submission to validate completeness and accuracy of provider selected ICD-10-CM codes.
  • Collaborate with healthcare providers and other stakeholders to clarify documentation and ensure accurate coding and reporting of diagnoses.
  • Stay updated on changes to Medicare guidelines, coding regulations, and reimbursement methodologies to ensure compliance and accuracy in coding practices.
  • Participate in coding education and training initiatives for staff to promote consistent and accurate coding practices across the organization.
  • Stays current on applicable coding and documentation guideline changes and rules.
  • This role is expected to maintain a consistent accuracy rate of 95% or higher and able to meet productivity standards established by leadership.
  • Abstract and assign ICD-10-CM diagnosis codes supported in the encounter documentation not initially assigned to the encounter claim following ICD-10-CM Official Guidelines for Coding and Reporting.
  • Conduct retrospective audits of medical recordsto validate the accuracy and completeness of diagnosis coding and claim submission, identifying and resolving any discrepancies or areas for improvement.
  • Perform comprehensive reviews of provider actions within the Value Based Alert Tool (VBAT) to identify outliers and areas of opportunity.
  • Analyze MRA data to identify patterns andwhen requestedassist in the development of interventions at the provider andregionlevel.
  • Keeps department leadership appraised of project activities through regular written and oral status reports. Proactively identifies risks that may hinder project success.

Compensation:

$22.00

to

$33.00

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