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Hcc Risk Adjustment Coding Jobs in Ohio (NOW HIRING)

Reveleer

Applied Analytics Intern

New Albany, OH

$25/hr

... coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data ... Reveleer partners with health plans to power value-based care and risk adjustment programs through ...

Reveleer

Applied Analytics Intern

New Albany, OH · On-site

$25/hr

... coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data ... Reveleer partners with health plans to power value-based care and risk adjustment programs through ...

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

As of May 29, 2026, the average hourly pay for hcc risk adjustment coding in Ohio is $25.67, according to ZipRecruiter salary data. Most workers in this role earn between $19.33 and $31.49 per hour, depending on experience, location, and employer.

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 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.
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Hcc Risk Adjustment Coding jobs near you

Internal Medicine Nurse Practitioner

ABSOLUTECARE MANAGER LLC.

Cleveland, OH • On-site

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

AbsoluteCare
AbsoluteCare is a value-based care organization serving high-risk Medicaid and Medicare populations across Ohio. We go Beyond Medicine to deliver whole-person care through interdisciplinary teams embedded in the communities we serve. The CKD CBP role is central to our mission of slowing disease progression, reducing avoidable hospitalizations, and meeting members where they are literally.
Job Summary
This community-based role focuses on identifying, staging, and longitudinally managing members with chronic kidney disease (CKD) across AbsoluteCare's attributed population. The CKD CBP partners with in-home extenders (paramedics, RNs, LPNs) who perform initial assessments and specimen collection, then conducts facilitated telehealth and face-to-face visits to diagnose CKD, optimize guideline-directed medical therapy (SGLT2 inhibitors, RAAS inhibitors), coordinate nephrology referrals, and prepare members for renal replacement therapy when indicated. Working in partnership with the member's primary care provider, interdisciplinary care team, and virtual nephrology consultants, the CKD CBP ensures smooth transitions of care post-hospitalization, closes medication and diagnostic gaps, and supports members in slowing disease progression through whole-person, value-based care.
Duties and Responsibilities
Enrollment & Longitudinal CKD Management
  • Perform enrollment and longitudinal visits (telehealth and face-to-face) with members suspected or confirmed CKD.
  • Conduct clinical assessments, diagnose and stage CKD per KDIGO guidelines (eGFR + albuminuria), and enroll members in the appropriate CKD care pathway.
  • Initiate and optimize guideline-directed medical therapy SGLT2 inhibitors, RAAS inhibitors, nonsteroidal MRAs in conjunction with the member's PCP or independently if no PCP is established.
  • Ensure renal-adjusted medication dosing; identify and discontinue nephrotoxic agents.
  • Refer to nephrology or other specialists in coordination with the member's primary care team.
  • Provide CKD stage-appropriate education: dietary modifications, exercise, disease progression, and self-management.
Hospital Discharge & Transitions of Care
  • Provide community-based medical and care-coordination services for recently discharged members.
  • Partner with the transitional care manager and PCP to execute the discharge plan, perform medication reconciliation, and identify barriers to safe transition.
  • Deliver member and family education; gather critical information from the home environment and communicate findings to the care team.
Advanced CKD and Goals of Care
  • Initiate "Strong Start" pathway activities for members with eGFR
  • Initiate palliative care and goals-of-care discussions at any CKD stage, with particular attention to declining dialysis or with limited life expectancy.
Care Model & Collaboration
  • Partner with in-home extenders (paramedics, RNs, LPNs, CMAs) for initial home visits, vitals, labs, and facilitated video visit handoff.
  • Coordinate with Rubicon virtual nephrology for stage 3 members and in-person nephrologists for stage 4/5.
  • Collaborate with Community Health Workers (CHWs) and Community Transitional Care Managers (CTCMs) to address SDOH barriers, support engagement, and close care gaps.
  • Communicate with external PCPs and specialists to align care plans for members receiving primary care outside AbsoluteCare.
  • Participate in CKD population health rounds and morning huddles, review dashboards, pathway enrollment, and medication gap reports.
Documentation & Value-Based Care
  • Document using the DSP framework (specific diagnosis with stage/type/complications, clinical status, active plan) to support accurate risk adjustment and HCC capture.
  • Ensure annual recapture of CKD-related and complex medical HCCs with appropriate specificity.
  • Order and track lab monitoring by CKD stage per KDIGO cadence; review and act on all results, including urgent notification for emergent findings (e.g., hyperkalemia) and escalation to nephrology as indicated.
Qualifications
  • Nurse Practitioner or Physician Associate with 2+ years of clinical experience; multi-setting background (hospital, urgent care, home-based, or community-based) preferred.
  • Active, unrestricted state NP or PA license and DEA registration; board certification (AANP, ANCC, or NCCPA) required.
  • Willingness to learn and apply KDIGO Clinical Practice Guidelines for CKD evaluation and management (nephrology or dialysis experience is beneficial but not required we will train).
  • Familiarity with care transitions, readmission reduction strategies, and chronic disease management for high-risk, medically complex populations with multiple comorbidities.
  • Experience with or willingness to learn telehealth-based care delivery approximately 50% of this role is conducted via video visits.
  • Familiarity with value-based care models, risk adjustment, and clinical documentation standards (HCC capture, MEAT/DSP criteria) preferred.
  • Behavioral health and substance use disorder experience helpful.
  • Comfort working independently in community settings with remote clinical support; able to manage varying home environments and mobile clinical equipment.
  • Knowledge of local population, geography, community resources, and social determinants of health.
  • Proficiency with electronic medical records and telehealth platforms.
  • Valid driver's license and reliable transportation required; mileage reimbursement provided.

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