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Hcc Risk Adjustment Coding Jobs in Ohio (NOW HIRING)

Premier Health

PHYSICIAN ADVISOR

Dayton, OH · On-site

This role focuses on optimizing case mix index (CMI), risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding, and Quality teams. The Physician Advisor ...

Premier Health

PHYSICIAN ADVISOR

Dayton, OH · On-site

This role focuses on optimizing case mix index (CMI), risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding, and Quality teams. The Physician Advisor ...

CareSource

Applied AI Scientist III

Dayton, OH · On-site +1

... expertise and code reviews. Essential Functions: * Evaluate emerging technology in LLMs, NLP ... Work closely with interdisciplinary teams across IT, risk adjustment, program integrity, HEDIS ...

Titan Placement Group

Nurse Practitioner (NP)

Akron, OH · On-site

$105K - $140K/yr

Understanding of HCC documentation, ICD-10 coding, and Health Risk Assessments preferred About Us Titan Placement Group is a permanent placement healthcare recruiting firm dedicated to connecting ...

Titan Placement Group

Nurse Practitioner (NP)

Akron, OH

$105K - $140K/yr

Understanding of HCC documentation, ICD-10 coding, and Health Risk Assessments preferred About Us Titan Placement Group is a permanent placement healthcare recruiting firm dedicated to connecting ...

Oak St. Health

Nurse Practitioner

Cleveland, OH · On-site

$87K - $187K/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 ...

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Hcc Risk Adjustment Coding information

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$12

$25

$41

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

As of Jul 14, 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 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 the most commonly searched types of Hcc Risk Adjustment Coding jobs in Ohio? The most popular types of Hcc Risk Adjustment Coding jobs in Ohio are:
What are popular job titles related to Hcc Risk Adjustment Coding jobs in Ohio? For Hcc Risk Adjustment Coding jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Hcc Risk Adjustment Coding jobs in Ohio look for? The top searched job categories for Hcc Risk Adjustment Coding jobs in Ohio are:
What cities in Ohio are hiring for Hcc Risk Adjustment Coding jobs? Cities in Ohio 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 Ohio as of July 2026, with employment types broken down into 1% As Needed, 77% Full Time, 16% Part Time, and 6% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $53,390 per year, or $25.7 per hour.
PHYSICIAN ADVISOR

PHYSICIAN ADVISOR

Premier Health

Dayton, OH • On-site

Full-time

Posted 15 days ago

Job description

The Physician Advisor - CDI, Coding & Quality serves as a key clinical leader supporting Premier Health's goals to advance documentation accuracy, revenue integrity, and quality performance across the health system. This role focuses on optimizing case mix index (CMI), risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding, and Quality teams.
The Physician Advisor provides expert second-level reviews, leads provider education, and partners closely with the CDI Manager, Coding Manager and interdisciplinary teams to ensure that documentation accurately reflects the clinical complexity, severity of illness, and quality outcomes of Premier Health's patient population.
Key Responsibilities
1. Clinical Documentation Integrity (CDI) Leadership
• Provide secondary review of complex CDI and Coding queries escalated by the CDI and Coding teams.
• Review and resolve escalations involving Query disagreement, Clinical Validation, or incomplete response.
• Partner with the CDI Manager to establish standardized escalation criteria and ensure timely resolution of all high-impact queries.
• Conduct focused "second-look" reviews of no-CC/MCC or CC-only cases to identify missed documentation opportunities and support CMI improvement.
• Serve as a liaison between the CDI, Coding, and Physician teams to promote consistency in documentation practices.
2. Provider Engagement and Education
• Conduct one-on-one meetings with providers to review query metrics, patterns, and opportunities for improvement.
• Deliver targeted education sessions on documentation best practices, MCC/CC capture, and quality measure alignment.
• Participate in residency and faculty education (Internal Medicine, Family Practice, Trauma, Critical Care, etc.) including lectures and QIPS elective rotations on CDI and professional billing documentation.
• Partner with the CDI Manager and Quality leadership to develop and disseminate system-wide education tools and tip sheets.
3. CMI and Quality Improvement
• Analyze and communicate CMI trends by service line; support interventions to drive improvement aligned with Vizient benchmarks.
• Collaborate with Digital Health team to refine dashboards and enable data-driven improvement strategies.
• Participate in pre-claim mortality and risk adjustment reviews, focusing on REM score optimization and accurate capture of clinical risk variables.
• Support PSI/HAC reviews from a CDI perspective in partnership with Quality and CDI teams.
4. Interdisciplinary Collaboration
• Serve as a clinical resource to the CDI, Coding, and Quality departments on complex documentation and regulatory compliance questions.
• Partner with Digital Health to support AI-enabled CDI nudges, EHR workflow optimization, and system note-template refinement and creation for service lines.
• Contribute to system-wide initiatives related to mortality O/E, LOS O/E, and cost efficiency performance, Vizient facility ranking and Elix Hauser risk adjustment methodologies.
Performance Expectations
• Achieve a sizeable conversion rate on escalated CDI/Coding queries.
• Demonstrate measurable CMI improvement in targeted service lines.
• Support system improvement in key Vizient metrics (Mortality O/E, Cost O/E, LOS O/E).
• Maintain provider query agreement rate ≥80% and consistent educational engagement.
Qualifications
Education: Doctor of Medicine (MD) or Doctor of Osteopathy (DO) required.
• Licensure: Active Ohio medical license (or eligibility for licensure).
• Experience:
- Minimum 3 years of clinical practice experience.
- Prior involvement in CDI, and or quality improvement preferred 1-2 years' experience
- Strong working knowledge of ICD-10, MS-DRG/APR-DRG systems, and risk adjustment models Vizient, CMS, Elixhauser etc.
• Skills:
- Excellent communication and teaching skills.
- Ability to interpret clinical and coding guidelines with precision.
- Proficiency with EHR systems (Epic experience preferred).

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