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Hcc Risk Adjustment Coding Jobs in Ohio (NOW HIRING)

Quantum Health

Director, Analytics Product

Dublin, OH · On-site

$224K - $235K/yr

Risk adjustment (e.g., HCC) * Care gap identification and closure * Provider performance and ... A modern workplace with a casual dress code, open floor plans, full-service dining, free snacks and ...

Quantum Health

Director, Analytics Product

Dublin, OH · On-site +1

$224K - $235K/yr

Risk adjustment (e.g., HCC) * Care gap identification and closure * Provider performance and ... A modern workplace with a casual dress code, open floor plans, full-service dining, free snacks and ...

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 ...

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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 Jun 20, 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.

Is HCC coding a good career?

HCC risk adjustment coding is a growing field within healthcare that involves assigning diagnosis codes to predict patient risk and determine reimbursement. It requires knowledge of medical terminology, coding systems, and often certification, offering opportunities for stable employment and career advancement. Many professionals find it a rewarding career due to its demand and specialized skill set.

How much does a risk adjustment coder make?

In Texas, risk adjustment coders typically earn between $50,000 and $70,000 annually, depending on experience, certifications, and employer. Advanced skills in medical coding and familiarity with risk adjustment software can lead to higher salaries.

How much do HCC coders make in the US?

HCC risk adjustment coders in the US typically earn between $50,000 and $80,000 annually, depending on experience, certification, and location. Experienced coders with certifications like CPC or CCS and strong knowledge of risk adjustment principles can earn higher salaries, especially in larger healthcare markets.

What is an HCC risk adjustment coder?

An HCC risk adjustment coder is a professional who reviews medical records and assigns Hierarchical Condition Category (HCC) codes to accurately reflect a patient's health conditions. This coding supports risk adjustment models used by insurance companies to determine reimbursement and plan payments, requiring knowledge of medical coding systems like ICD-10 and familiarity with healthcare documentation. Accuracy and attention to detail are essential in this role, which often involves working with electronic health records and coding software.

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:
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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 June 2026, with employment types broken down into 77% Full Time, 13% Part Time, and 10% Contract. Highlights an 78% Physical, 4% Hybrid, and 18% Remote job distribution, with an average salary of $53,390 per year, or $25.7 per hour.
Compliance Educator

Compliance Educator

Nationwide Children's Hospital

Columbus, OH • Hybrid

Full-time

Posted 12 days ago

Nationwide Children's Hospital rating

7.1

Company rating: 7.1 out of 10

Based on 126 frontline employees who took The Breakroom Quiz

436th of 1,001 rated hospitals

Job description

Overview:


HYBRID Role (primarily 2 days in office/3 days WFH but may vary based on educational needs/initiatives). Working hours between 7am-6pm Mon-Fri.

In office for introductory/training/Onboarding period.


Job Description Summary:


Designs and delivers education programs on compliant documentation, coding and billing practices, regulatory requirements, and internal policies through learning experiences such as instructor-led sessions, webinars, and e-learning modules. Serves as a key resource for physicians, clinical staff, auditors, coders, and other stakeholders, ensuring understanding and adherence to applicable standards. Analyzes data and reports to identify educational needs and may conduct limited audits to support targeted training efforts.


Job Description:


Essential Functions:

  • Develops and delivers targeted education based on new service or program implementation, CPT/ICD-10 changes, and regulatory changes. Reviews audit data and compliance trends to identify educational gaps and address areas of risk.
  • Designs and maintains educational content and resources, supporting accurate CPT and diagnosis coding for professional services, and ensuring alignment with ICD-10-CM and clinical documentation standards.
  • Leads the new provider onboarding process, including initiating education, assigning modules, tracking completion, and expanding educational content tailored to NCH specialties and service lines.
  • Collaborates with HIM, CDI, Coding, and Compliance teams to align educational strategies with internal policies and regulatory requirements.
  • Supports communication and clarification of coding compliance-related topics between coding/billing personnel and clinical teams to promote understanding and adherence.
  • Provides virtual and onsite training to providers and staff, adapting content to meet the needs of various specialties and service lines.

Education Requirement:

Bachelor's Degree in Health Information Management, Nursing, Healthcare Administration, or a related field, required.

Licensure Requirement:

Licensure as a Registered Nurse (RN) or other clinical credential, preferred.

Certifications:

  • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician-based (CCS-P), Registered Health Information Technician (RHIT), or other similar certification, required.
  • Certified Risk Adjustment Coder (CRC) or Certified Documentation Integrity Practitioner (CDIP), preferred.

Skills:

  • Proficiency with LMS platforms and virtual training tools.
  • Proficiency with EPIC and MDaudit or similar systems.
  • Proficiency with data visualization tools such as Qlik.
  • Strong visual and graphic design skills.
  • Demonstrated initiative, ownership, and a results-driven approach.
  • Ability to work independently while fostering collaboration across multidisciplinary teams.

Experience:

  • Four years of experience in professional and facility coding/auditing or clinical documentation, required.
  • Experience in a pediatric healthcare setting, preferred.
  • Two years of compliance experience in a healthcare setting, required.
  • Experience developing education content, required.
  • Teaching or public speaking experience, required.
  • Clinical experience, preferred.

Physical Requirements:

OCCASIONALLY: Lifting / Carrying: 0-10 lbs, Standing, Walking

FREQUENTLY: (none specified)

CONTINUOUSLY: Audible speech, Computer skills, Decision Making, Flexing/extending of neck, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Problem solving, Repetitive hand/arm use, Seeing - Far/near, Sitting



"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"

What Nationwide Children's Hospital employees say

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About Nationwide Children's Hospital

Sourced by ZipRecruiter

Nationwide Children's Hospital, established in 1894, is a leading pediatric healthcare system based in Columbus, Ohio, United States. They serve as a primary pediatric network, providing wellness, preventive, diagnostic, treatment, and rehabilitative care for infants, children, adolescents, and adults with congenital disease. Being the third-largest pediatric hospital in the nation, Nationwide Children's Hospital prides itself on its relentless commitment to children and their families, driven by their core values of respect, integrity, determination, empathy, and solidarity. The institution's comprehensive mission is to enhance the health of children by providing high-quality, family-centered care, conducting groundbreaking research, advocating for pediatric health, and training top healthcare professionals.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Columbus, OH, US

Year founded

1892

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