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Hcc Risk Adjustment Coding Jobs in Ohio (NOW HIRING)

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 ...

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 ...

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

Columbus, OH

$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 ...

CVS Health

Nurse Practitioner

Cleveland, OH

$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 ...

Oak Street Health

Nurse Practitioner

Columbus, 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 ...

CVS Health

Nurse Practitioner

Dayton, 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 ...

Oak Street Health

Nurse Practitioner

Dayton, 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 ...

CVS Health

Nurse Practitioner

Columbus, OH

$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 ...

Oak St. Health

Nurse Practitioner

Dayton, 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 ...

CVS Health

Nurse Practitioner

Dayton, OH

$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 ...

CVS Health

Nurse Practitioner

Youngstown, OH

$95K - $148K/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 ...

Oak Street Health

Nurse Practitioner

Youngstown, OH · On-site

$95K - $148K/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 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:
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 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.
Profee Clinical Documentation Specialist (Remote)

Profee Clinical Documentation Specialist (Remote)

University Hospitals

Cleveland, OH • On-site, Remote

$33.75 - $45.25/hr

Full-time

Posted 24 days ago

University Hospitals rating

7.2

Company rating: 7.2 out of 10

Based on 610 frontline employees who took The Breakroom Quiz

328th of 873 rated healthcare providers

Job description

A Brief Overview
The Professional Fee Clinical Documentation Specialist (CDS) will serve as an advisor and expert resource for providers to improve the accuracy of clinical documentation to support patient complexity, risk profiles and appropriate E/M levels thereby supporting the provider's efforts and their professional fee billing. The CDS primarily assist providers in identifying clinically relevant information and capturing the clinical documentation needed to accurately reflect patient acuity. The Professional Fee CDS will focus on the recapture and identification of chronic conditions reflected in Hierarchical Condition Categories (HCCs), which directly impact the patient risk adjusted profile (RAF score) calculated by the associated risk plans. They will also assist with highlighting opportunities based on the provider's medical decision making to appropriately reflect the level of service provided for patient care.The Professional Fee CDS will be responsible for completing pre-visit and post-claim reviews as well as providing clear communication and education to providers on their documentation, coding and billing practices, in adherence to compliance standards set by governing entities such as CMS, AHA, etc.• Pre-visit reviews are intended to identify documentation opportunities for the provider to recapture previously documented HCCs diagnoses, or new suspect conditions not previously captured that are identified by the CDS's comprehensive chart reviews. These efforts assist in establishing accurate risk profiles and related health care costs• Post-claim reviews focus on E/M encounters and highlight opportunities based on a provider's medical decision making and the patient's acuity to support appropriate and accurate E/M level assignments as well as any HCCs identified• The Professional Fee CDS will also coordinate with colleagues from the CDI Program or other members of the organization regarding education and training geared towards improving clinical documentation based on findings from pre-visit and post-claim reviews
What You Will Do
  • Coordination with Professional Fee CDI Program leadership and colleagues. Fosters teamwork and utilizes strong team building measures
  • Performs pre-visit chart reviews to assist in highlighting relevant documentation and diagnoses in compliance with governing policies and industry guidelines. Applies a clinical detective mindset to identify new HCC diagnosis capture opportunities based on appropriate clinical indicators for the patient. Also performs post-claim reviews focused on appropriate E/M level assignments and any opportunities related to level of service and HCCs.
  • Uses performance and outcome data from third-party support or other sources to identify high priority providers
  • Creates specialty-specific education on relevant topics as identified in data analytics and from clinical encounter reviews and post-claim education chart reviews
  • Develops and maintains a systematic education schedule and approach for providers in the hospital and clinic/office setting including but not limited to complete documentation, appropriate diagnosis code selection, E/M level assignments and updates to coding guidelines.
  • Delivers ongoing feedback and education to communicate importance of complete documentation and key concepts during regular clinic or provider meetings or on individual basis, as needed
  • Upholds working knowledge and stays current on latest CMS and industry guidelines, with specific understanding of HCCs and implications for documentation
  • Maintains strict confidentiality of all patients, employee and physician information according to HIPAA guidelines

Additional Responsibilities
  • Shares in organization's vision, demonstrates its values, supports its philosophy and is sensitive to its mission. Demonstrates knowledge of and follows departmental and hospital policies and physician office procedures
  • Seeks out opportunities for individual growth and development, including attending various meetings, conferences, courses, seeking certifications, as required.
  • Uses tact and sensitivity when communicating with patients, visitors, co-workers, and other personnel
  • Serves on department and/or institutional committees as requested
  • Performs other duties as assigned.
  • Complies with all policies and standards.
  • For specific duties and responsibilities, refer to documentation provided by the department during orientation.
  • Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.

Qualifications:
Education
  • High School Equivalent / GED (Required)
  • Associate's Degree (Preferred)

Work Experience
  • 3+ years Coding and/or clinical documentation integrity (Required)

Knowledge, Skills, & Abilities
  • Extensive clinical knowledge and understanding of pathophysiology (Required proficiency)
  • Strong critical thinking skills and utilization of clinical knowledge to identify potential clinical indicators supporting patient acuity and clarifications of the medical record (Required proficiency)
  • Excellent written and verbal communication skills (Required proficiency)
  • Strong project management skills (Required proficiency)
  • Strong interpersonal skills, with demonstrated success at communicating effectively with all levels of the organization (Required proficiency)
  • Ability to work independently in a time-oriented environment (Required proficiency)
  • Demonstrates skilled ability and comfort with electronic medical records (EPIC preferred) (Required proficiency)
  • Proficient with personal computer applications (Excel, Word, and Power Point) (Required proficiency)
  • Ability to build education material that is meaningful for providers and team members (Required proficiency)
  • Strong problem solving and investigative skills (Required proficiency)

Licenses and Certifications
  • Certified Coding Specialist (CCS) (Required) or Certified Professional Coder (CPC) or CRC, or other coding or CDI credential (Required)
  • Registered Nurse (RN), Ohio and/or Multi State Compact License (Preferred)
  • Licensed Practical Nurse (LPN), Ohio and/or Multi State Compact License (Preferred)

Physical Demands
  • Standing Occasionally
  • Walking Occasionally
  • Sitting Constantly
  • Lifting Rarely up to 20 lbs
  • Carrying Rarely up to 20 lbs
  • Pushing Rarely up to 20 lbs
  • Pulling Rarely up to 20 lbs
  • Climbing Rarely up to 20 lbs
  • Balancing Rarely
  • Stooping Rarely
  • Kneeling Rarely
  • Crouching Rarely
  • Crawling Rarely
  • Reaching Rarely
  • Handling Occasionally
  • Grasping Occasionally
  • Feeling Rarely
  • Talking Constantly
  • Hearing Constantly
  • Repetitive Motions Frequently
  • Eye/Hand/Foot Coordination Frequently

Travel Requirements
  • 10%

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About University Hospitals

Sourced by ZipRecruiter

For more than 155 years, University Hospitals has been on a mission to heal, teach and discover. As a renowned academic medical center and community hospital network, we’ve expanded across Northeast Ohio to deliver what matters most to our patients: personalized, compassionate care; medical discovery and breakthroughs; and high-quality, affordable care close to home.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Cleveland, OH, US

Year founded

1866

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