Demonstrate the ability to teach and evaluate clinical staff as it relates to HCC/RAF management at the clinic level. * Maintain compliance with AAPC coding standards and CMS Risk Adjustment ...
Demonstrate the ability to teach and evaluate clinical staff as it relates to HCC/RAF management at the clinic level. * Maintain compliance with AAPC coding standards and CMS Risk Adjustment ...
Demonstrate the ability to teach and evaluate clinical staff as it relates to HCC/RAF management at the clinic level. * Maintain compliance with AAPC coding standards and CMS Risk Adjustment ...
Demonstrate the ability to teach and evaluate clinical staff as it relates to HCC/RAF management at the clinic level. * Maintain compliance with AAPC coding standards and CMS Risk Adjustment ...
Medical Coding Educator
Nashville, TN · On-site
$26.25 - $30/hr
Experience with healthcare risk adjustment, including HCC coding and CMS-HCC model version 28. * Experience speaking with leadership, webinars public speaking or presentation skills with healthcare ...
Medical Coding Educator
Nashville, TN · On-site
$26.25 - $30/hr
Experience with healthcare risk adjustment, including HCC coding and CMS-HCC model version 28. * Experience speaking with leadership, webinars public speaking or presentation skills with healthcare ...
Telehealth Nurse Practitioner
Nashville, TN · On-site +1
$600 - $720/day
Document risk adjustment (HCC coding) during patient visits * Close HEDIS care gaps during visits * Review medical history, medications, and preventive needs * Document visits using ICD-10 and CPT II ...
Telehealth Nurse Practitioner
Nashville, TN · On-site +1
$600 - $720/day
Document risk adjustment (HCC coding) during patient visits * Close HEDIS care gaps during visits * Review medical history, medications, and preventive needs * Document visits using ICD-10 and CPT II ...
Consulting Actuary - ACA Risk Adjustment
Nashville, TN · On-site
$143K - $229K/yr
Deep experience with ACA Risk Adjustment , including HHS-HCC model methodology, risk score ... Strong understanding of diagnosis coding (ICD-10-CM) , provider documentation practices, and their ...
Consulting Actuary - ACA Risk Adjustment
Nashville, TN · On-site
$143K - $229K/yr
Deep experience with ACA Risk Adjustment , including HHS-HCC model methodology, risk score ... Strong understanding of diagnosis coding (ICD-10-CM) , provider documentation practices, and their ...
Will review all provider visit medical encounters and apply most appropriate diagnosis codes. * Overall accountability for the HCC/Risk Adjustment of goals and workflows to support value capture ...
Will review all provider visit medical encounters and apply most appropriate diagnosis codes. * Overall accountability for the HCC/Risk Adjustment of goals and workflows to support value capture ...
Will review all provider visit medical encounters and apply most appropriate diagnosis codes. * Overall accountability for the HCC/Risk Adjustment of goals and workflows to support value capture ...
Will review all provider visit medical encounters and apply most appropriate diagnosis codes. * Overall accountability for the HCC/Risk Adjustment of goals and workflows to support value capture ...
Will review all provider visit medical encounters and apply most appropriate diagnosis codes. * Overall accountability for the HCC/Risk Adjustment of goals and workflows to support value capture ...
Will review all provider visit medical encounters and apply most appropriate diagnosis codes. * Overall accountability for the HCC/Risk Adjustment of goals and workflows to support value capture ...
Manager, Coding
Nashville, TN · On-site
Keeps informed of HCC coding regulations and manages the HCC workflow within the department ... risk adjustment coding and compliance * Evaluate and optimize end to tend practice clinical ...
Manager, Coding
Nashville, TN · On-site
Keeps informed of HCC coding regulations and manages the HCC workflow within the department ... risk adjustment coding and compliance * Evaluate and optimize end to tend practice clinical ...
Manager, Coding
Nashville, TN · On-site
Keeps informed of HCC coding regulations and manages the HCC workflow within the department ... risk adjustment coding and compliance * Evaluate and optimize end to tend practice clinical ...
Manager, Coding
Nashville, TN · On-site
Keeps informed of HCC coding regulations and manages the HCC workflow within the department ... risk adjustment coding and compliance * Evaluate and optimize end to tend practice clinical ...
Serves as the primary resource and subject matter expert on all CMS Risk Adjustment and quality ... HCC Mode; or any combination of education and experience, which would provide an equivalent ...
Serves as the primary resource and subject matter expert on all CMS Risk Adjustment and quality ... HCC Mode; or any combination of education and experience, which would provide an equivalent ...
... HCC) conditions applicable to Medicare Risk Adjustment reimbursement initiatives. * Work assigned coding projects to completion. * Provide a high level of customer service to internal and external ...
... HCC) conditions applicable to Medicare Risk Adjustment reimbursement initiatives. * Work assigned coding projects to completion. * Provide a high level of customer service to internal and external ...
... HCC) conditions applicable to Medicare Risk Adjustment reimbursement initiatives. * Work assigned coding projects to completion. * Provide a high level of customer service to internal and external ...
... HCC) conditions applicable to Medicare Risk Adjustment reimbursement initiatives. * Work assigned coding projects to completion. * Provide a high level of customer service to internal and external ...
... HCC) conditions applicable to Medicare Risk Adjustment reimbursement initiatives. * Work assigned coding projects to completion. * Provide a high level of customer service to internal and external ...
... HCC) conditions applicable to Medicare Risk Adjustment reimbursement initiatives. * Work assigned coding projects to completion. * Provide a high level of customer service to internal and external ...
Analyze historical risk score trends, RAF accuracy, and coding opportunities to identify gaps and ... Understanding of CMS-HCC models (v24/v28), CMS risk adjustment methodology, and RAF score ...
Analyze historical risk score trends, RAF accuracy, and coding opportunities to identify gaps and ... Understanding of CMS-HCC models (v24/v28), CMS risk adjustment methodology, and RAF score ...
Analyze historical risk score trends, RAF accuracy, and coding opportunities to identify gaps and ... Understanding of CMS-HCC models (v24/v28), CMS risk adjustment methodology, and RAF score ...
Analyze historical risk score trends, RAF accuracy, and coding opportunities to identify gaps and ... Understanding of CMS-HCC models (v24/v28), CMS risk adjustment methodology, and RAF score ...
Finance- Senior Actuarial Analyst
Nashville, TN · On-site
$80 - $100/hr
Risk Adjustment and Revenue Performance: * Develop and maintain models to forecast risk‑adjusted ... Evaluate the impact of HCC model updates and CMS rule changes on organizational revenue * Perform ...
Finance- Senior Actuarial Analyst
Nashville, TN · On-site
$80 - $100/hr
Risk Adjustment and Revenue Performance: * Develop and maintain models to forecast risk‑adjusted ... Evaluate the impact of HCC model updates and CMS rule changes on organizational revenue * Perform ...
... risk coding and documentation, and affordability. They will also be involved in the design and ... Collaborates in teaching clinicians and clinical operations teams about Medicare Risk Adjustment ...
... risk coding and documentation, and affordability. They will also be involved in the design and ... Collaborates in teaching clinicians and clinical operations teams about Medicare Risk Adjustment ...
... risk coding and documentation, and affordability. They will also be involved in the design and ... Collaborates in teaching clinicians and clinical operations teams about Medicare Risk Adjustment ...
... risk coding and documentation, and affordability. They will also be involved in the design and ... Collaborates in teaching clinicians and clinical operations teams about Medicare Risk Adjustment ...
Senior Consultant - Clinical Documentation Specialist
Nashville, TN · On-site
$33.50 - $45.25/hr
Proven applicable CPT and ICD-10 coding experience; APR-DRG, MS-DRG and HCC assignment * Other ... risk adjustment * Has strong interpersonal skills to collaborate with clinicians, physicians, NP ...
Senior Consultant - Clinical Documentation Specialist
Nashville, TN · On-site
$33.50 - $45.25/hr
Proven applicable CPT and ICD-10 coding experience; APR-DRG, MS-DRG and HCC assignment * Other ... risk adjustment * Has strong interpersonal skills to collaborate with clinicians, physicians, NP ...
Hcc Risk Adjustment Coding information
See Tennessee salary details
$12.33 - $14.87
0% of jobs
$14.87 - $17.41
17% of jobs
$18.64 is the 25th percentile. Wages below this are outliers.
$17.41 - $19.95
17% of jobs
The median wage is $22.14 / hr.
$19.95 - $22.50
19% of jobs
$22.50 - $25.04
9% of jobs
$25.04 - $27.58
7% of jobs
$29.25 is the 75th percentile. Wages above this are outliers.
$27.58 - $30.12
8% of jobs
$30.12 - $32.66
6% of jobs
$32.66 - $35.21
4% of jobs
$35.21 - $37.75
6% of jobs
$37.75 - $40.29
5% of jobs
$12
$25
$40
How much do hcc risk adjustment coding jobs pay per hour?
As of Aug 20, 2026, the average hourly pay for hcc risk adjustment coding in Tennessee is $25.12, according to ZipRecruiter salary data. Most workers in this role earn between $18.94 and $30.82 per hour, depending on experience, location, and employer.
What is an HCC Risk Adjustment Coding?
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 HCC Risk Adjustment Coding?
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 Risk Adjustment Coding a good career?
Hcc Risk Adjustment Coding is a growing field within healthcare that involves analyzing patient data to improve risk adjustment models, often requiring knowledge of medical terminology and coding systems like ICD-10. It offers opportunities for stable employment, remote work, and career advancement, especially for those with certification and experience in medical coding. The role is in demand as healthcare organizations focus on accurate risk assessment and reimbursement.
What are the most commonly searched types of Hcc Risk Adjustment Coding jobs in Tennessee?
The most popular types of Hcc Risk Adjustment Coding jobs in Tennessee are:
What are popular job titles related to Hcc Risk Adjustment Coding jobs in Tennessee?
For Hcc Risk Adjustment Coding jobs in Tennessee, the most frequently searched job titles are:
What job categories do people searching Hcc Risk Adjustment Coding jobs in Tennessee look for?
The top searched job categories for Hcc Risk Adjustment Coding jobs in Tennessee are:
Full-time
Re-posted 10 days ago
Baptist Memorial Health Care rating
7.3
Based on 113 frontline employees who took The Breakroom Quiz
306th of 889 rated healthcare providers
Job description
Overview
Clinical Documentation Manager
Summary:
The Clinical Documentation Manager assists in the development of operational framework focused on scalable and repeatable best practices as it relates to Risk Adjustment. This position supports and aligns planning to ensure the key strategic activities aimed at HCC/RAF management for Value-Based Care is delivered and executed at the clinic level. Expert in reviewing, assigning and validating ICD-10-CM codes for diagnoses performed by physicians and other qualified healthcare providers. Ensures diagnostic coding accuracy and compliance for each Plan's member. The Clinical Documentation Manager will coordinate work in clinics to provide support and education to all market leaders, Providers and clinic staff. This position identifies, develops and implements simplification and automation to improve HCC/RAF initiatives. The Clinical Documentation Manager will also act as a facilitator, leader, mentor and change agent. Travel is required throughout the region.
Duties:
Core Competencies:
Minimum Required Preferred / Desired Experience
5 years of general healthcare experience
3 years of clinical coding experience with strong attention to detail and a high level of accuracy.
Education Registered Nurse and/or AAPC Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) Bachelor's Degree in Nursing (8 or more years of additional experience beyond the required years of experience may be substituted in lieu of a bachelor's degree. Training Certified Risk Adjustment Coder (CRC) certification or proof that certification has been obtained within 6 months of start date from the American Academy of Professional Coders. Special Skills MS Office Suite, moderate to advanced EXCEL and PowerPoint skills. Knowledge of audiovisual equipment set up. Licensure AAPC Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) or if current RN license in good standing, must be a Certified Risk Adjustment Coder (CRC)
Ability to work a flexible work schedule and travel to all assigned BMG clinics.
Clinical Documentation Manager
Summary:
The Clinical Documentation Manager assists in the development of operational framework focused on scalable and repeatable best practices as it relates to Risk Adjustment. This position supports and aligns planning to ensure the key strategic activities aimed at HCC/RAF management for Value-Based Care is delivered and executed at the clinic level. Expert in reviewing, assigning and validating ICD-10-CM codes for diagnoses performed by physicians and other qualified healthcare providers. Ensures diagnostic coding accuracy and compliance for each Plan's member. The Clinical Documentation Manager will coordinate work in clinics to provide support and education to all market leaders, Providers and clinic staff. This position identifies, develops and implements simplification and automation to improve HCC/RAF initiatives. The Clinical Documentation Manager will also act as a facilitator, leader, mentor and change agent. Travel is required throughout the region.
Duties:
- Review clinical documentation and assign accurate diagnosis codes according to guidelines and project
- Review medical documents such as surgical reports, medical visits, and diagnostic reports in order to create educational strategies to ensure correct diagnosis code assignment by the provider.
- Perform Clinical Chart Audits for proper HCC documentation on an ongoing basis.
- Extracts data from practice EMR or network database to identify HCC documentation and care gap opportunities to assess positive and negative changes in quality scores month over month.
- Reviews registries with PCPs and/or key office staff to identify care gaps and opportunities for outreach, HCC documentation and/or care gap closure.
- Be able to identify opportunities in diagnosis coding, clinical documentation and billing within the provider's day-to-day operations.
- Collaborate with and support primary care providers and practice support staff to improve population health performance and achieve quality incentives related to managed care contracts by managing and organizing data, engaging patients, and optimizing workflow, with the goal of optimizing our patients' health and wellbeing.
- Facilitates and assists with outreach to patients via phone calls, mail or electronic messaging, to schedule appointments, screenings, and preventive tests.
- Educate practitioners/clinical staff and provide ongoing clinical guidance related to the Risk Adjustment process.
- Maintains a log of audits and education performed of diagnosis/HCC gaps.
- Prepares and submits a monthly report of activities performed during payer meetings.
Core Competencies:
- Understands the CMS-HCC (Hierarchical Condition Category) Risk Adjustment Model and ICD-9/10 guidelines.
- Extensive background in supporting risk adjustment management activities and clinical informatics
- Experience with Risk Adjustment Data Validation
- Demonstrate the ability to teach and evaluate clinical staff as it relates to HCC/RAF management at the clinic level.
- Maintain compliance with AAPC coding standards and CMS Risk Adjustment guidelines.
- Remains current on CMS rules and guidelines.
Minimum Required Preferred / Desired Experience
5 years of general healthcare experience
3 years of clinical coding experience with strong attention to detail and a high level of accuracy.
Education Registered Nurse and/or AAPC Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) Bachelor's Degree in Nursing (8 or more years of additional experience beyond the required years of experience may be substituted in lieu of a bachelor's degree. Training Certified Risk Adjustment Coder (CRC) certification or proof that certification has been obtained within 6 months of start date from the American Academy of Professional Coders. Special Skills MS Office Suite, moderate to advanced EXCEL and PowerPoint skills. Knowledge of audiovisual equipment set up. Licensure AAPC Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) or if current RN license in good standing, must be a Certified Risk Adjustment Coder (CRC)
Ability to work a flexible work schedule and travel to all assigned BMG clinics.
What Baptist Memorial Health Care employees say
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Benefits
Hours and flexibility
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About Baptist Memorial
Sourced by ZipRecruiter
Baptist Memorial, based in Memphis, TN, US, is a leading health care organization renowned in the healthcare industry. The company's official website is baptistonline.org which provides a comprehensive view of their services and operations. Baptist Memorial operates a myriad of hospitals, health clinics, and medical facilities providing expert and compassionate care. Founded in 1912, it has a rich legacy of over a hundred years of dedication to its community, offering services which include acute care, diagnostic services, and a broad range of speciality health services fulfilling various patient needs.
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Memphis, TN, US