Experience • Experience with CMS Medicare Advantage Risk Adjustment Data Validation and HCC coding desired • ICD-10 diagnosis coding experience in chart/progress note review. • Risk adjustment ...
Experience • Experience with CMS Medicare Advantage Risk Adjustment Data Validation and HCC coding desired • ICD-10 diagnosis coding experience in chart/progress note review. • 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 ...
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 ...
... HCC Risk Adjustment program as it relates to payment methodology and the importance of proper chart documentation of procedures and diagnosis coding * Assist providers in understanding quality and ...
... HCC Risk Adjustment program as it relates to payment methodology and the importance of proper chart documentation of procedures and diagnosis coding * Assist providers in understanding quality and ...
... HCC Risk Adjustment program as it relates to payment methodology and the importance of proper chart documentation of procedures and diagnosis coding * Assist providers in understanding quality and ...
... HCC Risk Adjustment program as it relates to payment methodology and the importance of proper chart documentation of procedures and diagnosis coding * Assist providers in understanding quality and ...
Network Program Consultant - Remote
Nashville, TN · On-site +1
... HCC Risk Adjustment program as it relates to payment methodology and the importance of proper chart documentation of procedures and diagnosis coding * Assist providers in understanding quality and ...
Network Program Consultant - Remote
Nashville, TN · On-site +1
... HCC Risk Adjustment program as it relates to payment methodology and the importance of proper chart documentation of procedures and diagnosis coding * Assist providers in understanding quality and ...
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 ...
Experience with CMS Medicare Advantage Risk Adjustment Data Validation and HCC coding desired * ICD-10 diagnosis coding experience in chart/progress note review. * Risk adjustment, clinical ...
Experience with CMS Medicare Advantage Risk Adjustment Data Validation and HCC coding desired * ICD-10 diagnosis coding experience in chart/progress note review. * Risk adjustment, clinical ...
Experience Experience with CMS Medicare Advantage Risk Adjustment Data Validation and HCC coding desired ICD-10 diagnosis coding experience in chart/progress note review. Risk adjustment, clinical ...
Experience Experience with CMS Medicare Advantage Risk Adjustment Data Validation and HCC coding desired ICD-10 diagnosis coding experience in chart/progress note review. Risk adjustment, clinical ...
... 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 * ICD-10-CM coding principles, including clinical specificity, laterality, condition relationships, and complications * CMS risk-adjustment requirements and organizational ...
Quick apply
... HCC conditions * ICD-10-CM coding principles, including clinical specificity, laterality, condition relationships, and complications * CMS risk-adjustment requirements and organizational ...
Coding Analyst Sr.
Nashville, TN · On-site
AAPC Certified Risk Adjustment Coder (CRC) is highly preferred. * Knowledge of medical terminology and anatomy strongly preferred. Please be advised that Elevance Health only accepts resumes for ...
Coding Analyst Sr.
Nashville, TN · On-site
AAPC Certified Risk Adjustment Coder (CRC) is highly preferred. * Knowledge of medical terminology and anatomy strongly preferred. Please be advised that Elevance Health only accepts resumes for ...
You will also own the full arc of risk adjustment and clinical documentation integrity (CDI): prospective and retrospective coding programs, HCC capture and recapture accuracy, clinician education ...
Quick apply
You will also own the full arc of risk adjustment and clinical documentation integrity (CDI): prospective and retrospective coding programs, HCC capture and recapture accuracy, clinician education ...
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 ...
Director of Coding Compliance
$121K - $225K/yr
Experience in ICD-10 and HCPCS coding ... Familiar with Risk Adjustment Data Validation Audits *Ability to effectively prioritize and execute ...
New
Director of Coding Compliance
$121K - $225K/yr
Experience in ICD-10 and HCPCS coding ... Familiar with Risk Adjustment Data Validation Audits *Ability to effectively prioritize and execute ...
New
Manager Medical Economics
Nashville, TN · On-site
MSSP, REACH), CMS-HCC risk adjustment, CMS quality scores, etc. * Demonstrated ability to own analytical work end-to-end - not just running queries, but forming hypotheses, designing the analysis ...
Manager Medical Economics
Nashville, TN · On-site
MSSP, REACH), CMS-HCC risk adjustment, CMS quality scores, etc. * Demonstrated ability to own analytical work end-to-end - not just running queries, but forming hypotheses, designing the analysis ...
Nurse Practitioner
Nashville, TN · On-site
$130K - $140K/yr
They support HCC coding, risk adjustment, and HEDIS and STAR quality gap closure through their documentation. There is also a shared rotating 24/7 after-hours triage component paid as an additional ...
Nurse Practitioner
Nashville, TN · On-site
$130K - $140K/yr
They support HCC coding, risk adjustment, and HEDIS and STAR quality gap closure through their documentation. There is also a shared rotating 24/7 after-hours triage component paid as an additional ...
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 Sep 10, 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:
Coding Support Specialist - Summit Medical Group
Knoxville, TN • On-site
Summit Medical Group
Full-time
Re-posted yesterday
Key responsibilities
Review clinical documentation in progress notes to ensure diagnosis codes are accurate and specific.
Assign and correct ICD-10 diagnosis codes based on documentation review to meet coding guidelines and clinical criteria.
Identify and report trends in documentation and coding for educational and quality improvement purposes.
Job description
Summit Medical Group is seeking Risk Adjustment Coding Support Specialist to perform a comprehensive documentation review of the outpatient Progress Notes for assigning the appropriate ICD-10 diagnosis codes for accuracy of disease burden. This is a full time opportunity in the KNOXVILLE, TN area due to onsite requirements.
Examples of Duties (List does not include all duties assigned)
Education
Associates degree, bachelors preferred with completion of college/accreditation level coursework in ICD-9-CM, ICD-10-CM and CPT coding, anatomy and physiology, and medical terminology.
Experience
• Experience with CMS Medicare Advantage Risk Adjustment Data Validation and HCC coding desired
• ICD-10 diagnosis coding experience in chart/progress note review.
• Risk adjustment, clinical documentation review for accuracy of diagnosis code assignment from a single code to several codes
• Health plan Risk Adjustment processes and system experience for CMS RADV and risk score assignment and acceptance are helpful.
• Must have proficient computer skills.
Certification/License
• Must hold a current credential for one of the following: RHIA, RHIT CCS, CCS-P, CPC, CPC-H, and/or CRC. If not CRC certified, you must attain the certification within the first year of your employment date.
• AHIMA/AAPC Certified Professional: Certification must be maintained by fulfilling the continuing education requirements and submitting current proof.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Examples of Duties (List does not include all duties assigned)
- Review of clinical documentation in the progress note for accuracy of diagnosis coding to the highest level of specificity in a timely and efficient manner.
- Through progress note and electronic health record reviews, accurately correct/assign diagnosis codes to ensure ICD diagnosis coding and clinical
documentation criteria, rules and guidelines have been met in accordance with policy. - Through progress note reviews, identify, and report trends observed for educational opportunities in clinical documentation specificity, diagnosis coding to the highest specificity in addition to reporting any documentation trending, provider feedback and/or communications for improvements, training, and educational opportunities for staff and/or providers.
- Maintain continuous, effective, positive, and appropriate communication as a way to prevent risk for the organization.
- Desire to read clinical documentation to accurately assign diagnosis code specificity for severity of illness to report disease burden to CMS via diagnosis codes meeting all documentation requirements as part of risk mitigation and risk prevention.
- Actively participate in all applicable meetings, webinars and or communications as a way to remain updated on any diagnosis coding rules and/or documentation changes from appropriate credible sources for accurate diagnosis coding and clinical documentation rules in addition to independently seeking CEU's if needed to maintain credentials with the AAPC/AHIMA.
- Actively participates in site-level Quality Improvement Activities. Each employee will contribute to the continual evaluation site performance as well as the implementation and measurement of improvement activities that increase the quality of care provided to patients.
- Take accountability as a certified professional to review all clinical documentationethically and thoroughly within the progress note(s) using all applicable tools and
communications for capture of full disease burden.
Education
Associates degree, bachelors preferred with completion of college/accreditation level coursework in ICD-9-CM, ICD-10-CM and CPT coding, anatomy and physiology, and medical terminology.
Experience
• Experience with CMS Medicare Advantage Risk Adjustment Data Validation and HCC coding desired
• ICD-10 diagnosis coding experience in chart/progress note review.
• Risk adjustment, clinical documentation review for accuracy of diagnosis code assignment from a single code to several codes
• Health plan Risk Adjustment processes and system experience for CMS RADV and risk score assignment and acceptance are helpful.
• Must have proficient computer skills.
Certification/License
• Must hold a current credential for one of the following: RHIA, RHIT CCS, CCS-P, CPC, CPC-H, and/or CRC. If not CRC certified, you must attain the certification within the first year of your employment date.
• AHIMA/AAPC Certified Professional: Certification must be maintained by fulfilling the continuing education requirements and submitting current proof.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.