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Hcc Risk Adjustment Coding Jobs in Texas (NOW HIRING)

St. Luke's Health

Value Based Coder II

Houston, TX · On-site +1

$25.30 - $35.74/hr

Continuously monitor and interpret evolving HCC coding guidelines, CMS regulations, and compliance trends within the risk adjustment landscape, applying this knowledge to daily coding and education ...

Datavant

Payer Coding Ops Hourly

Dallas, TX · Remote

$25 - $26.70/hr

... HCC (Hierarchical Condition Category) coder you will review medical records to identify and code ... for risk adjustment and reimbursement purposes. You will play a critical role in translating ...

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Bienvivir All Inclusive Health

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Registered Nurse - Utilization Management/ Coder (RN)

El Paso, TX · On-site

$33.79 - $42.24/hr

MEDICAL CODING & DOCUMENTATION: 1. Assign and enter ICD-10, CPT, and HCPCS codes based on clinical documentation and ensure accurate risk adjustment coding for chronic conditions and comorbidities to ...

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Hcc Risk Adjustment Coding information

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

As of May 29, 2026, the average hourly pay for hcc risk adjustment coding in Texas is $25.16, according to ZipRecruiter salary data. Most workers in this role earn between $18.94 and $30.87 per hour, depending on experience, location, and employer.

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 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.
More about Hcc Risk Adjustment Coding jobs
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Hcc Risk Adjustment Coding jobs near you
Infographic showing various Hcc Risk Adjustment Coding job openings in Texas as of May 2026, with employment types broken down into 96% Full Time, and 4% Temporary. Highlights an 96% In-person, and 4% Remote job distribution, with an average salary of $52,336 per year, or $25.2 per hour.
Value Based Coder II

Value Based Coder II

Catholic Health Initiatives

Houston, TX

$25.30 - $35.74/hr

Full-time

Posted 29 days ago

Job description

Job Summary and Responsibilities

The Value Based Coder II is an experienced professional within the Quality Management/Risk team, responsible for independently reviewing patient medical records to identify, assess, monitor, and review coding opportunities, with a growing emphasis on Hierarchical Condition Categories (HCC). This role focuses on developing and delivering provider education and contributing to process improvement initiatives. The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk-adjusting conditions and supporting provider documentation improvement.

  • Comprehensive Record Review & HCC Expertise: Independently review patient medical record information via population health tools on both a retroactive and prospective basis to identify, assess, monitor, and review network coding opportunities as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC documentation and coding.
  • Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns, trends, and opportunities for improvement related to HCC capture. Develop and deliver effective education materials and tools to help network providers improve clinical documentation and support Hierarchical Condition Category coding capture. Provide targeted provider 1:1 education on documentation best practices, HCC guidelines, and risk adjustment principles.
  • Compliance & Regulatory Insight: Continuously monitor and interpret evolving HCC coding guidelines, CMS regulations, and compliance trends within the risk adjustment landscape, applying this knowledge to daily coding and education efforts. Champion a culture of compliance by advocating for best practices and providing robust provider support to ensure CommonSpirit adheres to all federal and coding guidelines pertaining to HCC and risk adjustment. Safeguard medical records and preserve the confidentiality of personal health information through adherence to all relevant policies (release of medical record information, record retention, HIPAA privacy and security).
  • Process Improvement & Collaboration: Actively participate in network performance improvement initiatives, offering insights and solutions based on coding expertise. Collaborate with providers and office staff to address documentation deficiencies and coding gaps.

Job Requirements

? 2+ years of experience in outpatient coding

? 2+ years focused on risk adjustment and HCC principles.

? Advanced knowledge of CPT and ICD-10 coding, with significant expertise in HCC codingguidelines and risk adjustment models.

? Strong understanding of federal and state guidelines on all coding systems and sponsored programs.

? Proficiency in developing and delivering educational content.

? Effective interpersonal, communication, and presentation skills (both verbal and written).

? Ability to manage multiple priorities and work independently.

? Computer literacy in medical information systems, records management software, and encoder software.

Preferred/Desired Experience

? 4+ years of experience in outpatient coding,

? 3+ years focused on risk adjustment and HCC principles

Where You'll Work

Baylor St. Luke's Medical Center is an 881-bed quaternary care academic medical center that is a joint venture between Baylor College of Medicine and CHI St. Luke's Health. Located in the Texas Medical Center, the hospital is the home of the Texas Heart Institute, a cardiovascular research and education institution founded in 1962 by Denton A. Cooley, MD. The hospital was the first facility in Texas and the Southwest designated a Magnet hospital for Nursing Excellence by the American Nurses Credentialing Center, receiving the award five consecutive times. Baylor St. Luke's also has three community emergency centers offering adult and pediatric care for the Greater Houston area.

Pay Range

$25.30 - $35.74 /hour

We are an equal opportunity/affirmative action employer.

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About Catholic Health Initiatives

Sourced by ZipRecruiter

We believe all lives should be filled with health and well-being; that each person should have the knowledge and resources to make the best and healthiest choices for themselves and their families, with access to care and services that make acting on these choices easy. And you deserve personal attention from people who acknowledge and understand your frustrations and work to eliminate them. It means working together because that’s the way we all improve. Catholic Health Initiatives offers expertise, convenience, resources and best-in-class care from a foundation of togetherness. To serve communities better, we’ve grown into the third-largest nonprofit health system in the nation. And we’re not done yet. We currently offer care in 18 states through 101 hospitals and clinics, including three academic health centers and major teaching hospitals as well as 29 critical-access facilities, community health-service organizations, and nursing colleges. We connect agencies, communities and facilities with a goal of bringing everyone the care they need where they need it.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Englewood, CO, US

Year founded

1995

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