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Hcc Risk Adjustment Coding Jobs in Texas (NOW HIRING)

U5528

Supervisor Clinic & Coding Quality

Dallas, TX · Remote

This role is responsible for ensuring the accuracy, consistency, and effectiveness of second-level coding quality review workflows that support risk adjustment, DRG integrity, regulatory compliance ...

Elevance Health

Coding Analyst Sr.

Austin, TX

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 ...

Elevance Health

Coding Analyst Sr.

Austin, TX · 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 ...

Elevance Health

Coding Analyst Sr.

Austin, TX

AAPC Certified Risk Adjustment Coder (CRC) is highly preferred. * Knowledge of medical terminology and anatomy strongly preferred. Job Level: Non-Management Non-Exempt Workshift: 1st Shift (United ...

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 ...

UTMB Health

Senior Coder - RCO Coding (Remote)

Galveston, TX · Remote

$21.50 - $28.50/hr

CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional services for inpatient and/or professional and hospital outpatient technical services for multiple ...

UTMB Health

Senior Coder - RCO Coding (Remote)

Galveston, TX · Remote

$21.50 - $28.50/hr

CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional services for inpatient and/or professional and hospital outpatient technical services for multiple ...

UTMB Health

Senior Coder - RCO Coding (Remote)

Galveston, TX · Remote

$21.50 - $28.50/hr

CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional services for inpatient and/or professional and hospital outpatient technical services for multiple ...

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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 Jul 15, 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 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.

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 Texas? The most popular types of Hcc Risk Adjustment Coding jobs in Texas are:
What are popular job titles related to Hcc Risk Adjustment Coding jobs in Texas? For Hcc Risk Adjustment Coding jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Hcc Risk Adjustment Coding jobs in Texas look for? The top searched job categories for Hcc Risk Adjustment Coding jobs in Texas are:
What cities in Texas are hiring for Hcc Risk Adjustment Coding jobs? Cities in Texas 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 Texas as of July 2026, with employment types broken down into 1% As Needed, 79% Full Time, 13% Part Time, 6% Contract, and 1% Nights. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $52,336 per year, or $25.2 per hour.

Provider Relations - Market Performance Lead

Astrana Health, Inc.

Beaumont, TX • On-site

$80K - $90K/yr

Full-time

Re-posted 2 days ago

Job description

Provider Relations - Market Performance Lead
Department: Provider Relations
Employment Type: Full Time
Location: 3570 College St, Beaumont, TX 77701
Reporting To: Terry Caston
Compensation: $80,000 - $90,000 / year
Description
We are currently seeking a highly motivated Provider Relations Market Performance Lead in the Beaumont area who will serves as a strategic, field-based partner to physician practices, supporting improvements in clinical quality, risk adjustment, operational efficiency, and financial performance. This role works directly with primary care and specialty practices to analyze performance, identify root causes of gaps, and lead practice transformation efforts through provider education, workflow redesign, and data-driven interventions. While clinical licensure is not required, the role demands a strong working knowledge of clinical workflows, quality measures, and managed care operations to effectively engage providers and drive sustainable improvement.
Our Values:
  • Put Patients First
  • Empower Entrepreneurial Provider and Care Teams
  • Operate with Integrity & Excellence
  • Be Innovative
  • Work As One Team

What You'll Do
  • Provider Relationship & Performance Management
    • Serve as the primary business and operational liaison for approximately 50-60 assigned primary care and specialty physician practices, representing the organization in matters requiring professional judgment.
    • Establish and maintain strong, ongoing advisory relationships with physicians, clinicians, and practice staff through routine on-site and remote engagement.
    • Conduct regular provider visits to assess performance, identify barriers, and support improvement initiatives.
    • Document provider interactions, action plans, follow-ups, and outcomes to support continuous improvement and executive decision making
  • Clinical Quality, Risk, and Performance Improvement
    • Analyze, interpret, and present provider performance reports including HEDIS, risk adjustment, pay-for-performance, medical cost ratio (MCR), and other value-based performance metrics.
    • Provide subject-matter guidance and education to providers on clinical quality measures, documentation standards, risk adjustment, coding accuracy, and gap closure strategies.
    • Coach providers on managing patients with multiple chronic conditions and appropriate inpatient utilization.
    • Identify trends, variances, and root causes of underperformance and develop targeted, data-driven improvement plans.
  • Practice Operations & Transformation
    • Lead and influence workflow design and redesign initiatives, including EHR optimization, clinical documentation improvement, and care team workflow efficiency.
    • Provide billing, claims, and encounter resolution support and partner with practices to improve submission accuracy and timeliness.
    • Determine and implement corrective actions to address financial, operational, and quality performance gaps.
    • Oversee provider onboarding, orientation, and ongoing education to ensure compliance with state, federal, and organizational standards, applying professional judgment in interpretation and execution.
  • Cross-Functional Collaboration
    • Act as a key partner with internal teams including Quality Improvement, Risk Adjustment, Operations, and Provider Services to resolve provider issues and improve outcomes.
    • Lead or contribute to cross-functional and regional initiatives impacting provider, market, and organizational performance.
    • Communicate complex performance expectations and improvement strategies clearly to executive leadership, internal stakeholders, and physician groups.
  • Retention, Growth & Reporting
    • Develop and drive improvement strategies for provider retention, engagement, and growth strategies within the assigned territory.
    • Identify opportunities for operational improvement, market growth, and practice optimization.
    • Maintain accurate and timely reporting of provider activity, performance trends, and improvement outcomes to inform leadership decisions.
    • Perform other duties assigned by leadership in support of organizational objectives.

Qualifications
  • Bachelor's degree in Healthcare, Nursing, Public Health, Health Administration, Business, or a related field or equivalent combination of education and progressively responsible healthcare experience.
  • Master's degree (MHA, MPH, or related) preferred.
  • 5+ years of experience in provider relations, practice performance management, managed care operations, healthcare operations, quality improvement, risk adjustment, or related healthcare roles.
  • Demonstrated experience working directly with physician practices to improve quality, risk, and operational performance.
  • Strong background in managed care and value-based care environments.
  • Experience with billing, claims, encounters, and practice workflow improvement strongly preferred.
  • License/Certifications (if applicable): • Clinical or coding credentials such as RN, LVN, LPN, CPC, or CCS preferred but not required.
  • Professional certifications such as CPHQ, MHA, MPH, PMP, or Lean/Six Sigma preferred.
  • Strong understanding of provider practice operations, managed care, and value-based care models.
  • Knowledge of clinical quality measures including HEDIS, risk adjustment, and performance-based reimbursement.
  • Ability to analyze complex performance data and translate findings into actionable improvement strategies.
  • High credibility in clinical and operational conversations with physicians and practice leadership.
  • Excellent written, verbal, and presentation communication skills.
  • Strong relationship-building, coaching, and problem-solving abilities.
  • Proficiency with Microsoft Office (Excel, Word, PowerPoint, Outlook).
  • Experience with EHRs, practice management systems, and provider performance dashboards.

Environmental Job Requirements and Working Conditions
  • This is a field-based role in the Beaumont area requiring frequent travel (up to 80-90%) within the assigned territory to provider practices and offices. Work is performed in physician offices, clinical settings, and professional office environments. The role combines in-person practice engagement with remote work and requires reliable transportation, the ability to sit, stand, walk, and use standard office and computer equipment.
  • The national target pay range for this role is $80,000 - $90,000. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided based on qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.
Additional Information: The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

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