... HCC Risk adjustment Coding Preferred Licenses & Certifications * Certified Professional Coder (CPC) Upon Hire Required or * Certified Outpatient Coder (COC) Upon Hire Required or * Certified ...
... HCC Risk adjustment Coding Preferred Licenses & Certifications * Certified Professional Coder (CPC) Upon Hire Required or * Certified Outpatient Coder (COC) Upon Hire Required or * Certified ...
... HCC Risk adjustment Coding Preferred Licenses & Certifications * Certified Professional Coder (CPC) Upon Hire Required or * Certified Outpatient Coder (COC) Upon Hire Required or * Certified ...
... HCC Risk adjustment Coding Preferred Licenses & Certifications * Certified Professional Coder (CPC) Upon Hire Required or * Certified Outpatient Coder (COC) Upon Hire Required or * Certified ...
HCC-specific Supv: Certified Risk Adjustment Coder (CRC) Upon Hire Required or * Registered Health Information Technician (RHIT) Upon Hire Required or * Registered Health Information Administrator ...
New
HCC-specific Supv: Certified Risk Adjustment Coder (CRC) Upon Hire Required or * Registered Health Information Technician (RHIT) Upon Hire Required or * Registered Health Information Administrator ...
New
Supervisor Coding - Fiscal Denials
Middleton, WI · On-site
$73K - $110K/yr
HCC-specific Supv: Certified Risk Adjustment Coder (CRC) Upon Hire Required or * Registered Health Information Technician (RHIT) Upon Hire Required or * Registered Health Information Administrator ...
New
Supervisor Coding - Fiscal Denials
Middleton, WI · On-site
$73K - $110K/yr
HCC-specific Supv: Certified Risk Adjustment Coder (CRC) Upon Hire Required or * Registered Health Information Technician (RHIT) Upon Hire Required or * Registered Health Information Administrator ...
New
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
Develops educational materials for providers in relation to diagnostic coding and risk adjustment ... Category (HCC) coding required Will consider years of experience in lieu of bachelor's degree.
Develops educational materials for providers in relation to diagnostic coding and risk adjustment ... Category (HCC) coding required Will consider years of experience in lieu of bachelor's degree.
Develops educational materials for providers in relation to diagnostic coding and risk adjustment ... Category (HCC) coding required Will consider years of experience in lieu of bachelor's degree.
Develops educational materials for providers in relation to diagnostic coding and risk adjustment ... Category (HCC) coding required Will consider years of experience in lieu of bachelor's degree.
... risk adjustment factors, e.g., hierarchical condition categories (HCC). Interprets and translates coding, payment, and reimbursement policies and regulations for the benefit of leaders and staff ...
... risk adjustment factors, e.g., hierarchical condition categories (HCC). Interprets and translates coding, payment, and reimbursement policies and regulations for the benefit of leaders and staff ...
The Risk Adjustment Compliance Project Manager is responsible for leading compliance focused ... Background in provider education, clinical documentation, or coding compliance * Experience ...
The Risk Adjustment Compliance Project Manager is responsible for leading compliance focused ... Background in provider education, clinical documentation, or coding compliance * Experience ...
Coder (Clinic - III)
Neenah, WI · On-site
$19.25 - $25.75/hr
... coding; Urology primarily to start. KEY ACCOUNTABILITIES: * Reviews and/or assigns proper CPT procedures and/or diagnosis codes (ICD-10-CM including HCC risk adjustment diagnosis) for professional ...
Coder (Clinic - III)
Neenah, WI · On-site
$19.25 - $25.75/hr
... coding; Urology primarily to start. KEY ACCOUNTABILITIES: * Reviews and/or assigns proper CPT procedures and/or diagnosis codes (ICD-10-CM including HCC risk adjustment diagnosis) for professional ...
Coder (Clinic - III)
Neenah, WI · On-site
$19.25 - $25.75/hr
... coding; Urology primarily to start. KEY ACCOUNTABILITIES: * Reviews and/or assigns proper CPT procedures and/or diagnosis codes (ICD-10-CM including HCC risk adjustment diagnosis) for professional ...
Coder (Clinic - III)
Neenah, WI · On-site
$19.25 - $25.75/hr
... coding; Urology primarily to start. KEY ACCOUNTABILITIES: * Reviews and/or assigns proper CPT procedures and/or diagnosis codes (ICD-10-CM including HCC risk adjustment diagnosis) for professional ...
CMS HCC Risk Adjustment * HEDIS * Medical Record Reviews (Accreditation) * And more About the Job: We are currently recruiting RNs, LPNs, MA's, Certified Coders, and RHIT or RHIA professionals to ...
CMS HCC Risk Adjustment * HEDIS * Medical Record Reviews (Accreditation) * And more About the Job: We are currently recruiting RNs, LPNs, MA's, Certified Coders, and RHIT or RHIA professionals to ...
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more About the Job: We are currently recruiting RNs, LPNs, MA's, Certified Coders ...
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more About the Job: We are currently recruiting RNs, LPNs, MA's, Certified Coders ...
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more About the Job: We are currently recruiting RNs, LPNs, MA's, Certified Coders ...
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more About the Job: We are currently recruiting RNs, LPNs, MA's, Certified Coders ...
Clinician Coding Liaison - Pulmonology
Two Rivers, WI · Remote
$35.50 - $53.25/hr
Coding Specialist - Physician (CCS-P) certification issued by the American Health Information ... Collaborate across departments-including CMOs, Clinical Informatics, Risk Adjustment, and ...
New
Clinician Coding Liaison - Pulmonology
Two Rivers, WI · Remote
$35.50 - $53.25/hr
Coding Specialist - Physician (CCS-P) certification issued by the American Health Information ... Collaborate across departments-including CMOs, Clinical Informatics, Risk Adjustment, and ...
New
Clinician Coding Liaison - Vascular
Milwaukee, WI · Remote
$35.50 - $53.25/hr
Collaborate across departments-including CMOs, Clinical Informatics, Risk Adjustment, and ... Coding Specialist - Physician (CCS-P) certification issued by the American Health Information ...
New
Clinician Coding Liaison - Vascular
Milwaukee, WI · Remote
$35.50 - $53.25/hr
Collaborate across departments-including CMOs, Clinical Informatics, Risk Adjustment, and ... Coding Specialist - Physician (CCS-P) certification issued by the American Health Information ...
New
Clinician Coding Liaison - Surgery
Milwaukee, WI · Remote
$35.50 - $53.25/hr
Coding Specialist - Physician (CCS-P) certification issued by the American Health Information ... Collaborate across departments-including CMOs, Clinical Informatics, Risk Adjustment, and ...
Clinician Coding Liaison - Surgery
Milwaukee, WI · Remote
$35.50 - $53.25/hr
Coding Specialist - Physician (CCS-P) certification issued by the American Health Information ... Collaborate across departments-including CMOs, Clinical Informatics, Risk Adjustment, and ...
Clinician Coding Liaison - ENT / Audiology
Milwaukee, WI · Remote
$35.50 - $53.25/hr
Collaborate across departments-including CMOs, Clinical Informatics, Risk Adjustment, and ... Coding Specialist - Physician (CCS-P) certification issued by the American Health Information ...
Clinician Coding Liaison - ENT / Audiology
Milwaukee, WI · Remote
$35.50 - $53.25/hr
Collaborate across departments-including CMOs, Clinical Informatics, Risk Adjustment, and ... Coding Specialist - Physician (CCS-P) certification issued by the American Health Information ...
Clinician Coding Liaison- Medical Based Specialties
Milwaukee, WI · Remote
$35.50 - $53.25/hr
Collaborate across departments-including CMOs, Clinical Informatics, Risk Adjustment, and ... Coding Specialist (CCS) certification, or Coding Specialist - Physician (CCS-P) certification ...
Clinician Coding Liaison- Medical Based Specialties
Milwaukee, WI · Remote
$35.50 - $53.25/hr
Collaborate across departments-including CMOs, Clinical Informatics, Risk Adjustment, and ... Coding Specialist (CCS) certification, or Coding Specialist - Physician (CCS-P) certification ...
Hcc Risk Adjustment Coding information
See Wisconsin salary details
$13.87 - $16.73
0% of jobs
$16.73 - $19.59
17% of jobs
$20.97 is the 25th percentile. Wages below this are outliers.
$19.59 - $22.45
17% of jobs
The median wage is $24.91 / hr.
$22.45 - $25.31
19% of jobs
$25.31 - $28.16
9% of jobs
$28.16 - $31.02
7% of jobs
$32.90 is the 75th percentile. Wages above this are outliers.
$31.02 - $33.88
8% of jobs
$33.88 - $36.74
6% of jobs
$36.74 - $39.60
4% of jobs
$39.60 - $42.46
6% of jobs
$42.46 - $45.32
5% of jobs
$13
$28
$45
How much do hcc risk adjustment coding jobs pay per hour?
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.

Medical Coding Specialist II - Orthopedics Outpatient, Multi Specialty
Middleton, WI • On-site
Other
Medical, Dental, Retirement, PTO
Posted 7 days ago
UW Health rating
8.0
Based on 219 frontline employees who took The Breakroom Quiz
86th of 880 rated healthcare providers
Job description
This is a full-time, 1.0 FTE position that is 100% remote. Shifts will be flexible and will be discussed during the interview. Hours may vary based on the operational needs of the department. Applicants hired into this position can work from most states. This will be discussed during the interview process.
To be eligible to work remotely, you must be in an approved remote work state for UW Health. We've included a link below to view the full list of approved remote work states.
Approved Remote Work States Listing
Be part of something remarkable
Join the #1 hospital in Wisconsin!
We are seeking a Medical Coding Specialist II to:
- Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes.
- Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local Coverage Documents and National Coverage Documents (LCD/NCD) directives, Medically Unlikely Edits (MUEs), and Medicare Teaching Physician Guidelines, applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers.
- An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance.
- Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance.
- Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being.
- Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement.
- High School Diploma or equivalent and medical coding education Required or
- In lieu of a medical coding education, an active coding certification Required
- Associate's Degree in a healthcare related field Preferred
- 1 year of progressive coding experience (For HCC-specific roles, experience must be specific to HCC) Required
- 2 years progressive coding experience in multiple specialties, HCC Risk adjustment Coding Preferred
- Certified Professional Coder (CPC) Upon Hire Required or
- Certified Outpatient Coder (COC) Upon Hire Required or
- Certified Inpatient Coder (CIC) Upon Hire Required or
- Certified Coding Specialist (CCS) Upon Hire Required or
- Certified Coding Specialist Physician-Based (CCS-P) Upon Hire Required or
- Certified Coding Associate (CCA) Upon Hire Required or
- Certified Risk Adjustment Coder (CRC) Upon Hire Required or
- Registered Health Information Technician (RHIT) Upon Hire Required or
- Registered Health Information Administrator (RHIA) Upon Hire Required
- Registered Health Information Technician (RHIT) Preferred or
- Registered Health Information Administrator (RHIA) Preferred
Our Commitment to Social Impact and Belonging
UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Job Description
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UW Health Clinics - our physicians and staff are dedicated to providing an exceptional patient and family experience by delivering the highest quality of care in a compassionate environment. With more than 80 primary and specialty care clinics located throughout Dane County and the surrounding areas, we are proud to have the opportunity to impact the communities we serve.
Industry
Health care and social assistance and hospitals
Company size
10,000+ Employees
Headquarters location
Madison, WI, US