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Hcc Risk Adjustment Coding Jobs in Dallas, TX (NOW HIRING)

U1088

CDI Quality Review RN

Dallas, TX

The focus of the Quality Review Nurse will be on identifying and capturing methodology-specific risk variables (Vizient, HCC's, Elixhauser) on a post-discharge, pre-coding/billing basis, as well as ...

Suvida

Quality Specialist - 1099

Dallas, TX · On-site

... Risk Adjustment experience in supplemental data and chart reviews * Knowledge of CMS STARS program * Must have a basic understanding of billing and claims coding * Experience reviewing Electronic ...

PSN Services LLC

SENIOR REVENUE INTEGRITY ANALYST FT

Plano, TX · On-site

$79K - $99K/yr

Audit charge capture completeness for both hard-coded and soft-coded items, with particular focus ... Identify and quantify revenue at risk from payer audit activity, retroactive payment adjustments ...

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Hcc Risk Adjustment Coding information

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$13

$27

$43

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

As of Jun 13, 2026, the average hourly pay for hcc risk adjustment coding in Dallas, TX is $27.02, according to ZipRecruiter salary data. Most workers in this role earn between $20.38 and $33.12 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.

Is HCC coding a good career?

HCC risk adjustment coding is a growing field within healthcare that involves assigning diagnosis codes to predict patient risk and determine reimbursement. It requires knowledge of medical terminology, coding systems, and often certification, offering opportunities for stable employment and career advancement. Many professionals find it a rewarding career due to its demand and specialized skill set.

How much does a risk adjustment coder make?

In Texas, risk adjustment coders typically earn between $50,000 and $70,000 annually, depending on experience, certifications, and employer. Advanced skills in medical coding and familiarity with risk adjustment software can lead to higher salaries.

How much do HCC coders make in the US?

HCC risk adjustment coders in the US typically earn between $50,000 and $80,000 annually, depending on experience, certification, and location. Experienced coders with certifications like CPC or CCS and strong knowledge of risk adjustment principles can earn higher salaries, especially in larger healthcare markets.

What is an HCC risk adjustment coder?

An HCC risk adjustment coder is a professional who reviews medical records and assigns Hierarchical Condition Category (HCC) codes to accurately reflect a patient's health conditions. This coding supports risk adjustment models used by insurance companies to determine reimbursement and plan payments, requiring knowledge of medical coding systems like ICD-10 and familiarity with healthcare documentation. Accuracy and attention to detail are essential in this role, which often involves working with electronic health records and coding software.

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 Dallas, TX? The most popular types of Hcc Risk Adjustment Coding jobs in Dallas, TX are:
What are popular job titles related to Hcc Risk Adjustment Coding jobs in Dallas, TX? For Hcc Risk Adjustment Coding jobs in Dallas, TX, the most frequently searched job titles are:
What job categories do people searching Hcc Risk Adjustment Coding jobs in Dallas, TX look for? The top searched job categories for Hcc Risk Adjustment Coding jobs in Dallas, TX are:
What cities near Dallas, TX are hiring for Hcc Risk Adjustment Coding jobs? Cities near Dallas, TX 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 Dallas, TX as of June 2026, with employment types broken down into 46% Full Time, 47% Part Time, and 7% Contract. Highlights an 78% Physical, 4% Hybrid, and 18% Remote job distribution, with an average salary of $56,194 per year, or $27 per hour.

CDI Quality Review RN

U1088

Dallas, TX

Other

Medical, Retirement, PTO

Posted 8 days ago

Job description

WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!
JOB SUMMARY
The CDI Quality Review Nurse (QRN) will work under the direction of the Clinical Documentation Integrity ("CDI") Manager and conduct second-level reviews of targeted cases to identify and capture opportunities to improve the integrity of the medical record. The focus of the Quality Review Nurse will be on identifying and capturing methodology-specific risk variables (Vizient, HCC's, Elixhauser) on a post-discharge, pre-coding/billing basis, as well as identifying potential process improvements to capture the opportunities concurrently. The Quality Review Nurse will also validate that the record reflects the most appropriate principal diagnosis and diagnosis related group (DRG). The Quality Review Nurse will support the objective for accurate reflection of patient acuity, severity of illness, risk of mortality, and DRG assignment in compliance with industry rules and regulations.

BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:

  • PPO medical plan, available day one at no cost for full-time employee-only coverage
  • 100% coverage for preventive healthcare-no copay
  • Paid Time Off, available day one
  • Retirement Programs through the Teacher Retirement System of Texas (TRS)
  • Paid Parental Leave Benefit
  • Wellness programs
  • Tuition Reimbursement
  • Public Service Loan Forgiveness (PSLF) Qualified Employer
  • Learn more about these and other UTSW employee benefits!
    EXPERIENCE AND EDUCATION
    Required
  • Education
    Bachelor's Degree in Nursing
  • Experience
    5 years patient care nursing experience in an acute care setting and
    3 years Clinical Document Integrity experience
  • Licenses and Certifications
    (RN) REGISTERED NURSE Upon Hire and
    (CCDS) Cert Clinical Documentation Upon Hire or
    (CDIP) CERT DOCUMNTATN IMPROVMNT PRAC Upon Hire

Preferred

  • Education
    Master's Degree in Nursing
  • Experience
    7 years patient care nursing experience in an acute care setting
    5 years Clinical Document Integrity experience
    Experience working in a remote environment


JOB DUTIES

  • Conduct post-discharge, pre-coding/billing reviews on targeted records identified for second-level review for opportunity to accurately capture methodology-specific risk variables (Vizient, HCCs, Elixhauser); present on admission (POA) status, patient admission source, avoidable patient safety indicators (PSIs), and DRG assignment in compliance with industry rules and regulations
  • If a documentation opportunity is identified, place physician query and follow up for response
  • If coding opportunity is identified, coordinate with Coding Team to review and address opportunity, as applicable
  • Utilize methodology-specific risk calculators and guidance documents to understand if additional diagnoses and/or risk variables will impact the reported quality impact of a specific patient encounter
  • Maintain a summary of opportunities identified through second-level review for feedback and education with the CDS Team, Providers, and Coding Team
  • Identify and communicate any process improvement opportunities for front-end correction and education
  • Periodically review the criteria established for cases triggering a second-level review and recommend updates or modifications to the criteria to maximize impact on quality scores
  • Maintains an expert level of knowledge of CDI and Coding related guidelines and practices
  • Other duties as assigned

SECURITY AND EEO STATEMENT
Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.
EEO
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.

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