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

UTMB Health

Senior Coder - RCO Coding (Remote)

Galveston, TX · On-site +1

$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 ...

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 ...

HCC

Coordinator, Operations

Houston, TX · On-site

Identify potential areas of compliance vulnerability and risk, develops and implements corrective ... Code § 51.215 The Organization Houston Community College (HCC) is an open-admission, public ...

Strive Health

Nurse Practitioner

Houston, TX · On-site

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. * Presents patient cases and provides ...

Apex Health Solutions

Practice Coordinator

Houston, TX · On-site

$23 - $26.25/hr

... risk adjustment (HCC/RAF), and NCQA requirements preferred SKILLS: • Strong interpersonal and communication skills for engaging patients, families, and clinical staff • Ability to work ...

Apex Health Solutions

Practice Coordinator

Houston, TX · On-site

$23 - $26.25/hr

... risk adjustment (HCC/RAF), and NCQA requirements preferred SKILLS: • Strong interpersonal and communication skills for engaging patients, families, and clinical staff • Ability to work ...

Strive Health

Nurse Practitioner

Houston, TX

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. * Presents patient cases and provides ...

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Hcc Risk Adjustment Coding information

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$26

$42

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 Houston, TX is $26.30, according to ZipRecruiter salary data. Most workers in this role earn between $19.81 and $32.26 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 Houston, TX? The most popular types of Hcc Risk Adjustment Coding jobs in Houston, TX are:
What are popular job titles related to Hcc Risk Adjustment Coding jobs in Houston, TX? For Hcc Risk Adjustment Coding jobs in Houston, TX, the most frequently searched job titles are:
What job categories do people searching Hcc Risk Adjustment Coding jobs in Houston, TX look for? The top searched job categories for Hcc Risk Adjustment Coding jobs in Houston, TX are:
What cities near Houston, TX are hiring for Hcc Risk Adjustment Coding jobs? Cities near Houston, TX with the most Hcc Risk Adjustment Coding job openings:
Hcc Risk Adjustment Coding jobs near you
Senior Coder - RCO Coding (Remote)

Senior Coder - RCO Coding (Remote)

UTMB Health

Galveston, TX • On-site, Remote

$21.50 - $28.50/hr

Full-time

Posted 5 days ago

UTMB Health rating

7.4

Company rating: 7.4 out of 10

Based on 166 frontline employees who took The Breakroom Quiz

252nd of 872 rated healthcare providers

Job description

EDUCATION & EXPERIENCE:
Minimum Qualifications:
  • Three years of multi-specialty coding experience.
  • Proficient in coding Professional services, and/or Outpatient professional and hospital technical services.
  • Experience with communicating, training, and educating providers in proficiency.

Preferred Qualifications:
  • Three (3) or more years of hands-on experience in professional medical billing, with demonstrated knowledge of charge review, claim edits, and rejection/denial workflows.
  • Demonstrated knowledge of ED/OBS infusion coding.
  • Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations.

REQUIRED LICENSES, REGISTRATIONS, OR CERTIFICATIONS:
One of the following:
  • CCA - Certified Coding Associate (AHIMA) or
  • CCS - Certified Coding Specialist (AHIMA) or
  • CCS-P - Certified Coding Specialist - Physician Based (AHIMA) or
  • RHIA - Registered Health Information Administrator (AHIMA) or
  • RHIT - Registered Health Information Technician (AHIMA)
  • CIC - Certified Inpatient Coder (AAPC) or
  • COC - Certified Outpatient Coder (AAPC) or
  • CPC - Certified Professional Coder (AAPC) or
  • CPC-A - Certified Professional Coder - Apprentice (AAPC) or
  • 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 specialty areas to ensure accuracy and optimal reimbursement from all third-party payers.
ESSENTIAL JOB FUNCTIONS:
  • Reviews documentation in EPIC and/or on paper as provided to appropriately assign ICD-10-CM, PCS and CPT codes.
  • Communicates with and provides feedback to the education team and/or provider for query opportunities for documentation clarification or missing elements in the medical record.
  • Utilizes the encoder and/or Optum software to correctly assign all appropriate ICD-10-CM, ICD10-PCS and CPT codes for diagnosis and procedures.
  • Sequences diagnoses and procedures to generate clean claims in accordance with the Coding Guidelines based on the type of coding being reviewed.
  • Verifies all ADT information is correct on all charge sessions; date of service, billing provider, service provider, place of service, referral information and claim form if required.
  • Attends and participates in coding education sessions.
  • Obtains required CEU's for certification and completes any required education.
  • Works coding related charge reviews/claim edits daily to ensure timely and accurate billing within filing deadlines.
  • The coder is responsible for productivity and quality standards to adhere with coding compliance and federal regulations.
  • Work all PB/HB claim edits and reject errors daily.
  • Hospital DNB's will be worked as assigned per Specialty.
  • Work charge reconciliation to ensure all services provided are captured for coding in a timely manner.
  • Adheres to internal controls and reporting structure.

Marginal or Periodic Functions:
  • Performs related duties as required.

KNOWLEDGE/SKILLS/ABILITIES:
  • Strong written and oral communication skills.

WORKING ENVIRONMENT/EQUIPMENT:
  • Standard office environment at UTMB's main campus or other location.
  • Occasional travel may be required.
  • Standard office equipment

SALARY RANGE:
Actual salary commensurate with experience.
WORK SCHEDULE:
Remote, Monday through Friday, Full-Time Position.
Equal Employment Opportunity
UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.

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