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Hcc Risk Adjustment Coding Jobs in Phoenix, AZ (NOW HIRING)

Adobecw

Strategic Advisor - Contractor

Phoenix, AZ · On-site

$120 - $180/hr

Risk Adjustment (HCC) * Quality Improvement Programs * STARS/HEDIS Initiatives * Gap Closure Programs * Palliative Care * Home‑Based Clinical Services * Remote Patient Monitoring * Respiratory Care ...

New

Priority OnDemand

Nurse Practitioner

Phoenix, AZ · On-site

... high risk or needing follow up. The NP conducts telehealth assessments, manages care plans ... HCC coding, HEDIS measures is a plus (not required) • Telehealth experience preferred (not ...

Priority OnDemand

Nurse Practitioner

Phoenix, AZ · On-site

... high risk or needing follow up. The NP conducts telehealth assessments, manages care plans ... HCC coding, HEDIS measures is a plus (not required) • Telehealth experience preferred (not ...

Priority Ondemand

Nurse Practitioner

Phoenix, AZ · On-site

... high risk or needing follow up. The NP conducts telehealth assessments, manages care plans ... HCC coding, HEDIS measures is a plus (not required) • Telehealth experience preferred (not ...

Suvida

Specialist, Quality

Phoenix, AZ · 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 ...

Oak St. Health

Physician Assistant

Glendale, AZ · On-site

$87K - $187K/yr

Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International Classification of Diseases-10) Coding, and Health Risk Assessments (HRAs). * Passion for teamwork and the ...

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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 Aug 7, 2026, the average hourly pay for hcc risk adjustment coding in Phoenix, AZ is $27.11, according to ZipRecruiter salary data. Most workers in this role earn between $20.43 and $33.27 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in HCC Risk Adjustment Coding?

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?

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 Phoenix, AZ? The most popular types of Hcc Risk Adjustment Coding jobs in Phoenix, AZ are:
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Hcc Risk Adjustment Coding jobs near you
Infographic showing various Hcc Risk Adjustment Coding job openings in Phoenix, AZ as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 10% Part Time, and 3% Contract. Highlights an 90% Physical, 4% Hybrid, and 6% Remote job distribution, with an average salary of $56,392 per year, or $27.1 per hour.

Senior Revenue Cycle Specialist

American Vision Partners

Phoenix, AZ

Full-time

Re-posted yesterday

American Vision Partners rating

6.3

Company rating: 6.3 out of 10

Based on 29 frontline employees who took The Breakroom Quiz

Job description

Overview

This position is responsible for the entire revenue cycle process, ensuring efficient billing, collections, and compliance with regulations. This role plays a crucial part in maximizing revenue and minimizing losses for the organization within the Revenue Cycle Management department.


Responsibilities

  • Follows-up with patients and payers and ensures outstanding balances are paid accurately
  • Makes calls to and takes calls from patients, discussing their account in detail
  • Contacts insurance plans to determine eligibility and obtain coverage and benefit information
  • Contacts insurance plans to obtain prior authorization for services
  • Accurately reviews outstanding insurance and patient credit balances to determine appropriate party to refund
  • Responsibilities will include accurately posting payments, adjustments and refunds as necessary
  • Responsible for reviewing and gathering appropriate documentation for payor requested Risk Adjustment Audits. Coordinates on site chart pulls as appropriate
  • Reviews and appeals unpaid and denied claims, includes analysis of coding that Analyze daily financial exceptions from the charge capture audit reports to determine areas of leakage and partner with information technology and clinical service lines to rectify charge capture issues by assisting service lines to improve their ability to capture compliant charges
  • Manages the processing and submission of provider enrollment applications with the payers in a timely and accurate manner
  • Scanning all incoming mail and distributing according to department policy
  • Meets or exceeds productivity standards in the completion of daily assignments and accurate production
  • Deposits checks and other payments confirming that all necessary documents are properly authorized, are in proper form, and are within authorized limits
  • Develop and maintain a current in-depth knowledge of all Banking transactions to include EFT, ERA, Paper, Check and all document handling and management
  • Performs all other assigned duties

Qualifications

  • 7 years medical billing experience
  • Ophthalmology background desired
  • Active knowledge of CMS guidelines, contracted insurance guidelines and coding policies
  • Demonstrated computer literacy
  • Well-organized with attention to detail
  • Ability to read and understand oral and written instructions
  • Excellent math skills
  • Ability to establish and maintain effective working relationship with team members, clinic staff, payers and patients
  • Professional customer service skills
  • Have a desire and dedication to work with self-discipline
  • Maintains the strictest confidentiality: adheres to all HIPAA guidelines and regulations
  • Prior experience working full cycle revenue in the healthcare setting

What American Vision Partners employees say

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