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Hcc Risk Adjustment Medical Coder Jobs in Colorado

Ennoble Care

Actuary - Value-Based Care

Denver, CO · Remote

$150/hr

Thorough understanding of and hands-on experience with Medicare risk adjustment and CMS-HCC models ... Medical, Dental, Vision and supplementary benefits such as Life Insurance, Short Term and Long Term ...

Phpmcs

Physician - Primary Care - Denver

Denver, CO · On-site

$190 - $220/hr

... risk adjustment coding education, population health management, data and analytics, specialist ... CU Medical students and Regis APP students keep physicians' teaching skills sharp.* We are known as ...

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Hcc Risk Adjustment Medical Coder information

What are HCC Risk Adjustment Medical Coders?

HCC Risk Adjustment Medical Coders are professionals who review and analyze medical records to assign appropriate ICD-10 codes for diagnoses and procedures. Their primary goal is to ensure accurate documentation for Hierarchical Condition Category (HCC) risk adjustment, which affects healthcare reimbursement and quality reporting for Medicare Advantage and other risk-based programs. These coders play a critical role in helping healthcare organizations receive appropriate payments and in supporting high-quality patient care by ensuring that all relevant health conditions are properly documented.

What is the difference between Hcc Risk Adjustment Medical Coder vs Medical Coder?

AspectHcc Risk Adjustment Medical CoderMedical Coder
CertificationsCertified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC)Certified Professional Coder (CPC), Certified Coding Associate (CCA)
Work EnvironmentHealthcare facilities, insurance companies, risk adjustment teamsHospitals, clinics, physician offices
Industry UsageHealth plans, Medicare Advantage, MedicaidHospitals, outpatient clinics, physician practices

The main difference between an Hcc Risk Adjustment Medical Coder and a Medical Coder lies in their focus. Hcc Risk Adjustment Medical Coders specialize in risk adjustment coding for health plans, requiring knowledge of HCC models and risk scores. Medical Coders generally focus on clinical coding for billing and documentation across various healthcare settings. While both roles require coding certifications, Hcc Risk Adjustment Medical Coders have additional expertise in risk models and insurance industry standards.

What are some common challenges faced by HCC Risk Adjustment Medical Coders, and how can they be addressed?

HCC Risk Adjustment Medical Coders often encounter challenges such as interpreting complex patient records, keeping up with frequent updates to coding guidelines, and ensuring accurate capture of diagnoses for risk adjustment. To address these, coders benefit from strong attention to detail, regular training on ICD-10 and CMS risk adjustment updates, and effective communication with providers to clarify clinical documentation. Many coders also collaborate with auditing teams to resolve discrepancies and ensure compliance with regulatory standards, which helps maintain coding accuracy and data integrity.

What are the key skills and qualifications needed to thrive as an HCC Risk Adjustment Medical Coder, and why are they important?

To thrive as an HCC Risk Adjustment Medical Coder, you need a thorough understanding of ICD-10-CM coding, risk adjustment models, and healthcare regulations, typically supported by a coding certification such as CPC, CRC, or CCS. Proficiency with electronic health record (EHR) systems, coding software, and data analytics tools is essential for accurate documentation and reporting. Attention to detail, analytical thinking, and strong communication skills help coders interpret clinical documentation and collaborate with providers. These skills ensure accurate risk adjustment coding, which directly impacts healthcare reimbursement and compliance.
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Hcc Risk Adjustment Medical Coder jobs near you
Infographic showing various Hcc Risk Adjustment Medical Coder job openings in Colorado as of July 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution.
Internal Medicine Physician (PRN) - Denver, CO

Internal Medicine Physician (PRN) - Denver, CO

Alpine Physician Partners

Denver, CO • On-site

Part-time

Re-posted 2 hours ago

Job description

It's fun to work in a company where people truly BELIEVE in what they're doing!
We're committed to bringing passion and customer focus to the business.
Job Description:
Colorado Physician Partners is looking for an outpatient internal medicine physician to help cover shifts on a PRN basis in Denver.
Our practice is a member of the independent practice association (IPA), PHPprime. PHPprime provides wrap-around services to help make our practice successful, including care coordination, practice transformation coaching, risk adjustment coding education, population health management, data and analytics, specialist network management and large group contracting.
Qualifications:
  • MD or DO degree from fully accredited medical or osteopathic school of medicine
  • Successful completion of Internal Medicine or Geriatrics residency program
  • Board Certification or Eligibility in corresponding specialty
  • Physician must meet employer credentialing standards

The Position:
  • PRN
  • Up to 18 patients per day
  • APP supervision is required
  • EHR - Allscripts

Salary Range:
PRN Rates
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!

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