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Hcc Risk Adjustment Medical Coder Jobs in Kentucky

Nurse Practitioner

Eastwood, KY · On-site

$78K - $168K/yr

... Coding, and Health Risk Assessments (HRAs). * Passion for teamwork and the opportunity to ... Affordable medical plan options, a 401(k) plan (including matching company contributions), and an ...

Nurse Practitioner

Louisville, KY · On-site

$78K - $168K/yr

... Coding, and Health Risk Assessments (HRAs). * Passion for teamwork and the opportunity to ... Affordable medical plan options, a 401(k) plan (including matching company contributions), and an ...

Nurse Practitioner

Eastwood, KY · On-site

$78K - $168K/yr

... Coding, and Health Risk Assessments (HRAs). * Passion for teamwork and the opportunity to ... Affordable medical plan options, a 401(k) plan (including matching company contributions), and an ...

Nurse Practitioner

Eastwood, KY · On-site

$78K - $168K/yr

... Coding, and Health Risk Assessments (HRAs). * Passion for teamwork and the opportunity to ... Affordable medical plan options, a 401(k) plan (including matching company contributions), and an ...

This role reports to the Center Medical Director and works closely with operational leadership ... Coding, and Health Risk Assessments (HRAs). * Passion for teamwork and the opportunity to ...

Nurse Practitioner

Eastwood, KY · On-site

$240K - $270K/yr

This role reports to the Center Medical Director and works closely with operational leadership ... Coding, and Health Risk Assessments (HRAs). * Passion for teamwork and the opportunity to ...

Nurse Practitioner

Eastwood, KY · On-site

$78K - $168K/yr

This role reports to the Center Medical Director and works closely with operational leadership ... Coding, and Health Risk Assessments (HRAs). * Passion for teamwork and the opportunity to ...

Nurse Practitioner

Eastwood, KY · On-site

$240K - $270K/yr

This role reports to the Center Medical Director and works closely with operational leadership ... Coding, and Health Risk Assessments (HRAs). * Passion for teamwork and the opportunity to ...

Nurse Practitioner

Eastwood, KY · On-site

$240K - $270K/yr

This role reports to the Center Medical Director and works closely with operational leadership ... Coding, and Health Risk Assessments (HRAs). * Passion for teamwork and the opportunity to ...

This role reports to the Center Medical Director and works closely with operational leadership ... Coding, and Health Risk Assessments (HRAs). * Passion for teamwork and the opportunity to ...

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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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Infographic showing various Hcc Risk Adjustment Medical Coder job openings in Kentucky as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution.
Nurse Practitioner, Advanced Practice Provider

Nurse Practitioner, Advanced Practice Provider

Oak Street Health

Lexington, KY • On-site

$95K - $148K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 21 days ago


Oak Street Health rating

7.4

Company rating: 7.4 out of 10

Based on 90 frontline employees who took The Breakroom Quiz

265th of 886 rated healthcare providers


Job description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Title: Nurse Practitioner, Advanced Practice Provider

Company: Oak Street Health

Location: 208 Legends Ln Ste #160, Lexington, KY 40505
Salary: $95,000- $148,500*
*Wider range available depending on experience and location
Schedule: Full-Time, Monday through Friday, 8:00 AM - 5:00 PM

Role Description:

The purpose of a Nurse Practitioner at Oak Street Health is to provide effective and equitable value-based primary care to adults on Medicare to keep them happy, healthy, and out of the hospital. Nurse Practitioners see patients independently and collaborate with physicians, depending on the patient’s specific situation. Nurse Practitioners provide longitudinal care and build meaningful patient relationships; this creates trust and helps our patients understand and feel connected to their care plan.

Nurse Practitioners practice in our outpatient practices on a collaborative care team composed of a physician, nurse practitioner or physician assistant, medical assistants, a dedicated medical scribe, and support from registered nurses and care managers. We partner with a network of elite specialists and hospitals for specialty and acute care. As such, our healthcare providers can focus on care within the clinic: primary care, care coordination, and population health.

Core Responsibilities:

  • Provision of exceptional primary care.
  • Conduct office visits for routine and acute issues.
  • Administer Annual wellness visits and health risk assessments, which require a holistic view of health and a focus on thoughtful, accurate, and specific documentation.
  • Care coordination with other providers, specialists, testing facilities, and agencies.
  • Population health leadership, in coordination with the Care Team (e.g., making sure all eligible females get their evidence-based breast cancer screening every 2 years)
  • Assisting the care team with phone triage and outreach.
  • Educating patients on their health conditions, care plans, and treatments.
  • Participating in Oak Street Health promotional activities.
  • Conducting home visits as needed.
  • Other duties, as assigned.

This role reports to the Center Medical Director and works closely with operational leadership.

Required Qualifications:

  • Master of Science in Nursing, Doctor of Nursing Practice, or NP Certificate Program graduate
  • National certification in at least one of the following specialties:
    • Family Nurse Practitioner
    • Adult-Gerontology Primary Care Nurse Practitioner
    • Adult Nurse Practitioner
    • Gerontological Nurse Practitioner
  • Active, non-probationary state Nurse Practitioner license
  • Active DEA license
  • US Work Authorization

Preferred Qualifications:

  • Experience in primary care: internal medicine, geriatrics, or family medicine
  • Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International Classification of Diseases-10) Coding, and Health Risk Assessments (HRAs).
  • Passion for teamwork and the opportunity to collaborate cross-functionally
  • Desires to be a part of an innovative model focused on empirically-guided population health
  • Bilingual proficiency in applicable areas

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$78,331.00 - $168,714.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 06/24/2027

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.


What Oak Street Health employees say

Pay

Benefits

Hours and flexibility

Workplace

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Oak Street Health logo

About Oak Street Health

Sourced by ZipRecruiter

Oak Street Health is a rapidly growing company of primary care centers for adults on Medicare in medically-underserved communities where there is little to no quality healthcare. Oak Street's care is based on an entirely new model that is based on value for its patients, not on volume of services. The company is accountable for its patients' health, spending more than twice as long with its patients and taking on the risks and costs of their care.

Industry

Health care and social assistance

Company size

51 - 200 Employees

Headquarters location

Chicago, IL, US

Year founded

2012