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Hcc Risk Adjustment Medical Coder Jobs in Kentucky

Oak Street Health

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 ...

Oak Street Health

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 ...

Oak Street Health

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 ...

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All JobsHcc Risk Adjustment Medical Coder JobsHcc Risk Adjustment Medical Coder Jobs in Kentucky

Hcc Risk Adjustment Medical Coder information

What is an HCC Risk Adjustment Medical Coder?

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 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 skills and qualifications are needed to be an HCC Risk Adjustment Medical Coder?

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.
Hcc Risk Adjustment Medical Coder jobs near you
Infographic showing various Hcc Risk Adjustment Medical Coder job openings in Kentucky as of August 2026, with employment types broken down into 92% Full Time, and 8% Contract. Highlights an 100% In-person job distribution.

Nurse Practitioner - Podiatric Medicine job available in Danville, Kentucky

Upperline Health

Danville, KY • On-site

$84K - $115K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 3 days ago

Upperline Health rating

3.5

Company rating: 3.5 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

Job description

A Specialty Path to Good Health
Upperline Health is the nation’s largest provider group dedicated to lower extremity, wound and vascular care. Founded in 2017 with the ambitious goal of transforming specialty care, Upperline Health is a pioneer in bringing value-based care models into specialty care. Upperline delivers a more efficient path for patients to receive consistent and effective treatment for chronic illnesses. 

Triage is temporary. 
Treatment is transformative.
Upperline Health providers coordinate patients’ care among a team of specialists – physicians, advanced practice providers, care navigators, pharmacists, dieticians, and social workers for integrated treatment that addresses patients’ immediate and long-term health needs.

We put patients at the center of value-based care.
Why join our team?
  • Highly competitive salary plus annual bonus opportunity
  • Generous benefit options include comprehensive medical, dental & vision, 401K, PTO and parental leave
  • Continuing Medical Education reimbursement
  • State license reimbursement
  • Highly supportive interdisciplinary team
  • Work Life Balance – regular weekday schedule
  • Rapidly growing company with potential leadership & career growth opportunities
About the Nurse Practitioner (APP) Position
Upperline Health is seeking a Nurse Practitioner to provide clinic-based care in our Danville, KY location and home-based care in the broader Danville area. In collaboration with Upperline’s local Physician team, APPs develop complex plans of care in accordance with the patient’s health status and overall goals and values; provide medical diagnostics and treatments in the clinic, in the patient's home, or via telehealth, consistent with the APP’s scope of practice and the patient’s medical condition; educate patients and families on medication usage, diet & nutrition, and crisis anticipation & prevention. They will also communicate medical information to patients’ physicians, other providers and Upperline’s Physician team and broader interdisciplinary team.
Ideal candidates will have experience with the following: Primary Care/Internal Medicine, geriatric care and/or home-based care, Palliative or Hospice care and/or previously worked in a value-based care environment. Most importantly, candidates must demonstrate compassion for patient needs, have great attention to detail, and thrive in a collaborative environment with rapid growth.
This is a unique opportunity to make a meaningful impact and meet the needs of at-risk patients in both primary and specialty care, with a regular weekday schedule!

What You'll Do:
  • Practice within a unique combination of primary care and specialty podiatric care with the opportunity to grow your skills in both aspects of our value-based care model.
    • Podiatric specifics: 1) provide routine and at-risk foot care including nail & callous debridement, 2) diabetic wound care, and 3) amputation prevention while working within scope and level of experience to manage post-operative patients.
  • Develop and implement clinical plans of care for adult patients facing chronic conditions (e.g., diabetes, COPD, CHF, debility, dementia).
  • Gather patient history, physical exam, and diagnostics within a clinic setting, via telehealth, or within the patient's home.
  • Develop and implement treatment plans given patient’s goals of care and current conditions.
  • Collaborate with the interdisciplinary team to meet the patient and family’s physical as well as psychosocial needs.
  • .Provide compassionate care for our complex patients and their families
  • Educate patients and families about medication usage, side effects, illness progression, diet & nutrition, medical adherence and crisis anticipation & prevention.
  • Communicate with other Upperline clinical team members as well as patient’s community providers, to coordinate optimal care and resources for the patient and their family.
  • Communicate with Upperline’s local physician to review patient records and care plans on a timely basis consistent with state regulations and company standards and policy.
  • Maintain patient medical records and medical documentation consistent with state regulations and company standards and policy.
  • Complete accurate and timely documentation according to risk adjustment standards per education provided.
  • Take part in weekly interdisciplinary team meetings and scheduled education sessions.
  • Provide telephonic support for escalated calls from triage nurse.
  • Participate in continuing education as required by the state Board of Nursing.
  • Prescribe medication as permitted by the state Board of Nursing.
  • Other related duties as deemed necessary.
Required Skills, Education, and Competencies:
  • Master’s degree in nursing required
  • Board Certification as an Adult, Adult-Geriatric or Family Nurse Practitioner required
  • Current Indiana State Registered Nurse & Nurse Practitioner license required
  • Basic Life Support (BLS) certification is required
  • 2 + years nurse practitioner experience in Primary Care/Internal Medicine
  • Value-based care experience preferred
  • Podiatry, orthopedic, wound care and experience with radiologic interpretation, ABIs and injections are a plus
  • Possession of DEA registration or eligibility
  • Must be comfortable providing care in patients homes
  • Previous experience managing, supervising, or coaching clinicians highly preferred
  • A reliable automobile, valid driver’s license and minimum state required liability auto insurance are required; Mileage reimbursement provided
  • Adaptability to thrive is a fast-paced growth-forward environment
  • Experience working in an EMR - AthenaHealth EMR is highly preferred
  • Proficiency using Microsoft Office products
  • Excellent oral and written communication skills to ensure that each of your interactions with patients, family caregivers, clinicians, and team members is effective and meaningful.
Compensation
Compensation is commensurate to compensation for similar positions in the region and based on prior training and experience
Job Type: Full-time

Working Hours

Monday through Friday from 8am - 5pm

What Upperline Health employees say

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Benefits

Hours and flexibility

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