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Hcc Risk Adjustment Medical Coder Jobs in Kentucky

Med Center Health

Social Worker

Franklin, KY · On-site

$20.53/hr

Services focus on enhancing the patient's adjustment to illness and initiating referrals for ... Receives referrals for individuals from at-risk populations from interdisciplinary team members ...

Amazon

Onsite Medical Representative

Campbellsville, KY · On-site

$33K - $37K/yr

You will refer care to outside medical providers as needed, and learn about OSHA regulations, risk ... If you have a disability and need a workplace accommodation or adjustment during the application ...

Amazon

Onsite Medical Representative

Hebron, KY · On-site

$36K - $41K/yr

You will refer care to outside medical providers as needed, and learn about OSHA regulations, risk ... If you have a disability and need a workplace accommodation or adjustment during the application ...

Caldwell Medical Center

Clinic Biller

Princeton, KY · On-site

$15.50 - $19.75/hr

Appears well-groomed and observes established dress code policy. * Demonstrates knowledge of ... Has knowledge of medical terminology, various claim forms, third party contracts, payment patterns ...

Med Center Health

CDI Educator

Bowling Green, KY · On-site

$34 - $45.75/hr

... coding specialists, clinical nursing staff, clinical nursing management, Medical Staff, Providers ... and risk of mortality) assignment. Identifies opportunities for improving the quality of medical ...

Med Center Health

CDI Educator

Bowling Green, KY · On-site

$34 - $45.75/hr

... coding specialists, clinical nursing staff, clinical nursing management, Medical Staff, Providers ... and risk of mortality) assignment. Identifies opportunities for improving the quality of medical ...

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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 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.

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 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.

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 75% Full Time, and 25% Contract. Highlights an 100% In-person job distribution.

Social Worker

Med Center Health

Franklin, KY • On-site

$20.53/hr

Full-time

Re-posted 8 days ago

Med Center Health rating

5.0

Company rating: 5.0 out of 10

Based on 26 frontline employees who took The Breakroom Quiz

Job description

  • Position Summary
    • Provides Social Services work in accordance with professional standards and established hospital policies and procedures. Services are designed to be easily accessible by patients, families, significant others and internal and external sources. Services focus on enhancing the patient’s adjustment to illness and initiating referrals for continued care post discharge. Provides expertise in the management of multi-systems to ensure quality of service. Intervenes with patients who have complex psychosocial needs, require assistance with eligibility determination for social programs and funding sources and qualify for community assistance from a variety of special funds and agencies. Offers short term therapeutic counseling and crisis intervention to patients and families with psycho-social needs. Coordinates and facilitates the development of a discharge plan of care for high-risk patient populations and patients with complex discharge needs. Receives referrals for individuals from at-risk populations from interdisciplinary team members (including physicians and staff nurses) and are involved with 100% of some specifically designated patient populations.
  • Minimum Qualifications
    • Work Experience
      • Previous Social Work experience preferred.

    • Education
      • Bachelor's or Master's degree in Social Work or related degree required.

    • Certifications/Licensure
      • Licensed Kentucky Social Worker preferred.
  • Job Specific Performance Standards
    • The duties listed below are a summary of the major essential functions of this position. The position may require other duties, both major and minor, that are not mentioned, and specific functions may change from time to time.
       
      • Completes assessment of referred patients to determine need for Discharge Planning and Social Work intervention.
      • Develops plan for service with involvement from families and other disciplines.
      • Coordinates discharge planning, as referred by members of the healthcare team, with involvement from patient, family and significant others, and initiates referrals to appropriate community resources to obtain needed services post discharge.
      • Interacts effectively with the physician regarding discharge planning needs.
      • Works collaboratively with the interdisciplinary Social Services Team, participates in team meetings and shares relevant patient information.
      • Provides supportive counseling to patients and families to assist in adjustment to illness.
      • Provide crisis intervention and grief counseling to families following death of patient.
      • Coordinates referrals to Kentucky Department of Protection and Permanency regarding Abuse, Neglect, and Adoption.
      • Coordinates petition to the court for guardianship appointment.
      • Provides information regarding Advance Directives.
      • Documents services provided in the medical record.
      • Develops and maintains positive and professional relationships with referral sources.

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