ZipRecruiter

Log In

1

Hcc Risk Adjustment Medical Coder Jobs in Honolulu, HI

HMSA

Financial Analyst II

Honolulu, HI · On-site

Analyzes and forecasts premium revenue, risk adjustment payments, and other revenue streams related ... Supports RAF and financial data needs of program driving accurate coding and documentation to ...

HMSA

Senior Financial Analyst

Honolulu, HI · On-site

$84K - $105K/yr

Analyzes and forecasts premium revenue, risk adjustment payments, and other revenue streams related ... coding and documentation to optimize revenue. * Develops and maintains financial models to assess ...

next page

Showing results 1-20

All JobsHcc Risk Adjustment Medical Coder JobsHcc Risk Adjustment Medical Coder Jobs in Honolulu, HI

Hcc Risk Adjustment Medical Coder information

See Honolulu, HI salary details

$15

$22

$33

How much do hcc risk adjustment medical coder jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for hcc risk adjustment medical coder in Honolulu, HI is $22.14, according to ZipRecruiter salary data. Most workers in this role earn between $17.79 and $23.75 per hour, depending on experience, location, and employer.

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 Honolulu, HI as of August 2026, with employment types broken down into 2% As Needed, 86% Full Time, 5% Part Time, and 7% Contract. Highlights an 92% In-person, 3% Hybrid, and 5% Remote job distribution, with an average salary of $46,060 per year, or $22.1 per hour.

Nurse Practitioner / APRN - Remote (Honolulu)

PharmD Live

Honolulu, HI • Remote

Full-time

Re-posted 21 days ago

Job description

Location: 100%Remote

****FLEXIBLE HOURS (Set your schedule)

***ONLY HAWAII LICENSED & RESIDENTS


We are seeking an experienced and compassionateNurse Practitioner (NP)licensed in HAWAIIto conductvirtual Annual Wellness VisitsandAdvanced Care Planning sessionsfor Medicare patients. This fully remote position is ideal for a self-motivated NP who excels at patient engagement, clinical assessment, and proactive care planning in a telehealth environment.

Key Responsibilities:

  • Conduct comprehensiveAnnual Wellness Visits (AWVs)for Medicare beneficiaries via secure telehealth platform.
  • Facilitate structuredAdvanced Care Planning (ACP)discussions, ensuring patients' goals and preferences are clearly documented.
  • Review and assess patients' medical histories, medications, functional and cognitive status, and preventive care needs.
  • Identify and address gaps in care, providing guidance on screenings, vaccinations, and chronic disease management.
  • Collaborate with interdisciplinary care teams and primary care providers to support coordinated, patient-centered care.
  • Maintain accurate and timely documentation in the electronic health record (EHR).
  • Ensure compliance with CMS guidelines and clinical quality standards.

Qualifications:

  • Active and unrestricted
    Hawaii Nurse Practitioner license.
  • Minimum of3 years of experiencein clinical practice, includingAnnual Wellness VisitsandAdvanced Care Planning.
  • Strong knowledge of Medicare guidelines and preventive care protocols.
  • Comfort and proficiency with virtual care technology and EHR systems.
  • Excellent communication and interpersonal skills.
  • Bilingual inSpanishis aplus, but not required.
  • Ability to work independently and manage a flexible virtual schedule.

Preferred Skills:

  • Background in geriatrics, primary care, or internal medicine.
  • Familiarity with HCC coding and risk adjustment models.
  • Experience working in a value-based care or accountable care setting.

Why Join Us:

  • 100% remote work - flexible schedule and work-from-home convenience.
  • Opportunity to impact preventive and personalized care for underserved populations.
  • Supportive and innovative clinical team.
  • Competitive compensation structure.

Apply