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Hcc Risk Adjustment Medical Coder Jobs in Honolulu, HI

Maintain electronic project files, dashboards, schedules, financial trackers, risk logs, action ... industry standards and HCC goals * Monitor and track sustainability metrics, providing ...

Maintain electronic project files, dashboards, schedules, financial trackers, risk logs, action ... industry standards and HCC goals * Monitor and track sustainability metrics, providing ...

Medical Planner Jobs

Aiea, HI ยท On-site

$88K - $154K/yr

Ensure compliance with healthcare regulations, codes, and standards (eg, FGI, Joint Commission, ADA ... Willingness to travel domestically and internationally, including to austere or high-risk locations ...

Ensure compliance with healthcare regulations, codes, and standards (eg, FGI, Joint Commission, ADA ... Willingness to travel domestically and internationally, including to austere or high-risk locations ...

Ensure compliance with healthcare regulations, codes, and standards (eg, FGI, Joint Commission, ADA ... Willingness to travel domestically and internationally, including to austere or high-risk locations ...

Medical Planner

Aiea, HI ยท On-site

$88 - $155/hr

Ensure compliance with healthcare regulations, codes, and standards (eg, FGI, Joint Commission, ADA ... Willingness to travel domestically and internationally, including to austere or high-risk locations ...

Showing results 21-40

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 3, 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.

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.

Full-time

Posted 7 days ago


Job description

  1. Reporting, Research & Analysis
    • Runs reports assisting analysis of premium revenue, risk adjustment payments, and other revenue streams related to lines of business.
    • Gathers and validates financial and enrollment data from internal and external sources.
    • Supports RAF and financial data needs of program through data collection and organization.
    • Runs data for models to assess the impact of regulatory changes, enrollment trends, and market dynamics on revenue.
    • Variance analysis: identify variances between actual and projected revenue, providing follow up opportunities for further research.
  2. Compliance & Documentation
    • Reconciles that reporting adheres to internal policies and regulatory guidelines.
    • Builds and maintains conceptual level knowledge of revenue structures and regulations.
    • Follows appropriate documentation of desktop procedures for reconciliation and audit needs.
  3. Performs all other miscellaneous responsibilities and duties as assigned or directed.
#LI-Hybrid
  1. Bachelor's degree and three years of related experience; or an equivalent combination of education and related work experience.
  2. Effective verbal and written communication skills.
  3. Intermediate working knowledge of Microsoft Office applications, including but not limited to Word, Excel, Outlook, and PowerPoint.