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Hcc Risk Adjustment Medical Coder Jobs (NOW HIRING)

Remote Certified Coder

Atlantic City, NJ · Remote

$22.50 - $31/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk ...

Remote Certified Coders

Memphis, TN · Remote

$21.75 - $29.75/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Report work-related concerns to assigned Coder Advocate and if not adequately addressed to Sr. ...

Certified Medical Coder

Houston, TX · On-site

$21.50 - $29.25/hr

Certified Medical Coder Certified Medical Coder role is responsible for reviewing, abstracting, and ... Risk Adjustment / HCC knowledge required * Managed Care experience preferred

Remote Certified Coders

Memphis, TN · Remote

$21.75 - $29.75/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Qualifications: • Active nursing license (RN or LPN) and/or certified coder certification through ...

Auditor, HCC Risk Adjustment Coding

$28 - $31.75/hr

As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been ... for risk adjustment and reimbursement purposes. You will play a critical role in translating ...

HCC Coder

Lecanto, FL · On-site

$13.75 - $18.50/hr

This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance ... You will be responsible for reviewing medical records, identifying appropriate HCC diagnoses ...

HCC Coder

Lecanto, FL · On-site

$13.75 - $18.50/hr

This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance ... You will be responsible for reviewing medical records, identifying appropriate HCC diagnoses ...

HCC Coder

Lecanto, FL · On-site

$13.75 - $18.50/hr

This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance ... You will be responsible for reviewing medical records, identifying appropriate HCC diagnoses ...

From fulfilling a single patient's request for their medical records to powering the AI revolution ... Any other tasks asked by quality supervisor What You Need to Succeed: * 2 years' HCC Coding ...

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Hcc Risk Adjustment Medical Coder information

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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 the United States is $22.42, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $24.04 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.

What cities are hiring for Hcc Risk Adjustment Medical Coder jobs?

Cities with the most Hcc Risk Adjustment Medical Coder job openings:

What states have the most Hcc Risk Adjustment Medical Coder jobs?

States with the most job openings for Hcc Risk Adjustment Medical Coder jobs include:

Infographic showing various Hcc Risk Adjustment Medical Coder job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 14% Part Time, and 6% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $46,638 per year, or $22.4 per hour.

$19.25 - $26.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 26 days ago


Job description

Job Type
Full-time
Description
University Health Network is looking for a full-time Certified Medical Coder to focus on risk adjustment for the clinically integrated network associated with The University of Tennessee Medical Center and University Physicians' Association.
This position requires normal business hours Monday-Friday. This is a remote position with occasional on-site meetings . Candidate must be able to maintain HIPAA privacy requirements when working from home. Candidate must be located in the Knoxville, TN region.
This role involves performing detailed clinical documentation and risk adjustment reviews and accurately coding procedures and diagnoses using ICD-10-CM, CPT, HCPCS, and modifiers for professional services associated with The University of Tennessee Medical Center and University Physicians' Association.
Essential Duties and Responsibilities (this list does not include all duties assigned)
Performs coding services while meeting daily production and quality goals
  • Conduct thorough reviews of clinical documentation to ensure accuracy and compliance with coding standards.
  • Assign appropriate ICD-10-CM, CPT, HCPCS, and modifiers for professional services.
  • Collaborate with healthcare providers to clarify diagnoses and procedures to ensure accurate coding.
  • Uses CMS and HHS risk adjustment mapping tools to identify HCC coding and documentation opportunities
  • Participate in ongoing education and training to stay current with coding updates and guidelines
  • Actively participates in designated team meetings
  • Consistently meets coding productivity and accuracy standards while managing different responsibilities and workflows. If unable to maintain productivity and accuracy standards, team members will work onsite at the UHN office until standards are met and maintained.

Partners with providers, practice staff, and UHN Coding team to improve quality and efficiencies in coding and documentation
  • Educates and coaches on compliant coding and documentation practices and accurate risk adjustment guidelines
  • Facilitates and supports a culture of compliance, ethics, and integrity
  • Recognized as an expert in risk adjustment coding compliance
  • Interacts effectively and builds respectful working relationships across the organization.

Maintains HIPPA Guidelines for privacy
  • Respects the privacy of all patients 100% of the time
  • Understands and abides by HIPAA laws and regulations and UPA HIPAA policy at all times
  • Obtains consent to release protected health information
  • Reports all HIPAA issues to the Supervisor

Remains current on coding rules and guidelines
  • Remains up to date with official AMA ICD-10 coding guidelines and regulations, Medicare, other MA and commercial plans, and internal guidelines
  • Remains up to date with CMS and HHS HCC risk adjustment models
  • Meets CEU requirements and remains in good standing with AAPC/AHIMA certifications

Full benefit package available, including PTO, Medical, Dental, Vision, STD/LTD, Life Insurance, 401k + Company Match, and more!
Requirements
  • Current CPC or RHIT certification required.
  • CRC required within 6-months of hire
  • Preferred at least two years of professional medical coding experience in an ambulatory care setting. E/M coding experience a plus.
  • Preferred experience and knowledge of HCC coding, knowledge related to chronic illness diagnosis, treatment, and management
  • Must be a team player with effective written and verbal communication, relationship-building, and interpersonal skills
  • Must be initiative-taking, highly organized, and have excellent time management
  • Must possess good problem solving and critical thinking skills
  • Exceptional attention to detail and proficiency in Microsoft Outlook (Outlook, Word, Excel, and PowerPoint)
  • Demonstrates integrity by adhering to high standards of personal and professional conduct