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Hcc Risk Adjustment Medical Coder Jobs (NOW HIRING)

Altegra Health

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. ...

Altegra Health

Remote Certified Coders

Memphis, TN · On-site +1

$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 ...

MedPOINT Management

HCC Coding Specialist

Sherman Oaks, CA · On-site

$75K - $95K/yr

... risk adjustment accuracy and quality healthcare documentation. If you're passionate about medical ... Certified Professional Coder (CPC), CRC, or equivalent coding certification required * Minimum 2+ ...

Centrum Health

Risk Adjustment Analyst

Doral, FL

Using SQL code, mine data on medical spend, clinical data and population health data and derive ... Familiarity with CMS-HCC and HHS-HCC risk Adjustment Models * Familiarity with HEDIS and MSSP ...

PedIM Healthcare

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 ...

PedIM Healthcare

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 ...

Pedim

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 ...

PedIM Healthcare

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 ...

Pedim

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 ...

PedIM Healthcare

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 ...

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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 Aug 10, 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 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.
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:
Hcc Risk Adjustment Medical Coder jobs near you
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, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $46,638 per year, or $22.4 per hour.

Certified Medical Coder

Physicians' Primary Care

Fort Myers, FL • On-site

$21 - $28.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 26 days ago

Job description

Physicians' Primary Care of Southwest Florida is a premier physician-owned and managed multi-specialty practice with locations in Cape Coral, Estero, Fort Myers, and Lehigh Acres. We are currently seeking an in-house HCC Risk Adjustment Coder for our Compliance and Coding department located in Fort Myers. This is not a remote coding position, must reside in Lee County Florida . Schedule is Monday through Friday, Day Shift.
Are you a coding enthusiast who enjoys solving documentation puzzles and ensuring medical services are accurately translated into codes? Our medical practice is looking for a Certified Medical Coder whom is detailed- oriented , organized and passionate about compliance and accuracy. In this role, you will help bridge the gap between clinical care and reimbursement by ensuring medical records are coded correctly and claims are submitted cleanly.
Sample of Responsibilities:
  • Review provider documentation and assign accurate ICD-10 CM , CPT and HCPCS codes
  • Ensure coding aligns with payer guidelines and documentation standards
  • Identify chronic conditions via HCC Risk Adjustment coding
  • Identify documentation gaps and communicate with providers when clarification is needed
  • Support clean claims and assist with resolving coding-related denials
  • Stay current on coding updates and payer policy changes
  • Maintain compliance with privacy and security regulations including HIPAA

Position Requirements:
  • Certification such as Certified Professional Coder ( CPC or CPC-A)
  • Strong knowledge of ICD-10 CM, CPT and HCPCS coding guidelines
  • Attention to detail and strong analytical skills
  • Ability to work independently while collaborating with providers and billing staff
  • Experience with electronic health records

Why You'll Love working Here
  • Supportive , team - oriented environment
  • Opportunity to make a direct impact in the success of the practice
  • A role that combines healthcare knowledge with problem solving skills
  • Continuous learning in an ever- evolving field

PPC Offers:
  • Over 30 years of serving our Southwest Florida community
  • Award-winning physicians
  • Ability to advance and grow within our organization
  • Health, dental, vision, disability and life insurances
  • 401(k) with company match
  • Free financial advising
  • Paid Time Off (PTO)
  • Paid holidays
  • Company paid CE courses with Relias
  • Reimbursement for position required certifications and/or license
  • Employee Assistance Program (EAP)
  • Employee Resource Assistance Program (ERAP)
  • Discounted legal and document services
  • Milestone gifts
  • Employee appreciation events and gifts

Want to learn more about Physicians' Primary Care of Southwest Florida? Visit our newly designed site at www.ppcswfl.com and apply today!
Physicians Primary Care of SWFL participates in E-Verify. Go to https://www.ppcswfl.com/wp-content/uploads/2023/06/E-Verify_Participation_Poster_Eng_Es-06.22.23.pdf for more information.

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