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Hcc Risk Adjustment Specialist Jobs (NOW HIRING)

HCC Risk Adjustment Coder

Franklin, TN Β· Remote

$18 - $24/hr

Certified Coding Specialist (CCS) - AHIMA * Registered Health Information Technician (RHIT) - AHIMA * Registered Health Information Administrator (RHIA) - AHIMA CRC Certification is highly preferred.

M-F Pay: $18-$22/hr Day-to-Day Responsibilities Insight Global is seeking experienced HCC Risk Adjustment Medical Coders for a high-volume seasonal project supporting Medicare risk adjustment ...

Senior Risk Adjustment Specialist

Birmingham, AL Β· On-site

$92K/yr

Ability to identify HCC improvement opportunities and educate clinical providers on proper clinical ... Train and mentor new Risk Adjustment Specialists. * Assist management with workflow improvements ...

Senior Risk Adjustment Specialist

Birmingham, AL Β· On-site

$92K/yr

Ability to identify HCC improvement opportunities and educate clinical providers on proper clinical ... Train and mentor new Risk Adjustment Specialists. * Assist management with workflow improvements ...

Senior Risk Adjustment Specialist

Birmingham, AL Β· On-site

$92K/yr

Ability to identify HCC improvement opportunities and educate clinical providers on proper clinical ... Train and mentor new Risk Adjustment Specialists. * Assist management with workflow improvements ...

Hcc Coders

Charlotte, NC Β· Remote

$18 - $21/hr

Insight Global is seeking experienced HCC Risk Adjustment Medical Coders for a high-volume seasonal project supporting Medicare risk adjustment initiatives. Responsible for coding 2 Charts per hour.

Risk Adjustment Specialist

Manhattan, NY Β· On-site

$72K - $82K/yr

As a Risk Adjustment Specialist, you will support ongoing processes and lead projects to ensure MetroPlusHealth is fully capturing data about our high-risk populations and submitting accurate ...

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Hcc Risk Adjustment Specialist information

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$142.3K

$190K

How much do hcc risk adjustment specialist jobs pay per year?

As of Sep 13, 2026, the average yearly pay for hcc risk adjustment specialist in the United States is $142,322.00, according to ZipRecruiter salary data. Most workers in this role earn between $132,500.00 and $132,500.00 per year, depending on experience, location, and employer.

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Infographic showing various Hcc Risk Adjustment Specialist job openings in the United States as of June 2026, with employment types broken down into 17% Full Time, 17% Part Time, 17% Temporary, and 49% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $142,322 per year, or $68.4 per hour.

HCC Risk Adjustment Coder

Franklin, TN β€’ Remote

Vertek Staffing
Recruiting and Staffing ServicesΒ β€’Β 11 - 50 employees

$18 - $24/hr

Contractor

Re-posted 21 days ago


Job description

HCC / Risk Adjustment Coder - Remote

Risk Adjustment / HCC Coding Experience Required

Required Education
  • High School Diploma required with submission
Required Certifications

Online certification verification required with submission.

Candidates must possess one of the following certifications:

  • Certified Professional Coder (CPC) - AAPC
  • Certified Risk Adjustment Coder (CRC) - AAPC
  • Certified Coding Specialist (CCS) - AHIMA
  • Registered Health Information Technician (RHIT) - AHIMA
  • Registered Health Information Administrator (RHIA) - AHIMA

CRC Certification is highly preferred.

Schedule
  • Monday - Friday
  • Occasional weekend coverage may be required based on client needs

Position Summary

The HCC / Risk Adjustment Coder is responsible for reviewing medical records and clinical documentation to accurately identify, validate, and code chronic and acute conditions impacting patient risk scores and reimbursement.

The coder will ensure accurate assignment of ICD-10-CM diagnosis codes in accordance with CMS Risk Adjustment guidelines, Official ICD-10-CM Coding Guidelines, and client-specific requirements. This role supports Risk Adjustment initiatives through retrospective chart reviews, prospective reviews, coding validation, provider education support, and quality assurance activities.

The HCC Coder will collaborate with providers, CDI professionals, quality teams, population health departments, and coding leadership to ensure complete and accurate capture of chronic conditions and disease burden.


Key Responsibilities
  • Review medical records to identify and code HCC-eligible diagnoses.
  • Assign ICD-10-CM diagnosis codes in accordance with CMS and Risk Adjustment guidelines.
  • Validate chronic conditions and ensure documentation supports code assignment.
  • Perform retrospective and prospective chart reviews.
  • Identify missed HCC opportunities and documentation gaps.
  • Assist with coding validation and quality assurance audits.
  • Support provider education initiatives regarding Risk Adjustment documentation requirements.
  • Maintain productivity and quality standards established by the client.
  • Participate in internal and external audit activities.
  • Stay current on CMS Risk Adjustment regulations, coding updates, and industry best practices.
  • Assist leadership with special projects and additional duties as assigned.

Required Experience
  • Risk Adjustment / HCC coding experience required
  • Strong understanding of ICD-10-CM coding guidelines
  • Experience reviewing outpatient and provider documentation
  • Knowledge of CMS-HCC Risk Adjustment methodologies
  • Experience validating chronic conditions and disease burden
  • Strong attention to detail and coding accuracy
Preferred Experience
  • CRC certification
  • Experience with Medicare Advantage populations
  • Experience with value-based care programs
  • Experience performing coding audits and quality reviews
  • Experience with Epic, Cerner, Athena, eClinicalWorks, NextGen, or other EMR systems
  • Experience educating providers on Risk Adjustment documentation

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About Vertek Solutions

Sourced by ZipRecruiter

Vertek Solutions is a boutique staffing firm that specializes in recruiting top level IT talent who can enhance our clients’ teams. Our team works every day to foster relationships with both our consultants and clients to understand their needs and ensure that we are providing a solution that is mutually beneficial.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Franklin, TN, US

Year founded

2006

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