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Hcc Risk Adjustment Jobs in Texas (NOW HIRING)

Mehta Medical Group PLLC

$20 - $25/hr

Strong knowledge of: o ICD-10-CM o CPT o HCPCS o NCCI edits o E/M 2021+ guidelines o HCC/RAF risk adjustment concepts * Experience with EMR systems (eCW preferred but not required) Preferred ...

Mehta Medical Group PLLC

$20 - $25/hr

Strong knowledge of: o ICD-10-CM o CPT o HCPCS o NCCI edits o E/M 2021+ guidelines o HCC/RAF risk adjustment concepts * Experience with EMR systems (eCW preferred but not required) Preferred ...

Wellspire Medical Group

CPC Coder

Houston, TX · On-site

HCC/RAF risk adjustment concepts * Experience with EMR systems (eCW preferred but not required) Preferred Qualifications * Experience in high-volume practice settings * Audit experience or ...

Wellspire Medical

CPC Coder

Kingwood, TX · On-site

... HCC/RAF risk adjustment concepts • Experience with EMR systems (eCW preferred but not required) Preferred Qualifications • Experience in high-volume practice settings • Audit experience or ...

3B Healthcare, Inc.

Administrative- Certified Coder

Dallas, TX · On-site

$22.50 - $30/hr

... HCC and HEDIS CAT II, Risk Adjustment - REQUIRED Must be able to handle HIGH Volume of cases - REQUIRED Evaluation Management experience - REQUIRED Ability to assign CPT codes - REQUIRED Knowledge ...

3B Healthcare, Inc.

Administrative- Certified Coder

Dallas, TX · On-site

$22.50 - $30/hr

... HCC and HEDIS CAT II, Risk Adjustment - REQUIRED Must be able to handle HIGH Volume of cases - REQUIRED Evaluation Management experience - REQUIRED Ability to assign CPT codes - REQUIRED Knowledge ...

Tokio Marine HCC

Senior Contract Bond Underwriter

Plano, TX · On-site

$94K - $111K/yr

Tokio Marine HCC - Surety Group, a member of the Tokio Marine Group of Companies, has an ... Prepare bond execution and Financial Adjustment Notices (FAN) reports. * Approve within given ...

Datavant

Payer Coding Ops Hourly

Dallas, TX · Remote

$25 - $26.70/hr

... HCC (Hierarchical Condition Category) coder you will review medical records to identify and code ... for risk adjustment and reimbursement purposes. You will play a critical role in translating ...

Strive Health

Nurse Practitioner

Houston, TX · On-site

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. * Presents patient cases and provides ...

Strive Health

Nurse Practitioner

Houston, TX · On-site

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. * Presents patient cases and provides ...

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All JobsHcc Risk Adjustment JobsHcc Risk Adjustment Jobs in Texas

Hcc Risk Adjustment information

See Texas salary details

$10.2K

$132.6K

$177K

How much do hcc risk adjustment jobs pay per year?

As of Aug 16, 2026, the average yearly pay for hcc risk adjustment in Texas is $132,595.00, according to ZipRecruiter salary data. Most workers in this role earn between $123,400.00 and $123,400.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the HCC Risk Adjustment position, and why are they important?

To excel in HCC Risk Adjustment, you need a solid understanding of medical coding, clinical documentation, healthcare regulations, and disease management, usually coupled with experience in coding certifications like CPC or CRC. Familiarity with Hierarchical Condition Category (HCC) models, data analytics tools, and electronic health record (EHR) systems is essential. Attention to detail, analytical thinking, and strong communication skills make a candidate stand out in this role. These skills ensure accurate risk adjustment coding and documentation, which are vital for appropriate reimbursement and compliance in the healthcare industry.

What are the main responsibilities of someone working in HCC Risk Adjustment?

Professionals in HCC Risk Adjustment are typically responsible for reviewing medical records, ensuring accurate coding of diagnoses aligned with CMS guidelines, and collaborating with providers to improve documentation. The role often involves analyzing patient data to identify risk gaps and providing education to clinical staff on best practices for compliant coding. Team members regularly coordinate with data analysts, providers, and compliance teams to support accurate reporting and optimal reimbursement. Overall, attention to detail and clear communication are key to meeting the organization's compliance and financial objectives.

What is an HCC Risk Adjustment?

An HCC Risk Adjustment job involves reviewing medical records to ensure accurate coding of diagnoses under the Hierarchical Condition Category (HCC) model. This role helps determine risk scores for patients, which impact healthcare provider reimbursements in Medicare Advantage and other risk-adjusted programs. Professionals in this field, such as medical coders or auditors, analyze documentation to assign appropriate ICD-10-CM codes that reflect a patient's health status. Strong attention to detail and knowledge of coding guidelines are essential for success in this role.

What are the most commonly searched types of Hcc Risk Adjustment jobs in Texas?

The most popular types of Hcc Risk Adjustment jobs in Texas are:

What are popular job titles related to Hcc Risk Adjustment jobs in Texas?

For Hcc Risk Adjustment jobs in Texas, the most frequently searched job titles are:

What job categories do people searching Hcc Risk Adjustment jobs in Texas look for?

The top searched job categories for Hcc Risk Adjustment jobs in Texas are:

What cities in Texas are hiring for Hcc Risk Adjustment jobs?

Cities in Texas with the most Hcc Risk Adjustment job openings:

Hcc Risk Adjustment jobs near you
Infographic showing various Hcc Risk Adjustment job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 89% Full Time, 8% Part Time, and 2% Contract. Highlights an 87% Physical, 5% Hybrid, and 8% Remote job distribution, with an average salary of $132,595 per year, or $63.7 per hour.

CPC Coder

Mehta Medical Group PLLC

On-site

$20 - $25/hr

Full-time

Re-posted 27 days ago

Job description

Medical Coder – Multi-Specialty (Hospital & Clinic)

Location: Kingwood or Remote

Employment Type: Full-Time

Reports To: Revenue Cycle Manager


Position Summary

We are seeking a highly skilled, detail-driven, and high-producing Certified Medical Coder with

multi-specialty experience to join our growing healthcare organization. This role requires strong

proficiency in both hospital and outpatient clinic coding, with specialty expertise in:

• Cardiology

• Urology

• Dermatology

• General Surgery

• Pulmonology

The ideal candidate has 2+ years of coding experience, maintains current certification (AAPC or

equivalent), and consistently demonstrates accuracy, productivity, and strong clinical

understanding across multiple service lines.

This is a high-impact role within a performance-driven, collaborative organization focused on

compliance, precision, and revenue integrity.


Core Responsibilities

Coding & Documentation Review

• Accurately assign ICD-10-CM, CPT, and HCPCS Level II codes for hospital and outpatient

encounters

• Review provider documentation to ensure completeness and compliance

• Apply correct modifiers and sequencing for multi-specialty procedures

• Identify documentation gaps and communicate clarification requests when necessary

• Ensure accurate E/M level selection according to current guidelines

Specialty Coding (Required Experience)

• Cardiology: Stress tests, echoes, cardiac caths, arrhythmias, CHF, CAD

• Urology: Cystoscopy, TURP, prostate procedures, kidney stones

• Dermatology: Biopsies, excisions, Mohs, lesion destruction


• General Surgery: Hernia repair, cholecystectomy, minor/major procedures

• Pulmonology: PFTs, bronchoscopy, COPD, sleep apnea

Compliance & Revenue Integrity

• Maintain adherence to CMS, NCCI edits, and payer-specific guidelines

• Ensure accurate HCC/RAF capture where applicable

• Participate in internal audits and quality assurance initiatives

• Maintain productivity benchmarks while preserving coding accuracy

Collaboration

• Work closely with providers to improve documentation quality

• Support billing and RCM teams in claim resolution

• Participate in coding education updates and regulatory changes


Required Qualifications

• Current certification through AAPC (CPC, CPC-H, or equivalent) or AHIMA (CCS, CCS-P)

• Minimum 2+ years of hands-on coding experience

• Experience coding both hospital and outpatient clinic encounters

• Multi-specialty coding experience (cardiology, urology, dermatology, general surgery,

pulmonology)

• Strong knowledge of:

o ICD-10-CM

o CPT

o HCPCS

o NCCI edits

o E/M 2021+ guidelines

o HCC/RAF risk adjustment concepts

• Experience with EMR systems (eCW preferred but not required)


Preferred Qualifications

• Experience in high-volume practice settings


• Audit experience or participation in compliance reviews

• Familiarity with V28 risk adjustment updates

• Strong understanding of modifier application and surgical global periods


Performance Expectations

• Maintain ≥ 95% coding accuracy rate

• Meet or exceed established daily/weekly productivity standards

• Maintain timely turnaround on all assigned charts

• Demonstrate proactive communication and ownership

• Contribute to continuous improvement initiatives


What We’re Looking For

We are looking for a coder who:

• Is highly organized and efficient

• Thrives in a fast-paced environment

• Has strong clinical reasoning skills

• Takes pride in precision and compliance

• Communicates professionally and clearly

• Understands the financial impact of coding accuracy


Why Join Us?

• Collaborative, supportive leadership

• Multi-specialty exposure

• Growth-focused environment

• Competitive compensation

• Performance-driven culture

• Opportunity to make measurable impact on revenue integrity and compliance


Compensation


Competitive and based on experience.

Certification and specialty experience strongly influence compensation range.