Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more About the Job: We are currently recruiting RNs, LPNs, MA's, Certified Coders ...
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more About the Job: We are currently recruiting RNs, LPNs, MA's, Certified Coders ...
Coder (Clinic - III)
Neenah, WI · On-site
$19.25 - $25.75/hr
Reviews and/or assigns proper CPT procedures and/or diagnosis codes (ICD-10-CM including HCC risk adjustment diagnosis) for professional services including specialty medical services, in and ...
Coder (Clinic - III)
Neenah, WI · On-site
$19.25 - $25.75/hr
Reviews and/or assigns proper CPT procedures and/or diagnosis codes (ICD-10-CM including HCC risk adjustment diagnosis) for professional services including specialty medical services, in and ...
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more About the Job: We are currently recruiting RNs, LPNs, MA's, Certified Coders ...
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more About the Job: We are currently recruiting RNs, LPNs, MA's, Certified Coders ...
Coder (Clinic - III)
Neenah, WI · On-site
$19.25 - $25.75/hr
Reviews and/or assigns proper CPT procedures and/or diagnosis codes (ICD-10-CM including HCC risk adjustment diagnosis) for professional services including specialty medical services, in and ...
Coder (Clinic - III)
Neenah, WI · On-site
$19.25 - $25.75/hr
Reviews and/or assigns proper CPT procedures and/or diagnosis codes (ICD-10-CM including HCC risk adjustment diagnosis) for professional services including specialty medical services, in and ...
... risk adjustment factors, e.g., hierarchical condition categories (HCC). Interprets and translates coding, payment, and reimbursement policies and regulations for the benefit of leaders and staff ...
... risk adjustment factors, e.g., hierarchical condition categories (HCC). Interprets and translates coding, payment, and reimbursement policies and regulations for the benefit of leaders and staff ...
Hcc Risk Adjustment information
See Wisconsin salary details
$11.1K - $27.5K
0% of jobs
$27.5K - $44K
0% of jobs
$44K - $60.4K
0% of jobs
$60.4K - $76.8K
0% of jobs
$76.8K - $93.2K
0% of jobs
$93.2K - $109.7K
0% of jobs
$109.7K - $126.1K
0% of jobs
$130.5K is the 25th percentile. Wages below this are outliers.
$126.1K - $142.5K
92% of jobs
$142.5K - $158.9K
0% of jobs
$158.9K - $175.4K
0% of jobs
$175.4K - $191.8K
8% of jobs
$11.1K
$143.7K
$191.8K
How much do hcc risk adjustment jobs pay per year?
As of Jul 2, 2026, the average yearly pay for hcc risk adjustment in Wisconsin is $143,654.00, according to ZipRecruiter salary data. Most workers in this role earn between $133,700.00 and $133,700.00 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 job?
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 popular job titles related to Hcc Risk Adjustment jobs in Wisconsin? For Hcc Risk Adjustment jobs in Wisconsin, the most frequently searched job titles are:
What job categories do people searching Hcc Risk Adjustment jobs in Wisconsin look for? The top searched job categories for Hcc Risk Adjustment jobs in Wisconsin are:
Job description
Company Description
Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in:
1. CMS HCC Risk Adjustment
2. HEDIS
3. Medical Record Reviews (Accreditation)
4. And more
Job Description
About the Job:
We are currently recruiting RNs, LPNs, MA's, Certified Coders, and RHIT or RHIA professionals to work as Medical Records Reviewers (Field Reviewers) in your area. We may also consider Medical Records Professionals that have a minimum of 2 years of hands on medical records experience, EMR/EHR experience a plus, based on the type of experience and the health plans we are currently working with. Our reviewers visit physicians' offices to retrieve and review specific documents from medical records for various projects and studies, within a 40 mile radius of the area you live in. This can be reduced a bit if needed to accommodate possible travel issues on a case by case basis. This work is project based and is not considered to be full time permanent employment.
You will be provided a personal scheduler and advocate to help you plan your daily activities. Altegra will schedule and confirm all of your appointments to make your days are as efficient as possible. We will also provide computer equipment for scanning charts and transferring files to our secure file transfer site. We provide help desk assistance for both IT support and medical record retrieval support.
We pay competitive wages. We also provide thorough training in the use of our technology, processes, documents to be scanned or copied, and HIPAA confidentiality requirements for protected health information. If you have substantial medical records experience, a professional demeanor, and can work independently then we invite you to join the most respected name in the industry.
Summary of Duties and Responsibilities:
1. Accurately and efficiently conduct medical record review services
2. Scan relevant components of the medical record to support reviews performed
3. Upload scanned medical records daily
4. Maintain communication lines with Outcomes advocate
5. Successfully complete required training, testing and quality assessments
6. Communicate effectively and professionally with care provider offices, clinics, hospitals, other clinical facilities
7. Travel to medical facilities in specified area of region from home to complete review services
8. Abide by all HIPAA and associated patient confidentiality requirements
Qualifications
1. Must be an RN, LPN, Certified Coder, RHIT, RHIA, MA or Medical Records Professionals with a minimum of 2 years of hands on medical records experience, EMR/EHR experience a plus, based on the type of experience you have and the health plans we are currently working with.
2. Strong computer skills and high-speed internet access at home (no dial-up)
3. Reliable transportation, auto insurance and a valid driver's license
4. Commitment to confidentiality of patient health information
5. Professional, articulate and able to work independently
6. Availability at least 20 hours per week during business hours
7. Ability to manage and meet deadlines
8. Must be willing to travel within a 40 mile radius
9. Business attire is required when visiting physician offices
10. Must have a working cell phone, home computer, and printer
Additional Information
Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in:
1. CMS HCC Risk Adjustment
2. HEDIS
3. Medical Record Reviews (Accreditation)
4. And more
Job Description
About the Job:
We are currently recruiting RNs, LPNs, MA's, Certified Coders, and RHIT or RHIA professionals to work as Medical Records Reviewers (Field Reviewers) in your area. We may also consider Medical Records Professionals that have a minimum of 2 years of hands on medical records experience, EMR/EHR experience a plus, based on the type of experience and the health plans we are currently working with. Our reviewers visit physicians' offices to retrieve and review specific documents from medical records for various projects and studies, within a 40 mile radius of the area you live in. This can be reduced a bit if needed to accommodate possible travel issues on a case by case basis. This work is project based and is not considered to be full time permanent employment.
You will be provided a personal scheduler and advocate to help you plan your daily activities. Altegra will schedule and confirm all of your appointments to make your days are as efficient as possible. We will also provide computer equipment for scanning charts and transferring files to our secure file transfer site. We provide help desk assistance for both IT support and medical record retrieval support.
We pay competitive wages. We also provide thorough training in the use of our technology, processes, documents to be scanned or copied, and HIPAA confidentiality requirements for protected health information. If you have substantial medical records experience, a professional demeanor, and can work independently then we invite you to join the most respected name in the industry.
Summary of Duties and Responsibilities:
1. Accurately and efficiently conduct medical record review services
2. Scan relevant components of the medical record to support reviews performed
3. Upload scanned medical records daily
4. Maintain communication lines with Outcomes advocate
5. Successfully complete required training, testing and quality assessments
6. Communicate effectively and professionally with care provider offices, clinics, hospitals, other clinical facilities
7. Travel to medical facilities in specified area of region from home to complete review services
8. Abide by all HIPAA and associated patient confidentiality requirements
Qualifications
1. Must be an RN, LPN, Certified Coder, RHIT, RHIA, MA or Medical Records Professionals with a minimum of 2 years of hands on medical records experience, EMR/EHR experience a plus, based on the type of experience you have and the health plans we are currently working with.
2. Strong computer skills and high-speed internet access at home (no dial-up)
3. Reliable transportation, auto insurance and a valid driver's license
4. Commitment to confidentiality of patient health information
5. Professional, articulate and able to work independently
6. Availability at least 20 hours per week during business hours
7. Ability to manage and meet deadlines
8. Must be willing to travel within a 40 mile radius
9. Business attire is required when visiting physician offices
10. Must have a working cell phone, home computer, and printer
Additional Information
About Altegra Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Fort Lauderdale, FL, US
Year founded
1990