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Hcc Risk Adjustment Jobs (NOW HIRING)

Datavant

Auditor, HCC Risk Adjustment Coding

Dallas, TX · Remote

$29 - $32/hr

... HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment ...

NORTHEAST COMMUNITY CLINIC

HCC Coder

Alhambra, CA · On-site

$34 - $39/hr

Attend weekly meetings and present HCC Risk Adjustment Coding Department feedback, including data analysis, summary details; provide work flows and worksheets as necessary. * Attend Coding and ...

NORTHEAST COMMUNITY CLINIC

HCC Coder

Alhambra, CA · On-site

$34 - $39/hr

Attend weekly meetings and present HCC Risk Adjustment Coding Department feedback, including data analysis, summary details; provide work flows and worksheets as necessary. * Attend Coding and ...

Medix

Risk Adjustment Director

Scotts Valley, CA · On-site

$96.15 - $120.19/hr

Expert knowledge of Medicare HCC risk adjustment models. * Working knowledge of CPT, HCPCS, and ICD-9/10 medical coding. * Familiarity with data analytical tools like SQL and visualization platforms ...

Northeast Community Clinic

Be Seen First

HCC Coder

Alhambra, CA · On-site

$34 - $39/hr

Attend weekly meetings and present HCC Risk Adjustment Coding Department feedback, including data analysis, summary details; provide work flows and worksheets as necessary. * Attend Coding and ...

Your Health

Director of Medical Coding

Columbia, SC · On-site

$20.75 - $28.50/hr

This individual will possess comprehensive knowledge of Hierarchical Condition Categories (HCC)/Risk Adjustment and medical coding practices. Key Responsibilities : Leadership and Management : - Lead ...

Your Health Inc

Director of Medical Coding

Columbia, SC · On-site

$18.25 - $25/hr

This individual will possess comprehensive knowledge of Hierarchical Condition Categories (HCC)/Risk Adjustment and medical coding practices. Key Responsibilities : Leadership and Management : - Lead ...

PedIM Healthcare

HCC Coder

Lecanto, FL · On-site

$13.75 - $18.50/hr

The Role We are seeking a proactive and compassionate HCC Coder to join our Primary Care team ... This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance ...

Pedim

HCC Coder

Lecanto, FL · On-site

$13.75 - $18.50/hr

The Role We are seeking a proactive and compassionate HCC Coder to join our Primary Care team ... This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance ...

Pedim

HCC Coder

Lecanto, FL · On-site

$13.75 - $18.50/hr

The Role We are seeking a proactive and compassionate HCC Coder to join our Primary Care team ... This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance ...

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Hcc Risk Adjustment information

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$11K

$142.3K

$190K

How much do hcc risk adjustment jobs pay per year?

As of Sep 1, 2026, the average yearly pay for hcc risk adjustment 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.

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 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 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.

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Hcc Risk Adjustment jobs near you
Infographic showing various Hcc Risk Adjustment job openings in the United States 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, 4% Hybrid, and 9% Remote job distribution, with an average salary of $142,322 per year, or $68.4 per hour.

Auditor, HCC Risk Adjustment Coding

Datavant

Dallas, TX • Remote

$29 - $32/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 13 days ago

Datavant rating

7.1

Company rating: 7.1 out of 10

Based on 103 frontline employees who took The Breakroom Quiz

149th of 226 rated it services

Job description

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. 
By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare.

What We're Looking For:

As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of a patient's health status and confirming the accuracy of said work.

What You Will Do:

  • Audit coded charts assigned by quality supervisor per the client guidelines
  • Ability to move from different sets of client guidelines with minimal difficulty
  • Maintain a 95% quality average at a diagnosis level
  • Answer rebuttals entered on the auditor by coders and or auditors
  • Participate in weekly coding project review meetings
  • Any other tasks asked by quality supervisor

What You Need to Succeed: 

  • 2 years' HCC Coding experience
  • 2 years' HCC Auditing experience
  • Extensive knowledge of ICD -10
  • High school diploma or GED equivalent required
  • AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC)
  • A strong knowledge base of medical terminology, medical abbreviations, pharmacology, and disease processes
  • Ability to work in a fast-paced production environment while maintaining high quality
  • Must be able to follow instructions, meet deadlines and work independently
  • Ability to be flexible in work environment
  • Excellent written and verbal communication skills, ability to work in a remote environment and time management skills
  • Working knowledge of the business use of computer hardware and software to ensure effectiveness and quality of the processing and security of the data

What We Offer:

  • Comprehensive health, dental, and vision insurance
  • Paid time off (PTO) plan
  • Retirement savings plan
  • Flexible work arrangements
  • Opportunities for career growth and development
  • Employee wellness programs

We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.
At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services.
The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job.

The estimated total cash compensation range for this role is:
$29—$32 USD

To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. 
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis.

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