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Hcc Risk Adjustment Jobs (NOW HIRING)

CommonSpirit Health

Risk Adjustment Coder

Bakersfield, CA · Remote

$29.44 - $43.79/hr

Familiarity and understanding of CMS HCC Risk Adjustment coding and data validation requirements. Must possess the ability to work independently with strong organizational, communication and ...

Msmc

Certified Risk Adjustment Coder Senior

Campus, IL

$22 - $30/hr

Regularly reviews Epic HCC and payer reports. * Queries and provides feedback and education to physicians when identifying documentation deficiencies to improve accuracy of risk adjustment coding.

CommonSpirit Health

Risk Adjustment Coder

Bakersfield, CA · Remote

$29.44 - $43.79/hr

Familiarity and understanding of CMS HCC Risk Adjustment coding and data validation requirements. Must possess the ability to work independently with strong organizational, communication and ...

Strive Health

Risk Adjustment Coder

Denver, CO · Remote

$27.88 - $32.21/hr

HCC (Hierarchical Condition Category) Coding, medical coding, clinical terminology and anatomy ... Supports all Strive risk adjustment projects to comply with all CMS requirements by analyzing ...

Strive Health

Risk Adjustment Coder

Denver, CO · On-site

$19.25 - $25.75/hr

HCC (Hierarchical Condition Category) Coding, medical coding, clinical terminology and anatomy ... Supports all Strive risk adjustment projects to comply with all CMS requirements by analyzing ...

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$142.3K

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How much do hcc risk adjustment jobs pay per year?

As of Jun 5, 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 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.

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Hcc Risk Adjustment jobs near you

Ambulatory Risk Adjustment Coding Specialist

NorthShore PC Service

Skokie, IL • On-site

$22.14 - $33.21/hr

Full-time, Part-time

Medical, Dental, Vision, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

Hourly Pay Range: $22.14 - $33.21 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Position Highlights:
  • Position: Ambulatory Risk Adjustment Coding Specialist
  • Location: Skokie, IL
  • Full Time
  • Hours: Monday-Friday, [hours and flexible work schedules]
A Brief Overview: Our ambulatory risk adjustment coding specialist I plays a key role in identifying HCC codes within physician outpatient visits and ensuring they are coded accurately and to the highest specificity. They additionally will verify that documentation requirements are met to validate the HCC diagnosis code. Working closely with the ambulatory clinical documentation specialist (CDS), they will clinically verify the accuracy of HCC codes. Using compliant query guidelines, the coding specialist will query the physician should documentation need clarification or specification. The coding specialist is expected to maintain current knowledge of the ICD-10-CM codes and guidelines and meet minimum productivity requirements outlined by team leadership. What you will do:
  • Review/abstract HCC codes to ensure they are coded accurately, to the highest specificity possible, and make sure the required MEAT is documented, resulting in the correct CMS-HCC risk score
  • Identify diagnosis and chart level impairments and documentation improvement opportunities for provider education
  • Responsible for partnering with ambulatory clinical documentation specialists and physicians to properly code patient charts to ensure appropriate risk adjustment
  • Assist coding leadership by making recommendations for process improvements to further enhance coding goals and outcomes
  • Assists the coding team leads with onboarding new coding specialists to the role as needed.
  • Maintain current knowledge of ICD-10-CM codes, CMS documentation requirements, and state and federal regulations
  • Consistently maintain a minimum 95% accuracy on coding quality audits
  • Meet minimum productivity requirements as outlined by the project terms
  • Utilizes technical coding expertise to assign appropriate ICD-10-CM diagnosis codes, as well as assist in appropriate assignment of risk adjustment
  • Maintains advanced knowledge of coding all HCC diagnoses from the medical record in accordance with the ICD-10-CM coding guidelines
  • Assists with and completes special project work as assigned by Ambulatory Clinical Documentation Leadership
What you will need:
  • Education: High School Required or Associates Degree Preferred
  • Experience 2 years experience working in healthcare or in a professional business environment
  • Certification: Certified Risk Adjustment Coder (CRC) certification required within 6 months of hire
Benefits (For full time or part time positions):
  • Premium pay such as shift, on call, holiday and more based on an employee's job (For eligible positions)
  • Incentive pay for select positions
  • Opportunity for annual increases based on performance
  • Career Pathways to Promote Professional Growth and Development
  • Various Medical, Dental, Pet and Vision options
  • Tuition Reimbursement
  • Free Parking
  • Wellness Program Savings Plan
  • Health Savings Account Options
  • Retirement Options with Company Match
  • Paid Time Off and Holiday Pay
  • Community Involvement Opportunities
Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. For more information, visit www.endeavorhealth.org. When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential. Please explore our website (www.endeavorhealth.org) to better understand how Endeavor Health delivers on its mission to "help everyone in our communities be their best". Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information. At Endeavor Health, we are united by a shared commitment to working together to create a culture of connection and belonging-each of us bringing different skills and experiences as we deliver safe, seamless, and personal care. Every person, every time. We are committed to fostering an environment where all team members can be their best, learn, and pursue excellence together. EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.

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