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Hcc Jobs in Tennessee (NOW HIRING)

Urrly

Telehealth Nurse Practitioner

Nashville, TN · On-site +1

$600 - $720/day

Document risk adjustment (HCC coding) during patient visits * Close HEDIS care gaps during visits * Review medical history, medications, and preventive needs * Document visits using ICD-10 and CPT II ...

FC Compassus LLC

Hospice Care Consultant

Memphis, TN · On-site

The Hospice Care Consultant (HCC) is responsible for growing Compassus' market share within a defined Book of Business to help more patients get the care they need. This role focuses on growing ...

COMPASSUS

Hospice Care Consultant

Memphis, TN · On-site

The Hospice Care Consultant (HCC) is responsible for growing Compassus' market share within a defined Book of Business to help more patients get the care they need. This role focuses on growing ...

nLeague

Public Health Representative

Chattanooga, TN · On-site

$30 - $35/hr

The Vulnerable Populations Coordinator (VPC) serves as a key liaison within the Healthcare Coalition (HCC) and Regional Health Department to improve preparedness, response, and recovery for at-risk ...

nLeague

Public Health Representative 2

Nashville, TN · On-site

Vulnerable Populations Coordinator The Vulnerable Populations Coordinator (VPC) serves as a key liaison within the Healthcare Coalition (HCC) and Regional Health Department to improve preparedness ...

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Showing results 21-40

All JobsHcc JobsHcc Jobs in Tennessee

Hcc information

See Tennessee salary details

$14

$41

$104

How much do hcc jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for hcc in Tennessee is $41.15, according to ZipRecruiter salary data. Most workers in this role earn between $21.39 and $55.62 per hour, depending on experience, location, and employer.

What is an HCC?

HCC coders are health information professionals who specialize in Hierarchical Condition Category (HCC) coding. They review medical records to identify and assign diagnosis codes that reflect the severity and complexity of a patient's health conditions. This coding is essential for risk adjustment in Medicare Advantage and other value-based care programs, impacting reimbursement and quality measurement. HCC coders must be familiar with ICD-10-CM coding guidelines, clinical documentation, and risk adjustment models to ensure accurate and compliant coding.

What are the key skills and qualifications needed to thrive as an HCC?

To thrive as a Health Care Coordinator, you need a solid background in healthcare administration, patient care coordination, and a relevant degree or certification in health services or nursing. Familiarity with electronic health record (EHR) systems, case management software, and knowledge of healthcare regulations are typically required. Strong organizational skills, attention to detail, and effective communication are crucial for managing patient information and collaborating with interdisciplinary teams. These competencies are essential for ensuring seamless patient care, regulatory compliance, and efficient healthcare delivery.

What are some common challenges faced by HCCs, and how can they be addressed?

HCC (Hierarchical Condition Category) coders often face challenges such as staying updated with frequent regulatory changes, ensuring thorough documentation from providers, and accurately capturing all relevant diagnosis codes for risk adjustment. To address these challenges, coders should participate in ongoing training, collaborate closely with healthcare providers to clarify documentation, and utilize coding software tools to streamline the process. Being proactive in communication and regularly reviewing updated guidelines can help maintain accuracy and compliance in HCC coding.

What is the difference between Hcc vs Medical Coder?

AspectHccMedical Coder
Required CredentialsHCC certification, coding experienceMedical coding certification (CPC, CCS)
Work EnvironmentHealthcare facilities, insurance companiesHospitals, clinics, billing companies
Industry UsageRisk adjustment, insurance, MedicareMedical billing, documentation, coding
Common Search/ComparisonHcc vs Medical Coder

HCC (Hierarchical Condition Category) specialists focus on risk adjustment coding for insurance and Medicare, requiring specific certifications and experience. Medical coders handle clinical documentation coding for billing and reimbursement. While both roles involve coding, HCC professionals primarily work in risk adjustment and insurance settings, whereas medical coders work across healthcare providers for billing purposes.

What are popular job titles related to Hcc jobs in Tennessee?

For Hcc jobs in Tennessee, the most frequently searched job titles are:

What job categories do people searching Hcc jobs in Tennessee look for?

The top searched job categories for Hcc jobs in Tennessee are:

What cities in Tennessee are hiring for Hcc jobs?

Cities in Tennessee with the most Hcc job openings:

Hcc jobs near you
Infographic showing various Hcc job openings in Tennessee as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 19% Part Time, and 3% Contract. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $85,584 per year, or $41.1 per hour.

Coding and Medical Records Auditor- Remote

Franklin, TN • On-site, Remote

American Health Partners
Health Care and Social Assistance • 1 - 5K employees
Learn more about American Health Partnersexternal

Full-time

Posted 10 days ago

Job description

JOB SUMMARY:
TruHealth is the clinical arm of the health plan and supplies the model of care. The Coding and Medical Records Auditor will be
responsible for conducting coding audits prior to claims submission. This position will ensure appropriate and accurate coding is
applied for each member of the plan. Additionally, post-payment coding reviews may be performed with coding education
correspondence sent to providers
The Coding and Medical Records Auditor will be responsible for conducting coding audits prior to claims submission. This position will ensure appropriate and accurate coding is applied for each member of the plan. Additionally, post-payment coding reviews may be performed with coding education correspondence sent to providers.
ESSENTIAL JOB DUTIES:
To perform this job, an individual must accomplish each essential function satisfactorily, with or without a reasonable accommodation.
  • Review claims prior to billing to provide a proactive level of accuracy.
  • Assess trends; communicate appropriate education both individually to staff and collectively as an organization.
  • Review medical records, patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries as needed to verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered.
  • Conduct pre-claim and post-claim coding audits to ensure accurate claims' denials.
  • Work closely with delegated claim processor to ensure errors are reviewed and corrected prior to final payment.
  • Assist with validation audits to evaluate medical record documentation to ensure coding accurately reflects and supports relevant coding based on the ICD-10 code submitted to CMS and interpretation of medical documentation to ensure capture of all relevant coding based on CMS Hierarchical Condition Categories (HCC) conditions applicable to Medicare Risk Adjustment reimbursement initiatives.
  • Work assigned coding projects to completion.
  • Provide a high level of customer service to internal and external customers by consistently meeting and/or exceeding expectations including but not limited to quality and productivity.
  • Escalate appropriate coding audit issues to management as required and follow departmental/organizational policies and procedures.
  • Maintain required levels of production and quality standards as established by management.
  • Work directly with provider representatives and executive directors on Letters of Agreement (LOAs) to ensure appropriate coding methodology and reimbursement.
  • Ensure regulatory compliance and overall quality and efficiency by utilizing strong working knowledge of coding standards.
  • Follow all appropriate Federal and State regulatory requirements and guidelines applicable to Health Plan operations or as documented in company policies and procedures.
  • Participate in and support ad-hoc coding audits as needed.
  • Other duties as assigned

EXPERIENCE:
  • 3 years HCC coding and/or coding and billing required
  • 5 years HCC coding and/or coding and billing preferred
  • 2+ years of complex claims processing and/or coding auditing experience in the health insurance industry or medical health care delivery system recommended.
  • 2 + years of experience in managed healthcare environment related to claims' and/or coding audits recommended.
  • 2 year(s): Knowledge of standard coding and reference materials used in a claim setting, such as CPT4, ICD10, HCPCS and others
  • 2 year(s): Knowledge of CMS requirements regarding claims processing and coding; especially Skilled Nursing Facility and other complex claim processing rules and regulations
  • 2 year(s): Coding/auditing claims for Medicare and Medicaid plans.
  • 2 year(s): Experience in managed healthcare environment related to coding audits
  • 2 year(s): Complex claims processing and/or coding experience in the health insurance industry or medical health care delivery system

LICENSE/CERTIFICATION: REQUIRED (any of the following):
  • Certified Professional Coder (CPC)
  • Certified Risk Coder (CRC) • Certified Coding Specialist (CCS)
  • Certified Documentation Integrity Practitioner (CDIP)
  • Certified Clinical Documentation Specialist ( CCDS)
  • Registered Health Information Technician (RHIT)

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.
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About American Health Partners

Sourced by ZipRecruiter

American Health Partners is a family of six divisions staffed by outstanding employees who care deeply about others. Since our inception more than 45 years ago, we have been committed to bringing the highest quality healthcare available to our communities. That commitment continues to serve us, our patients, our customers and our partners well. Today, our diverse healthcare offerings serve nearly 12,000 individuals annually across multiple states. We operate in both urban and rural communities where people need healthcare close to home. By working closely with hospitals and other providers, we offer cost-effective options that give individuals greater control over their healthcare.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Franklin, TN, US

Year founded

1976

Social media

Facebook

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