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Hueman Risk Adjustment Solutions Jobs in Texas (NOW HIRING)

CommonSpirit Health

Value Based Coder II

Houston, TX

$18 - $23.75/hr

... as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC ... solutions based on coding expertise. Collaborate with providers and office staff to address ...

St Luke's Health

Value Based Coder II

Houston, TX

$25.30 - $35.74/hr

... as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC ... solutions based on coding expertise. Collaborate with providers and office staff to address ...

St. Luke's Health

Value Based Coder II

Houston, TX · On-site +1

$25.30 - $35.74/hr

... as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC ... solutions based on coding expertise. Collaborate with providers and office staff to address ...

Autonomize Inc

Solutions Architect

Austin, TX · On-site

$62.50 - $82.25/hr

... risk adjustment, and more. Technical Leadership * Guide cross-functional teams during pre-sales and ... Develop solution blueprints and system integration plans using healthcare-specific standards (HL7 ...

Altegra Health

Remote Certified Coder

Dallas, TX · Remote

$22.25 - $30.50/hr

Altegra provides end-to-end solutions to help improve payment integrity data, to support ... Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ...

Altegra Health

Remote Certified Coder

Dallas, TX · On-site +1

$22.25 - $30.50/hr

Altegra provides end-to-end solutions to help improve payment integrity data, to support ... Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ...

Datavant

Client Coding Project Manger (CCPM)

Dallas, TX · On-site

$7.5K/mo

... solutions for organizations across the healthcare ecosystem - including providers, health plans ... Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors.

Origis Energy

Insurance Risk Manager

Austin, TX · On-site

Do you exist to find solutions? That's how we revolutionize energy and build a carbon-free future ... Manage the reporting, processing and adjustment of claims to include tracking, negotiating and ...

Apex Health Solutions

Patient Care Advocate

Houston, TX

$17 - $22/hr

... improvement & risk adjustment initiatives * Arranges transportation for members as needed ... Working knowledge of Electronic Health Records (EHR) About Apex Health Solutions Apex Health is a ...

Apex Health Solutions

Patient Care Advocate

Houston, TX · On-site

$17 - $22/hr

... risk adjustment initiatives • Arranges transportation for members as needed. • Arranges ... About Apex Health Solutions Apex Health is a tech-enabled management services organization ...

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Hueman Risk Adjustment Solutions information

What is Hueman Risk Adjustment Solutions?

Hueman Risk Adjustment Solutions is a company that specializes in providing risk adjustment services for healthcare organizations. Their solutions help healthcare providers accurately capture and report patient health data to ensure proper reimbursement and compliance with government programs like Medicare Advantage. They offer services such as coding, chart reviews, and analytics to improve risk score accuracy and optimize revenue cycles. Hueman's approach is designed to enhance the quality of care documentation and support organizations in navigating the complexities of value-based care.

What are the key skills and qualifications needed to thrive as a risk adjustment specialist at Hueman Risk Adjustment Solutions?

To thrive as a Risk Adjustment Specialist, you need a strong background in medical coding, healthcare data analysis, and a comprehensive understanding of risk adjustment models, typically supported by certifications such as CRC, CPC, or CCS. Familiarity with coding software, electronic health records (EHR) systems, and risk adjustment platforms is essential. Attention to detail, analytical thinking, and effective communication are standout soft skills in this role. These skills ensure accurate coding, compliance with regulatory standards, and optimal reimbursement outcomes for healthcare organizations.

What are some typical challenges faced by professionals working in risk adjustment solutions at Hueman, and how can they be addressed?

Professionals in Risk Adjustment Solutions at Hueman often encounter challenges such as accurately interpreting complex medical records and ensuring compliance with evolving healthcare regulations. Maintaining high data quality while meeting deadlines can also be demanding, especially when working with large volumes of patient information. These challenges are best addressed by leveraging advanced coding tools, participating in ongoing training, and collaborating closely with clinical staff and data analysts. This teamwork and commitment to best practices help ensure accurate risk adjustment and contribute to improved patient outcomes.

What is the difference between Hueman Risk Adjustment Solutions vs Medical Coding Specialist?

AspectHueman Risk Adjustment SolutionsMedical Coding Specialist
CredentialsCertifications in risk adjustment, coding, or related fieldsCertified Professional Coder (CPC), CCS, or equivalent
Work EnvironmentConsulting, healthcare analytics, risk adjustment programsHospitals, clinics, insurance companies
Industry UsageHealth plan risk management, analytics firmsMedical billing, coding departments

Hueman Risk Adjustment Solutions focuses on optimizing risk adjustment processes through analytics and consulting, while Medical Coding Specialists handle the accurate coding of medical records. Both roles require coding certifications but differ in scope and work environment, with Hueman primarily providing strategic solutions and Medical Coding Specialists executing coding tasks within healthcare facilities.

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

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

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

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

What cities in Texas are hiring for Hueman Risk Adjustment Solutions jobs?

Cities in Texas with the most Hueman Risk Adjustment Solutions job openings:

Hueman Risk Adjustment Solutions jobs near you
Infographic showing various Hueman Risk Adjustment Solutions job openings in Texas as of August 2026, with employment types broken down into 85% Full Time, 10% Part Time, and 5% Contract. Highlights an 81% Physical, 3% Hybrid, and 16% Remote job distribution.

Value Based Coder II

CommonSpirit Health

Houston, TX

$18 - $23.75/hr

Full-time

Re-posted 18 days ago

CommonSpirit Health rating

7.0

Company rating: 7.0 out of 10

Based on 543 frontline employees who took The Breakroom Quiz

421st of 898 rated healthcare providers

Job description

Baylor St. Luke’s Medical Center is an 881-bed quaternary care academic medical center that is a joint venture between Baylor College of Medicine and CHI St. Luke’s Health. Located in the Texas Medical Center, the hospital is the home of the Texas Heart® Institute, a cardiovascular research and education institution founded in 1962 by Denton A. Cooley, MD. The hospital was the first facility in Texas and the Southwest designated a Magnet® hospital for Nursing Excellence by the American Nurses Credentialing Center, receiving the award five consecutive times. Baylor St. Luke’s also has three community emergency centers offering adult and pediatric care for the Greater Houston area.


The Value Based Coder II is an experienced professional within the Quality Management/Risk team, responsible for independently reviewing patient medical records to identify, assess, monitor, and review coding opportunities, with a growing emphasis on Hierarchical Condition Categories (HCC). This role focuses on developing and delivering provider education and contributing to process improvement initiatives. The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk-adjusting conditions and supporting provider documentation improvement.

1. Comprehensive Record Review & HCC Expertise: Independently review patient medical record information via population health tools on both a retroactive and prospective basis to identify, assess, monitor, and review network coding opportunities as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC documentation and coding.
2. Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns, trends, and opportunities for improvement related to HCC capture. Develop and deliver effective education materials and tools to help network providers improve clinical documentation and support Hierarchical Condition Category coding capture. Provide targeted provider 1:1 education on documentation best practices, HCC guidelines, and risk adjustment principles.
3. Compliance & Regulatory Insight: Continuously monitor and interpret evolving HCC coding guidelines, CMS regulations, and compliance trends within the risk adjustment landscape, applying this knowledge to daily coding and education efforts. Champion a culture of compliance by advocating for best practices and providing robust provider support to ensure CommonSpirit adheres to all federal and coding guidelines pertaining to HCC and risk adjustment. Safeguard medical records and preserve the confidentiality of personal health information through adherence to all relevant policies (release of medical record information, record retention, HIPAA privacy and security).
4. Process Improvement & Collaboration: Actively participate in network performance improvement initiatives, offering insights and solutions based on coding expertise. Collaborate with providers and office staff to address documentation deficiencies and coding gaps.


2+ years of experience in outpatient coding
2+ years focused on risk adjustment and HCC principles.

Advanced knowledge of CPT and ICD-10 coding, with significant expertise in HCC codingguidelines and risk adjustment models.
Strong understanding of federal and state guidelines on all coding systems and sponsored programs.
Proficiency in developing and delivering educational content.
Effective interpersonal, communication, and presentation skills (both verbal and written).
Ability to manage multiple priorities and work independently.
Computer literacy in medical information systems, records management software, and encoder software.

Preferred/Desired Experience
4+ years of experience in outpatient coding,
3+ years focused on risk adjustment and HCC principles

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