This role will provide strategic leadership across client engagements, with a particular focus on coding compliance, revenue cycle operations, and risk adjustment (RADV/HCC). The Director will play a ...
This role will provide strategic leadership across client engagements, with a particular focus on coding compliance, revenue cycle operations, and risk adjustment (RADV/HCC). The Director will play a ...
Value Based Coder II
$25.30 - $35.74/hr
The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk ... as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC ...
Value Based Coder II
$25.30 - $35.74/hr
The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk ... as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC ...
Value Based Coder II
$25.30 - $35.74/hr
The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk ... as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC ...
Value Based Coder II
$25.30 - $35.74/hr
The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk ... as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC ...
Hierarchical Condition Category (HCC) Coding Specialist
Austin, TX · On-site
$41.85/hr
Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS ... Certified Risk Coder (CRC) * Certified Coding Specialist (CCS) * Registered Health Information ...
Hierarchical Condition Category (HCC) Coding Specialist
Austin, TX · On-site
$41.85/hr
Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS ... Certified Risk Coder (CRC) * Certified Coding Specialist (CCS) * Registered Health Information ...
Value Based Coder II
$18 - $23.75/hr
The Value Based Coder II is an experienced professional within the Quality Management/Risk team ... as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC ...
Value Based Coder II
$18 - $23.75/hr
The Value Based Coder II is an experienced professional within the Quality Management/Risk team ... as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC ...
Value Based Coder II
Houston, TX · On-site +1
$25.30 - $35.74/hr
The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk ... as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC ...
Value Based Coder II
Houston, TX · On-site +1
$25.30 - $35.74/hr
The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk ... as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC ...
Value Based Coder II
Houston, TX · On-site
$25.30 - $35.74/hr
The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk ... as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC ...
Value Based Coder II
Houston, TX · On-site
$25.30 - $35.74/hr
The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk ... as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC ...
RN Field Coder
Mcallen, TX · On-site
Minimum of two (2+) years in CMS HCC Risk Adjustment Coding. * Minimum of two (2+) years' experience in medical records, claims or billing area is an asset or equivalent combination of education and ...
RN Field Coder
Mcallen, TX · On-site
Minimum of two (2+) years in CMS HCC Risk Adjustment Coding. * Minimum of two (2+) years' experience in medical records, claims or billing area is an asset or equivalent combination of education and ...
RN Field Coder
Mcallen, TX · On-site
Minimum of two (2+) years in CMS HCC Risk Adjustment Coding. Minimum of two (2+) years' experience in medical records, claims or billing area is an asset or equivalent combination of education and ...
RN Field Coder
Mcallen, TX · On-site
Minimum of two (2+) years in CMS HCC Risk Adjustment Coding. Minimum of two (2+) years' experience in medical records, claims or billing area is an asset or equivalent combination of education and ...
RN Field Coder
Mcallen, TX · On-site
Minimum of two (2+) years in CMS HCC Risk Adjustment Coding. * Minimum of two (2+) years' experience in medical records, claims or billing area is an asset or equivalent combination of education and ...
RN Field Coder
Mcallen, TX · On-site
Minimum of two (2+) years in CMS HCC Risk Adjustment Coding. * Minimum of two (2+) years' experience in medical records, claims or billing area is an asset or equivalent combination of education and ...
RN Field Coder
San Antonio, TX · On-site
Minimum of two (2+) years in CMS HCC Risk Adjustment Coding. Minimum of two (2+) years' experience in medical records, claims or billing area is an asset or equivalent combination of education and ...
RN Field Coder
San Antonio, TX · On-site
Minimum of two (2+) years in CMS HCC Risk Adjustment Coding. Minimum of two (2+) years' experience in medical records, claims or billing area is an asset or equivalent combination of education and ...
RN Field Coder
Mcallen, TX · On-site
Minimum of two (2+) years in CMS HCC Risk Adjustment Coding. * Minimum of two (2+) years' experience in medical records, claims or billing area is an asset or equivalent combination of education and ...
RN Field Coder
Mcallen, TX · On-site
Minimum of two (2+) years in CMS HCC Risk Adjustment Coding. * Minimum of two (2+) years' experience in medical records, claims or billing area is an asset or equivalent combination of education and ...
HCC Coding Analyst 1
Austin, TX · On-site
$28.06 - $44.20/hr
Certified Risk Adjustment Coder (CRC) through AAPC obtained within 1 year of hire Preferred Qualifications * CRC certification already obtained * ICD-CM diagnosis coding experience Physical ...
New
HCC Coding Analyst 1
Austin, TX · On-site
$28.06 - $44.20/hr
Certified Risk Adjustment Coder (CRC) through AAPC obtained within 1 year of hire Preferred Qualifications * CRC certification already obtained * ICD-CM diagnosis coding experience Physical ...
New
Director, Clinical Documentation Improvement
$76K - $104K/yr
Provider Education and Audit Workflow ● Develop and maintain a comprehensive provider education library covering risk adjustment best practices, HCC coding, and documentation specificity. ● ...
Quick apply
Director, Clinical Documentation Improvement
$76K - $104K/yr
Provider Education and Audit Workflow ● Develop and maintain a comprehensive provider education library covering risk adjustment best practices, HCC coding, and documentation specificity. ● ...
Director, Clinical Documentation Improvement
Houston, TX · On-site
$76K - $104K/yr
Provider Education and Audit Workflow • Develop and maintain a comprehensive provider education library covering risk adjustment best practices, HCC coding, and documentation specificity. • ...
Director, Clinical Documentation Improvement
Houston, TX · On-site
$76K - $104K/yr
Provider Education and Audit Workflow • Develop and maintain a comprehensive provider education library covering risk adjustment best practices, HCC coding, and documentation specificity. • ...
Telehealth Nurse Practitioner
Austin, TX · Remote
$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 ...
Telehealth Nurse Practitioner
Austin, TX · Remote
$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 ...
... HCC Mode; or any combination of education and experience, which would provide an equivalent ... Prefer AAPC Certified Risk Adjustment Coder (CRC) certification. Please be advised that Elevance ...
New
... HCC Mode; or any combination of education and experience, which would provide an equivalent ... Prefer AAPC Certified Risk Adjustment Coder (CRC) certification. Please be advised that Elevance ...
New
Certified Professional Coder (CPC) or equivalent certification (RHIA, RHIT, CRC or CCS) Preferred Qualifications: * Expertise in risk adjustment, HCC coding, and CMS guidelines * Experience in ...
Certified Professional Coder (CPC) or equivalent certification (RHIA, RHIT, CRC or CCS) Preferred Qualifications: * Expertise in risk adjustment, HCC coding, and CMS guidelines * Experience in ...
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...
Internship Hcc Risk Adjustment Coder information
What is the difference between Internship Hcc Risk Adjustment Coder vs Hcc Risk Adjustment Coder?
| Aspect | Internship Hcc Risk Adjustment Coder | Hcc Risk Adjustment Coder |
|---|---|---|
| Credentials | Typically none or basic certifications | Certifications like CPC, CCS, or RHIT often required |
| Work Environment | Internship setting, training-focused | Full-time professional setting, independent work |
| Employer & Industry | Hospitals, healthcare providers, training programs | Healthcare organizations, insurance companies |
| Search & Comparison Intent | Learning, entry-level roles, training | Professional, experienced roles, career advancement |
The Internship Hcc Risk Adjustment Coder is an entry-level position designed for training and gaining experience, often without requiring certifications. In contrast, the Hcc Risk Adjustment Coder is a full-time professional role that typically requires relevant certifications and experience. Both roles are within the healthcare industry, but they differ significantly in responsibilities, expectations, and career progression.
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- Seasonal Medical Billing Coding Willing To Train
- Entry Level Risk Adjustment Coder
Full-time
Re-posted 21 days ago
Job description
VMG Health supports a nationwide network of clients with over 70,000 engagements, exclusively in the healthcare industry. Our national client base ranges from large health systems to small practices and everything in between, including investors and private equity firms. VMG Health provides a solutions-oriented approach to client needs through our strong market position, extensive contacts, unparalleled tools and solutions, and expert insights. We are proud to serve as the single source for all our clients’ valuation, strategic, and compliance needs.
Requirements:We are seeking an experienced Director to support the continued growth of our Coding, Audit, Compliance, and Revenue Cycle Management (RCM) consulting practice. This role will provide strategic leadership across client engagements, with a particular focus on coding compliance, revenue cycle operations, and risk adjustment (RADV/HCC).
The Director will play a key role in designing and delivering provider-focused education and training programs across multiple specialties, supporting documentation improvement, coding accuracy, and overall compliance.
This individual will lead complex engagements, guide high-performing teams, and partner with clients to develop actionable, compliant, and operationally effective solutions. This is a highly visible, client-facing role with opportunities to contribute to service line innovation and business development.
Key Responsibilities
Client Engagement & Leadership
- Provide strategic oversight for coding, audit, compliance, and revenue cycle engagements
- Serve as a trusted advisor to clients, delivering clear, actionable recommendations
- Ensure delivery of accurate, high-quality, and audit-defensible work products
- Lead executive-level presentations and client discussions
Revenue Cycle & Risk Adjustment Expertise
- Lead and advise on RCM initiatives, including coding, billing, audit, and revenue integrity
- Oversee RADV/HCC audits and documentation improvement strategies
- Evaluate provider documentation and coding accuracy to ensure compliance with CMS and payer requirements
- Identify opportunities to improve reimbursement, risk capture, and operational performance
Team Leadership & Development
- Mentor and develop Managers, Auditors, and consulting staff
- Provide guidance on engagement execution, quality standards, and client communication
- Foster a collaborative, high-performing team environment
Business Development
- Develop and maintain client relationships to support growth
- Identify and pursue new business opportunities
- Participate in proposals, presentations, and industry events
- Contribute to thought leadership, including publications and speaking engagements
Qualifications
Experience
- 8+ years of healthcare industry experience
- Proven experience in Revenue Cycle Management (RCM) and healthcare operations
- Demonstrated expertise in HCC/risk adjustment coding and documentation
Technical Expertise
- Strong knowledge of:
- ICD-10-CM, CPT®, and HCPCS coding
- E/M documentation guidelines
- CMS regulations and payer requirements
- Revenue cycle processes (coding, billing, denials, reconciliation)
Credentials
- CPC, CPMA, CRC required
- Bachelor’s degree preferred
Skills & Competencies
- Strong analytical and problem-solving abilities
- Excellent written and verbal communication skills
- Executive presence and client-facing experience
- Ability to manage multiple complex projects simultaneously
- Detail-oriented with a strong focus on quality and compliance
About VMG Health
Sourced by ZipRecruiter
Industry
Business management consulting
Company size
51 - 200 Employees
Headquarters location
Dallas, TX, US
Year founded
1995