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Manager Hcc Risk Adjustment Jobs in Texas (NOW HIRING)

Mehta Medical Group PLLC

$20 - $25/hr

Revenue Cycle Manager Position Summary We are seeking a highly skilled, detail-driven, and high ... HCC/RAF risk adjustment concepts * Experience with EMR systems (eCW preferred but not required ...

Mehta Medical Group PLLC

$20 - $25/hr

Revenue Cycle Manager Position Summary We are seeking a highly skilled, detail-driven, and high ... HCC/RAF risk adjustment concepts * Experience with EMR systems (eCW preferred but not required ...

Wellspire Medical Group

CPC Coder

Houston, TX · On-site

Revenue Cycle Manager Position Summary We are seeking a highly skilled, detail-driven, and high ... HCC/RAF risk adjustment concepts * Experience with EMR systems (eCW preferred but not required ...

Wellspire Medical

CPC Coder

Kingwood, TX · On-site

Revenue Cycle Manager Position Summary We are seeking a highly skilled, detail-driven, and high ... HCC/RAF risk adjustment concepts • Experience with EMR systems (eCW preferred but not required ...

3B Healthcare, Inc.

Administrative- Certified Coder

Dallas, TX · On-site

$22.50 - $30/hr

... HCC and HEDIS CAT II, Risk Adjustment - REQUIRED Must be able to handle HIGH Volume of cases - REQUIRED Evaluation Management experience - REQUIRED Ability to assign CPT codes - REQUIRED Knowledge ...

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Manager Hcc Risk Adjustment information

What is the difference between Manager Hcc Risk Adjustment vs Hcc Risk Adjustment Specialist?

AspectManager Hcc Risk AdjustmentHcc Risk Adjustment Specialist
CredentialsTypically requires a bachelor’s degree, industry certifications (e.g., CPC, CCS), and experience in healthcare or risk adjustmentOften requires similar certifications and experience but may have less managerial responsibility
Work EnvironmentSupervises teams, manages projects, and collaborates with multiple departmentsFocuses on data analysis, coding, and risk adjustment tasks, often working independently or in small teams
Employer & Industry UsageCommonly employed by health plans, healthcare providers, and risk adjustment vendorsFound within similar organizations, often as a specialized role supporting risk adjustment processes

The main difference is that the Manager Hcc Risk Adjustment oversees teams and manages projects, while the Hcc Risk Adjustment Specialist focuses on technical tasks like data analysis and coding. Both roles require relevant certifications and industry experience, but the manager role involves leadership responsibilities.

What are the key skills and qualifications needed to thrive as a Manager HCC Risk Adjustment?

To thrive as a Manager HCC Risk Adjustment, you need expertise in healthcare coding (especially ICD-10), risk adjustment methodologies, and a background in health administration or a related field, often supported by a relevant degree and coding certifications like CRC or CPC. Familiarity with risk adjustment analytics platforms, EHR systems, and healthcare data reporting tools is important. Strong leadership, analytical thinking, and effective communication skills enable you to guide teams and collaborate across departments. These skills and qualifications are essential to ensure accurate risk scoring, regulatory compliance, and optimal reimbursement for healthcare organizations.

How does a Manager HCC Risk Adjustment typically collaborate with other departments to ensure accurate risk scoring?

A Manager HCC Risk Adjustment frequently partners with coding teams, clinical staff, and data analysts to ensure that documentation and coding accurately reflect patient conditions for risk adjustment purposes. This collaboration often involves leading training sessions, reviewing charts for compliance, and coordinating audits to identify documentation gaps. Working closely with these departments helps ensure data integrity, optimize risk scores, and support organizational goals related to reimbursement and quality reporting.

What is a Manager HCC Risk Adjustment?

Manager HCC Risk Adjustment jobs involve overseeing teams and processes that assess and improve Hierarchical Condition Category (HCC) coding and risk adjustment in healthcare organizations. These managers ensure accurate documentation and coding of patient diagnoses to optimize reimbursement and compliance with government regulations. They collaborate with coders, clinicians, and data analysts to monitor performance, provide training, and implement best practices. Their role is critical in maximizing risk-adjusted revenue while maintaining high standards of patient data integrity.
What are the most commonly searched types of Hcc Risk Adjustment jobs in Texas? The most popular types of Hcc Risk Adjustment jobs in Texas are:
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Manager Hcc Risk Adjustment jobs near you
Infographic showing various Manager Hcc Risk Adjustment job openings in Texas as of August 2026, with employment types broken down into 94% Full Time, and 6% Contract. Highlights an 75% In-person, and 25% Remote job distribution.

Administrative - Certified Coder (Days)

3B Healthcare, Inc.

Dallas, TX • On-site

$22.50 - $30/hr

Other

Re-posted 8 days ago

Job description

Job Description
  • REMOTE position
  • WebEx video interview will be conducted prior to an offer
  • MUST be able to work 40 hrs/week without issue
  • Applicant must have the necessary equipment for the contract; 2 monitors, keyboard, mouse, web camera. If not, Agency must supply ahead of start date.
Knowledge and Expertise:
Must demonstrate a solid understanding of Coding Guidelines and CPT Guidelines for E/M (Evaluation and Management).
Must be able to answer questions to gauge their coding knowledge.
Clinic Coding Experience:
Must have experience in clinic coding, including:
Office-type procedures
Vaccinations
E/M leveling
Modifiers: Familiarity with modifiers used in the clinic setting is essential.
Risk Adjustment Experience: While Risk Adjustment experience is acceptable, the candidate must also possess clinic coding experience as well.
Experience in Specialty Areas:
The candidate must have experience in at least five (5) of the following areas:
  • Internal Medicine
  • Cardiology
  • Chronic Kidney Disease
  • Transplant Clinic
  • Orthopedics
  • Rheumatology
  • Dermatology
  • Acute Response Care (ARC)
  • Follow-Up Surgery
  • HIV/AIDS
  • Sleep Center
  • Pediatrics
  • OB Clinic
  • OB Complications
  • OB Triage
  • Hospitalist
  • Inpatient Specialties
  • Inpatient Newborn
  • Inpatient Newborn Delivery
Submission Requirements
  • AAPC certificate required; MUST be CPC, CPC-H and/or COC
  • Clinic Coding experience REQUIRED
  • knowledgeable in ICD-9/ICD-10-CM/PCS, CPT-4/HCPCS, HCC and HEDIS CAT II, E/M coding
  • knowledge & proficiency of EPIC EHR and 3M 360 coding is encouraged
  • ability to assign CPT codes
  • Must have experience in clinic coding including office type procedures, vaccinations, E/M leveling
File Requirements
  • Resume/Work history
  • Skills Checklist
  • Copy of Certification(s)
  • At least 1 reference
  • MUST note on profile if Applicant has been a past traveler or FTE of Parkland Health

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