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Non Union Hcc Risk Adjustment Jobs (NOW HIRING)

Vertek Staffing

HCC Risk Adjustment Coder

Franklin, TN · Remote

$18 - $24/hr

HCC / Risk Adjustment Coder - Remote Risk Adjustment / HCC Coding Experience Required Required Education * High School Diploma required with submission Required Certifications Online certification ...

Mercor

HCC Coding Leader - Risk Adjustment

New York, NY · Remote

$110/hr

Risk-adjustment / HCC coding leader Type: Contract Compensation: $110/hour Location: Remote Role Responsibilities * Lead risk adjustment and HCC coding operations across Medicare Advantage , Medicaid ...

New

Regal Medical Group, Inc.

$25 - $27/hr

Risk Adjustment Auditors collaborate with the Manager to provide expertise in the use and ... non-submittals (lab), ancillary, and pharmaceutical services for HCC values. * Perform both ...

Regal Medical Group, Inc.

$33 - $36/hr

Risk Adjustment Auditors collaborate with the Manager to provide expertise in the use and ... non-submittals (lab), ancillary, and pharmaceutical services for HCC values. * Perform both ...

Centrum Health

Risk Adjustment Analyst

Doral, FL

Familiarity with CMS-HCC and HHS-HCC risk Adjustment Models * Familiarity with HEDIS and MSSP Quality Reporting PROFESSIONAL COMPETENCIES * Expertise in analytics, statistics, data visualization, or ...

New

Regal Medical Group

SR. HCC Coder

West Hills, CA · On-site

$30 - $33/hr

Risk Adjustment Auditors collaborate with the Manager to provide expertise in the use and ... non-submittals (lab), ancillary, and pharmaceutical services for HCC values. * Perform both ...

Centrum Health

Risk Adjustment Analyst

Doral, FL · On-site

Familiarity with CMS-HCC and HHS-HCC risk Adjustment Models * Familiarity with HEDIS and MSSP Quality Reporting PROFESSIONAL COMPETENCIES * Expertise in analytics, statistics, data visualization, or ...

Pathways Health Partners

HCC Risk Coder

Leesburg, FL · On-site

$16.75 - $22.25/hr

An active CRC (certified risk adjustment coder) or CPC (certified professional coder) preferred. 2. ... MRA), HCC coding documentation guidelines, rules, and regulation. 4. Two years' demonstrated ...

Pathways Health Partners

HCC Risk Coder

Leesburg, FL · On-site +1

$16.75 - $22.25/hr

An active CRC (certified risk adjustment coder) or CPC (certified professional coder) preferred. 2. ... MRA), HCC coding documentation guidelines, rules, and regulation. 4. Two years' demonstrated ...

GeBBS Healthcare Solutions

Risk Adjustment Coder (C)

Job Type Full-time Description This is a flexible CMS HCC/Risk Validation Audit role for a seasonal ... Minimum 5 years verifiable risk adjustment coding experience post certification * Must be able to ...

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Non Union Hcc Risk Adjustment information

How much do HCC coders make in the US?

HCC coders, specializing in Hierarchical Condition Category coding, typically earn between $50,000 and $80,000 annually in the US, depending on experience, certification, and location. Experienced coders with certifications like CPC or CCS may earn higher salaries, especially in healthcare hubs or with remote work options.

Are medical coders still in demand?

Medical coders, including those specializing in HCC risk adjustment, are in steady demand due to the ongoing need for accurate medical billing and coding in healthcare. The role often requires certification and familiarity with coding systems like ICD-10, and job opportunities are expected to grow as healthcare organizations prioritize compliance and reimbursement accuracy.

What is the difference between Non Union Hcc Risk Adjustment vs Non Union Medical Coder?

AspectNon Union Hcc Risk AdjustmentNon Union Medical Coder
CredentialsCertifications in risk adjustment, coding, or healthcare analyticsMedical coding certifications (CPC, CCS, etc.)
Work EnvironmentInsurance companies, healthcare analytics firms, or risk adjustment departmentsHospitals, clinics, or medical billing companies
Industry UsageFocuses on risk scoring for insurance reimbursement and healthcare planningFocuses on translating medical records into codes for billing and documentation

Non Union Hcc Risk Adjustment specialists primarily analyze health data to optimize risk scores for insurance purposes, while Non Union Medical Coders focus on accurately coding medical records for billing. Both roles require healthcare certifications but differ in their core functions and work settings.

What does HCC mean in risk adjustment?

In risk adjustment roles like Non Union Hcc Risk Adjustment, HCC stands for Hierarchical Condition Categories, which are used to model healthcare costs based on patient diagnoses. Accurate coding of HCCs helps insurers predict healthcare expenses and set appropriate premiums, making knowledge of HCCs essential for risk adjustment specialists.
More about Non Union Hcc Risk Adjustment jobs
What cities are hiring for Non Union Hcc Risk Adjustment jobs? Cities with the most Non Union Hcc Risk Adjustment job openings:
What are the most commonly searched types of Hcc Risk Adjustment jobs? The most popular types of Hcc Risk Adjustment jobs are:
What states have the most Non Union Hcc Risk Adjustment jobs? States with the most job openings for Non Union Hcc Risk Adjustment jobs include:
What job categories do people searching Non Union Hcc Risk Adjustment jobs look for? The top searched job categories for Non Union Hcc Risk Adjustment jobs are:
Non Union Hcc Risk Adjustment jobs near you
Infographic showing various Non Union Hcc Risk Adjustment job openings in the United States as of June 2026, with employment types broken down into 100% As Needed. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.
HCC Risk Adjustment Coder

HCC Risk Adjustment Coder

Vertek Staffing

Franklin, TN • Remote

$18 - $24/hr

Contractor

Posted 7 days ago

Job description

HCC / Risk Adjustment Coder - Remote

Risk Adjustment / HCC Coding Experience Required

Required Education
  • High School Diploma required with submission
Required Certifications

Online certification verification required with submission.

Candidates must possess one of the following certifications:

  • Certified Professional Coder (CPC) - AAPC
  • Certified Risk Adjustment Coder (CRC) - AAPC
  • Certified Coding Specialist (CCS) - AHIMA
  • Registered Health Information Technician (RHIT) - AHIMA
  • Registered Health Information Administrator (RHIA) - AHIMA

CRC Certification is highly preferred.

Schedule
  • Monday - Friday
  • Occasional weekend coverage may be required based on client needs
Position Summary

The HCC / Risk Adjustment Coder is responsible for reviewing medical records and clinical documentation to accurately identify, validate, and code chronic and acute conditions impacting patient risk scores and reimbursement.

The coder will ensure accurate assignment of ICD-10-CM diagnosis codes in accordance with CMS Risk Adjustment guidelines, Official ICD-10-CM Coding Guidelines, and client-specific requirements. This role supports Risk Adjustment initiatives through retrospective chart reviews, prospective reviews, coding validation, provider education support, and quality assurance activities.

The HCC Coder will collaborate with providers, CDI professionals, quality teams, population health departments, and coding leadership to ensure complete and accurate capture of chronic conditions and disease burden.

Key Responsibilities
  • Review medical records to identify and code HCC-eligible diagnoses.
  • Assign ICD-10-CM diagnosis codes in accordance with CMS and Risk Adjustment guidelines.
  • Validate chronic conditions and ensure documentation supports code assignment.
  • Perform retrospective and prospective chart reviews.
  • Identify missed HCC opportunities and documentation gaps.
  • Assist with coding validation and quality assurance audits.
  • Support provider education initiatives regarding Risk Adjustment documentation requirements.
  • Maintain productivity and quality standards established by the client.
  • Participate in internal and external audit activities.
  • Stay current on CMS Risk Adjustment regulations, coding updates, and industry best practices.
  • Assist leadership with special projects and additional duties as assigned.
Required Experience
  • Risk Adjustment / HCC coding experience required
  • Strong understanding of ICD-10-CM coding guidelines
  • Experience reviewing outpatient and provider documentation
  • Knowledge of CMS-HCC Risk Adjustment methodologies
  • Experience validating chronic conditions and disease burden
  • Strong attention to detail and coding accuracy
Preferred Experience
  • CRC certification
  • Experience with Medicare Advantage populations
  • Experience with value-based care programs
  • Experience performing coding audits and quality reviews
  • Experience with Epic, Cerner, Athena, eClinicalWorks, NextGen, or other EMR systems
  • Experience educating providers on Risk Adjustment documentation
 
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About Vertek Solutions

Sourced by ZipRecruiter

Vertek Solutions is a boutique staffing firm that specializes in recruiting top level IT talent who can enhance our clients’ teams. Our team works every day to foster relationships with both our consultants and clients to understand their needs and ensure that we are providing a solution that is mutually beneficial.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Franklin, TN, US

Year founded

2006

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