ZipRecruiter

Log In

1

Rn Hcc Coder Jobs (NOW HIRING)

Vertek Staffing

HCC Risk Adjustment Coder

Franklin, TN · Remote

$18 - $24/hr

Registered Health Information Technician (RHIT) - AHIMA * Registered Health Information ... The HCC Coder will collaborate with providers, CDI professionals, quality teams, population health ...

Phsorg

HCC Coder with CRC

$24.27 - $41.33/hr

HCC Coder with CRC Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled ... 700 nurses. Our health plan serves more than 580,000 members statewide and offers Medicare ...

Lucy Corr

RN HCC PT

Chesterfield, VA · On-site

$44 - $46/hr

A valid RN license to work in the state of Virginia. * Knowledge of emergency transference procedures * Knowledge of pharmacology as applied to preparing and distributing medications * Ability to ...

next page

Showing results 1-20

All JobsHealthcare JobsHospital JobsMedical Coder JobsRN Hcc Coder Jobs

Rn Hcc Coder information

See salary details

$17

$19

$22

How much do rn hcc coder jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for rn hcc coder in the United States is $19.74, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $20.67 per hour, depending on experience, location, and employer.

What is an RN HCC Coder?

An RN HCC Coder is a Registered Nurse who specializes in Hierarchical Condition Category (HCC) coding. They review medical records, identify diagnoses, and ensure accurate coding to reflect the complexity and severity of a patient's health conditions. This information is essential for proper risk adjustment and reimbursement in healthcare settings, especially in Medicare Advantage and other value-based care programs. RN HCC Coders use their clinical knowledge and coding expertise to improve documentation and compliance, ultimately supporting optimal patient care and organizational outcomes.

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

To thrive as an RN HCC Coder, you need a current Registered Nurse license, strong knowledge of clinical documentation, and expertise in risk adjustment and HCC (Hierarchical Condition Category) coding principles. Familiarity with coding systems like ICD-10, EHR platforms, and certifications such as CRC (Certified Risk Adjustment Coder) or CCS are typically expected. Attention to detail, analytical thinking, and effective communication are crucial soft skills for accurately interpreting medical records and collaborating with healthcare teams. These skills and qualifications ensure precise coding, compliance with regulations, and optimal reimbursement for healthcare organizations.

What are some common challenges faced by RN HCC Coders when ensuring accurate risk adjustment coding?

RN HCC Coders often encounter challenges such as incomplete or ambiguous clinical documentation, which can make it difficult to assign the correct Hierarchical Condition Category (HCC) codes. Ensuring compliance with constantly evolving coding guidelines and payer requirements is another significant challenge. Collaboration with providers and clinical staff is essential to clarify diagnoses and support accurate coding, and effective communication skills are crucial for addressing documentation gaps. Staying up-to-date with coding updates and maintaining high attention to detail helps RN HCC Coders maintain accuracy and mitigate compliance risks.

What is the difference between Rn Hcc Coder vs Medical Biller?

AspectRn Hcc CoderMedical Biller
CredentialsCertification in coding (e.g., CPC, CCS), knowledge of healthcare regulationsBilling-specific certifications (e.g., Certified Professional Biller), basic coding knowledge
Work EnvironmentHospitals, clinics, healthcare facilities, often in an office settingMedical offices, billing companies, healthcare providers, often in an office setting
Primary ResponsibilitiesAssigning accurate medical codes for diagnoses and procedures based on medical recordsProcessing insurance claims, patient billing, payment follow-up

While both roles involve healthcare financial processes, Rn Hcc Coders focus on accurate medical coding based on clinical documentation, whereas Medical Billers handle the billing and claims submission process. Understanding these differences helps in choosing the right career path or job search focus.

What are popular job titles related to Rn Hcc Coder jobs?

For Rn Hcc Coder jobs, the most frequently searched job titles are:

Infographic showing various Rn Hcc Coder job openings in the United States as of July 2026, with employment types broken down into 5% Locum Tenens, 84% Full Time, 9% Part Time, 1% Contract, and 1% Summer. Highlights an 58% Physical, 2% Hybrid, and 40% Remote job distribution, with an average salary of $41,049 per year, or $19.7 per hour.

HCC Risk Adjustment Coder

Franklin, TN • Remote

Vertek Staffing
Recruiting and Staffing Services • 11 - 50 employees
Learn more about Vertek Staffingexternal

$18 - $24/hr

Contractor

Re-posted 17 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
 
Vertek Solutions logo

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

Social media

FacebookInstagram

View All Vertek Solutions Jobs

Apply