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Rn Hcc Coder Jobs (NOW HIRING)

Altegra Health

Remote Certified Coder

Atlantic City, NJ · Remote

$22.50 - $31/hr

... registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. ...

Altegra Health

Remote Certified Coder

Dallas, TX · Remote

$22.25 - $30.50/hr

... registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. ...

Altegra Health

Remote Certified Coder

Dallas, TX · On-site +1

$22.25 - $30.50/hr

... registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. ...

Altegra Health

Remote Certified Coder

Atlantic City, NJ · On-site +1

$22.50 - $31/hr

... registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. ...

UWHealth

Supervisor - Inpatient Coding

Middleton, WI · On-site +1

$22.25 - $27/hr

HCC-specific Supv: Certified Risk Adjustment Coder (CRC) Upon Hire Required or * Registered Health Information Technician (RHIT) Upon Hire Required or * Registered Health Information Administrator ...

Altegra Health

Remote Certified Coders

Memphis, TN · Remote

$21.75 - $29.75/hr

Active nursing license (RN or LPN) and/or certified coder certification through AHIMA or AAPC ... CMS HCC Risk Adjustment coding and data validation requirements is preferred); Ability to code ...

RN

Registered Nurse, Start of Care

Rome, NY · On-site

$75K - $87K/yr

Understand and follow nurse code of ethics and standards of practice. f. Coordinate with internal ... Report findings and plans to designated RN Case Manager/Care Team and/or Clinical Supervisor. c.

Great Livin'

Registered Nurse

Albuquerque, NM · On-site

Registered Nurse Position Great Livin' LLC is seeking a full time professional registered RN. This ... ICD/DSM codes for medications and diagnoses. * Review in Therap and communicate to HCC ALL:

Great Livin'

Registered Nurse

Albuquerque, NM

Registered Nurse Position Great Livin' LLC is seeking a full time professional registered RN. This ... ICD/DSM codes for medications and diagnoses. * Review in Therap and communicate to HCC ALL:

Altegra Health

Remote Certified Coders

Memphis, TN · On-site +1

$21.75 - $29.75/hr

Qualifications: • Active nursing license (RN or LPN) and/or certified coder certification through ... HCC Risk Adjustment coding and data validation requirements is preferred); • Ability to code ...

RN

Registered Nurse, Start of Care

Rome, NY · On-site

$75K - $87K/yr

Understand and follow nurse code of ethics and standards of practice. f. Coordinate with internal ... Report findings and plans to designated RN Case Manager/Care Team and/or Clinical Supervisor. c.

RN

Registered Nurse, Start of Care

Rome, NY

$75K - $87K/yr

Understand and follow nurse code of ethics and standards of practice. f. Coordinate with internal ... Report findings and plans to designated RN Case Manager/Care Team and/or Clinical Supervisor. c.

Great Livin' LLC

Registered Nurse

Albuquerque, NM

Great Livin' LLC is seeking a full time professional registered RN. This position provides Nursing ... ICD/DSM codes for medications and diagnoses. * Review in Therap and communicate to HCC ALL:

Great Livin' LLC

Registered Nurse

Albuquerque, NM · On-site

$38 - $44/hr

Great Livin' LLC is seeking a full time professional registered RN. This position provides Nursing ... ICD/DSM codes for medications and diagnoses. * Review in Therap and communicate to HCC ALL:

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Rn Hcc Coder information

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How much do rn hcc coder jobs pay per hour?

As of Jun 5, 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 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 are the key skills and qualifications needed to thrive as an RN HCC Coder, and why are they important?

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 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.

Infographic showing various Rn Hcc Coder job openings in the United States as of May 2026, with employment types broken down into 8% As Needed, 1% Full Time, 1% Temporary, 89% Contract, and 1% Nights. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $41,049 per year, or $19.7 per hour.
Risk Adjustment Coder - Risk Management

Risk Adjustment Coder - Risk Management

Kettering Health

Kettering, OH • On-site

Full-time

Posted 11 days ago

Kettering Health rating

7.3

Company rating: 7.3 out of 10

Based on 182 frontline employees who took The Breakroom Quiz

294th of 865 rated healthcare providers

Job description

Job Details

Physician Office | Kettering | Full-Time | First Shift

Responsibilities & Requirements

Responsibilities & Requirements

This position under the direction of the Manager of Professional Services Coding is responsible for coding compliance, HCC capture and EPIC WQ Reconciliation. 

KPN Pro Fee Coding Specialist

Serves as the subject matter expert ensuring coding compliance, knowledge of CMS billing rules and regulations and serves as a professional fee coding resource to network service lines.

  • Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits
  • Reviewing the ambulatory records for the appropriate risk adjustment components
  • Identify opportunities for the provider to have supplemental documentation to support the Hierarchical Condition Category (HCC) codes
  • Accurately assess documentation in EPIC EMR to assign appropriate CPT, HCPCS and ICD-10
  • Reviews and researches pending and denied claims pertaining to professional fee coding, CMS NCCI edits, and/or medical necessity requirements [CMS LDC/NCD and/or payer policy]
  • Demonstrate initiative for maintaining current knowledge of CPT, ICD-10 and CMS NCCI edits
  • Corresponds with providers on pending claims to facilitate resolution
  • Responsible for participating in departmental goals, KHN mission and implemented KHN/KPN policies
  • Communicate appropriately with providers, leaders, and staff
  • Researches and resolves concerns timely

The Risk Adjustment Coder is responsible for coding and abstracting all outpatient patient records using ICD-10-CM and CPT/HCPCS coding rules, federal guideline and KMCN guidelines. Additionally, the Risk Adjustment Coder supports hospital's accounts receivable goals through timely processing of records and physician record completion activities. Impacts delivery of quality patient care and enhanced clinical decision-making process. Supports clinical outcomes measurement and assessment process for service lines. Completes assigned duties and other related tasks. The list is not inclusive, Performs other duties as assigned.

 The Risk Adjustment Coder will supplement the educational offerings of the MSO by providing right-time feedback to providers when documenting or coding the risk adjustment on patient records.  The Risk Adjustment Coder will contribute to overarching educational efforts of the MSO regarding Risk Adjustment.  The Risk Adjustment Coder will offer summarized content, feedback from providers, key barriers or success efforts to executive leaders to assist in the overall risk adjustment of the population. 

The Risk Adjustment Coder will spend some in-person time with providers to foster a relationship and encourage dialogue with risk adjustment to improve overall outcomes. The Risk Adjustment Coder will develop a collegial relationship with the Clinical Documentation Specialist RN (CDS) to partner on the overarching risk adjustment of the population.

Educational Requirements:

High School Diploma or equivalent

RHIT, RHIA, CCS, CCS-P, CPC or eligible specialty certification

Prior experience in professional fee coding/billing

CRC required within 1 year of hire

Overview

Kettering Health is a not-for-profit system of 14 medical centers and more than 120 outpatient facilities serving southwest Ohio. Our mission is to live God's love by promoting and restoring health. Our commitment to our patients is to help individuals be their best. With that context, safety is our top priority. We provide an integrated system of healthcare experts committed to providing exceptional care.

Employment Type: FULL_TIME

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