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Seasonal Hcc Risk Adjustment Coding Jobs in Phoenix, AZ

Adobecw

Strategic Advisor - Contractor

Phoenix, AZ · On-site

$120 - $180/hr

Risk Adjustment (HCC) * Quality Improvement Programs * STARS/HEDIS Initiatives * Gap Closure Programs * Palliative Care * Home‑Based Clinical Services * Remote Patient Monitoring * Respiratory Care ...

Priority OnDemand

Nurse Practitioner

Phoenix, AZ · On-site

... high risk or needing follow up. The NP conducts telehealth assessments, manages care plans ... HCC coding, HEDIS measures is a plus (not required) • Telehealth experience preferred (not ...

PRIORITY ONDEMAND

Nurse Practitioner

Phoenix, AZ · Remote

... high risk or needing follow up. The NP conducts telehealth assessments, manages care plans ... HCC coding, HEDIS measures is a plus (not required) • Telehealth experience preferred (not ...

Priority OnDemand

Nurse Practitioner

Phoenix, AZ · On-site

... high risk or needing follow up. The NP conducts telehealth assessments, manages care plans ... HCC coding, HEDIS measures is a plus (not required) • Telehealth experience preferred (not ...

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All JobsHcc Risk Adjustment Coding JobsSeasonal Hcc Risk Adjustment Coding JobsSeasonal Hcc Risk Adjustment Coding Jobs in Phoenix, AZ

Seasonal Hcc Risk Adjustment Coding information

What is a seasonal HCC risk adjustment coder?

A Seasonal HCC Risk Adjustment Coder is a healthcare professional who reviews medical records to identify and code diagnoses that impact risk adjustment scores, typically during peak periods such as the Medicare Advantage sweep season. HCC stands for Hierarchical Condition Category, a coding system used by Medicare to predict healthcare costs based on patient diagnoses. These coders ensure accurate documentation, which directly affects insurance reimbursement and compliance. Seasonal roles are common due to the cyclical nature of risk adjustment reporting deadlines.

What are the key skills and qualifications needed to thrive as a seasonal HCC risk adjustment coder?

To thrive as a Seasonal HCC Risk Adjustment Coder, you need a strong understanding of ICD-10-CM coding, risk adjustment methodologies, and a certification such as CPC, CRC, or CCS. Proficiency in coding software, electronic health records (EHRs), and risk adjustment platforms is typically required. Attention to detail, analytical thinking, and strong organizational skills help ensure accuracy and compliance in reviewing medical records. These skills are essential to accurately capture patient risk profiles, support healthcare reimbursement, and maintain regulatory compliance.

What are the most common challenges faced by professionals in seasonal HCC risk adjustment coding roles, and how can they be managed?

Seasonal HCC Risk Adjustment Coders often face the challenge of managing high volumes of medical records within tight deadlines, especially during peak audit or submission periods. Ensuring coding accuracy and compliance with evolving CMS guidelines can also be demanding, as even minor errors may impact reimbursement and risk scores. Staying organized, regularly participating in training updates, and leveraging coding software tools can help manage workloads and maintain accuracy. Collaborating closely with clinical teams and other coders is vital for clarifying documentation and sharing best practices.

What is the difference between Seasonal Hcc Risk Adjustment Coding vs Hcc Risk Adjustment Coding?

AspectSeasonal Hcc Risk Adjustment CodingHcc Risk Adjustment Coding
CredentialsCertifications in coding and risk adjustmentCertifications in coding and risk adjustment
Work EnvironmentHealthcare facilities, insurance companies, remoteHealthcare facilities, insurance companies, remote
Industry UsageUsed seasonally for specific risk adjustmentsUsed year-round for ongoing risk management
Search IntentUnderstanding seasonal coding differencesGeneral risk adjustment coding practices

Seasonal Hcc Risk Adjustment Coding focuses on coding practices during specific times of the year, often related to seasonal health trends. In contrast, Hcc Risk Adjustment Coding involves continuous coding to manage patient risk profiles throughout the year. Both roles require similar certifications and work environments but differ mainly in their temporal focus and application.

What are popular job titles related to Seasonal Hcc Risk Adjustment Coding jobs in Phoenix, AZ?

For Seasonal Hcc Risk Adjustment Coding jobs in Phoenix, AZ, the most frequently searched job titles are:

What job categories do people searching Seasonal Hcc Risk Adjustment Coding jobs in Phoenix, AZ look for?

The top searched job categories for Seasonal Hcc Risk Adjustment Coding jobs in Phoenix, AZ are:

Seasonal Hcc Risk Adjustment Coding jobs near you
Infographic showing various Seasonal Hcc Risk Adjustment Coding job openings in Phoenix, AZ as of August 2026, with employment types broken down into 85% Full Time, 10% Part Time, and 5% Contract. Highlights an 95% In-person, and 5% Remote job distribution.

Director of Value-Based Care

HealthOp Solutions

Scottsdale, AZ • On-site

$125K - $145K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 2 days ago

Job description

Now Hiring: Director of Value-Based Care

Location: Scottsdale, Arizona

Schedule: Regular Working Hours (Monday–Friday)

Work Environment: Office-based with collaboration across multiple physician practice locations throughout Arizona.

Travel Required: Occasional travel between clinic locations and partner meetings as needed.

Compensation: $125,000 – $145,000 annually (DOE)

Bonus Offered: Potential performance-based incentive.

Benefits Offered:

Medical, Dental, Vision, 401(k), Paid Holidays, Paid Time Off, Career Development Opportunities

Why work with us:

Join a growing, multi-site healthcare organization serving a large and diverse patient population through an extensive network of care locations and providers. We are committed to delivering personalized, prevention-focused care that helps patients achieve better long-term health outcomes. Our collaborative culture encourages innovation, leadership, and continuous improvement, empowering our teams to make a meaningful impact every day.

What our ideal new team member looks like:

You are a strategic healthcare leader with extensive experience driving value-based care initiatives, improving quality outcomes, and leading multidisciplinary teams. You thrive in a collaborative environment, understand the complexities of risk-based reimbursement models, and are passionate about improving patient care while achieving organizational performance goals.

Job Summary:

The Director of Value-Based Care is responsible for leading the organization's strategic initiatives that improve clinical outcomes, strengthen care coordination, and optimize performance across all value-based contracts. This position oversees the operational functions of Risk Stratification, Quality Gap Closure, and Population Health Management while driving operational excellence, quality improvement, and financial performance. The Director works closely with executive leadership, clinical teams, analytics, and operational stakeholders to ensure successful execution of value-based strategies across the organization.

Job Duties & Responsibilities:
  • Lead the organization's value-based care strategy across all risk-bearing contracts and value-based programs.
  • Direct the operational oversight of Risk Stratification, Quality Gap Closure, and Population Health Management teams.
  • Ensure value-based initiatives achieve targeted financial, quality, and operational performance metrics.
  • Partner with executive leadership, including the Chief Medical Officer and Chief Executive Officer, to develop strategic initiatives that improve patient outcomes.
  • Oversee high-risk patient management, transitions of care, care coordination, and chronic disease management programs.
  • Collaborate with clinical, operational, analytics, and information technology teams to improve care delivery and performance.
  • Evaluate and adjust value-based strategies based on payer requirements, regulatory changes, and organizational objectives.
  • Work closely with business development, marketing, operations, and payer partners to support attribution growth and value-based initiatives.
  • Develop and maintain strong relationships with payers, provider networks, specialists, and community partners.
  • Lead, mentor, and develop high-performing teams while promoting accountability, collaboration, and continuous improvement.
  • Maintain expertise in value-based reimbursement models, HEDIS measures, HCC coding, risk adjustment methodologies, quality incentive programs, and payer portal functionality.
  • Monitor organizational performance through data analytics and reporting to identify opportunities for improvement and strategic growth.
Prerequisites / License & Certification Requirements:
  • Bachelor's degree in Healthcare Administration, Business Administration, or related field required.
  • Master's degree preferred.
  • 7–10 years of progressive healthcare leadership experience with emphasis on Value-Based Care, Population Health, Accountable Care Organizations (ACO), or risk-based reimbursement models.
  • Demonstrated success leading value-based care initiatives within physician practice, medical group, or multi-site healthcare environments.
  • Strong understanding of healthcare reimbursement, regulatory requirements, quality improvement methodologies, and industry trends.
  • Experience managing departmental budgets, financial performance, or P&L responsibilities.
  • Proficiency with electronic medical records, healthcare analytics platforms, reporting tools, and population health technology.
  • Exceptional leadership, communication, strategic planning, and relationship-building skills.

If you meet all of our criteria and would like to be considered, please apply with your most updated Resume/CV. Cover Letter and references are preferred but optional. We look forward to meeting with you!

Requirements

  • Bachelor’s degree in Healthcare Administration, Business Administration, or related field required
  • 7–10 years of progressive leadership experience in healthcare
  • Experience overseeing a P&L or managing large-scale initiatives or departmental budgets
  • Proficiency with electronic medical records, healthcare data, analytics, and reporting systems.