1

Senior Hcc Risk Adjustment Coder Jobs in Arizona

Experience with risk adjustment mechanisms * Experience with Provider reimbursement streams (i.e ... Work you'll do As an Actuarial Senior Manager, you will: * Provide strategic and technical ...

... Risk Adjustment Clinical Compliance & Policy Development This includes representing the company to ... Participating in documentation and coding activities, including provider education and review ...

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

This includes executing key data integrity controls, reconciliations, adjustments, and analytics ... senior risk stakeholders before report distribution internally and to regulators. Job ...

... senior coding resource for complex procedural, surgical, specialty, and payer-related coding ... areas of risk and provide recommendations to Coding leadership/CDI. • Support audit trend ...

Showing results 21-40

Senior Hcc Risk Adjustment Coder information

What does a Senior HCC Risk Adjustment Coder do?

A Senior HCC Risk Adjustment Coder reviews medical records and assigns appropriate ICD-10 codes to ensure accurate risk adjustment for healthcare organizations. Their work supports proper reimbursement and compliance by identifying and coding Hierarchical Condition Categories (HCCs) based on clinical documentation. Senior coders typically have advanced knowledge of coding guidelines, risk adjustment models, and relevant regulations such as Medicare Advantage requirements. They may also audit coding work, provide training, and help implement best practices within their teams.

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

To thrive as a Senior HCC Risk Adjustment Coder, you need in-depth knowledge of ICD-10-CM coding, risk adjustment methodologies, and a relevant credential such as CPC, CRC, or CCS. Familiarity with coding software, EHR systems, and risk adjustment analytics platforms is essential. Attention to detail, analytical thinking, and strong communication skills distinguish top performers in this role. These skills ensure accurate documentation and coding, directly impacting healthcare organizations' compliance and financial outcomes.

What are some common challenges faced by Senior HCC Risk Adjustment Coders, and how can they be addressed?

Senior HCC Risk Adjustment Coders often encounter challenges such as keeping up with frequent coding guideline updates, navigating complex electronic health record systems, and ensuring accurate documentation to support risk adjustment scores. To address these, staying current with industry training and certification requirements is essential, as is developing strong communication skills to collaborate effectively with providers and other coding professionals. Regular auditing and feedback can also help maintain high accuracy and compliance, contributing to both individual and team success.

What are the most commonly searched types of Hcc Risk Adjustment Coder jobs in Arizona?

The most popular types of Hcc Risk Adjustment Coder jobs in Arizona are:

Infographic showing various Senior Hcc Risk Adjustment Coder job openings in Arizona as of July 2026, with employment types broken down into 83% Full Time, and 17% Contract. Highlights an 83% In-person, and 17% Hybrid 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 16 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!


#Admin

21001