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Senior Hcc Risk Adjustment Coder Jobs in Georgia

Emory Healthcare

CDCE Data Analyst

Atlanta, GA

$52.37 - $65.06/hr

... coding accuracy, and provider documentation practices. The analyst plays a key role in driving improvements in Case Mix Index (CMI), risk adjustment, and departmental performance by identifying ...

Emory Healthcare

CDCE Data Analyst

Atlanta, GA · On-site

... coding accuracy, and provider documentation practices. The analyst plays a key role in driving improvements in Case Mix Index (CMI), risk adjustment, and departmental performance by identifying ...

Enlace Health

Senior Medical Economics Analyst

Atlanta, GA · On-site

$84K - $112K/yr

Evaluating acuity, case-mix, and coding impacts across populations * Write advanced SQL queries to ... CMS revenue and risk adjustment data * Value-based performance datasets * Strong proficiency in SQL ...

Enlace Health

Senior Medical Economics Analyst

Atlanta, GA · On-site

$84K - $112K/yr

Evaluating acuity, case-mix, and coding impacts across populations * Write advanced SQL queries to ... CMS revenue and risk adjustment data * Value-based performance datasets * Strong proficiency in SQL ...

Truist

Senior Capital Markets Risk Officer

Atlanta, GA · On-site

Directly and indirectly liaise with senior internal and external staff in relation to regulatory ... Adjustment 'CVA', etc.) using complex quantitative risk models. * Provide analytical direction ...

Truist

Senior Capital Markets Risk Officer

Atlanta, GA · On-site

Directly and indirectly liaise with senior internal and external staff in relation to regulatory ... Adjustment 'CVA', etc.) using complex quantitative risk models. * Provide analytical direction ...

Lloyds Register

Risk Management Position Type:Employee Regular Senior Risk Specialist Lloyd's Register Location ... Please let us know if you need any assistance or reasonable adjustments throughout your application ...

CVS Health

Senior Medical Director

Riverdale, GA · On-site

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

Rokstone Group

Risk Analyst

Alpharetta, GA · On-site

$70 - $110/hr

... senior living, mixed‑use developments, and other complex construction projects. You will work ... Please let us know if you require any reasonable adjustments during the recruitment process. #J ...

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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 Georgia?

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

What cities in Georgia are hiring for Senior Hcc Risk Adjustment Coder jobs?

Cities in Georgia with the most Senior Hcc Risk Adjustment Coder job openings:

Senior Hcc Risk Adjustment Coder jobs near you

CDCE Data Analyst

Emory Healthcare

Atlanta, GA

$52.37 - $65.06/hr

Full-time

Re-posted 5 days ago

Emory Healthcare rating

7.7

Company rating: 7.7 out of 10

Based on 218 frontline employees who took The Breakroom Quiz

166th of 898 rated healthcare providers

Job description

Be inspired.  Be rewarded. Belong. At Emory Healthcare. 

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be.  We provide: 

  • Comprehensive health benefits that start day 1 
  • Student Loan Repayment Assistance & Reimbursement Programs 
  • Family-focused benefits  
  • Wellness incentives 
  • Ongoing mentorship, development, and leadership programs  
  • And more 

Overview

The CDCE Data Analyst at Emory Healthcare provides strategic and operational support through the analysis of clinical, financial, and claims data. This role is responsible for leveraging large datasets—including MEDPAR, Vizient, Quality data, and internal claims—to benchmark organizational performance and identify opportunities for improvement in Clinical Documentation Integrity (CDI), coding accuracy, and provider documentation practices. The analyst plays a key role in driving improvements in Case Mix Index (CMI), risk adjustment, and departmental performance by identifying trends and delivering actionable insights. This position collaborates closely with mid-revenue cycle leadership, vendors, and digital teams, utilizing platforms such as Epic, Solventum, Vizient, and other systems to support data-driven decision-making and business application optimization.

Key ResponsibilitiesData Extraction, Validation, and Analysis
  • Develop and execute advanced data queries using programming languages to extract and integrate data from multiple sources
  • Validate data accuracy and ensure integrity of datasets
  • Analyze structured and unstructured data to identify meaningful trends and performance metrics
  • Collect, interpret, and evaluate clinical documentation data to identify opportunities for improvement
Performance Metrics & Trend Analysis
  • Analyze trends in documentation quality, coding accuracy, and financial performance
  • Identify patterns, gaps, and areas of focus impacting quality outcomes and reimbursement
  • Support initiatives to improve CMI, risk adjustment, and overall documentation quality
Reporting & Dashboard Development
  • Design and develop dashboards and visual reports for CDI leadership, physicians, and quality teams
  • Monitor and report on key performance indicators (KPIs), including:
    • Financial impact
    • Risk adjustment trends
    • Patient Safety Indicators (PSI) and Hospital-Acquired Conditions (HAC)
    • Provider performance metrics
Compliance & Audit Readiness
  • Monitor documentation practices for compliance with CMS, ICD-10, and payer requirements
  • Support internal audits and external reviews by preparing and validating data
  • Ensure reporting aligns with regulatory and organizational standards
Collaboration & Strategic Insights
  • Partner with CDI specialists, coders, and clinical teams to translate data insights into actionable strategies
  • Provide feedback to enhance provider education and documentation workflows
  • Collaborate with vendors and digital teams to optimize system functionality and reporting tools
  • Support business decisions related to data applications and mid-revenue cycle systems
Minimum QualificationsEducation
  • Bachelor’s degree in Computer Science, Health Information Management (HIM), Data Analytics, or a related field
Required Skills & Experience
  • Proficiency in data analysis and programming tools, including:
    • SQL, SAS, Python
    • Microsoft Excel
    • Power BI, Tableau
    • Cloud platforms (AWS and/or Azure)
  • Strong analytical and problem-solving skills
  • Advanced ability to write code, merge datasets, and validate analysis results
  • Knowledge of clinical documentation standards, healthcare regulations, and industry practices
  • Excellent communication and interpersonal skills
  • Ability to work independently and collaboratively in a team environment
Preferred Qualifications
  • Master’s degree in Computer Science, Health Information Management (HIM), Data Analytics, or a related fields.

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

  

ACCOMMODATIONS: EHC will provide reasonable accommodation to qualified individuals with disabilities upon request. To request this document in an alternate format or to request a reasonable accommodation, please contact the Office of Leave and Accommodations.  

 

PHYSICAL REQUIREMENTS: (Medium-Heavy) 36-75 lbs., 0-33% of the work day (occasionally); 20-35 lbs., 34-66% of the workday; (frequently); 10-20 lbs., 67-100% of the workday (constantly); Lifting 75 lbs. max; Carrying of objects up to 35 lbs.; Occasional to frequent standing & walking; Occasional sitting; Close eye work (computers, typing, reading, writing); Physical demands may vary depending on assigned work area and work tasks. 
 
ENVIRONMENTAL FACTORS: Factors affecting environmental conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure; Bio-hazardous waste Chemicals/gases/fumes/vapors; Communicable diseases; Electrical shock; Floor Surfaces; Hot/Cold Temperatures; Indoor/Outdoor conditions; Latex; Lighting; Patient care/handling injuries; Radiation; Shift work; Travel may be required; Use of personal protective equipment, including respirators; environmental conditions may vary depending on assigned work area and work tasks.

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