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Senior Hcc Risk Adjustment Coder Jobs in Texas (NOW HIRING)

Apex Health Solutions

Certified Medical Coder

Houston, TX · On-site

$21.50 - $29.25/hr

Certified Medical Coder Certified Medical Coder role is responsible for reviewing, abstracting, and ... Risk Adjustment / HCC knowledge required * Managed Care experience preferred

Vytwo

Risk Adjustment Coding Auditor

Prosper, TX · On-site

$25 - $28.50/hr

This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV's. Required skillset: MS Suite CPC certified CRC certified 5+ years of risk ...

Vytwo

Risk Adjustment Coding Auditor

Prosper, TX · On-site

$25 - $28.50/hr

This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV's. Required skillset: MS Suite CPC certified CRC certified 5+ years of risk ...

Vytwo

Risk Adjustment Coding Auditor

Dallas, TX · On-site

$27 - $30.75/hr

This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV's. Required Skills * MS Suite * CPC certified * CRC certified * 5+ years of risk ...

St Luke's Health

Value Based Coder II

Houston, TX · On-site

$25.30 - $35.74/hr

The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk ... as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC ...

St Luke's Health

Value Based Coder II

Houston, TX

$25.30 - $35.74/hr

The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk ... as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC ...

DaMar Staffing

Value Based Coder II

Houston, TX · On-site

$18 - $23.75/hr

Value Based Coder IIInspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit ... as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC ...

CommonSpirit Health

Value Based Coder II

Houston, TX

$18 - $23.75/hr

The Value Based Coder II is an experienced professional within the Quality Management/Risk team ... as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC ...

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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 Texas?

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

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

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

Senior Hcc Risk Adjustment Coder jobs near you

Certified Medical Coder

Houston, TX • On-site

Apex Health Solutions
See more jobs at Apex Health Solutionsexternal

$21.50 - $29.25/hr

Full-time

Re-posted 26 days ago

Job description

Description
Summary
Certified Medical Coder role is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment requirements.
Key Responsibilities
  • Follows CMS Risk Adjustment guidelines and has a complete understanding of their real-world application

  • Reviews submitted medical records to identify ICD-10-CM diagnoses, ensuring the documentation meets all CMS standard requirements for valid submission

  • Codes all diagnoses and services accurately and completely, from the medical record in accordance with the ICD-10-CM coding classification system

  • Selects and accurately records all appropriate records and data on assigned chart abstraction projects

  • Ability to meet productivity and accuracy requirements

  • Performs other duties as assigned

Qualifications
  • High School Diploma or GED required

  • A certification in one of the following is required:

  • Certified Professional Coder (CPC)

  • Certified Risk Adjustment Coder (CRC)

  • Certified Coding Specialist (CCS)

  • Registered Health Information Technician (RHIT)

  • Registered Health Information Administrator (RHIA)

  • Minimum of three (3) years HCC experience performing concurrent and retrospective risk adjustment chart reviews required

  • Current AAPC or AHIMA credential required

  • Risk Adjustment / HCC knowledge required

  • Managed Care experience preferred

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