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Senior Hcc Risk Adjustment Coder Jobs in Decatur, GA

... 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 ...

... 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 ...

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 ...

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 ...

... clinical pillars - Risk Adjustment, Care Management, Utilization Management, and Quality ... Familiarity with quality metrics, HCC coding, AWV workflows, annual wellness visit implementation ...

... clinical pillars - Risk Adjustment, Care Management, Utilization Management, and Quality ... Familiarity with quality metrics, HCC coding, AWV workflows, annual wellness visit implementation ...

... Risk Adjustment, Care Management, Utilization Management, and Quality * Coordinate AWV workflow ... Familiarity with quality metrics, HCC coding, AWV workflows, annual wellness visit implementation ...

... SVP, and VP-level audiences. * Design end-to-end solution architectures, including data flows ... and risk adjustment, and how Enlace operationalizes them. * Engage effectively with audiences ...

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Senior Hcc Risk Adjustment Coder information

See Decatur, GA salary details

$16

$28

$69

How much do senior hcc risk adjustment coder jobs pay per hour?

As of Jun 30, 2026, the average hourly pay for senior hcc risk adjustment coder in Decatur, GA is $28.60, according to ZipRecruiter salary data. Most workers in this role earn between $21.35 and $28.41 per hour, depending on experience, location, and employer.

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 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 key skills and qualifications needed to thrive as a Senior HCC Risk Adjustment Coder, and why are they important?

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 cities near Decatur, GA are hiring for Senior Hcc Risk Adjustment Coder jobs? Cities near Decatur, GA with the most Senior Hcc Risk Adjustment Coder job openings:
CDCE Data Analyst

$52.37 - $65.06/hr

Full-time

Posted yesterday


Key responsibilities

  • Develop and execute advanced data queries to extract, validate, and analyze clinical, financial, and claims data from multiple sources.

  • Design and develop dashboards and visual reports for leadership and clinical teams to monitor and report on key performance indicators.

  • Collaborate with clinical, coding, and digital teams to translate data insights into actionable strategies and optimize reporting tools.


Emory Healthcare rating

7.7

Company rating: 7.7 out of 10

Based on 210 frontline employees who took The Breakroom Quiz

160th of 877 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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