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Senior Hcc Risk Adjustment Coder Jobs in Decatur, GA

Tmhcc

Senior Catastrophe Risk Modeler

Kennesaw, GA · Hybrid

Tokio Marine HCC is a leading specialty insurance company with a global footprint supporting the ... As a Catastrophe Risk Modeler, you will utilize your technical expertise in catastrophe risk ...

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 ...

CVS Health

Senior Medical Director

Riverdale, GA

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

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All JobsHcc Risk Adjustment Coder JobsSenior Hcc Risk Adjustment Coder JobsSenior Hcc Risk Adjustment Coder Jobs in Decatur, GA

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 Aug 12, 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?

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.
Senior Hcc Risk Adjustment Coder jobs near you

Senior Catastrophe Risk Modeler

Tmhcc

Kennesaw, GA • Hybrid

Full-time

Re-posted 26 days ago

Job description

Tokio Marine HCC is a leading specialty insurance company with a global footprint supporting the many things in life we cherish. Love hamburgers and corn on the cob, seeing your favorite musician in an amazing venue, maybe even attending a football game? I bet you never realized there is an entire industry dedicated to ensuring peace of mind for all the bigandlittle things in life. At Tokio Marine HCC we invite you to be part of the collaboration between minds, striving together to lead the specialty insurance field.
As a Catastrophe Risk Modeler, you will utilize your technical expertise in catastrophe risk modeling joining a bright team of experts in risk modeling, analytics, research and development.This position is a hybrid role, located in Metro Atlanta area (Duluth, GA).
What you will do:

  • Nat Cat Center of Excellence: Support Tokio Marine Group Nat Cat Center of Excellence proactively sharing catastrophe modeling expertise and research with the broader Tokio Marine Group Companies to foster risk culture, market intelligence, training, collaboration, data and ad-hoc requests.

  • Catastrophe Model Development: Apply expertise in catastrophe risk modeling research and development. Develop internal models and support solution development for Tokio Marine Holdings and Tokio Marine Group Companies' initiatives.

  • Catastrophe Model Validation: Research and develop benchmarks to evaluate model performance overall and for detailed model components - hazard and vulnerability - and loss validations to support model development and validation of vendor models.

  • Support Tokio Marine Holdings ERM: Support Tokio Marine Holdings ERM to define and review standard capital modeling assumptions, custom views of risk, and estimate PMLs for under-modeled region-perils. Support Tokio Marine Group enterprise exposure management and other risk analytics functions to define peril assumptions, support live event response and post-event impact analysis. Apply expertise to support climate change research and impact assessment of physical risks.


What you need to have:

  • Bachelor's degree (Masters or Ph.D preferred)

  • Relevant and progressive professional experience in Catastrophe Modeling (Flood, Earthquake, etc.) exhibiting educational training in area of expertise and aptitude to adapt to other expertise.

  • Strong technical skills in programming (Python or related), GIS, Excel, SQL, AI/ML.

  • General knowledge of P&C (re)insurance industry and application of catastrophe modeling for risk management and underwriting use cases.

  • Ability to produce accurate, clear, professional, and detailed results via reports, exhibits and presentations.

  • Must be an exceptional communicator to present results to stakeholders and non-technical audiences with ability to make connections externally and internally.

Equal Opportunity Employer

TMHCC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, ancestry, citizenship, color, family or medical care leave, gender identity, genetic information, marital status, medical condition, national origin, physical or mental disability, protected veteran or military status, race, ethnicity, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable local laws, regulations and ordinance


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