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Senior Hcc Risk Adjustment Coder Jobs in Decatur, GA

Senior Data Scientist I

Alpharetta, GA · On-site

$95K - $158K/yr

About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk ... Tactically, this position codes, deploys, troubleshoots, and validates the attributes, as well as ...

About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk ... Tactically, this position codes, deploys, troubleshoots, and validates the attributes, as well as ...

Senior Data Scientist I

Alpharetta, GA · On-site

$95K - $158K/yr

About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk ... Tactically, this position codes, deploys, troubleshoots, and validates the attributes, as well as ...

Senior Claims Operations Manager Employment Type: Full time Job Req ID: 2026 Req Begin Date: 5/12 ... Oversee all aspects of the litigation process for claims to minimize company risk of loss.

Program Manager

Alpharetta, GA · On-site

$115K - $192K/yr

... risk. This is a senior individual contributor role, with opportunities to coach and contribute to ... If you have a disability or other need that requires accommodation or adjustment, please let us ...

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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 Jul 22, 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.
R&I Independence Technology Team (ITT) Senior Manager

R&I Independence Technology Team (ITT) Senior Manager

Pwc

Atlanta, GA • On-site

$91K - $321K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 5 days ago


PwC rating

8.3

Company rating: 8.3 out of 10

Based on 76 frontline employees who took The Breakroom Quiz

18th of 57 rated business consultants


Job description

Industry/Sector

Not Applicable

Specialism

IFS - Risk & Quality (R&Q)

Management Level

Senior Manager

Job Description & Summary

The Opportunity
As a Senior Manager in the R&I Independence Technology Team (ITT), you will play a pivotal role in maintaining regulatory compliance and managing risks for clients, providing advice and solutions. Within our Internal Firm Services practice, you will focus on identifying and mitigating potential risks that could impact an organization's operations and objectives. You will be responsible for developing business strategies to effectively manage and navigate risks in a rapidly changing business environment.
As a Senior Manager, you will leverage your skills and professional network to deliver quality results. You will motivate and coach others, coming together to solve complex problems. With increased autonomy, you will apply sound judgment, recognizing when to take action and when to escalate. Your ability to develop and sustain high-performing, diverse, and inclusive teams, and your commitment to excellence, contributes to the success of our firm.
In this role, you will craft and convey clear, impactful messages that tell a holistic story. You will apply systems thinking to identify underlying problems and opportunities, validate outcomes with stakeholders, and share alternative perspectives. Your leadership will guide the team through complexity, demonstrating composure through ambiguous, challenging, and uncertain situations.
Responsibilities
- Leading enterprise risk management initiatives to identify and mitigate potential risks impacting organizational operations and objectives
- Developing business strategies to effectively manage risks in a rapidly changing environment
- Applying analytical thinking to assess business risk and implement mitigation measures
- Crafting and conveying clear, impactful messages that tell a holistic story to stakeholders
- Directing teams through complex situations, demonstrating composure and strategic questioning
- Validating outcomes with stakeholders and acting on feedback to improve risk management processes
- Modeling and reinforcing professional and technical standards, including the Firm's code of conduct and independence requirements
- Initiating open and honest coaching conversations to develop high-performing, diverse, and inclusive teams
- Utilizing business process improvement techniques to enhance internal controls and regulatory compliance
- Building relationships with business leaders to identify and address risk challenges effectively
What You Must Have
- At least a High School Diploma or the equivalent degree
- At least 6 years of experience
What Sets You Apart
- Preference for at least one of the following fields of study: Accounting, Business Administration/Management, Computer Science/Information Systems, Cybersecurity, Finance, Risk Management/Insurance
- Demonstrating advanced skills in Enterprise Risk Management (ERM)
- Utilizing Business Process Improvement techniques to drive results
- Applying systems thinking to identify underlying problems and opportunities
- Excelling in contract negotiation and contractual risk mitigation
- Leading teams through complexity with composure and strategic questioning
- Developing and sustaining diverse and inclusive high-performing teams

Travel Requirements

Up to 20%

Job Posting End Date

The salary range for this position is: $91,000 - $321,500. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. All hired individuals are eligible for an annual discretionary bonus. PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation, personal and family sick leave, and more. To view our benefits at a glance, please visit the following link: https://pwc.to/benefits-at-a-glanceAs PwC is anequal opportunity employer, all qualified applicants will receive consideration for employment at PwC without regard to race; color; religion; national origin; sex (including pregnancy, sexual orientation, and gender identity); age; disability; genetic information (including family medical history); veteran, marital, or citizenship status; or, any other status protected by law.PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy.Learn more about how we work: https://pwc.to/how-we-workFor only those qualified applicants that are impacted by the Los Angeles County Fair Chance Ordinance for Employers, the Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, San Diego County Fair Chance Ordinance, and the California Fair Chance Act, where applicable, arrest or conviction records will be considered for Employment in accordance with these laws. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members. We evaluate these factors thoughtfully to establish a secure and trusted workplace for all.Applications will be accepted until the position is filled or the posting is removed, unless otherwise set forth on the following webpage. Please visit this link for information about anticipated application deadlines: https://pwc.to/us-application-deadlines

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