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Trainee Hcc Risk Adjustment Coding Jobs in Ohio (NOW HIRING)

Titan Placement Group

Nurse Practitioner (NP)

Akron, OH · On-site

$105K - $140K/yr

Understanding of HCC documentation, ICD-10 coding, and Health Risk Assessments preferred About Us Titan Placement Group is a permanent placement healthcare recruiting firm dedicated to connecting ...

Titan Placement Group

Nurse Practitioner (NP)

Akron, OH

$105K - $140K/yr

Understanding of HCC documentation, ICD-10 coding, and Health Risk Assessments preferred About Us Titan Placement Group is a permanent placement healthcare recruiting firm dedicated to connecting ...

ED&F Man Group

... risk management and export as well as importing and distribution. We supply the world's major ... We are willing to make any reasonable adjustments throughout our recruitment process. We encourage ...

Oak St. Health

Nurse Practitioner

Cleveland, OH · On-site

$87K - $187K/yr

Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International Classification of Diseases-10) Coding, and Health Risk Assessments (HRAs). * Passion for teamwork and the ...

Oak Street Health

Nurse Practitioner

Youngstown, OH · On-site

$95K - $148K/yr

Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International Classification of Diseases-10) Coding, and Health Risk Assessments (HRAs). * Passion for teamwork and the ...

Oak Street Health

Nurse Practitioner

Dayton, OH · On-site

$87K - $187K/yr

Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International Classification of Diseases-10) Coding, and Health Risk Assessments (HRAs). * Passion for teamwork and the ...

Oak Street Health

Nurse Practitioner

Cleveland, OH · On-site

$87K - $187K/yr

Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International Classification of Diseases-10) Coding, and Health Risk Assessments (HRAs). * Passion for teamwork and the ...

CVS Health

Nurse Practitioner

Cleveland, OH · On-site

$87K - $187K/yr

Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International Classification of Diseases-10) Coding, and Health Risk Assessments (HRAs). * Passion for teamwork and the ...

CVS Health

Nurse Practitioner

Dayton, OH · On-site

$87K - $187K/yr

Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International Classification of Diseases-10) Coding, and Health Risk Assessments (HRAs). * Passion for teamwork and the ...

Oak St. Health

Nurse Practitioner

Dayton, OH · On-site

$87K - $187K/yr

Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International Classification of Diseases-10) Coding, and Health Risk Assessments (HRAs). * Passion for teamwork and the ...

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Trainee Hcc Risk Adjustment Coding information

How to get into risk adjustment coding?

To become a Trainee HCC Risk Adjustment Coder, individuals typically need a high school diploma or equivalent, followed by completing specialized training or certification in risk adjustment coding, such as the AHIMA Certified Risk Adjustment Coder (CRC) credential. Gaining proficiency in medical coding, understanding of diagnosis coding systems like ICD-10, and familiarity with healthcare data are essential for entry-level roles in this field.

Is HCC coding a good career?

HCC risk adjustment coding is a growing field within healthcare, focusing on accurately documenting patient health conditions for insurance reimbursement and risk management. It requires knowledge of medical coding, attention to detail, and often certification, making it a stable career with demand across healthcare organizations. Many professionals find it a rewarding career due to its specialized nature and opportunities for remote work.

What are some common challenges faced by Trainee HCC Risk Adjustment Coders, and how can they be overcome?

Trainee HCC Risk Adjustment Coders often encounter challenges such as interpreting complex medical documentation, staying up-to-date with changing coding guidelines, and accurately assigning codes that reflect patients' true risk profiles. Overcoming these challenges involves continuous learning, seeking mentorship from experienced coders, and utilizing resources like coding manuals and online forums. Collaborating with clinical staff and participating in regular training sessions can also enhance accuracy and confidence in the coding process.

What is the difference between Trainee Hcc Risk Adjustment Coding vs Hcc Risk Adjustment Coder?

AspectTrainee Hcc Risk Adjustment CodingHcc Risk Adjustment Coder
CertificationsNone or entry-level certificationsCertified Professional Coder (CPC) or equivalent
Work EnvironmentTraining programs, supervised settingsIndependent coding in healthcare facilities
Job ResponsibilitiesLearning coding processes, assisting with documentationAccurate coding, claim submission, compliance

The main difference is that Trainee Hcc Risk Adjustment Coders are in training or entry-level roles, focusing on learning and assisting, while Hcc Risk Adjustment Coders are experienced professionals responsible for independent coding and compliance tasks.

What is a Trainee HCC Risk Adjustment Coder?

A Trainee HCC Risk Adjustment Coder is an entry-level professional who is learning how to review and assign medical codes for diagnoses in patient records, specifically for the Hierarchical Condition Category (HCC) risk adjustment model. This role involves training in medical coding standards, healthcare regulations, and compliance requirements to ensure accurate coding for insurance and Medicare/Medicaid reimbursement. Trainees typically work under supervision and are expected to develop a strong understanding of ICD-10-CM coding, clinical documentation improvement, and the principles of risk adjustment. The position is ideal for those starting a career in medical coding and offers a pathway to becoming a certified HCC coder.

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

To thrive as a Trainee HCC Risk Adjustment Coder, you need a foundational understanding of medical coding, anatomy, and healthcare terminology, often supported by a relevant certification or coursework. Familiarity with ICD-10-CM coding systems, electronic health records (EHRs), and risk adjustment software is typically required. Strong attention to detail, analytical thinking, and effective communication are important soft skills in this role. These skills ensure accurate coding, which directly impacts proper reimbursement, compliance, and the quality of patient care data.

How much does a certified risk adjustment coder make?

A certified risk adjustment coder typically earns between $50,000 and $80,000 annually, depending on experience, certification level, and geographic location. Entry-level positions may start lower, while experienced coders with advanced certifications can earn higher salaries, especially in healthcare settings that emphasize accurate risk adjustment coding.

How much do HCC coders make in the US?

HCC risk adjustment coders typically earn between $50,000 and $80,000 annually in the US, depending on experience, certification, and location. Entry-level positions may start lower, while experienced coders with certifications like CPC or CCS can earn higher salaries, especially in healthcare hubs or with specialized skills.
What are the most commonly searched types of Hcc Risk Adjustment Coding jobs in Ohio? The most popular types of Hcc Risk Adjustment Coding jobs in Ohio are:
What are popular job titles related to Trainee Hcc Risk Adjustment Coding jobs in Ohio? For Trainee Hcc Risk Adjustment Coding jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Trainee Hcc Risk Adjustment Coding jobs in Ohio look for? The top searched job categories for Trainee Hcc Risk Adjustment Coding jobs in Ohio are:
What cities in Ohio are hiring for Trainee Hcc Risk Adjustment Coding jobs? Cities in Ohio with the most Trainee Hcc Risk Adjustment Coding job openings:
Trainee Hcc Risk Adjustment Coding jobs near you
Infographic showing various Trainee Hcc Risk Adjustment Coding job openings in Ohio as of July 2026, with employment types broken down into 1% As Needed, 77% Full Time, 16% Part Time, and 6% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution.
Profee Clinical Documentation Specialist (Remote)

Profee Clinical Documentation Specialist (Remote)

University Hospitals

Cleveland, OH • On-site, Remote

$33.75 - $45.25/hr

Full-time

Re-posted 17 days ago

University Hospitals rating

7.3

Company rating: 7.3 out of 10

Based on 618 frontline employees who took The Breakroom Quiz

300th of 884 rated healthcare providers

Job description

A Brief Overview
The Professional Fee Clinical Documentation Specialist (CDS) will serve as an advisor and expert resource for providers to improve the accuracy of clinical documentation to support patient complexity, risk profiles and appropriate E/M levels thereby supporting the provider's efforts and their professional fee billing. The CDS primarily assist providers in identifying clinically relevant information and capturing the clinical documentation needed to accurately reflect patient acuity. The Professional Fee CDS will focus on the recapture and identification of chronic conditions reflected in Hierarchical Condition Categories (HCCs), which directly impact the patient risk adjusted profile (RAF score) calculated by the associated risk plans. They will also assist with highlighting opportunities based on the provider's medical decision making to appropriately reflect the level of service provided for patient care.The Professional Fee CDS will be responsible for completing pre-visit and post-claim reviews as well as providing clear communication and education to providers on their documentation, coding and billing practices, in adherence to compliance standards set by governing entities such as CMS, AHA, etc.• Pre-visit reviews are intended to identify documentation opportunities for the provider to recapture previously documented HCCs diagnoses, or new suspect conditions not previously captured that are identified by the CDS's comprehensive chart reviews. These efforts assist in establishing accurate risk profiles and related health care costs• Post-claim reviews focus on E/M encounters and highlight opportunities based on a provider's medical decision making and the patient's acuity to support appropriate and accurate E/M level assignments as well as any HCCs identified• The Professional Fee CDS will also coordinate with colleagues from the CDI Program or other members of the organization regarding education and training geared towards improving clinical documentation based on findings from pre-visit and post-claim reviews
What You Will Do
  • Coordination with Professional Fee CDI Program leadership and colleagues. Fosters teamwork and utilizes strong team building measures
  • Performs pre-visit chart reviews to assist in highlighting relevant documentation and diagnoses in compliance with governing policies and industry guidelines. Applies a clinical detective mindset to identify new HCC diagnosis capture opportunities based on appropriate clinical indicators for the patient. Also performs post-claim reviews focused on appropriate E/M level assignments and any opportunities related to level of service and HCCs.
  • Uses performance and outcome data from third-party support or other sources to identify high priority providers
  • Creates specialty-specific education on relevant topics as identified in data analytics and from clinical encounter reviews and post-claim education chart reviews
  • Develops and maintains a systematic education schedule and approach for providers in the hospital and clinic/office setting including but not limited to complete documentation, appropriate diagnosis code selection, E/M level assignments and updates to coding guidelines.
  • Delivers ongoing feedback and education to communicate importance of complete documentation and key concepts during regular clinic or provider meetings or on individual basis, as needed
  • Upholds working knowledge and stays current on latest CMS and industry guidelines, with specific understanding of HCCs and implications for documentation
  • Maintains strict confidentiality of all patients, employee and physician information according to HIPAA guidelines

Additional Responsibilities
  • Shares in organization's vision, demonstrates its values, supports its philosophy and is sensitive to its mission. Demonstrates knowledge of and follows departmental and hospital policies and physician office procedures
  • Seeks out opportunities for individual growth and development, including attending various meetings, conferences, courses, seeking certifications, as required.
  • Uses tact and sensitivity when communicating with patients, visitors, co-workers, and other personnel
  • Serves on department and/or institutional committees as requested
  • Performs other duties as assigned.
  • Complies with all policies and standards.
  • For specific duties and responsibilities, refer to documentation provided by the department during orientation.
  • Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.

Qualifications:
Education
  • High School Equivalent / GED (Required)
  • Associate's Degree (Preferred)

Work Experience
  • 3+ years Coding and/or clinical documentation integrity (Required)

Knowledge, Skills, & Abilities
  • Extensive clinical knowledge and understanding of pathophysiology (Required proficiency)
  • Strong critical thinking skills and utilization of clinical knowledge to identify potential clinical indicators supporting patient acuity and clarifications of the medical record (Required proficiency)
  • Excellent written and verbal communication skills (Required proficiency)
  • Strong project management skills (Required proficiency)
  • Strong interpersonal skills, with demonstrated success at communicating effectively with all levels of the organization (Required proficiency)
  • Ability to work independently in a time-oriented environment (Required proficiency)
  • Demonstrates skilled ability and comfort with electronic medical records (EPIC preferred) (Required proficiency)
  • Proficient with personal computer applications (Excel, Word, and Power Point) (Required proficiency)
  • Ability to build education material that is meaningful for providers and team members (Required proficiency)
  • Strong problem solving and investigative skills (Required proficiency)

Licenses and Certifications
  • Certified Coding Specialist (CCS) (Required) or Certified Professional Coder (CPC) or CRC, or other coding or CDI credential (Required)
  • Registered Nurse (RN), Ohio and/or Multi State Compact License (Preferred)
  • Licensed Practical Nurse (LPN), Ohio and/or Multi State Compact License (Preferred)

Physical Demands
  • Standing Occasionally
  • Walking Occasionally
  • Sitting Constantly
  • Lifting Rarely up to 20 lbs
  • Carrying Rarely up to 20 lbs
  • Pushing Rarely up to 20 lbs
  • Pulling Rarely up to 20 lbs
  • Climbing Rarely up to 20 lbs
  • Balancing Rarely
  • Stooping Rarely
  • Kneeling Rarely
  • Crouching Rarely
  • Crawling Rarely
  • Reaching Rarely
  • Handling Occasionally
  • Grasping Occasionally
  • Feeling Rarely
  • Talking Constantly
  • Hearing Constantly
  • Repetitive Motions Frequently
  • Eye/Hand/Foot Coordination Frequently

Travel Requirements
  • 10%

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About University Hospitals

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For more than 155 years, University Hospitals has been on a mission to heal, teach and discover. As a renowned academic medical center and community hospital network, we’ve expanded across Northeast Ohio to deliver what matters most to our patients: personalized, compassionate care; medical discovery and breakthroughs; and high-quality, affordable care close to home.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Cleveland, OH, US

Year founded

1866

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