Strong understanding of payer policies, claims processing, medical necessity guidelines, and risk adjustment methodologies. * Experience in coding audits, denial resolution, and revenue integrity ...
Quick apply
Strong understanding of payer policies, claims processing, medical necessity guidelines, and risk adjustment methodologies. * Experience in coding audits, denial resolution, and revenue integrity ...
Strong understanding of payer policies, claims processing, medical necessity guidelines, and risk adjustment methodologies. * Experience in coding audits, denial resolution, and revenue integrity ...
Quick apply
Strong understanding of payer policies, claims processing, medical necessity guidelines, and risk adjustment methodologies. * Experience in coding audits, denial resolution, and revenue integrity ...
Strong understanding of payer policies, claims processing, medical necessity guidelines, and risk adjustment methodologies. * Experience in coding audits, denial resolution, and revenue integrity ...
Strong understanding of payer policies, claims processing, medical necessity guidelines, and risk adjustment methodologies. * Experience in coding audits, denial resolution, and revenue integrity ...
Review QA audit reports and make corrections and/or adjustments identified. * Keep current with ... CRC (Certified Risk Coder) coding certification and/or significant HCC coding experience required.
Review QA audit reports and make corrections and/or adjustments identified. * Keep current with ... CRC (Certified Risk Coder) coding certification and/or significant HCC coding experience required.
Ensure timely and accurate completion of documentation, coding, and risk adjustment activities to optimize accuracy in CMS reporting and attribution. Physician Engagement & Education * Build strong ...
Ensure timely and accurate completion of documentation, coding, and risk adjustment activities to optimize accuracy in CMS reporting and attribution. Physician Engagement & Education * Build strong ...
Ensure timely and accurate completion of documentation, coding, and risk adjustment activities to optimize accuracy in CMS reporting and attribution. Physician Engagement & Education * Build strong ...
Ensure timely and accurate completion of documentation, coding, and risk adjustment activities to optimize accuracy in CMS reporting and attribution. Physician Engagement & Education * Build strong ...
MEDICAL DIRECTOR MSSP ACO
Dallas, TX · Remote
Ensure timely and accurate completion of documentation, coding, and risk adjustment activities to optimize accuracy in CMS reporting and attribution. Physician Engagement & Education * Build strong ...
MEDICAL DIRECTOR MSSP ACO
Dallas, TX · Remote
Ensure timely and accurate completion of documentation, coding, and risk adjustment activities to optimize accuracy in CMS reporting and attribution. Physician Engagement & Education * Build strong ...
Senior Contract Bond Underwriter
Plano, TX · On-site
$94K - $111K/yr
Tokio Marine HCC - Surety Group, a member of the Tokio Marine Group of Companies, has an ... Prepare bond execution and Financial Adjustment Notices (FAN) reports. * Approve within given ...
Senior Contract Bond Underwriter
Plano, TX · On-site
$94K - $111K/yr
Tokio Marine HCC - Surety Group, a member of the Tokio Marine Group of Companies, has an ... Prepare bond execution and Financial Adjustment Notices (FAN) reports. * Approve within given ...
Azure Databricks Architect Healthcare Payer
Irving, TX · Remote
$65 - $84.75/hr
Risk Adjustment * HEDIS/Quality Reporting * Regulatory Reporting * Data Migration & Modernization ... Conduct solution reviews, code reviews, and architecture governance meetings. * Monitor project ...
Quick apply
Azure Databricks Architect Healthcare Payer
Irving, TX · Remote
$65 - $84.75/hr
Risk Adjustment * HEDIS/Quality Reporting * Regulatory Reporting * Data Migration & Modernization ... Conduct solution reviews, code reviews, and architecture governance meetings. * Monitor project ...
Primary Care Physician
Mansfield, TX · On-site
$250K - $300K/yr
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Quick apply
Primary Care Physician
Mansfield, TX · On-site
$250K - $300K/yr
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Primary Care Physician
Dallas, TX · On-site
$250K - $300K/yr
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Quick apply
Primary Care Physician
Dallas, TX · On-site
$250K - $300K/yr
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Primary Care Physician
Desoto, TX · On-site
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Primary Care Physician
Desoto, TX · On-site
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Primary Care Physician
Mansfield, TX · On-site
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Primary Care Physician
Mansfield, TX · On-site
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Primary Care Physician
Desoto, TX · On-site
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Primary Care Physician
Desoto, TX · On-site
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Primary Care Physician
Mansfield, TX · On-site
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Primary Care Physician
Mansfield, TX · On-site
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Mid Coding Specialist II
Dallas, TX · On-site +1
... trainee requirements, validation of incident-to/split-shared services and teaching physician ... intermediate-risk procedures, split/shared and incident to services, and teaching physician ...
Mid Coding Specialist II
Dallas, TX · On-site +1
... trainee requirements, validation of incident-to/split-shared services and teaching physician ... intermediate-risk procedures, split/shared and incident to services, and teaching physician ...
Mid Coding Specialist II
Dallas, TX · On-site +1
... trainee requirements, validation of incident-to/split-shared services and teaching physician ... intermediate-risk procedures, split/shared and incident to services, and teaching physician ...
Mid Coding Specialist II
Dallas, TX · On-site +1
... trainee requirements, validation of incident-to/split-shared services and teaching physician ... intermediate-risk procedures, split/shared and incident to services, and teaching physician ...
Mid Coding Specialist II
Dallas, TX · On-site
... trainee requirements, validation of incident-to/split-shared services and teaching physician ... intermediate-risk procedures, split/shared and incident to services, and teaching physician ...
Mid Coding Specialist II
Dallas, TX · On-site
... trainee requirements, validation of incident-to/split-shared services and teaching physician ... intermediate-risk procedures, split/shared and incident to services, and teaching physician ...
Mid Coding Specialist II
Dallas, TX · On-site
... trainee requirements, validation of incident-to/split-shared services and teaching physician ... intermediate-risk procedures, split/shared and incident to services, and teaching physician ...
Mid Coding Specialist II
Dallas, TX · On-site
... trainee requirements, validation of incident-to/split-shared services and teaching physician ... intermediate-risk procedures, split/shared and incident to services, and teaching physician ...
Mid Coding Specialist II
Dallas, TX · On-site +1
... trainee requirements, validation of incident-to/split-shared services and teaching physician ... intermediate-risk procedures, split/shared and incident to services, and teaching physician ...
Mid Coding Specialist II
Dallas, TX · On-site +1
... trainee requirements, validation of incident-to/split-shared services and teaching physician ... intermediate-risk procedures, split/shared and incident to services, and teaching physician ...
Trainee Hcc Risk Adjustment Coding information
See Dallas, TX salary details
$15 is the 25th percentile. Wages below this are outliers.
$13.79 - $15.80
41% of jobs
The median wage is $16.95 / hr.
$15.80 - $17.81
15% of jobs
$17.81 - $19.82
10% of jobs
$19.82 - $21.83
6% of jobs
$22.46 is the 75th percentile. Wages above this are outliers.
$21.83 - $23.84
9% of jobs
$23.84 - $25.85
6% of jobs
$25.85 - $27.87
3% of jobs
$27.87 - $29.88
9% of jobs
$29.88 - $31.89
1% of jobs
$31.89 - $33.90
0% of jobs
$33.90 - $35.91
0% of jobs
$13
$20
$35
How much do trainee hcc risk adjustment coding jobs pay per hour?
As of Aug 9, 2026, the average hourly pay for trainee hcc risk adjustment coding in Dallas, TX is $20.92, according to ZipRecruiter salary data. Most workers in this role earn between $15.24 and $24.04 per hour, depending on experience, location, and employer.
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?
| Aspect | Trainee Hcc Risk Adjustment Coding | Hcc Risk Adjustment Coder |
|---|---|---|
| Certifications | None or entry-level certifications | Certified Professional Coder (CPC) or equivalent |
| Work Environment | Training programs, supervised settings | Independent coding in healthcare facilities |
| Job Responsibilities | Learning coding processes, assisting with documentation | Accurate 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?
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.
What are popular job titles related to Trainee Hcc Risk Adjustment Coding jobs in Dallas, TX? For Trainee Hcc Risk Adjustment Coding jobs in Dallas, TX, the most frequently searched job titles are:
What job categories do people searching Trainee Hcc Risk Adjustment Coding jobs in Dallas, TX look for? The top searched job categories for Trainee Hcc Risk Adjustment Coding jobs in Dallas, TX are:
What cities near Dallas, TX are hiring for Trainee Hcc Risk Adjustment Coding jobs? Cities near Dallas, TX with the most Trainee Hcc Risk Adjustment Coding job openings:
Full-time
Posted 23 days ago
Job description
Plutus Health Inc. is a leading provider of Revenue Cycle Management (RCM) services, certified in SOC2 compliance and specialize in revenue cycle optimization for hospitals, physician groups, and healthcare organizations across various specialties. We are proud to be recognized by Becker's Healthcare as one of the Top Revenue Cycle Management Companies to Know (2026), featured on the Inc. 5000 list of America's Fastest-Growing Private Companies, honored in the SMU Cox Dallas 100™ for multiple consecutive years, and recognized by Black Book Research as a leading healthcare RCM solutions provider.
Job Description:
We are seeking an experienced Client Success Manager- Medical Coding with expertise in medical coding, auditing, and compliance to oversee client relationships, coding operations, and revenue cycle optimization. This role requires a deep understanding of CPT, ICD-10, HCPCS, payer policies, and denial management, ensuring that clients receive best-in-class coding services and compliance support.
The ideal candidate will have a strong background in medical coding, compliance audits, RCM workflow optimization, and payer regulations, along with exceptional client relationship management skills.
Key Responsibilities:
Client Success & Relationship Management:
- Serve as the primary point of contact for clients, ensuring smooth communication and resolution of coding-related concerns.
- Develop and implement client engagement strategies to maximize satisfaction, retention, and revenue growth.
- Conduct Quarterly Business Reviews (QBRs) and compliance audits to drive process improvements.
- Identify upsell and cross-sell opportunities within client accounts to expand coding service offerings.
Medical Coding & Compliance Oversight:
- Ensure adherence to ICD-10, CPT, HCPCS, and payer-specific guidelines across multiple specialties.
- Conduct coding audits, documentation reviews, and risk assessments to improve coding accuracy and compliance.
- Monitor denial trends, coding discrepancies, and revenue leakage, implementing corrective actions as needed.
- Stay up to date with Medicare, Medicaid, and commercial payer regulations, ensuring regulatory compliance.
- Provide training and education to clients and internal teams on evolving coding guidelines and best practices.
Revenue Cycle & Denial Management:
- Optimize coding workflows, ensuring efficient charge capture and clean claim submission.
- Collaborate with billing, AR, and denial management teams to reduce denials, enhance revenue recovery, and improve coding accuracy.
- Track key performance indicators (KPIs) such as clean claim rates, denial rates, coding accuracy, and compliance scores.
- Drive coding automation initiatives to improve operational efficiency and minimize manual errors.
Cross-Functional Collaboration & Leadership:
- Work closely with operations, compliance, and technology teams to refine and enhance coding service offerings.
- Lead and mentor onshore and offshore coding teams, ensuring high performance and adherence to compliance standards.
- Partner with business development teams to support client onboarding, process improvement initiatives, and contract renewals.
- Act as an RCM Subject Matter Expert (SME) in internal strategy discussions and client engagements.
Required Qualifications:
- Bachelor’s degree in Healthcare Administration, Business, or a related field (Master’s preferred).
- 7+ years of experience in medical coding, auditing, and revenue cycle management in a leadership role.
- Certification required: CPC, CCS, or equivalent (AHIMA or AAPC certification preferred).
- Strong understanding of payer policies, claims processing, medical necessity guidelines, and risk adjustment methodologies.
- Experience in coding audits, denial resolution, and revenue integrity initiatives.
- Proficiency in RCM platforms, EHR/EMR systems (Epic, Meditech, Paragon, etc.).
- Experience managing onshore/offshore coding teams and handling multi-client engagements.
- Strong analytical, problem-solving, and negotiation skills with the ability to translate data into actionable insights.
- Willingness to travel as needed(35-50%).
Why Join Plutus Health Inc.?
- Work for a fast-growing, innovative company recognized for excellence in healthcare.
- Collaborate with a dynamic, supportive team that values professional development.
- Make a meaningful impact on patient care and operational success.