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Trainee Hcc Risk Adjustment Coding Jobs in Raleigh, NC

Humana

Medical Coder

Holly Springs, NC · On-site +1

$16.25 - $21.75/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN Preferred Qualifications * Bachelor's Degree * CRC -Certified Risk Adjustment Coder * Experience working ...

Humana

Medical Coder

Oxford, NC · On-site +1

$17.25 - $23/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN Preferred Qualifications * Bachelor's Degree * CRC -Certified Risk Adjustment Coder * Experience working ...

Humana

Medical Coder

Morrisville, NC · On-site +1

$17.50 - $23.50/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN Preferred Qualifications * Bachelor's Degree * CRC -Certified Risk Adjustment Coder * Experience working ...

Humana

Medical Coder

Fuquay Varina, NC · On-site +1

$15.50 - $20.75/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN Preferred Qualifications * Bachelor's Degree * CRC -Certified Risk Adjustment Coder * Experience working ...

Humana

Medical Coder

Fuquay Varina, NC · On-site +1

$15.50 - $20.75/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN Preferred Qualifications * Bachelor's Degree * CRC -Certified Risk Adjustment Coder * Experience working ...

Humana

Medical Coder

Holly Springs, NC · On-site +1

$16.25 - $21.75/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN Preferred Qualifications * Bachelor's Degree * CRC -Certified Risk Adjustment Coder * Experience working ...

Humana

Medical Coder

Raleigh, NC · On-site +1

$18.25 - $24.25/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN Preferred Qualifications * Bachelor's Degree * CRC -Certified Risk Adjustment Coder * Experience working ...

Humana

Medical Coder

Youngsville, NC · On-site +1

$14.25 - $19/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN Preferred Qualifications * Bachelor's Degree * CRC -Certified Risk Adjustment Coder * Experience working ...

Humana

Medical Coder

Holly Springs, NC · On-site +1

$16.25 - $21.75/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN Preferred Qualifications * Bachelor's Degree * CRC -Certified Risk Adjustment Coder * Experience working ...

Humana

Medical Coder

Knightdale, NC · On-site +1

$17 - $22.50/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN Preferred Qualifications * Bachelor's Degree * CRC -Certified Risk Adjustment Coder * Experience working ...

Humana

Medical Coder

Morrisville, NC · On-site +1

$17.50 - $23.50/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN Preferred Qualifications * Bachelor's Degree * CRC -Certified Risk Adjustment Coder * Experience working ...

Humana

Medical Coder

Wake Forest, NC · On-site +1

$16 - $21.50/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN Preferred Qualifications * Bachelor's Degree * CRC -Certified Risk Adjustment Coder * Experience working ...

Humana

Medical Coder

Knightdale, NC · On-site +1

$17 - $22.50/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN Preferred Qualifications * Bachelor's Degree * CRC -Certified Risk Adjustment Coder * Experience working ...

Humana

Medical Coder

Oxford, NC · On-site +1

$17.25 - $23/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN Preferred Qualifications * Bachelor's Degree * CRC -Certified Risk Adjustment Coder * Experience working ...

Humana

Medical Coder

Youngsville, NC · On-site +1

$14.25 - $19/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN Preferred Qualifications * Bachelor's Degree * CRC -Certified Risk Adjustment Coder * Experience working ...

Humana

Medical Coder

Apex, NC · On-site +1

$14.25 - $19/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN Preferred Qualifications * Bachelor's Degree * CRC -Certified Risk Adjustment Coder * Experience working ...

Humana

Medical Coder

Durham, NC · On-site +1

$18 - $24.25/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN Preferred Qualifications * Bachelor's Degree * CRC -Certified Risk Adjustment Coder * Experience working ...

Humana

Medical Coder

Wake Forest, NC · On-site +1

$16 - $21.50/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN Preferred Qualifications * Bachelor's Degree * CRC -Certified Risk Adjustment Coder * Experience working ...

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Trainee Hcc Risk Adjustment Coding information

See Raleigh, NC salary details

$13

$20

$35

How much do trainee hcc risk adjustment coding jobs pay per hour?

As of Jun 8, 2026, the average hourly pay for trainee hcc risk adjustment coding in Raleigh, NC is $20.56, according to ZipRecruiter salary data. Most workers in this role earn between $14.95 and $23.61 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?

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.
What are popular job titles related to Trainee Hcc Risk Adjustment Coding jobs in Raleigh, NC? For Trainee Hcc Risk Adjustment Coding jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Trainee Hcc Risk Adjustment Coding jobs in Raleigh, NC look for? The top searched job categories for Trainee Hcc Risk Adjustment Coding jobs in Raleigh, NC are:
Trainee Hcc Risk Adjustment Coding jobs near you
Consulting Actuary - ACA Risk Adjustment

Consulting Actuary - ACA Risk Adjustment

Blue Cross and Blue Shield of North Carolina

Chapel Hill, NC

$143K - $229K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 3 days ago

Blue Cross and Blue Shield of North Carolina rating

7.8

Company rating: 7.8 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

165th of 260 rated insurance

Job description

Job Description

As a Consulting Actuary -ACA Risk Adjustment, you will play a pivotal role in delivering a wide array of actuarial and analytical services for our organization. Responsibilities include leading pricing strategies and actuarial initiatives for business segments, evaluating advanced care management models, conducting competitive benchmarking analyses, and designing and pricing sophisticated insurance products. You will support company objectives by providing reliable, actionable actuarial insights and recommendations, proactively identifying and addressing complex risks and opportunities. This position requires adaptability to the evolving landscape of the industry, ensuring our actuarial practices remain at the forefront of innovation and excellence.

What You'll Do

  • Accountable for completion of complex actuarial or analytical projects, ensuring timeliness, compliance, and quality of work

  • Provide proactive and strategic thought leadership of ways to improve processes, reduce risks, and meet department and enterprise objectives to achieve profitable growth and/or improve value, quality, and access for Blue Cross NC customers

  • Achieve segment financial targets and provide concise explanations of results and variances to expectations; act as a financial steward for the company

  • Communicate effectively with all levels and divisions within the organization, including Divisional Leadership

  • Manage external partnerships with vendors, auditors, regulators, and health care providers, including effective negotiation of contracts and/or rates

  • Develop and maintain strong business relationships with internal partners through business expertise and exceptional support; act as a strategic advisor

  • Meet continuing education standards required for job function, thought leadership and maintenance of actuarial credentials

What You Bring

  • Bachelor's degree or advanced degree (where required)

  • Member of the American Academy of Actuaries

  • Fellow of the Society of Actuaries

  • 7 years of relevant actuarial experience, related experience may be considered.

  • In lieu of an FSA, will consider candidates who are an Associate of the Society of Actuaries (ASA) and have at least 9 years of relevant actuarial experience.

Bonus Points

  • Deep experience with ACA Risk Adjustment, including HHS-HCC model methodology, risk score forecasting, and financial impact analysis - Highly Preferred

  • Proven expertise in ACA Risk Adjustment transfer forecasting and explanation of results to senior leadership - Highly Preferred

  • Strong understanding of diagnosis coding (ICD-10-CM), provider documentation practices, and their impact on risk adjustment outcomes.

  • Advanced analytical skills to identify risk adjustment leakage, emerging risks, and optimization opportunities across ACA populations

What You'll Get

  • The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community.

  • Work-life balance, flexibility, and the autonomy to do great work.

  • Medical, dental, and vision coverage along with numerous health and wellness programs.

  • Parental leave and support plus adoption and surrogacy assistance.

  • Career development programs and tuition reimbursement for continued education.

  • 401k match including an annual company contribution

  • Learn more

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs.Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.

*Based on annual corporate goal achievement and individual performance.

$143,616.00 - $229,786.00

Skills

Actuarial Analysis, Actuarial Management, Actuarial Science, Actuarial Services, Affordable Care Act (ACA), Complex Care Management, Financial Reporting and Analysis, Hiring Management, Insurance Industry, Organizational Leadership, Regulatory Compliance

_____________________________________________________________________
JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.

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