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Trainee Hcc Risk Adjustment Coding Jobs in Raleigh, NC

Duke Health

COMPLIANCE SPECIALIST-Remote

Durham, NC · Remote

... billing risk areas, report results to PB Operations for action plan Analyzes coded records for ... HCC coding/auditing * Multi-Specialty Coding/Auditing * Examples: * Interventional Radiology

Keebler Health

Solutions Engineer

Durham, NC · On-site

As a member of the team, you won't just write code or stay in your lane-you'll shape critical ... Exposure to risk adjustment , RAF scoring , or clinical data quality workflows. What Success Looks ...

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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 Sep 11, 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 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 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 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
Infographic showing various Trainee Hcc Risk Adjustment Coding job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 88% Full Time, 8% Part Time, and 3% Contract. Highlights an 88% Physical, 4% Hybrid, and 8% Remote job distribution, with an average salary of $42,762 per year, or $20.6 per hour.

COMPLIANCE SPECIALIST-Remote

Durham, NC • Remote

Duke Health
See more jobs at Duke Healthexternal

Full-time

Posted 22 days ago

Duke Health rating

7.2

Company rating: 7.2 out of 10

Based on 256 frontline employees who took The Breakroom Quiz

Job description

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

Patient Revenue Management Organization

Pursue your passion for caring with the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health.


This position is 100% remote. All Duke University remote workers must reside in one of the following states:

North Carolina,Alabama, Arizona, Connecticut, District of Columbia, Florida, Georgia, Illinois, Iowa, Kentucky, Louisiana, Maine, Michigan, Missouri, Montana, New Hampshire, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Washington.

*Now offering a $10,000 sign-on bonus that will pay out in 4 equal installments over 24 months - 6-month increments.

General Description of the Job Class:

The Compliance Specialist Auditor will perform coding quality audits of inpatient records to assure appropriateness and accurate code assignments in accordance with Center of Medicare and Medicaid (CMS) guidelines and to provide ongoing feedback and identification of the education needs for the providers and staff.

Duties and Responsibilities

PRIMARY FUNCTION: Monthly QA Audits of PB coders.

Monitor data quality and optimal reimbursement to the hospital by performing retrospective quality audits for accurate coding of ICD-10-CM diagnoses or CPT-4 procedures (and appropriate use of modifiers) for professional and outpatient services using Center for Medicare and Medicaid coding guidelines, standards and regulations.

Should be able to adequately utilize coding resources to back up any findings within audit

Responsible for performing medical record reviews to ensure that documentation supports the assigned codes.

Performs focused/integrated audits; when necessary

Serves as subject matter coding expert

Collaborates with outside departments

Serves as the expert for coding questions

Identify coding and billing risk areas, report results to PB Operations for action plan

Analyzes coded records for compliance with federal, state and third party insurer rules and regulations and note trends.

Excellent verbal and written communication

Sets the tone for ethical behavior, actively models ethical behavior to set an example for others

Identifies issues and discusses them in a timely and constructive manner to obtain a rapid and effective resolution

Performs other related duties incidental to the work described herein and other related work as assigned.

HIGHLY SOUGHT AFTER SKILLS:

  • HCC coding/auditing
  • Multi-Specialty Coding/Auditing
    • Examples:
      • Interventional Radiology
      • Cardiothoracic
      • Ortho (Foot and Ankle Specifically)
      • Critical Care
      • Observation Services
      • ED
      • Edits/Denials
      • Gen Surg
      • Trauma
      • Peds
      • GI
      • Anesthesia
  • Good work ethic
  • Strong sense of responsibility
  • Ability to work independently

Required Qualifications at this Level:

Education:

  • High School Diploma, required

Experience:

  • Four (4) years of coding review experience in applying compliance, auditing and coding principles as they relate to professional coding and billing
  • Or equivalent combination of relevant education and/or experience.

Degrees, Licensure, and/or Certification:

  • Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) and/or Certified Coding Specialist (CCS), required
  • Certified Risk Coder (CRC), Certified Professional Medical Auditor (CPMA)- Added bonus credentials

Knowledge, Skills, and Abilities:

Knowledge of:

  • ICD-10-CM and CPT/HCPCS coding guidelines to effectively apply to outpatient diagnoses and procedures.
  • Knowledge of prospective payment systems and thorough understanding of DRG/APC reimbursement methodologies and coding validation.
  • Understanding of anatomy, physiology, pharmacology and medical terminology.

Ability to:

  • Achieve thoroughness and accuracy in task completion
  • Analyze detailed information to determine appropriate compliance with coding and reimbursement regulations
  • Establish and maintain effective working relationships
  • Communicate clearly and concisely
  • Identify trends within audits

Systems

  • Epic experience preferred; 3M 360 CAC, Audit Manager
  • MS Office Applications (Word, Excel, Visio, Access, PowerPoint)

Distinguishing Characteristics of this Level:

All job performance relates to the strategic goals of DUHS and its entities. All DUHS staff are expected to live Duke's Core Value: Caring for our patients, their loved ones and each other. Demonstrating commitment to excellence, safety, integrity, diversity and teamwork.


Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.


Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.


Essential Physical Job Functions:

Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.


Employment Type: FULL_TIME

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