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Trainee Hcc Risk Adjustment Coding Jobs (NOW HIRING)

Risk Adjustment (RA)/HCC Coder/Auditor

$28 - $31.75/hr

Advanced knowledge and understanding of HCC/risk adjustment, coding and documentation requirements * Demonstrate ability to perform accurate and complete chart audits for HCC/risk adjustment

IL ยท On-site

$85K - $90K/yr

Review, validate, and code Medicare Advantage medical records using ICD-10-CM and CMS-HCC methodologies to support accurate and compliant risk adjustment submissions. * Conduct quality assurance ...

Senior Risk Adjustment Coding Auditor

IL ยท Remote

$85K - $90K/yr

Review, validate, and code Medicare Advantage medical records using ICD-10-CM and CMS-HCC methodologies to support accurate and compliant risk adjustment submissions. * Conduct quality assurance ...

... HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment ...

... HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment ...

... HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment ...

... HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment ...

... HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment ...

... HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment ...

... HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment ...

... HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment ...

... HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment ...

... HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment ...

... HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment ...

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Trainee Hcc Risk Adjustment Coding information

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

As of Sep 10, 2026, the average hourly pay for trainee hcc risk adjustment coding in the United States is $21.15, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $24.28 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.

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Infographic showing various Trainee Hcc Risk Adjustment Coding job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 89% Full Time, 8% Part Time, and 2% Contract. Highlights an 82% Physical, 4% Hybrid, and 14% Remote job distribution, with an average salary of $43,990 per year, or $21.1 per hour.

Risk Adjustment - Risk Adjustment Coding Auditor 135-2014

Tulsa, OK โ€ข On-site

$25 - $28.25/hr

Full-time

Re-posted 12 days ago


Job description

JOB SUMMARY:
The Risk Adjustment Auditor is responsible for reviewing medical records and related documentation to ensure accurate capture of diagnoses in compliance with CMS risk adjustment guidelines and ICD-10-CM coding standards. This role plays a critical part in supporting accurate risk score calculation, regulatory compliance, and overall program integrity.
KEY RESPONSIBILITIES:
โ€ข Perform bi-directional retrospective and prospective medical record reviews to validate, clarify, and accurately capture risk adjusted diagnoses (HCCs) in accordance with CMS guidelines and MEAT documentation requirements.
โ€ข Ensure documentation supports coded conditions in accordance with ICD-10-CM, CMS, and payer-specific guidelines.
โ€ข Identify unsupported diagnoses, over coding, under-coding, and documentation gaps.
โ€ข Provide detailed audit findings and recommendations to coding teams, providers, and leadership.
โ€ข Monitor compliance with CMS Risk Adjustment Data Validation (RADV) standards.
โ€ข Track and report audit results, trends, and performance metrics.
โ€ข Collaborate with coding staff, providers, and operations teams to improve documentation quality and coding accuracy.
โ€ข Assist with education and training initiatives related to risk adjustment and documentation best practices.
โ€ข Maintain confidentiality and ensure compliance with HIPAA regulations.
โ€ข Meet daily and weekly productivity goals and quality standards set by the supervisor.
โ€ข Perform other job-related duties as required or assigned.
QUALIFICATIONS:
โ€ข Knowledge of CMS-HCC and HHS-HCC risk adjustment model.
โ€ข Knowledge of ICD-10-CM coding guidelines.
โ€ข Knowledge of RADV requirements.
โ€ข Proficiency in EMR systems and Microsoft Office (Excel preferred).
โ€ข High attention to detail.
โ€ข Strong analytical and critical thinking skills.
โ€ข Clear written and verbal communication.
โ€ข Ability to work independently and meet deadlines.
โ€ข Strong organizational skills.
โ€ข Integrity and commitment to compliance.
โ€ข Successful completion of Health Care Sanctions background check.
EDUCATION/EXPERIENCE:
โ€ข A minimum of two years of risk adjustment coding or auditing experience.
โ€ข Experience reviewing medical records across multiple specialties.
โ€ข Certified Professional Coder (CPC), CRC, CCS, or equivalent coding certification.
โ€ข Bachelor's degree in Health Information Management or related field preferred.
โ€ข Previous auditing experience in Medicare Advantage and ACA preferred.
โ€ข Experience with internal audit programs or payer audits preferred.
CommunityCare is an equal opportunity at will employer and does not discriminate against any employee or applicant for employment because of age, race, religion, color, disability, sex, sexual orientation or national origin