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Trainee Hcc Risk Adjustment Coding Jobs (NOW HIRING)

PedIM Healthcare

HCC Coder

Lecanto, FL · On-site

$13.75 - $18.50/hr

Minimum 2+ years of HCC/Risk Adjustment coding experience (required) * Strong knowledge of CMS risk adjustment methodology and Medicare Advantage models * Active coding credential preferred (CRC, CPC ...

PedIM Healthcare

HCC Coder

Lecanto, FL

$13.75 - $18.50/hr

Minimum 2+ years of HCC/Risk Adjustment coding experience (required) * Strong knowledge of CMS risk adjustment methodology and Medicare Advantage models * Active coding credential preferred (CRC, CPC ...

Pedim

HCC Coder

Lecanto, FL · On-site

$13.75 - $18.50/hr

Minimum 2+ years of HCC/Risk Adjustment coding experience (required) * Strong knowledge of CMS risk adjustment methodology and Medicare Advantage models * Active coding credential preferred (CRC, CPC ...

PedIM Healthcare

HCC Coder

Lecanto, FL

$13.75 - $18.50/hr

Minimum 2+ years of HCC/Risk Adjustment coding experience (required) * Strong knowledge of CMS risk adjustment methodology and Medicare Advantage models * Active coding credential preferred (CRC, CPC ...

PedIM Healthcare

HCC Coder (Lecanto)

Lecanto, FL

$13.75 - $18.50/hr

Minimum 2+ years of HCC/Risk Adjustment coding experience (required) * Strong knowledge of CMS risk adjustment methodology and Medicare Advantage models * Active coding credential preferred (CRC, CPC ...

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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 Jun 20, 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.

Can I get a job as a medical coder with no experience?

Entry-level medical coding positions, including trainee HCC risk adjustment coding roles, often do not require prior experience but do require knowledge of medical terminology, coding systems like ICD-10, and attention to detail. Completing a coding certification or training program can improve job prospects, and some employers offer on-the-job training for beginners.

Is HCC coding a good career?

HCC coding for risk adjustment is a growing field in healthcare, offering stable employment opportunities and the potential for certification as a Certified Professional Coder (CPC) or similar credential. It requires attention to detail, knowledge of medical terminology, and familiarity with coding software, making it a viable career path for those interested in healthcare administration and medical billing.

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 to become a risk adjustment coder?

To become a risk adjustment coder, typically one needs a coding certification such as CPC or CCS, along with knowledge of medical coding and healthcare documentation. Training programs or courses in risk adjustment coding are often recommended, and experience with coding tools and electronic health records can enhance job prospects.

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.
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Trainee Hcc Risk Adjustment Coding jobs near you
Infographic showing various Trainee Hcc Risk Adjustment Coding job openings in the United States as of June 2026, with employment types broken down into 100% Full Time. Highlights an 45% In-person, and 55% Remote job distribution, with an average salary of $43,990 per year, or $21.1 per hour.

Risk Adjustment Specialist

LSMA Management Inc

San Bernardino, CA • On-site

$30 - $34/hr

Full-time

Posted 6 days ago

Job description

Description:

JOB SUMMARY

The Risk Adjustment Specialist – Coding Compliance supports the organization’s delegated Risk Adjustment and Coding Compliance programs by performing specialized audit support, documentation review coordination, coding validation support, medical record analysis, and compliance activities to promote accurate and complete Hierarchical Condition Category (HCC) capture in accordance with Centers for Medicare & Medicaid Services (CMS), California Department of Managed Health Care (DMHC), National Committee for Quality Assurance (NCQA), Office of Inspector General (OIG), and contracted health plan requirements.

This role supports coding compliance oversight activities related to Medicare Advantage Risk Adjustment, Risk Adjustment Data Validation (RADV), provider documentation integrity, and coding accuracy initiatives. The position assists with identifying documentation gaps, monitoring coding compliance trends, coordinating audit preparation activities, and supporting provider education efforts to ensure accurate Risk Adjustment Factor (RAF) scoring and regulatory compliance.

The Risk Adjustment Specialist collaborates closely with Coding Compliance leadership, certified coders, providers, population health teams, utilization management, care management, quality improvement, and health plans to support compliant documentation and coding practices, audit readiness, and delegated risk adjustment program performance.

Requirements:

MINIMUM & PREFERRED QUALIFICATIONS:


Education/Training

Minimum: High school diploma or GED equivalent required

Preferred: Associate’s degree or higher in healthcare administration, public health, social services, or related field.

Experience

Minimum: At least one year of experience in one or more of the following areas: risk adjustment, coding compliance, medical record review, managed care, healthcare administration, managed care or MSO environment, medical office or provider operations.

Preferred: Experience supporting Medicare Advantage Risk Adjustment programs. Experience supporting CMS RADV audits or coding compliance audits. Experience in an MSO, IPA, health plan, delegated entity, or managed care environment. Experience working with electronic health records, coding software, or Risk Adjustment platforms.

Certification(s)

Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or other coding certification preferred.

Skills, Knowledge & Abilities

  • Knowledge of CMS Risk Adjustment methodology, HCC documentation requirements, and RAF score principles.
  • Understanding of Medicare Advantage Risk Adjustment, coding compliance, and documentation integrity requirements.
  • Familiarity with CMS RADV audit standards, DMHC regulatory requirements, NCQA standards, and delegated health plan oversight requirements.
  • Ability to identify documentation deficiencies, coding inconsistencies, compliance risks, and audit-related concerns.
  • Strong organizational, analytical, auditing, and data tracking skills with exceptional attention to detail and accuracy.
  • Ability to maintain accurate records, audit logs, compliance documentation, and reporting tools.
  • Proficiency with electronic health records, Risk Adjustment platforms, coding software, and Microsoft Office applications.
  • Strong verbal and written communication skills with the ability to communicate professionally with providers, coders, leadership, health plans, and interdisciplinary teams.
  • Ability to handle confidential and sensitive information in compliance with HIPAA and organizational policies.
  • Ability to manage multiple priorities, deadlines, and audit-related activities in a fast-paced managed care environment.
  • Ability to work independently while collaborating effectively within interdisciplinary operational and compliance teams.

PHYSICAL, MENTAL & ENVIRONMENTAL REQUIREMENTS:

The physical demands described here are represented of those that must be met by an employee to successfully perform the essential functions of this job. Primarily sedentary work involving prolonged computer use. Occasional standing, walking, and local travel may be required. Ability to lift up to 20 pounds occasionally. Requires strong attention to detail, data analysis capability, and effective communication skills. Work is performed in an office or remote environment supporting electronic medical record and Risk Adjustment systems.


PAY RANGE

$30.00 - $34.00 / hourly

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