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Vice President Hcc Risk Adjustment Coder Jobs in New York

Urrly

VP, Strategic Accounts - Health Plans

New York, NY · On-site +1

$175K - $215K/yr

Role: SVP, Client Strategy -- Health Plans * Location: Remote, United States * Pay: $175,000-$215 ... Strong understanding of value-based care, Medicare Advantage, risk adjustment, quality, or care-gap ...

Regard

VP of Outpatient Growth

New York, NY · Remote

$180K - $220K/yr (+ commission)

Reporting directly to our VP of Sales and working in close partnership with our CEO and President ... Direct experience selling HCC capture or risk adjustment technology to large medical groups, MSOs ...

Regard

VP of Outpatient Growth

New York, NY · Hybrid

$180K - $220K/yr

Reporting directly to our VP of Sales and working in close partnership with our CEO and President ... Direct experience selling HCC capture or risk adjustment technology to large medical groups, MSOs ...

Premium Technology

Operational Risk VP

New York, NY · On-site

Company Description A Major International Bank in Midtown Manhattan is seeking Operational Risk VP in their HQ NYC office. The incumbent will be responsible for the oversight of the operational risk ...

Legends

Vice President, Risk Management

Manhattan, NY · On-site

$250 - $265/hr

Vice President, Risk Management Reports To: Chief Legal Officer Department: Legal FLSA Status ... codes, noise ordinances, and crowd capacity limits. Stay ahead of evolving industry standards and ...

ING Group

Vice President, Integrated Risk

New York, NY · On-site

Risk | Integrated Risk Americas | Vice President, Integrated Risk | New York About ING : In the Americas, ING's Wholesale Banking division offers a broad range of innovative financial products and ...

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Vice President Hcc Risk Adjustment Coder information

What is a Vice President HCC Risk Adjustment Coder?

A Vice President HCC (Hierarchical Condition Category) Risk Adjustment Coder is a senior executive responsible for overseeing the medical coding operations related to risk adjustment in healthcare organizations. They lead teams that ensure accurate coding of patient diagnoses and health information, which impacts how healthcare providers are reimbursed by insurance payers, especially Medicare Advantage plans. Their role typically involves compliance oversight, quality assurance, training coders, and strategic planning to optimize risk scores. These professionals require extensive experience in medical coding, deep knowledge of HCC models, and strong leadership skills. They play a critical part in helping organizations maximize compliant reimbursement and improve patient outcomes.

What are the key skills and qualifications needed to thrive as a Vice President HCC Risk Adjustment Coder?

To thrive as a Vice President HCC Risk Adjustment Coder, you need deep expertise in HCC coding, risk adjustment methodologies, healthcare regulations, and a relevant certification such as CPC, CRC, or CCS. Mastery of coding software, EHR systems, and data analytics platforms is typically required. Leadership, strategic thinking, attention to detail, and strong communication skills distinguish top performers in this role. These skills are crucial for ensuring coding accuracy, regulatory compliance, and driving organizational success in value-based care environments.

What are some common challenges faced by a Vice President HCC Risk Adjustment Coder, and how can they be managed?

A Vice President HCC Risk Adjustment Coder often faces the challenge of ensuring coding accuracy and compliance across large teams while keeping up with evolving CMS guidelines. Managing remote or distributed coding staff, integrating new technology solutions, and balancing productivity with quality assurance are also common hurdles. Success in this role requires strong communication skills, ongoing coder education, and the implementation of robust audit processes to maintain data integrity and regulatory compliance.

What is the difference between Vice President Hcc Risk Adjustment Coder vs Hcc Risk Adjustment Coder?

AspectVice President Hcc Risk Adjustment CoderHcc Risk Adjustment Coder
CredentialsAdvanced certifications, leadership experienceCertifications like CPC, CCS, or RHIT
Work EnvironmentExecutive-level, strategic planningOperational, coding departments
Industry UsageUsed in large healthcare organizations, insurersCommon in hospitals, clinics, coding firms

The Vice President Hcc Risk Adjustment Coder focuses on strategic leadership and oversight of risk adjustment coding programs, often requiring advanced certifications and leadership skills. In contrast, the Hcc Risk Adjustment Coder handles day-to-day coding tasks, ensuring accurate HCC coding based on medical records. Both roles are vital in healthcare risk management but differ mainly in scope, responsibilities, and experience level.

What are the most commonly searched types of Hcc Risk Adjustment Coder jobs in New York?

The most popular types of Hcc Risk Adjustment Coder jobs in New York are:

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Vice President Hcc Risk Adjustment Coder jobs near you

VP, Strategic Accounts - Health Plans

Urrly

New York, NY • On-site, Remote

$175K - $215K/yr

Full-time

Medical, Dental, Vision

Re-posted 4 days ago

Job description

Join a fast-growing healthcare technology company and lead executive relationships with the nation's largest health plans.

Role Snapshot
  • Role: SVP, Client Strategy -- Health Plans
  • Location: Remote, United States
  • Pay: $175,000-$215,000 base + bonus + equity
  • Schedule: Flexible and outcome-driven

Our client helps health plans deliver last-mile value-based care, including in-home risk assessments, annual wellness visits, care-gap closure, and member engagement.

They are seeking a senior executive to elevate client strategy, strengthen executive relationships, and build a scalable account management model for enterprise health-plan clients.

You will inherit a function that needs stronger strategic leadership, more consistent executive engagement, and clearer alignment between client priorities, program performance, and measurable outcomes.

What You'll Do
  • Lead executive relationships across enterprise health-plan accounts
  • Translate client priorities into measurable program and business outcomes
  • Build QBR, EBR, governance, and executive communication frameworks
  • Establish a consultative, enterprise-level account management model
  • Create case studies tied to outcomes, ROI, quality, and client value
  • Improve alignment across health-plan stakeholders and internal teams
  • Coach the team toward more strategic and proactive client engagement
  • Build scalable client playbooks, standards, and operating rhythms
What You'll Bring
  • VP, SVP, EVP, or Head-level client strategy or account leadership experience
  • Experience managing complex enterprise relationships with health plans or healthcare payers
  • Strong understanding of value-based care, Medicare Advantage, risk adjustment, quality, or care-gap closure programs
  • Experience building scalable QBR, EBR, governance, or account management frameworks
  • Proven success managing and influencing executive stakeholders
  • Ability to connect program performance to business outcomes and client value
  • Authorization to work in the United States
Preferred Experience
  • Experience with a payer-services, population health, healthcare technology, or in-home clinical services organization
  • Leadership within a high-growth or rapidly evolving company
  • Turnaround experience within an underperforming client function
  • Experience building enterprise account management playbooks at scale
Compensation and Benefits
  • $175,000-$215,000 base salary
  • Annual performance bonus
  • Equity participation
  • Medical, dental, and vision benefits
  • Direct exposure to executive leadership

This is a builder role with significant influence from day one. You will help transform client relationships from reactive and tactical to consultative, measurable, and strategic.

Apply today to lead enterprise health-plan relationships and build the client strategy function at a fast-growing healthcare technology company.

Employment Type: FULL_TIME

Apply