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Vice President Hcc Risk Adjustment Coder Jobs in Baton Rouge, LA

Urrly

Telehealth Nurse Practitioner

Baton Rouge, LA · Remote

$600 - $720/day

Complete HCC risk adjustment documentation * Close HEDIS care gaps during patient visits * Document visits using ICD-10 and CPT II codes * Review medications, history, and preventive care needs

Humana

Senior Coding Educator

Belle Rose, LA

$24 - $27.25/hr

Certified Risk Coder (CRC) * Experience interacting with healthcare providers * Medicare Risk Adjustment knowledge * Analyzing data to build unique education strategies in PowerBi Additional ...

Humana

Senior Coding Educator

Baker, LA

$26.75 - $30.50/hr

Certified Risk Coder (CRC) * Experience interacting with healthcare providers * Medicare Risk Adjustment knowledge * Analyzing data to build unique education strategies in PowerBi Additional ...

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All JobsVice President Hcc Risk Adjustment Coder JobsVice President Hcc Risk Adjustment Coder Jobs in Baton Rouge, LA

Vice President Hcc Risk Adjustment Coder information

See Baton Rouge, LA salary details

$82.1K

$169.7K

$253.5K

How much do vice president hcc risk adjustment coder jobs pay per year?

As of Jul 19, 2026, the average yearly pay for vice president hcc risk adjustment coder in Baton Rouge, LA is $169,650.00, according to ZipRecruiter salary data. Most workers in this role earn between $131,600.00 and $196,800.00 per year, depending on experience, location, and employer.

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 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 are Vice President HCC Risk Adjustment Coders?

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, and why are they important?

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 popular job titles related to Vice President Hcc Risk Adjustment Coder jobs in Baton Rouge, LA? For Vice President Hcc Risk Adjustment Coder jobs in Baton Rouge, LA, the most frequently searched job titles are:
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Vice President Hcc Risk Adjustment Coder jobs near you
Director, Prospective Risk Adjustment Operations

Director, Prospective Risk Adjustment Operations

Blue Cross and Blue Shield of Louisiana

Baton Rouge, LA • On-site

Full-time

Posted 10 days ago

Blue Cross Blue Shield of Louisiana rating

8.6

Company rating: 8.6 out of 10

Based on 10 frontline employees who took The Breakroom Quiz

82nd of 281 rated insurance

Job description

We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with us.
Residency in or relocation to Louisiana is preferred for all positions.
Position Purpose
The Director, Prospective Risk Adjustment Operations leads the organization's prospective risk adjustment accuracy strategy and execution across Medicare Advantage and ACA products. This role is accountable for the design, implementation, and optimization of provider-facing and member-facing programs that ensure complete, accurate, and compliant documentation of member health status at the point of care. The Director oversees Clinical Documentation Integrity (CDI), provider engagement, Annual Wellness Visit initiatives, in-home and telehealth assessment programs, and other prospective risk adjustment interventions designed to drive accurate HCC capture and improve risk adjustment outcomes.
How You Contribute to the Company's Mission in this Role
Strategic Leadership
  • Leads the development and execution of enterprise-wide prospective risk adjustment operational strategies.
  • Translates analytical insights into scalable operational programs that improve documentation accuracy, provider engagement, and member participation.
  • Establishes performance goals, operational metrics, and accountability measures to achieve enterprise risk adjustment objectives.

Provider-Facing Prospective Coding Accuracy Programs
  • Oversees all provider-facing prospective HCC coding accuracy programs.
  • Develops, deploys, and scales Clinical Documentation Integrity (CDI) programs focused on suspected and previously coded conditions, practice transformation initiatives, and payer-provider process integration.
  • Engages providers to improve documentation quality and coding accuracy through education, performance reporting, and consultative support.
  • Aligns provider incentive structures with coding accuracy objectives and broader quality improvement programs.

Member-Facing Coding Accuracy Programs
  • Leads initiatives designed to improve member participation in prospective risk adjustment activities.
  • Oversees integration of Annual Wellness Visit outreach efforts into existing member engagement programs.
  • Develops new outreach strategies targeting members at risk of non-engagement.
  • Oversees Comprehensive Health Evaluation programs, including in-home and telehealth health assessments.

Cross-Functional Collaboration
  • Collaborates with healthcare analytics, provider organizations, value-based care teams, population health, compliance, and clinical leadership to advance prospective risk adjustment goals.
  • Partners with internal stakeholders to integrate risk adjustment communications and interventions throughout the member lifecycle.
  • Builds and maintains relationships with vendors and strategic partners that support prospective coding accuracy initiatives.

Operational Excellence
  • Owns operational infrastructure, workflows, performance management processes, and vendor oversight necessary to achieve program objectives.
  • Monitors and drives performance related to prospective HCC recapture, provider coding accuracy, Annual Wellness Visit completion, in-home assessment completion, and provider engagement outcomes.
  • Ensures all programs operate in accordance with regulatory and compliance requirements.

Required Qualifications
Education
  • Bachelor's degree in Healthcare Administration, Business Administration, Public Health, Nursing, Finance, or a related field required.
  • Master's degree preferred.

Experience
  • Seven (7) years of progressive leadership experience in risk adjustment, population health, provider engagement, healthcare operations, value-based care, or a related healthcare function.
  • Experience developing and leading provider-facing initiatives designed to improve documentation quality, coding accuracy, and operational performance.
  • Demonstrated experience leading large-scale operational programs and cross-functional teams.
  • Experience working with Medicare Advantage, ACA, risk adjustment methodologies, HCC coding, and healthcare reimbursement programs preferred.

Knowledge, Skills, and Abilities
  • Strong knowledge of prospective risk adjustment principles, HCC coding methodologies, and documentation integrity practices.
  • Understanding of provider engagement strategies, population health management, and value-based care models.
  • Ability to analyze complex operational and performance data and translate findings into actionable business strategies.
  • Strong communication, relationship management, and influencing skills.
  • Demonstrated ability to lead organizational change and drive measurable results through cross-functional collaboration.
  • Strong project management, process improvement, and vendor management skills.

The Physical Demands described here are representative of those that must be met by an employee to successfully perform the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions.
Perform other job-related duties as assigned, within your scope of responsibilities.
Job duties are performed in a normal and clean office environment with normal noise levels.
Work is predominately done while standing or sitting.
The ability to comprehend, document, calculate, visualize, and analyze are required.
An Equal Opportunity Employer
All internal employees please apply through Workday Careers.
PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI)
Additional Information
Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account.
If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact recruiting@bcbsla.com for assistance.
In support of our mission to improve the health and lives of Louisianians, we encourage the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free.
We perform background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner.
Additionally, we are a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.

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