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Vice President Hcc Risk Adjustment Coder Jobs in Dallas, TX

Altegra Health

Remote Certified Coder

Dallas, TX · Remote

$22.25 - $30.50/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk ...

Altegra Health

Remote Certified Coder

Dallas, TX · On-site +1

$22.25 - $30.50/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk ...

Vytwo

Risk Adjustment Coding Auditor

Prosper, TX · On-site

$25 - $28.50/hr

This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV's. Required skillset: MS Suite CPC certified CRC certified 5+ years of risk ...

Vytwo

Risk Adjustment Coding Auditor

Prosper, TX · On-site

$25 - $28.50/hr

This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV's. Required skillset: MS Suite CPC certified CRC certified 5+ years of risk ...

Oscar Health

Auditor, Risk Adjustment

Dallas, TX · Remote

$82K - $108K/yr

The Associate, Risk Adjustment Auditor conducts internal and external quality audits ... Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and ...

3B Healthcare, Inc.

Administrative- Certified Coder

Dallas, TX · On-site

$22.50 - $30/hr

... HCC and HEDIS CAT II, Risk Adjustment - REQUIRED Must be able to handle HIGH Volume of cases - REQUIRED Evaluation Management experience - REQUIRED Ability to assign CPT codes - REQUIRED Knowledge ...

TrinityRail

VP, Risk & Portfolio Investment

Dallas, TX · On-site

Trinity Industries is seeking a Vice President, Risk & Portfolio Investment for our headquarters office in Dallas, TX . This a leadership position responsible for optimizing Trinity's asset portfolio ...

Saigepartners

Vice President, Valuation

Plano, TX · On-site

$150 - $200/hr

Vice President, Valuation Job Overview: We are seeking a Vice President, Valuation to join our ... risk. * Stay updated on industry trends, incorporating best practices into valuation services.

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All JobsVice President Hcc Risk Adjustment Coder JobsVice President Hcc Risk Adjustment Coder Jobs in Dallas, TX

Vice President Hcc Risk Adjustment Coder information

See Dallas, TX salary details

$84.6K

$174.8K

$261.2K

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

As of Aug 8, 2026, the average yearly pay for vice president hcc risk adjustment coder in Dallas, TX is $174,773.00, according to ZipRecruiter salary data. Most workers in this role earn between $135,500.00 and $202,800.00 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.

How long does it take to become a vice president hcc risk adjustment coder?

Becoming a Vice President HCC Risk Adjustment Coder typically requires several years of experience in medical coding, risk adjustment, or healthcare management, often 5 to 10 years. Progression to this senior leadership role involves gaining expertise in coding accuracy, compliance, and leadership skills, along with relevant certifications such as CPC or CCS, and demonstrated success in managing risk adjustment programs.

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 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.
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Vice President Hcc Risk Adjustment Coder jobs near you

Remote Certified Coder

Altegra Health

Dallas, TX • Remote

$22.25 - $30.50/hr

Temporary

Re-posted 12 days ago

Job description

Company Description

Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in:

1. CMS HCC Risk Adjustment

2. HEDIS

3. Medical Record Reviews (Accreditation)

4. And more


Job Description

These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines).


Responsibilities:  

Abstract pertinent information from patient medical records. Assign appropriate ICD-9-CM codes, creating HCC and/or RxHCC group assignments as applicable.

Assign Altegra Health Flagged Event codes when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes.

Remain current on medical coding guidelines and reimbursement reporting requirements.

Check chart assignments every day and report accurately all hours worked on a weekly basis.

Report work-related concerns to assigned Coder Advocate and if not adequately addressed to Sr. Manager of Clinical Operations. 

Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines.

Comply with HIPAA laws and regulations.

Participate in testing and training as required by the Company.

Qualifications:  

Active nursing license (RN or LPN) and/or certified coder certification through AHIMA or AAPC required

At least one years' experience as a medical coder/abstractor.

Extensive knowledge of ICD-9-CM outpatient diagnosis coding guidelines (with knowledge and demonstrated understanding of CMS HCC Risk Adjustment coding and data validation requirements is preferred);

Ability to code using an ICD-9-CM code book (without using an encoder);

Strong clinical skills related to chronic illness diagnosis, treatment and management;

Reliability and a commitment to meeting tight deadlines (24-hour turnaround time on all assigned charts);

Personal discipline to work remotely without direct supervision;

Exemplary attention to detail and completeness-all medical coders must maintain minimum QA passing requirements based on HCC scoring model(HCCx < or equal to 5 and HCCm < or equal to 5);

Computer proficiency (including MS Windows, MS Office, and the Internet);

Must have high-speed Internet access, a home computer with a current Windows operating system, MS Internet Explorer (version 6.0.2 or better), and Adobe 6.0 or better;

Strong organization skills; interpersonal and customer service skills; written and oral communication skills; and analytical skills;

Knowledge of HIPAA, recognizing a commitment to privacy, security and confidentiality of all medical chart documentation.


Qualifications

1 year of certified coding experience

Additional Information

All your information will be kept confidential according to EEO guidelines.

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