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Vice President Hcc Risk Adjustment Coder Jobs in Milwaukee, WI

Landmark Credit Union

VP, IT Platforms

Brookfield, WI · On-site

$148K - $186K/yr

The VP, IT Platforms reports to the SVP, IT and serves as the senior owner of platform health ... Drive infrastructure-as-code, configuration management, CI/CD enablement, and platform automation ...

landmarkcu

VP, IT Platforms

Brookfield, WI · On-site

$148K - $186K/yr

The VP, IT Platforms reports to the SVP, IT and serves as the senior owner of platform health ... Drive infrastructure-as-code, configuration management, CI/CD enablement, and platform automation ...

Landmark Credit Union

VP, IT Platforms

Brookfield, WI · On-site

$148K - $186K/yr

The VP, IT Platforms reports to the SVP, IT and serves as the senior owner of platform health ... Drive infrastructure-as-code, configuration management, CI/CD enablement, and platform automation ...

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All JobsVice President Hcc Risk Adjustment Coder JobsVice President Hcc Risk Adjustment Coder Jobs in Milwaukee, WI

Vice President Hcc Risk Adjustment Coder information

See Milwaukee, WI salary details

$84.2K

$174.1K

$260.1K

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

As of Aug 10, 2026, the average yearly pay for vice president hcc risk adjustment coder in Milwaukee, WI is $174,068.00, according to ZipRecruiter salary data. Most workers in this role earn between $135,000.00 and $202,000.00 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

Area Vice President - Payor Contracting

Advocate Aurora Health

Milwaukee, WI • On-site

$86.75 - $138.80/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 6 days ago

Advocate Aurora Health rating

7.6

Company rating: 7.6 out of 10

Based on 775 frontline employees who took The Breakroom Quiz

186th of 887 rated healthcare providers

Job description

Department:
Status:
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
Pay Range
$86.75 - $138.80
Major Responsibilities:
  • Develops and manages a portfolio of payer contracts that optimize enterprise organization revenue, margin and growth in alignment with mission and strategic objectives.
  • Establishes and maintains positive, appropriate relationships with market payers. Utilizes communication and organizational skills to work collaboratively and credibly with payers to achieve common objectives and assist in the resolution process related to any disputes.
  • Works collaboratively with internal stakeholders across all business units to define and achieve common payer strategy and reimbursement objectives.
  • Develops and executes communication plans to internal and external stakeholders related to payer relationships, negotiations, organizational contractual obligations, and developments in the managed care marketplace.
  • Works with the Vice President of Revenue Analytics to ensure financial analysis of payer contract performance and modeling projections based on alternate contract agreements with payers, adverse trends, etc., and then makes appropriate recommendations or conclusions for the enterprise.
  • Performs high level review and monitors financial aspects of existing managed care contracts. Utilizes the financial analysis of reimbursement rates from Revenue Analytics for feedback on contract renewals, renegotiations or termination. Makes recommendations regarding participation or non-participation with new or existing agreements and provide feedback to entire Aurora senior leadership regarding financial and/or operational issues with payers.
  • Works with Legal to ensure consistency and to the extent possible, standardization of contract terms.
  • Develops and manages the risk sharing and reconciliation process to manage financial guarantees related to payer and employers.
  • Interfaces with government relations related to any conflicting issues regarding Medicaid management with the State.
  • Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale.
  • Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives.
  • Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business.

Licensure, Registration, and/or Certification Required:
  • None Required.

Education Required:
  • Bachelor's Degree in Business, or
  • Bachelor's Degree in Health Care Administration or related field.

Experience Required:
  • Typically requires 15 years of experience in contractual, administrative, health insurance and operations related to managed care organizations, physician groups, hospitals and health insurance benefit plan designs. Includes 10 years of management experience in the management of staff, budgets, and multiple managed care contracting functions.

Knowledge, Skills & Abilities Required:
  • Proven and extensive contracting technical skills; contract preparation and implementation, financial analysis and rate proposal development, and in depth knowledge of various reimbursement methodologies.
  • Ability to negotiate with excellent interpersonal, diplomatic, and problem solving skills.
  • Self motivated, with excellent written and verbal communication and presentation skills.
  • Proficiency in the use of Microsoft Office (Excel, Access, PowerPoint and Word) or similar products.
  • Ability to assess problems and effectively implement solutions.
  • Advanced skill in financial analysis with a track record of achieving financial targets.
  • Demonstrated experience in overseeing financial agreements with vendors, legal negotiations and contract finalization.

Physical Requirements and Working Conditions:
  • Position may require travel which may result in exposure to road and weather hazards.
  • Exposed to normal office environment.
  • Operates all equipment necessary to perform the job.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation
  • Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
  • Premium pay such as shift, on call, and more based on a teammate's job
  • Incentive pay for select positions
  • Opportunity for annual increases based on performance

Benefits and more
  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

What Advocate Aurora Health employees say

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Hours and flexibility

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About Advocate Health

Sourced by ZipRecruiter

Advocate Healthcare, based in Oak Lawn, Illinois, United States, is a leading figure in the health care industry. Accessible via their official website, 'advocatehealth.com', this organization provides a wide variety of medical services and treatment options. Founded in 1995 through a merger of Evangelical Health Systems Corporation and Lutheran General HealthSystem, Advocate Healthcare has grown exponentially over the years. Now, it operates more than 400 sites of care, including 12 hospitals that encompass 11 acute care hospitals, the state’s largest integrated children’s network, five Level I trauma centers, and three Level II trauma centers. Upholding their values of equality, compassion, excellence, partnership and stewardship, Advocate Healthcare's mission is centered on building lifelong relationships with patients by delivering the best health outcomes and highest level of service through an integrated approach to care and wellness.

Industry

Hospitals and health care and social assistance

Company size

10,000+ Employees

Headquarters location

Charlotte, NC, US

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