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Vice President Hcc Risk Adjustment Coder Jobs in Orange, CA

NORTHEAST COMMUNITY CLINIC

HCC Coder

Alhambra, CA · On-site

$34 - $39/hr

Attend weekly meetings and present HCC Risk Adjustment Coding Department feedback, including data analysis, summary details; provide work flows and worksheets as necessary. * Attend Coding and ...

NORTHEAST COMMUNITY CLINIC

HCC Coder

Alhambra, CA

$34 - $39/hr

Attend weekly meetings and present HCC Risk Adjustment Coding Department feedback, including data analysis, summary details; provide work flows and worksheets as necessary. * Attend Coding and ...

Northeast Community Clinic

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HCC Coder

Alhambra, CA · On-site

$34 - $39/hr

Attend weekly meetings and present HCC Risk Adjustment Coding Department feedback, including data analysis, summary details; provide work flows and worksheets as necessary. * Attend Coding and ...

Urrly

Telehealth Nurse Practitioners

Los Angeles, CA · On-site +1

$600 - $720/day

Document risk adjustment (HCC coding) during patient visits * Close HEDIS care gaps during visits * Review medical history, medications, and preventive needs * Document visits using ICD-10 and CPT II ...

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All JobsVice President Hcc Risk Adjustment Coder JobsVice President Hcc Risk Adjustment Coder Jobs in Orange, CA

Vice President Hcc Risk Adjustment Coder information

See Orange, CA salary details

$91.3K

$188.7K

$282K

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

As of Sep 5, 2026, the average yearly pay for vice president hcc risk adjustment coder in Orange, CA is $188,735.00, according to ZipRecruiter salary data. Most workers in this role earn between $146,400.00 and $219,000.00 per year, depending on experience, location, and employer.

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 popular job titles related to Vice President Hcc Risk Adjustment Coder jobs in Orange, CA?

For Vice President Hcc Risk Adjustment Coder jobs in Orange, CA, the most frequently searched job titles are:

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Vice President Hcc Risk Adjustment Coder jobs near you
Infographic showing various Vice President Hcc Risk Adjustment Coder job openings in Orange, CA as of August 2026, with employment types broken down into 92% Full Time, and 8% Contract. Highlights an 60% In-person, and 40% Remote job distribution, with an average salary of $188,735 per year, or $90.7 per hour.

HCC Coder

NORTHEAST COMMUNITY CLINIC

Alhambra, CA • On-site

$34 - $39/hr

Other

Posted 10 days ago

Job description

Position Summary
The HCC Coder will be responsible for evaluating the accuracy and consistency of coded clinical data quality results and reports in accordance with accepted and established standards. The HCC Coder will collaborate with the Billing Manager and Medical Director in providing expertise in the use and application of current coding classifications including but not limited to ICD-10-CM, CPT, E&M and record documentation to ensure compliance in the collection of outpatient diagnoses and services.
Schedule:
  • Full-time (Non-Exempt)
  • Flexible, may require some evening and weekends

Primary Duties and Responsibilities
  • Review of medical records to ensure accuracy and claims for proper documentation and coding and completeness.
  • Communicate with providers when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes.
  • Create training presentations to educate staff in Medicare coding guidelines, with focus on Quality Measures with focus on HEDIS and Risk Adjustment HCC.
  • Lead the development and implementation of special projects such as new processes, policies and procedures relating to effective coding requirements.
  • Attend weekly meetings and present HCC Risk Adjustment Coding Department feedback, including data analysis, summary details; provide work flows and worksheets as necessary.
  • Attend Coding and Billing related Trainings and Webinars and provide debriefings to management and providers.
  • Other duties as assigned by the Billing Manager, Medical Director, Finance Director, or Executive Director.

Minimum Requirements
  • Computer and Software Proficiency including EHR and Microsoft Office (Word/Excel/Outlook/PowerPoint) Excellent Communication Skills
  • Knowledge of Payor's Billing (including Medi-Cal and Medi-Care) rules and guidelines required
  • Extensive knowledge of ICD-10-CM outpatient diagnosis coding guidelines (with knowledge and demonstrated understanding of CMS HCC Risk Adjustment coding and data validation requirements is preferred) Ability to work as a team player and work independently
  • Reliable transportation
  • Must be able to travel from facility to facility.
  • This position requires 10 % travel outside the local area.
  • Comply with all federal and state privacy laws and regulations including HIPAA and HITECH

Required Education/Experience and/or Licensure/Certification
  • BA Degree in Healthcare preferred
  • Coding Certificate from an accredited institution preferred (CCS, CPC)
  • 2+ years experience in Healthcare Field as a Coder
  • Technical expertise in the use and application of coding classifications such as ICD10, CPT, HCPCS and HCC Coding.
  • Commitment to goals and philosophy of Northeast Community Clinic
  • Valid State Identification

Physical Requirements and Working Conditions
  • OSHA Category 3 Involves no regular exposure to blood, body fluids, or tissues, and tasks that involve exposure to blood, body fluids, or tissues are not a condition of employment.
  • The work is majority of the time sedentary in nature.
  • The employee is regularly required to communicate, frequently required to use repetitive motions, move, remain stationary, regularly push, pull and lift up to 20 pounds and occasionally push, pull and lift up to 40 pounds.
  • Must possess mobility to work in a standard office/clinic setting (in some cases both settings) and to use standard office/clinic equipment, including a computer, stamina to maintain attention to detail despite interruptions, read printed materials and use a computer, and communicate in person and over the telephone.

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