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Vice President Hcc Risk Adjustment Coder Jobs in Philadelphia, PA

CenterWell

Risk Adjustment Coding Analyst

Trenton, NJ · On-site

Become a part of our caring community The Risk Adjustment Coding Analyst provides operational, analytical, and administrative support to business leaders and teams. You will analyze data to support ...

BCforward

Medical Coder

Philadelphia, PA · On-site

$14.80/hr

The coder will identify risk adjustment codes based upon coding guidelines. The coder will be knowledgeable and familiar with computers and technology. The coder will be a certified professional ...

IQVIA

VP, Client Services

Philadelphia, PA · On-site

Ensure full delivery and management of all scoped work and/or identify any projects at risk ... Ensure staff understanding of appropriate SHEP numbers to code time and importance of reporting all ...

ArchWell Holdings

SVP, Risk

Conshohocken, PA · On-site

The SVP, Risk will be responsible for developing a comprehensive framework for identifying, assessing, monitoring, mitigating, and reporting the risks that could materially affect the organization.

Barclays

Portfolio Risk Oversight VP

Wilmington, DE · On-site

Join us as a Portfolio Risk Oversight VP, where you will provide independent second-line oversight and challenge across retail credit risk, stress testing, risk appetite, and climate risk for our U.S.

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Vice President Hcc Risk Adjustment Coder information

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$86.3K

$178.3K

$266.4K

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

As of Sep 1, 2026, the average yearly pay for vice president hcc risk adjustment coder in Philadelphia, PA is $178,281.00, according to ZipRecruiter salary data. Most workers in this role earn between $138,200.00 and $206,900.00 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.

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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 Philadelphia, PA 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 $178,281 per year, or $85.7 per hour.

Certified Professional Coder (CPC) Lead/Provider Liaison

Ewing Township, NJ • On-site

Integrated Resources
Recruiting and Staffing Services • 51 - 200 employees
Learn more about Integrated Resourcesexternal

$21.75 - $29/hr

Other

This job post has expired today. Applications are no longer accepted.

Job description

Certified Professional Coder (CPC) Lead/Provider Liaison

Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.

This is a contract position with my direct client.

Job Description

Direct client need- immediate interviews- we have a strong hold, with many consultants working onsite! Location could be: Newark, NJ OR West Trenton OR Ewing OR Wall, NJ. Duration: Contract to hire.

Job Summary: The Provider Liaison is accountable for extracting insights specific to providers and provider groups regarding commercial risk adjustment and developing educational materials for Network Management professionals to communicate with providers and staff regarding client's risk adjustment programs.

Primary responsibilities include working with the Risk Adjustment Management Business Analyst to measure commercial risk adjustment performance for the development of education materials.

Ongoing responsibilities include communicating and educating Network Management Provider Educators to enable content delivery to specific providers.

This role will operate within the Risk Adjustment Management function, but work closely with the Network Management team. Responsibilities: Operates as the intermediary between the Risk Adjustment Management team and provider-facing staff to report and deliver commercial risk adjustment insights. Works closely with the Risk Adjustment Management Business Analyst to monitor risk adjustment trends, provider coding performance and member health status using existing tools and performing ad hoc analysis. Collaborates with the Network Management leadership in developing, monitoring and driving key performance metrics for Network Management Provider Educators. Collaborates with the Network Management leadership in developing and delivering commercial risk adjustment educational content and materials for internal and external use, including clinicians and supporting staff. Validates documentation against submitted claims diagnosis codes and prepares detailed reports. Supports Risk Adjustment Data Validation audits. Drives communication with pertinent staff and managers to ensure that interdependencies between the departments, other projects and functional work streams are accurately identified and addressed. Provides status reports to management.

Qualifications

Certifications:

AAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist (CCS)

Knowledge:

Understands key tenets of commercial risk adjustment and the HHS-HCC risk adjustment model. Mastery of medical coding best practices. Project management skills. Experience displaying ability to think analytically. Strong communications and presentation skills. Computer skills: Outlook, Excel, Word & Powerpoint.

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About Integrated Resources

Sourced by ZipRecruiter

Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

1996

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