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Vice President Hcc Risk Adjustment Coder Jobs in Rochester, NY

Abracadabra+

Vice President, Multi-Asset Investing

Rochester, NY · On-site

$120 - $180/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Vice President of Risk at Blackstone's Multi-Asset Investing team will focus on analyzing ... Experience with AI tools for coding. * Ability to manage and analyze large datasets. * Excellent ...

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All JobsVice President Hcc Risk Adjustment Coder JobsVice President Hcc Risk Adjustment Coder Jobs in Rochester, NY

Vice President Hcc Risk Adjustment Coder information

See Rochester, NY salary details

$84.4K

$174.3K

$260.5K

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

As of Aug 13, 2026, the average yearly pay for vice president hcc risk adjustment coder in Rochester, NY is $174,320.00, according to ZipRecruiter salary data. Most workers in this role earn between $135,200.00 and $202,300.00 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
Infographic showing various Vice President Hcc Risk Adjustment Coder job openings in Rochester, NY 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 $174,320 per year, or $83.8 per hour.

Risk Adjustment Quality Specialist

100 Lawrence Memorial Hospital

Rochester, NY • On-site

Full-time

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

Job description

Job Summary The Risk Adjustment Quality Specialist coordinates and supports prospective, concurrent, and retrospective reviews to assist with patient care management. The role provides education and facilitates chart retrieval for Health Plan audits and reports. It requires a comprehensive understanding of Hierarchical Condition Categories (HCC) coding to accurately translate, input, extract, and validate medical record data. The specialist assists with monitoring quality program performance, including tracking, reporting, and implementation of best practices and program requirements. Essential Job Responsibilities Perform comprehensive reviews of patient medical records to assess documentation consistency and adequacy, identifying appropriate coding based on CMS HCC categories. Monitor revenue opportunities related to value‐based care. Manage the provider query process to clarify documentation and ensure completeness and accuracy of patient diagnoses, especially for chronic conditions. Use evidence‐based practices to provide providers with targeted feedback and education on improving documentation and coding accuracy related to HCC. Demonstrate analytical and problem‐solving ability to address barriers in receiving and validating accurate HCC information. Analyze performance data to identify trends, gaps, and opportunities for improvement. Maintain an intermediate to advanced understanding of claims processing procedures, state and federal regulations, and Medicare Part D requirements. Utilize coding software to ensure compliance with Medicare, Medicaid, and other payer requirements. Collaborate with medical staff to clarify documentation and support accurate coding and reimbursement. Participate in audits, quality reviews and continuous‐improvement initiatives. Educate staff on coding practices and HCC assignments. Maintain compliance with policies, procedures, and continuing‐education requirements. Perform additional duties as needed or assigned. Job Qualifications Minimum 3 years of experience in medical coding or risk adjustment with a focus on Hierarchical Condition Categories, value‐based care contracts, and accountable care organizations. Strong knowledge of CMS risk‐adjustment and quality initiatives, including HCCs. Completion of an AHIMA accredited certificate program (e.g., Certificate Coding Associate, Certificate Coding Specialist, Certified Professional Coder, Registered Health Information Technician, Registered Health Information Administrator) or credential from AAPC. Preferred: Registered Nurse Associate or Bachelor's Degree in Health Information Management. Experience with 3M Coding Solution knowledge. Hybrid work flexibility: must reside in Kansas or Missouri and attend on‐site meetings as scheduled. Benefits Competitive pay and advancement potential. Tuition reimbursement to support continuing education. Professional development and recognition. Excellent benefits package. We are an equal‐opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. #J-18808-Ljbffr

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