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Vice President Hcc Risk Adjustment Coder Jobs in Tulsa, OK

VP of Operations Nutri-Green Professional Services Reports to: Owner / CEO (Visionary) Direct ... risk capital. This is not just budget adherence. It is active management of the levers that drive ...

VP of Operations Nutri-Green Professional Services Reports to: Owner / CEO (Visionary) Direct ... risk capital. This is not just budget adherence. It is active management of the levers that drive ...

VICE PRESIDENT OF ASSET MANAGEMENT

Tulsa, OK ยท On-site

$120 - $150/hr

Salary Range: $119,700 - $149,600 SUMMARY The VP of Asset Managementis responsible for the ... Evaluate insurance policy terms, limits, deductibles, and exclusions to balance risk mitigation and ...

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Vast Bank is looking to hire an EVP, Chief Product Officer! About Vast Bank Since February of 1982 ... Partner closely with Risk, Compliance, Legal, and Audit to proactively identify and mitigate risks

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Vice President Hcc Risk Adjustment Coder information

See Tulsa, OK salary details

$78.1K

$161.4K

$241.1K

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 Tulsa, OK is $161,370.00, according to ZipRecruiter salary data. Most workers in this role earn between $125,100.00 and $187,200.00 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.
What are popular job titles related to Vice President Hcc Risk Adjustment Coder jobs in Tulsa, OK? For Vice President Hcc Risk Adjustment Coder jobs in Tulsa, OK, the most frequently searched job titles are:
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Infographic showing various Vice President Hcc Risk Adjustment Coder job openings in Tulsa, OK 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 $161,370 per year, or $77.6 per hour.

Risk Adjustment - Risk Adjustment Coding Auditor

CommunityCare

Tulsa, OK โ€ข On-site

$23.50 - $27/hr

Other

Posted 4 days ago


Job description

JOB SUMMARY:
The Risk Adjustment Auditor is responsible for reviewing medical records and related documentation to ensure accurate capture of diagnoses in compliance with CMS risk adjustment guidelines and ICD-10-CM coding standards. This role plays a critical part in supporting accurate risk score calculation, regulatory compliance, and overall program integrity.
KEY RESPONSIBILITIES:
โ€ข Perform bi-directional retrospective and prospective medical record reviews to validate, clarify, and accurately capture risk adjusted diagnoses (HCCs) in accordance with CMS guidelines and MEAT documentation requirements.
โ€ข Ensure documentation supports coded conditions in accordance with ICD-10-CM, CMS, and payer-specific guidelines.
โ€ข Identify unsupported diagnoses, over coding, under-coding, and documentation gaps.
โ€ข Provide detailed audit findings and recommendations to coding teams, providers, and leadership.
โ€ข Monitor compliance with CMS Risk Adjustment Data Validation (RADV) standards.
โ€ข Track and report audit results, trends, and performance metrics.
โ€ข Collaborate with coding staff, providers, and operations teams to improve documentation quality and coding accuracy.
โ€ข Assist with education and training initiatives related to risk adjustment and documentation best practices.
โ€ข Maintain confidentiality and ensure compliance with HIPAA regulations.
โ€ข Meet daily and weekly productivity goals and quality standards set by the supervisor.
โ€ข Perform other job-related duties as required or assigned.
QUALIFICATIONS:
โ€ข Knowledge of CMS-HCC and HHS-HCC risk adjustment model.
โ€ข Knowledge of ICD-10-CM coding guidelines.
โ€ข Knowledge of RADV requirements.
โ€ข Proficiency in EMR systems and Microsoft Office (Excel preferred).
โ€ข High attention to detail.
โ€ข Strong analytical and critical thinking skills.
โ€ข Clear written and verbal communication.
โ€ข Ability to work independently and meet deadlines.
โ€ข Strong organizational skills.
โ€ข Integrity and commitment to compliance.
โ€ข Successful completion of Health Care Sanctions background check.
EDUCATION/EXPERIENCE:
โ€ข A minimum of two years of risk adjustment coding or auditing experience.
โ€ข Experience reviewing medical records across multiple specialties.
โ€ข Certified Professional Coder (CPC), CRC, CCS, or equivalent coding certification.
โ€ข Bachelor's degree in Health Information Management or related field preferred.
โ€ข Previous auditing experience in Medicare Advantage and ACA preferred.
โ€ข Experience with internal audit programs or payer audits preferred.
CommunityCare is an equal opportunity at will employer and does not discriminate against any employee or applicant for employment because of age, race, religion, color, disability, sex, sexual orientation or national origin