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Vice President Hcc Risk Adjustment Coder Jobs in Washington, DC

Conduct in-depth analysis of claims, encounter, and clinical data to identify HCC coding gaps ... Certified Risk Adjustment Coder (CRC) or Certified Professional Coder (CPC) is a plus. Technical ...

Conduct in-depth analysis of claims, encounter, and clinical data to identify HCC coding gaps ... Certified Risk Adjustment Coder (CRC) or Certified Professional Coder (CPC) is a plus. Technical ...

Certified Risk Adjustment Coder (CRC) or similar credential is a plus. Technical Skills: * Deep expertise in CMS-HCC, HHS-HCC, and CDPS risk adjustment models. * Advanced proficiency in Python and/or ...

Certified Risk Adjustment Coder (CRC) or similar credential is a plus. Technical Skills: * Deep expertise in CMS-HCC, HHS-HCC, and CDPS risk adjustment models. * Advanced proficiency in Python and/or ...

Vice President, Risk Adjustment, Remote

Arlington, VA · Remote

$129K - $173K/yr

The Vice President of Risk Stratification plays a critical role in shaping and implementing a ... coders, quality auditors and other relevant personnel, providing guidance and expertise on risk ...

Vice President, Risk Adjustment, Remote

Arlington, VA · Remote

$145K - $194.40K/yr

The Vice President of Risk Stratification plays a critical role in shaping and implementing a ... coders, quality auditors and other relevant personnel, providing guidance and expertise on risk ...

Vice President, Risk Adjustment, Remote

Arlington, VA · On-site +1

$145K - $194.40K/yr

The Vice President of Risk Stratification plays a critical role in shaping and implementing a ... coders, quality auditors and other relevant personnel, providing guidance and expertise on risk ...

Strong understanding of credit analysis, financial modeling, and risk management principles ... As a VP of Lending at Hooli, you'll have the chance to make a meaningful contribution to our ...

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Vice President Hcc Risk Adjustment Coder information

See Washington, DC salary details

$96.8K

$200.1K

$299K

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

As of May 28, 2026, the average yearly pay for vice president hcc risk adjustment coder in Washington, DC is $200,102.00, according to ZipRecruiter salary data. Most workers in this role earn between $155,200.00 and $232,200.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Vice President HCC Risk Adjustment Coder, and why are they important?

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 are Vice President HCC Risk Adjustment Coders?

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.

How much do HCC coders make in the US?

HCC (Hierarchical Condition Category) risk adjustment coders typically earn between $60,000 and $90,000 annually in the US, depending on experience, certification, and location. Senior or specialized coders with certifications like CPC or CCS may earn higher salaries, especially in healthcare settings with complex coding requirements.

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 the most commonly searched types of Hcc Risk Adjustment Coder jobs in Washington, DC? The most popular types of Hcc Risk Adjustment Coder jobs in Washington, DC are:
What are popular job titles related to Vice President Hcc Risk Adjustment Coder jobs in Washington, DC? For Vice President Hcc Risk Adjustment Coder jobs in Washington, DC, the most frequently searched job titles are:
What job categories do people searching Vice President Hcc Risk Adjustment Coder jobs in Washington, DC look for? The top searched job categories for Vice President Hcc Risk Adjustment Coder jobs in Washington, DC are:
Infographic showing various Vice President Hcc Risk Adjustment Coder job openings in Washington, DC as of May 2026, with employment types broken down into 97% Full Time, and 3% Contract. Highlights an 51% In-person, 4% Hybrid, and 45% Remote job distribution, with an average salary of $200,102 per year, or $96.2 per hour.
Certified Risk Adjustment Coder (CRC), Senior Associate

Certified Risk Adjustment Coder (CRC), Senior Associate

Ankura Consulting Group, LLC

Washington, DC • Hybrid

$85K - $200K/yr

Full-time

Posted 26 days ago


Job description

Ankura is a team of excellence founded on innovation and growth.
Practice Overview:
Ankura's Health Care team is a recognized leader in health care disputes, compliance, and investigations. We combine unparalleled clinical, technical, and operational expertise with financial, economic, analytic skills. Our clients and their legal counsel rely upon us to successfully resolve complex matters. Ankura's health care team is comprised of clinicians, certified coders, revenue cycle, and operations professionals. Our practice leaders each have over 25 years of health care and consulting experience. The Ankura team has a mastery of the data and information systems used by providers, payers, and CMS. We combine in-depth operational, compliance, and clinical industry knowledge with exceptional data analytics, information-gathering, and forensic skills enabling us to help our clients and their legal counsel assess and quantify the potential impact of a dispute. Our clients include the largest and most prominent US health care providers, payers, and law firms.
Role Overview:
Our Sr. Associates use their experience and knowledge related in coding, revenue cycle and clinical operations, along with their project management capabilities, to contribute to complex investigations, whistleblower lawsuits, internal investigations, payer/provider disputes, and acquisition due diligence, among others.
Responsibilities:

  • Review, analyze, and code diagnoses based on information in a patient's medical record according to specific guidelines for each project.
  • Evaluate compliance with established ICD-10 CM, third party reimbursement policies, regulations and accreditation guidelines.
  • Communicate effectively with internal and external stakeholders according to project requirements
  • Works with Project Managers to understand client needs and develop project work plans accordingly
  • Understands Healthcare Compliance concepts, issues, and how to research and access regulatory guidelines and reference materials
  • Drafts clear and concise analyses of medical record review and coding findings
  • Ensures successful completion of project deliverables as assigned and within the desired timeframe
  • Works collaboratively with Ankura team members focusing on building and maintaining internal and external client and counsel relationships
  • Identifies opportunities for cross practice collaboration
  • Proven writing and presentation skills and has a keen sense of attention to detail
  • Communicates findings of concern with the team and Project Manager as they are identified
  • Can independently deliver work and seeks to gain additional opportunities for development in a variety of risk adjustment related areas.
Qualifications:
  • Certified in Risk Adjustment Coding (CRC) with at least five (5) recent years of experience in HCC/Risk Adjustment and/or RADV Audit Methodology
  • Associate's or Bachelor's degree preferred, but not required
  • Strong understanding of clinical terminology, disease processes, anatomy and pharmacology.
  • Intermediate to advanced understanding of in claims processing procedures, state and federal regulations, and Medicare Part D requirements.
  • Excellent written and verbal communication skills, ability to work in a remote environment, and time management skills.
  • Prior success in managing small projects and teams and able to Ability to be able work on multiple client projects simultaneously, if needed.
  • Ability to work in a fast-paced environment while maintaining high quality
  • Proficient in Excel, Word, and PowerPoint and able to draft reports and presentations and present findings
  • Understands the importance of attorney-client privileged and confidential communication
  • Willingness to travel when needed
  • Willingness to perform a variety of skill based tasks related to risk adjustment work
  • Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future.

For individuals assigned and/or hired to work in California, Colorado, or New York, Ankura is required to include a reasonable estimate of the compensation range for this role. This compensation range is specific to the said markets and considers a broad range of factors including but not limited to skill sets, experience and training, licensure and certifications, and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. The range does not include additional benefits outside of salary. At Ankura, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each role. A reasonable estimate of the current base pay range is between $85,000 to $200,000; this range is not a promise of a particular wage.
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