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Vice President Hcc Risk Adjustment Coder Jobs (NOW HIRING)

PedIM Healthcare

HCC Coder

Lecanto, FL · On-site

$13.75 - $18.50/hr

The Role We are seeking a proactive and compassionate HCC Coder to join our Primary Care team ... This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance ...

Pedim

HCC Coder

Lecanto, FL · On-site

$13.75 - $18.50/hr

The Role We are seeking a proactive and compassionate HCC Coder to join our Primary Care team ... This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance ...

Town Square Health

Director, Risk Adjustment

Chicago, IL · On-site

Assess build-vs-buy options for documentation and coding tools in partnership with the VP, Provider ... HCC/risk adjustment documentation * Experience leading or contributing to documentation strategy in ...

Town Square Health

Director, Risk Adjustment

Chicago, IL · On-site

Assess build-vs-buy options for documentation and coding tools in partnership with the VP, Provider ... HCC/risk adjustment documentation * Experience leading or contributing to documentation strategy in ...

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$85.5K

$176.7K

$264K

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

As of Jun 6, 2026, the average yearly pay for vice president hcc risk adjustment coder in the United States is $176,675.00, according to ZipRecruiter salary data. Most workers in this role earn between $137,000.00 and $205,000.00 per year, depending on experience, location, and employer.

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 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.

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 cities are hiring for Vice President Hcc Risk Adjustment Coder jobs? Cities with the most Vice President Hcc Risk Adjustment Coder job openings:
What are the most commonly searched types of Hcc Risk Adjustment Coder jobs? The most popular types of Hcc Risk Adjustment Coder jobs 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 the United States as of May 2026, with employment types broken down into 95% Full Time, and 5% Contract. Highlights an 54% In-person, 3% Hybrid, and 43% Remote job distribution, with an average salary of $176,675 per year, or $84.9 per hour.
Director of Risk Adjustment

Director of Risk Adjustment

Baystate Health

Springfield, MA • On-site

Full-time

Posted 22 days ago

Baystate Health rating

6.5

Company rating: 6.5 out of 10

Based on 137 frontline employees who took The Breakroom Quiz

595th of 867 rated healthcare providers

Job description

Summary:
Location: Monarch Place; Springfield MA (MA & CT candidates only)
Schedule: Monday-Friday; fulltime; 40hrs.
Job Responsibilities:
  • Develops and implements risk adjustment strategy, policies and standard operating procedures
  • Collaborates with physicians, mid-level providers, other personnel, including coding experts, in risk adjustment review of the medical record
  • Serves as Health New England's ambassador in the Risk Adjustment Community
  • Works with industry on best practices for risk adjustment
  • Manages, measures, and evaluates performance of Health New England's risk adjustment vendors
  • Manages all data submission requirements
  • Prepares risk adjustment training programs for network physicians, mid-level providers, and plan personnel
  • Ensures that all risk adjustment related activities are compliant with CMS/ACA and state requirements
  • Serves as the risk adjustment compliance point of contact for HNE's Compliance Department
  • Collaborates with data management personnel in the appropriate formatting and methodology of risk adjustment analysis and related reporting
  • Develops productivity standards for risk adjustment auditing of claims or medical records
  • Collaborates with the Provider Relations Department to provide coding and risk adjustment education and resource information to network providers
  • Conducts educational events as necessary
  • Participates in administrative team's preparation of Medicare Advantage annual bids risk adjustment determination
  • Maintains expert knowledge of AMA's Coding systems, including ICD-9 & 10 diagnostic, CPT, HCPCS codes and any national updates or revisions of medical diagnostic, procedural, or medical supply coding
  • In collaboration with Plan management, participates in regulatory review and/or audit of submitted claims risk adjustment coding
  • Develops risk adjustment training materials for network providers, plan personnel and prospective network providers
  • Maintains working knowledge of Plan information management systems
  • Collaborates with the Managed Care Data Systems personnel in the development of reports and/or customized applications utilized for risk adjustment data analysis and reporting
  • Establishes business and functional requirements needed to define technology/systems platform
  • Creates executive level reports and performance metrics to keep Health New England up-to-date on risk adjustment
  • Manages, trains, coaches and develops staff

Minimally Required Education
Bachelor's degree in a related field.
Preferred Education
Master's degree in healthcare administration, public health, health informatics, population health, or a related healthcare field.
Professional certification such as Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC), or similar coding credential.
Minimally Required Experience
7-10 years of experience in an HMO or MCO with direct HCC risk adjustment experience.
At least 2 years of management experience.
Experience with medical claims review, coding, or utilization management.
Knowledge of CMS risk adjustment methodologies and ICD-9/ICD-10 coding.
Preferred Experience
Experience in population health analytics and risk adjustment strategy.
Experience across multiple lines of business including ACA, Medicare Advantage (MA), and Medicaid models.
Certification:
Ability to obtain relevant coding or risk adjustment certification within a reasonable timeframe if not already held.
Education:
Bachelors Degree (Required)
Certifications:
Ambulatory Clinical Pharmacist - Board of Pharmacy SpecialistBoard of Pharmacy SpecialistBoard of Pharmacy Specialist, Licensed Attorney - Massachusetts Bar AssociationMassachusetts Bar AssociationMassachusetts Bar Association, Licensed Clinical Social Worker - OtherOtherOther, Registered Nurse - State of MassachusettsState of MassachusettsState of Massachusetts
Compensation
Note: The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non-exempt employees and based on assumed full time commitment for exempt employees.
Minimum - Midpoint - Maximum
$174,283.00 - $200,324.00 - $236,891.00
Equal Employment Opportunity Employer
Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.

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