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163 (CRC) Certified Risk Adjustment Coder jobs

Without risk adjustment coding to ensure that a complete picture of each patient’s health is captured and reported on medical claims, health plans would lack appropriate funding and planning to cover treatment for high-risk patients. Certified Risk Adjustment Coders (CRCs) play a critical role in establishing accurate risk scores for patients, which promotes optimal patient care and ethical payer reimbursement for providers and health plans.

Students earning their CRC credential possess demonstrated expertise in the complexity of diseases associated with chronic conditions and comorbidities, as well as mastery of ICD-10-CM guidelines and risk adjustment guidelines. As CRCs, they are equipped both to ensure clinical documentation accurately portrays the patient’s health status and to ensure all clinically documented diagnoses are properly reported.

Gonzaba Medical Group
Full Time
 
Risk Adjustment Coder
Gonzaba Medical Group San Antonio, TX, USA
General Summary: This role focuses on the Risk Adjustment process that supports the documentation of acuity diagnoses for the Managed Care (MC) patient population and required activities for submission of records to Medicare Advantage (MA) payers under established capitated contracts. It assists with medical record reviews for HCC diagnoses, correct usage of various coding guidelines (ICD-10-CM, CPT, HCPCS) and federal and MA payor regulations, as well as clinical validation of appropriate supporting documentation.   Supervisory Responsibilities: This position has no supervisory responsibilities.   General Requirements: All duties performed will be done accurately and in a timely manner.   1.        Assumes responsibility for maintaining clinical competencies according to Gonzaba Medical Group policy. 2.        Exercise tact and courtesy when dealing with patients, visitors, providers, and co-workers. 3.        Must...

Jan 09, 2026
PH
Risk Adjustment Coder Professional Billing II, FT, Days, - Remote
Prisma Health Greenville, SC, USA
Inspire health. Serve with compassion. Be the difference. Job Summary Conducts prospective review to abstract Hierarchical Condition Categories (HCC's) codes to report for the calendar year. Communicates (via Epic and in person) with providers on any outstanding HCC capture opportunities. Conducts retrospective reviews to ensure that documentation supports reporting the Hierarchical Condition Category code prior to payor submission. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Conducts prospective review of charts to identify HCC opportunity. Conducts retrospective review of charts to confirm documentation supports reporting. Utilizes payor specific software to assist in capturing HCCs. Communicates with providers about HCC opportunities for improvement. Identifies suspect conditions that would potentially support reporting an HCC. Participates in...

Jan 23, 2026
PH
HCC Risk Adjustment Coder II | Billing & Coding Specialist
Prisma Health Greenville, SC, USA
A leading health organization seeks a skilled candidate for HCC coding roles in Boyce Lawn, South Carolina. You will lead prospective and retrospective reviews to identify and confirm coding opportunities with providers. The role requires five years of professional coding experience along with CPC and CRC certifications. The ideal candidate will excel in communication and proficiency in healthcare coding software. Join us to inspire health and serve with compassion. #J-18808-Ljbffr

Jan 23, 2026
AS
HCC Risk Adjustment Coder - Full Time - Remote
Alaska Staffing Juneau, AK, USA
Hcc (Hierarchical Condition Category) Coder Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code...

Jan 23, 2026
KS
HCC Risk Adjustment Coder - Full Time - Remote
Kansas Staffing Topeka, KS, USA
Hcc Coder Position Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized...

Jan 23, 2026
NM
HCC Risk Adjustment Coder - Full Time - Remote
New Mexico Staffing Santa Fe, NM, USA
divh2Hcc Coder Position/h2pDatavant is a data platform company and the worlds leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the worlds leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, youre stepping onto a high-performing, values-driven team. Together, were rising to the challenge of tackling some of healthcares most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare./ppAs an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized...

Jan 23, 2026
NS
HCC Risk Adjustment Coder - Full Time - Remote
Nebraska Staffing Lincoln, NE, USA
divh2Hcc (Hierarchical Condition Category) Coder/h2pDatavant is a data platform company and the worlds leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the worlds leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, youre stepping onto a high-performing, values-driven team. Together, were rising to the challenge of tackling some of healthcares most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare./ppAs an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code...

Jan 23, 2026
Da
HCC Risk Adjustment Coder - Full Time - Remote
Datavant USA
Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring...

Jan 23, 2026
AS
HCC Risk Adjustment Coder - Full Time - Remote
Alabama Staffing Montgomery, AL, USA
Hcc (Hierarchical Condition Category) Coder Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code...

Jan 23, 2026
SD
HCC Risk Adjustment Coder - Full Time - Remote
South Dakota Staffing Pierre, SD, USA
Hcc Coder Position Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized...

Jan 23, 2026
NH
HCC Risk Adjustment Coder - Full Time - Remote
New Hampshire Staffing Concord, NH, USA
divh2Hcc (Hierarchical Condition Category) Coder/h2pDatavant is a data platform company and the worlds leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the worlds leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, youre stepping onto a high-performing, values-driven team. Together, were rising to the challenge of tackling some of healthcares most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare./ppAs an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code...

Jan 23, 2026
Da
HCC Risk Adjustment Coder - Full Time - Remote
Datavant Santa Fe, NM, USA
Overview Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. Role and responsibilities You will: Review, analyze, and code diagnostic information in a patient\'s medical record based on client specific...

Jan 23, 2026
Da
Remote HCC Risk Adjustment Coder — ICD-10 Expert
Datavant Santa Fe, NM, USA
A leading data platform company in Santa Fe, NM is seeking coding specialists to review and code diagnostic information with strict adherence to guidelines. This role requires AHIMA or AAPC certification and experience in HCC coding. Candidates should possess strong communication skills and the ability to work effectively in a fast-paced environment. The position offers a competitive hourly rate with additional incentives based on quality and production. #J-18808-Ljbffr

Jan 23, 2026
Da
HCC Risk Adjustment Coder - Full Time - Remote
Datavant Carson City, NV, USA
Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Dataventers bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring...

Jan 23, 2026
WH
HCC Coding Auditor & Education Specialist
WelbeHealth Juneau, AK, USA
A healthcare provider located in Juneau, Alaska is seeking a Coding Auditor and Educator to ensure accurate coding and educate teams on compliance best practices. The ideal candidate will have a strong background in Risk Adjustment coding and a minimum of four years of relevant experience. The position offers competitive compensation with a range of $68,640 - $89,535 annually plus benefits, including medical insurance and 401k match. #J-18808-Ljbffr

Jan 23, 2026
Da
Remote HCC Risk Adjustment Coder (ICD-10)
Datavant Carson City, NV, USA
A leading data platform company is seeking an HCC coder to review and code medical records for accurate patient condition representation. You will need AHIMA or AAPC certification and 2 years of HCC coding experience. This role offers a base pay of $19.60/hour, plus performance bonuses. The ideal candidate excels in a fast-paced environment and has a strong command of medical terminology and coding standards. #J-18808-Ljbffr

Jan 23, 2026
Da
Remote HCC Risk Adjustment Coder | ICD-10 Expert
Datavant Springfield, IL, USA
A leading health data exchange company in Illinois is looking for an experienced HCC coder to review and code medical records accurately. This role is critical for ensuring the appropriate representation of patient diagnoses for reimbursement. Candidates must hold AHIMA or AAPC certification and have at least 2 years of HCC coding experience. The position offers a base pay plus additional chart-based earnings, and requires adherence to high standards of coding accuracy in a flexible work environment. #J-18808-Ljbffr

Jan 23, 2026
Da
HCC Risk Adjustment Coder - Full Time - Remote
Datavant Springfield, IL, USA
Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring...

Jan 23, 2026
Da
HCC Risk Adjustment Coder - Full Time - Remote
Datavant Montpelier, VT, USA
Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Dataventers bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring...

Jan 23, 2026
Da
Remote HCC Risk Adjustment Coder
Datavant Topeka, KS, USA
A leading health data platform company in Topeka is looking for an HCC coder to ensure accurate coding of medical records. This role involves reviewing diagnostic information, maintaining a 95% coding accuracy rate, and requires AHIMA or AAPC certification and a minimum of 2 years coding experience. Applicants should possess excellent communication skills, be able to work independently, and adapt to a fast-paced environment. The position offers a competitive base pay of $19.60 per hour, plus additional incentives based on quality and production. #J-18808-Ljbffr

Jan 23, 2026
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