HCC Risk Adjustment Coder
$25 - $26.7 per hourDatavant
Datavant and Savant Bio Partner to Deliver End-to-End Clinical Record Retrieval and Abstraction for High-Fidelity Real-World Data. Read more
- Need help with record requests?
- Datavant Connect Login
HCC Risk Adjustment Coder
8250 Remote - United States Full-time regular
Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health.
By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare.
As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of a patient's health status.
You will:
- The certified coder reviews, analyzes, and codes diagnostic information in a patient’s medical record based on client specific guidelines for the project.
- The coder will ensure compliance with established ICD-10 CM, DRGs coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines.
- Coders must meet and maintain a 95% coding accuracy rate.
- Any other task requested by management.
What you will bring to the table:
- A minimum of 2 years' HCC coding.
- Extensive knowledge of ICD-10.
- Ability to be flexible in the work environment.
- A strong knowledge base of medical terminology, medical abbreviations, pharmacology, and disease processes.
- Ability to work in a fast-paced production environment while maintaining high quality.
- Must be able to follow instructions, meet deadlines and work independently.
- Excellent written and verbal communication skills, ability to work in a remote environment, and time management skills.
- Working knowledge of the business use of computer hardware and software to ensure effectiveness and quality of the processing and security of the data.
- Must be able to commit to 40 hours weekly.
- Ability to be able work on multiple client projects.
- AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC, or CRC). ** We are accepting CPC-As but you must have your CRC as well**
We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.
At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services.
The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job.
The estimated total cash compensation range for this role is: $25 — $26.70 USD
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.
To learn more about our commitment, please review our EEO Commitment Statement here . Know Your Rights , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
Voluntary Self-Identification
For government reporting purposes, we ask candidates to respond to the below self-identification survey.Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiringprocess or thereafter. Any information that you do provide will be recorded and maintained in aconfidential file.
As set forth in Datavant’s Equal Employment Opportunity policy,we do not discriminate on the basis of any protected group status under any applicable law.
Race* Gender*
A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.
A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.
An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.
An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.
Veteran Status*
Datavant recognizes the importance of information security and data privacy, including in its hiring processes and recruitment. Datavant encourages all potential job applicants to take precautions against potential phishing schemes or other scams that improperly purport to be from Datavant or from Datavant representatives.
Datavant seeks information from job applicants and accepts job applications for candidates in the U.S. through only the following official channels:
Datavant’s official career portal ( )
Datavant’s official LinkedIn page ( )
Datavant’s official Indeed page ( )
Any phishing or scams in which individuals purport to represent Datavant are without the permission of Datavant and are not conducted by, related to, or endorsed by Datavant. Phishing occurs when unauthorized bad actors represent themselves as reputable individuals or companies in an effort to acquire sensitive personal information from others, such as social security numbers, financial account information, or home addresses. These actors may gain unauthorized access to accounts, online profiles, and/or e-mails addresses of real people who appear trustworthy in order to conduct these scams.
In an effort to protect personal information during the application process, applicants should not respond to career inquiries via e‑mail, messaging applications, or any social media accounts or profiles that are not from an official Datavant e‑mail address, or Datavant‑owned page or profile. Datavant will never use messaging applications, such as WhatsApp, or similar texting platforms to collect personal information from applicants, conduct interviews, or for any recruitment‑related activities. Datavant also will not conduct recruitment‑related activities via social media beyond Datavant’s official LinkedIn page ( ).
For more information on how to protect against and recognize phishing scams in hiring processes generally, please visit .
If you believe you have been the victim of identity theft or fraud, please direct that matter to local law enforcement, the state Attorney General, the Federal Bureau of Investigations (FBI), or the Federal Trade Commission (FTC). You can contact the FTC to learn more about how to protect yourself from becoming a victim of identity theft at 1-877-IDTHEFT (438-4338) / .
Datavant is the data collaboration platform trusted for healthcare. With a mission to make the world’s health data secure, accessible, and actionable, Datavant works with payers, providers, life sciences, legal and insurance clients globally to accelerate insights. Datavant enables more than 60 million healthcare records to move between thousands of organizations across the healthcare ecosystem, more than 80,000 hospitals and clinics, 75% of the 100 largest health systems, and 350+ real‑world data partners. Datavant has office locations in Boston, New York and San Diego, with international offices in Barcelona and Galway.
Contact Us
Get in touch
LinkedIn YouTube
Who We Serve
- Health Plans
- Healthcare Providers
- Health Information Management
- Revenue Cycle Management
- Value-Based Care
- Life Sciences
- Clinical R&D
- Commercial Pharma
- Medical Devices
- Health Data & Analytics
- Government
- Medical Specialty Societies
- Patient Advocacy Groups
Products & Solutions
- Health Data Connectivity
- Linkage Solutions
- Privacy Solutions
- Retrieval Solutions
- Real-World Data Ecosystem
- Health Data Exchange
- Release of Information
- Health Data Retrieval
- Data Transformation
- HIM Coding
- HCC Coding
Resources
- Blog
- All Blog Posts
- Real-World Data
- HIPAA Privacy
- Electronic Health Records
- Clinical Research
- Revenue Cycle Management
- Medical Coding
- Risk Adjustment
- Education
- Resource Library
- Blog
- Events
- Webinars
- Popular Resources
- Data Logistics for Healthcare
- Real-World Data
- HIPAA De-Identification
- Interoperability
- Information Blocking
Company
- About Datavant
- Careers
- Newsroom
Quick Links
- Find an Ecosystem Partner
- Contact Us
- Datavant Connect Login
- Get Help with Record Requests
- Report Vulnerabilities
$160k - $195k
Sr. Director - Risk Adjustment Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1668 S. Garfield Ave. 2nd Floor,... ...preferred: CRC, CPC, CCS, RHIA, RHIT Expert knowledge of CMS-HCC, Medicare Advantage, ACA, Medicaid, and value‑based reimbursement...RiskFull timeContract workRemote work$100k - $104k
...Description AvonRisk is the nation’s leading specialty risk manager for self-insured organizations, uniting respected regional leaders... ...succeed. Role Summary As a Workers’ Compensation Claims Adjuster III at AvonRisk, you are a senior technical expert trusted with...RiskPermanent employmentWork at officeRemote work- CVS Health is seeking a Lead Director, Informatics to spearhead enterprise risk adjustment analytics and BI solutions. You will translate clinical and operational data into actionable insights for executives, guiding performance across markets and providers. You will lead...Risk
- ...unified platform spanningrisk adjustment,quality improvement,clinical intelligence... ...the season(s) (abstractors, coders, HPs) Ensure collaboration... ...of Medicare and Commercial Risk Adjustment such as Hierarchical Condition category (HCC) Additional experience in facility...RiskLocal areaRemote workFlexible hours
- ...occur in providing appropriate medical care. Liaison between adjuster, treating physicians, nurse case manager and attorney. Negotiate... .... Develop new equipment, tools and or processes to reduce risk of injury. Establish, maintain and implement safety training...RiskLocal area
$175k - $200k
## Director Risk ManagementApply: Resorts World New York: Full time: Posted Today: JR-03747# **Job Responsibilities**The Director of... ...vision, peripheral vision, depth perception, and the ability to adjust focus. Essential responsibilities include moderate physical ability...RiskFull timeWork experience placementShift work- Mosaic Health, LLC. is seeking a Director of BOI to oversee data reviews and forecasting for the risk adjustment program. You will refine strategies to optimize performance, build vendor relationships, and drive value-based coding initiatives. The role focuses on improving...Risk
$5,000 per month
...Opportunities Today Stanley Martin Holdings is creating a dedicated risk management function to support a rapidly growing and expanding... ...other insured matters, and coordinate with carriers, brokers, adjusters, and internal stakeholders regarding claim reporting, coverage,...RiskTemporary workFor subcontractorWork at officeLocal areaRemote workWork from homeFlexible hours$134.6k - $249k
...Remote-AZ: Full time: Posted Today: 1662092**Position Purpose:** Conduct analysis, pricing, and risk assessment to estimate financial outcomes while supporting the Risk Adjustment team through data analytics, risk adjustment modeling, and complex data validation...RiskFull timeRemote work- ...customer contracts, privacy, marketing, IP, employment law, and risk management. Their work is critical to enabling growth and protecting... ...~ Strong business judgment and comfort making pragmatic, risk-adjusted decisions independently and under time pressure. ~ Excellent...RiskContract work
- ...Nashville, Tennessee, Ncontracts leads the industry in integrated risk management and compliance solutions, serving over 5,000... ...manager and talent developer. Plan, forecast, and understand ramp adjusted capacity to ensure the team is grown effectively, in tandem with...RiskFull timeTemporary workPart timeFor contractorsLocal areaFlexible hours
$153.75k - $249.6k
...Responsibilities The Assistant General Counsel of Clinical Operations & Risk Management must have substantial experience advising healthcare... ...estimate noted above is specific to California and has not been adjusted for any other geographic location. The exact starting...RiskDaily paidFull timeTemporary workPart timeLocal areaShift work$172k - $236.5k
## Associate Director, Ethics & Compliance - Risk Assessment and MonitoringApplylocations: United States - Remote: European Union - Remotetime... ...conditions evolve, pay ranges are reviewed regularly and may be adjusted to remain aligned with external benchmarks.This job is eligible...RiskTemporary workWork at officeRemote work$165k - $230k
...mitigated. Develops and implements project execution plans, manages risk, and ensures alignment with DPR’s values and best practices.... ...project decisions, including budgets, contracts, and schedule adjustments, in coordination with project executives and senior leadership....RiskFull timeWork experience placementFlexible hours$132.3k - $171.9k
...stakeholders and implement revised schedules, scope, or budget adjustments as necessary. Manage program resources to successfully meet... ...approved Statement of Work (SOW). Minimize program costs and risks while maintaining the highest quality standards. Develop and...RiskTemporary workWork at office- ...Security, Risk and Compliance Consultant Phoenix, Arizona, United States WHO WE LOOK FOR An SEI-er is amaster communicator... ...Self-aware, almost to a fault, SEI-ers keenly understand how to adjust their support and problem solving based on the situation. Following...RiskPermanent employment
$2,500 per month
...rolls for all properties, ensuring that rents are paid current, adjustments to rent and/or cam are made, tenants are being communicated... ...reserve account. Ensure that TPG fees are kept current, including Risk, Management and Other amounts owed. Ensure that accounting is aware...RiskImmediate startFlexible hours- ...technical requirements analysis, work load forecasting, managing risk and opportunities, financial reporting, contract geometry... ...develops product/project positions for equitable cost and schedule adjustments Responsible for the profit and loss of products/projects...RiskContract workFor subcontractorImmediate start
$144k - $162k
...potential delays, schedule conflicts, resource constraints, and risks that may impact program objectives. Perform schedule... ...program teams and incorporate progress, changes, and approved adjustments into the program schedule. Provide schedule status reports,...RiskFull timeContract workFor contractorsFor subcontractor$150k - $175k
The Risk Solutions Director is the company’s authoritative expert on clinical or program domains and is accountable for how that domain... ...solution portfolio. This role focuses on the domain of Risk Adjustment across all lines of business. The Risk Solution Director...RiskTemporary workShift work$138.8k - $231.3k
...Chicago - 20 S. Wacker: Full time: Posted Today: 34735The Market Risk Manager's role is to manage and mitigate risks within the... ...appropriate actions to manage the risk, including the reviewing and adjusting of margin requirements in the SPAN and SPAN2 margin frameworks....RiskFull timeWork at office$110.16k - $165.24k
...background in CPM scheduling, change management, cost controls, risk mitigation, quality management, and safety leadership within heavy... ...required by this job include close vision, and ability to adjust focus. Reasonable accommodations may be made to enable individuals...RiskContract workFor contractorsWork experience placementFor subcontractorImmediate startFlexible hours- ...Collaborate with Tax Compliance teams to ensure transfer pricing adjustments are appropriately reflected in tax returns and related filings.... ...support for transfer pricing positions.**Financial Reporting & Risk Management*** Partner with Tax Accounting and Reporting to...RiskFull timeContract workLocal area
$149k - $152k
...organizing, monitoring, and controlling project activities; managing risks and resources; overseeing deliverables; coordinating with the... ...performance, schedule, resources, or deliverables require adjustment. Manage project change control and configuration management...RiskContract workWork at office- ...performance gaps and optimize business outcomes. Compliance and Risk Management Ensure compliance of regulatory requirements... ...leadership role. Other Responsibilities may require an adjusted work schedule, overtime, and evening/weekend hours....RiskWeekend workAfternoon shift
$120k - $180k
...ensure the accuracy, integrity, and transparency of loss and loss adjustment expense reserves through sound actuarial analysis, strong... ...insights related to reserve performance, loss trends, and emerging risks. Analyze development patterns, claim trends, and sources of...RiskTemporary workWork at officeRemote workHome officeFlexible hours- ...Corporate Audit, this role provides independent, objective assurance, risk assessment, and advisory services to Veradigm management and... ...staying abreast of changes in state laws, and making budgetary adjustments accordingly, we strive to ensure that our compensation...RiskFull timeWork experience placementLocal area
$161.1k - $241.7k
...research, development, and integration and test Conduct thorough risk & opportunity management Lead and direct cross-functional... ...with developing and briefing presentations Ability to adjust communication to an audience (from manufacturing technician up through...RiskFull timeContract workRelocationShift work- ...community partners, and regulatory agencies. Regulatory, Quality & Risk Management: Maintains understanding of applicable regulations,... ...vision, peripheral vision, depth perception, and ability to adjust focus. Work Environment: The work environment characteristics described...RiskWork at officeLocal area
$160k - $215k
Information Security Risk Manager Location New York Business Area Legal, Compliance, and Risk Ref # 10054099 Description & Requirements... ...employer. Please let us know if you require any reasonable adjustments to be made for the recruitment process. If you would prefer to...RiskTemporary workFor contractorsWork experience placementWork at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to HCC Risk Adjustment Coder. Be the first to apply!

