HCC Coder Jobs
HCC Coder jobs are open across health systems, physician groups, managed care organizations, and revenue cycle outsourcing firms, from entry-level to senior and lead, with specializations in risk adjustment, inpatient coding, and audit. See the openings below and apply to the ones that match your experience.
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Showing 5 of 6+ HCC Coder jobs
Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.
At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements:
Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week
Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week
Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month
Onsite: daily onsite requirement based on the essential functions of the job
Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building
Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week.
This remote work opportunity requires residency, and work to be performed, within the State of Arizona.
PURPOSE OF THE JOB
The Coder Specialist is to perform medical record reviews and abstract highest specificity codes effectively from medical records based on the documentation provided. This data is sent to CMS to determine accurate risk adjustment factor used to adjust payments for members’ future healthcare cost. Medical record reviews will be retrospective and must be conducted by a certified medial coder. Codes will be sequenced and assigned by documentation in the medical record which most accurately describes each documented diagnosis. The coder is responsible for ensuring diagnosis codes selected come from a face to face visit with a valid Risk Adjustable provider. The diagnosis must be coded according to International Classification of Diseases (ICD) version 9 or 10 depending on date of service for coding and reporting.
REQUIRED QUALIFICATIONS
Required Work Experience
- 3 years of coding experience
Required Education
- High-School Diploma or GED in general field of study
Required Licenses
- N/A
Required Certifications
- Certified as CPC, CPC-I, COC, CRC, CCS, CCS-P, CPMA or RHIT
PREFERRED QUALIFICATIONS
Preferred Work Experience
- 3 years of coding experience; Clinical and HCC experience
Preferred Education
- Clinical training (Medical Assistant, Registered Nurse, Licensed Practical Nurse, or Certified Nursing Assistant)
Preferred Licenses
- N/A
Preferred Certifications
- N/A
ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES
- Comprehensive understanding of Coding guidelines/rules, regulations and methodology
- Accurately and efficiently conduct medical record review/ data abstraction
- Communicate documentation inefficiencies to Clinical Correlations team
- Position is expected to be 70% remote with capability to travel into the office when required for meetings/education, or travel to visit network providers to provide trending coding education
- Must have comprehensive understanding of the contents of a typical medical chart, medical terminology and abbreviations, ICD 9 / ICD 10 coding conventions and guidelines, what constitutes adequate substantiation of a diagnosis, and appropriate providers, documents and facilities for proper code capture
- Complete coding quality and accuracy maintaining industry standard of 95% or better in QA audits.
- Communicate effectively and professionally with care provider offices, clinics, hospitals, other clinical facilities and Medicaid Business Segment staff
- Maintain coding certification and keep up to date on industry changes
- Abide by all HIPAA and associated patient confidentiality requirements
- Analyze data and report to Management any inaccuracy of claims data to the best of coders knowledge
- Provide feedback to Clinical Correlations and Manager on education needs identified
- Perform all other duties as assigned
- The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements
- undefined
REQUIRED COMPETENCIES
Required Job Skills
- Knowledge of anatomy and physiology/major disease processes/pharmacology
- Knowledge of understanding etiology, pathology, signs and symptoms, diagnostic studies and treatment modalities
- Knowledge of CMS and Commercial Health Plans
- Strong customer service skills and techniques
- Strong knowledge of HEDIS measures and their requirements
- Strong knowledge of risk adjustment/HCC coding
Required Professional Competencies
- Strong oral and written communication skills
- Ability to effectively interact with staff, customers and management at all levels
- Demonstrates flexibility and willingness to embrace change
Required Leadership Experience and Competencies
- N/A
PREFERRED COMPETENCIES
Preferred Job Skills
- N/A
Preferred Professional Competencies
- N/A
Preferred Leadership Experience and Competencies
- N/A
#LI-AB1
Our Commitment
AZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.
Thank you for your interest in Blue Cross Blue Shield of Arizona. For more information on our company, see azblue.com. If interested in this position, please apply.
Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.
At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements:
Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week
Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week
Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month
Onsite: daily onsite requirement based on the essential functions of the job
Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building
Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week.
This remote work opportunity requires residency, and work to be performed, within the State of Arizona.
PURPOSE OF THE JOB
The Coder Specialist is to perform medical record reviews and abstract highest specificity codes effectively from medical records based on the documentation provided. This data is sent to CMS to determine accurate risk adjustment factor used to adjust payments for members’ future healthcare cost. Medical record reviews will be retrospective and must be conducted by a certified medial coder. Codes will be sequenced and assigned by documentation in the medical record which most accurately describes each documented diagnosis. The coder is responsible for ensuring diagnosis codes selected come from a face to face visit with a valid Risk Adjustable provider. The diagnosis must be coded according to International Classification of Diseases (ICD) version 9 or 10 depending on date of service for coding and reporting.
REQUIRED QUALIFICATIONS
Required Work Experience
- 3 years of coding experience
Required Education
- High-School Diploma or GED in general field of study
Required Licenses
- N/A
Required Certifications
- Certified as CPC, CPC-I, COC, CRC, CCS, CCS-P, CPMA or RHIT
PREFERRED QUALIFICATIONS
Preferred Work Experience
- 3 years of coding experience; Clinical and HCC experience
Preferred Education
- Clinical training (Medical Assistant, Registered Nurse, Licensed Practical Nurse, or Certified Nursing Assistant)
Preferred Licenses
- N/A
Preferred Certifications
- N/A
ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES
- Comprehensive understanding of Coding guidelines/rules, regulations and methodology
- Accurately and efficiently conduct medical record review/ data abstraction
- Communicate documentation inefficiencies to Clinical Correlations team
- Position is expected to be 70% remote with capability to travel into the office when required for meetings/education, or travel to visit network providers to provide trending coding education
- Must have comprehensive understanding of the contents of a typical medical chart, medical terminology and abbreviations, ICD 9 / ICD 10 coding conventions and guidelines, what constitutes adequate substantiation of a diagnosis, and appropriate providers, documents and facilities for proper code capture
- Complete coding quality and accuracy maintaining industry standard of 95% or better in QA audits.
- Communicate effectively and professionally with care provider offices, clinics, hospitals, other clinical facilities and Medicaid Business Segment staff
- Maintain coding certification and keep up to date on industry changes
- Abide by all HIPAA and associated patient confidentiality requirements
- Analyze data and report to Management any inaccuracy of claims data to the best of coders knowledge
- Provide feedback to Clinical Correlations and Manager on education needs identified
- Perform all other duties as assigned
- The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements
- undefined
REQUIRED COMPETENCIES
Required Job Skills
- Knowledge of anatomy and physiology/major disease processes/pharmacology
- Knowledge of understanding etiology, pathology, signs and symptoms, diagnostic studies and treatment modalities
- Knowledge of CMS and Commercial Health Plans
- Strong customer service skills and techniques
- Strong knowledge of HEDIS measures and their requirements
- Strong knowledge of risk adjustment/HCC coding
Required Professional Competencies
- Strong oral and written communication skills
- Ability to effectively interact with staff, customers and management at all levels
- Demonstrates flexibility and willingness to embrace change
Required Leadership Experience and Competencies
- N/A
PREFERRED COMPETENCIES
Preferred Job Skills
- N/A
Preferred Professional Competencies
- N/A
Preferred Leadership Experience and Competencies
- N/A
#LI-AB1
Our Commitment
AZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.
Thank you for your interest in Blue Cross Blue Shield of Arizona. For more information on our company, see azblue.com. If interested in this position, please apply.
See All 6 HCC Coder Jobs
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Find HCC Coder JobsHCC Coder Job Market
Who's Hiring
What Employers Look For
The qualifications that appear most often in HCC coder jobs.
- CRC, CPC, CCS, or equivalent AHIMA or AAPC coding credential required
- Two or more years of experience with HCC or risk adjustment coding
- Proficiency with ICD-10-CM coding guidelines and official coding conventions
- Experience coding from clinical documentation in an EMR or encoder platform
- Knowledge of CMS-HCC risk adjustment models and Medicare Advantage payment methodology
- Ability to meet production and accuracy standards with minimal supervision
Tips for Your HCC Coder Job Search
Highlight RAF and HCC experience clearly
Your resume should call out specific risk adjustment factor work, the payer types you coded for, and whether your experience is prospective, retrospective, or both. Vague mentions of 'medical coding' won't distinguish you from general coders.
List your credentials in the right order
Put your CRC, CPC, or CCS credential immediately after your name in the header. HCC coder postings often screen by credential before reading anything else, so burying it in a skills section costs you early consideration.
Apply early to roles that fit
Migrate Mate lists hcc coder openings from across the United States in one place, so you can find roles that match your specialty and experience level and apply directly to each listing.
Target postings by payer model not just title
Filter for roles that name the payer model you know best, whether Medicare Advantage, Medicaid managed care, or ACA Marketplace. Your chart review experience reads differently to each employer, so matching your background to the payer type sharpens your application.
Prepare for a live coding assessment
Many HCC coder interviews include a timed chart review or a written scenario where you identify and support suspect conditions. Practice pulling diagnosis codes from clinical documentation under time pressure before your interview, not just reviewing guidelines.
Negotiate based on audit accuracy rates
When discussing compensation, anchor the conversation to your documented accuracy rate and any recapture or correction percentages from past audits. Concrete quality metrics carry more weight in this role than years of experience alone.
HCC Coder Jobs: Frequently Asked Questions
Which companies are hiring the most hcc coders?
The most active employers for hcc coders right now are Managed Resources, Bronson Healthcare, and Arizona Priority Care, and the most openings are in Arizona, Michigan, and California, based on current listings on Migrate Mate as of November 2026. Health systems, managed care organizations, and revenue cycle companies consistently post the highest volume of openings.
How many hcc coder jobs are remote?
About 100% of hcc coder openings are fully remote or hybrid as of November 2026, making it one of the more remote-friendly roles in healthcare. Retrospective chart review and risk adjustment audit positions are especially likely to be fully remote, while prospective and concurrent coding roles may require on-site or hybrid schedules.
How do you become a hcc coder?
Start by earning a foundational coding credential such as the CPC or CCS through AAPC or AHIMA, then pursue the Certified Risk Adjustment Coder credential to specialize in HCC coding. Gain hands-on experience with ICD-10-CM coding and clinical documentation in a physician group or hospital setting, then target roles specifically labeled risk adjustment coder or HCC auditor to build your specialized background.
Can you get an hcc coder job with little or no experience?
Some employers will hire newly credentialed coders into HCC-specific training programs, particularly at large managed care organizations that run internal risk adjustment teams. Your best entry point is a general coding role with heavy ICD-10-CM documentation work, combined with passing the CRC exam. Demonstrating familiarity with CMS-HCC model logic in your cover letter helps even without direct risk adjustment experience.
What does the hcc coder interview process look like?
Most HCC coder interviews include an initial screening call focused on your credential and payer experience, followed by a technical interview or take-home assessment where you review clinical documentation and assign or validate HCC codes. Final rounds often involve a conversation with a coding manager or audit team lead about your accuracy standards, documentation query practices, and familiarity with the specific payer model the employer uses.
Where can I find and apply to hcc coder jobs?
You can find and apply to hcc coder jobs on Migrate Mate, which lists current openings from employers across the United States. Search the listings to find roles that match your credential, specialty, and experience level, then apply directly to each listing that fits.
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