Risk Adjustment Coder Professional Billing II, FT, Days,
The 30-second read
Abstracts HCC codes prospectively and reviews documentation retrospectively per CMS reporting requirements.
Key requirements
- •HCC abstraction
- •Prospective + retrospective review
- •Provider communication (Epic)
- •CMS guidelines
- •Onsite days
Experienced HCC coders wanting dual prospective/retrospective blend.
Full posting
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 knowle…
Listing aggregated from Prisma Health's careers site. HCC Buddy isn't the employer and isn't involved in hiring — applying takes you to their site. Listings refresh regularly; this one was last verified Aug 18, 2026.
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