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Adjustment Analyst Jobs (NOW HIRING)

Hispanic Alliance for Career Enhancement

WI · On-site

$100 - $231.54/hr

Represent risk adjustment Medicaid informatics in executive forums to drive alignment on strategic goals and translate analytics into actionable financial and operational strategies 2. Performance ...

Stryker Corporation

$100 - $232/hr

This leader oversees the end-to-end risk adjustment lifecycle, including data management, suspecting, analytic insights, risk score reconciliation, and performance monitoring. They partner closely ...

Hispanic Alliance for Career Enhancement

WI · On-site

$100 - $231.54/hr

Represent risk adjustment Medicaid informatics in executive forums to drive alignment on strategic goals and translate analytics into actionable financial and operational strategies 2. Performance ...

Hispanic Alliance for Career Enhancement

NY · On-site

$100 - $231.54/hr

Represent risk adjustment Medicaid informatics in executive forums to drive alignment on strategic goals and translate analytics into actionable financial and operational strategies 2. Performance ...

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Adjustment Analyst information

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$31K

$73.3K

$130K

How much do adjustment analyst jobs pay per year?

As of Aug 21, 2026, the average yearly pay for adjustment analyst in the United States is $73,261.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,500.00 and $87,000.00 per year, depending on experience, location, and employer.

What does an adjustment analyst do?

An Adjustment Analyst is responsible for reviewing, analyzing, and processing claims or financial transactions that require corrections or adjustments. They ensure the accuracy of billing, payments, or account records by identifying discrepancies and making necessary changes. Their work often involves communicating with internal departments or external clients to resolve issues efficiently and maintain accurate records. Adjustment Analysts play a key role in preventing financial errors and ensuring compliance with company policies and regulations.

What skills and qualifications are needed to thrive as an adjustment analyst?

To thrive as an Adjustment Analyst, you need strong analytical skills, attention to detail, and a background in finance, accounting, or business administration. Familiarity with claims management systems, data analysis tools like Excel, and sometimes industry certifications such as AIC (Associate in Claims) are commonly required. Excellent communication, problem-solving abilities, and organizational skills help you collaborate with stakeholders and resolve discrepancies effectively. These skills and qualities are crucial for ensuring accurate claim adjustments, maintaining compliance, and supporting efficient business operations.

How does an adjustment analyst typically collaborate with other departments to resolve discrepancies?

Adjustment Analysts frequently work cross-functionally with finance, operations, and customer service teams to investigate and resolve discrepancies in billing, payments, or account records. Collaboration often involves gathering documentation, clarifying transaction details, and ensuring accurate adjustments are made in company systems. Effective communication and attention to detail are key, as analysts must coordinate findings and solutions to maintain financial accuracy and customer satisfaction. Regular meetings and shared digital tools are common practices to facilitate this teamwork.

What is the difference between Adjustment Analyst vs Claims Processor?

AspectAdjustment AnalystClaims Processor
Required CredentialsTypically requires a bachelor's degree in finance, accounting, or related fieldOften requires a high school diploma or equivalent; some roles prefer post-secondary education
Work EnvironmentOffice setting, analyzing financial data and making adjustmentsOffice setting, processing insurance claims and verifying information
Employer & IndustryInsurance companies, financial institutions, healthcare providersInsurance companies, healthcare providers, government agencies

Adjustment Analysts focus on reviewing and making financial adjustments based on data analysis, while Claims Processors handle the processing and verification of insurance claims. Both roles are common in insurance and healthcare industries and often require similar credentials, but their core responsibilities differ significantly.

More about Adjustment Analyst jobs

What job categories do people searching Adjustment Analyst jobs look for?

The top searched job categories for Adjustment Analyst jobs are:

Adjustment Analyst jobs near you
Infographic showing various Adjustment Analyst job openings in the United States as of August 2026, with employment types broken down into 89% Full Time, 5% Part Time, and 6% Contract. Highlights an 80% Physical, 9% Hybrid, and 11% Remote job distribution, with an average salary of $73,261 per year, or $35.2 per hour.

Risk Adjustment Coding Analyst Senior

HealthPartners

Bloomington, MN • Remote

Full-time

Posted 3 days ago

New

HealthPartners rating

7.6

Company rating: 7.6 out of 10

Based on 136 frontline employees who took The Breakroom Quiz

191st of 891 rated healthcare providers

Job description

HealthPartners is hiring a Risk Adjustment Coding Analyst Senior. 

This position is responsible for diagnosis coding review and vendor coding quality assurance; working to ensure that plan performance and plan revenue is based on an accurate representation of our population's care needs and risks.


 ACCOUNTABILITIES: 

  1. Performs retrospective chart review for diagnosis coding accuracy.
  2. Identifies, analyzes, and reports coding error trends to inform risk adjustment analytics and deliver provider education.
  3. Reviews vendor coding and provide recurring feedback and education to vendor team.
  4. Participates in internal and CMS-mandated risk adjustment data validation review.
  5. Identifies, documents, and messages process improvements, clinical documentation improvements and/or other educational opportunities.
  6. Develops and performs training and educational seminars to physicians and advanced practice providers on risk adjustment topics.
  7. Increases collaborative efforts between HealthPartners Health Plan and HealthPartners Medical Group as it relates to optimization of diagnosis coding.
  8. Analyzes and organizes complex information for effective reporting to leadership.
  9. Conducts daily work consistent with HealthPartners core values and comply with all federal and state regulations.
  10. Maintains confidentiality of protected health information.
  11. Increases organizational efficiency in daily operations.
  12. Responsible for other duties as assigned.

REQUIRED QUALIFICATIONS: 

  • High School Diploma or GED or Associate's degree in a related field
  • One of the following credentials required: RHIA, RHIT, CPC, CCS, CCS-P
  • Certified Risk Adjustment Coder (CRC) credential
  • Minimum of five years experience with diagnosis coding review as a certified coder
  • Demonstrated working knowledge of the revenue cycle process, claims processing, retrospective chart review process, compliance and federal/state regulations, CPT, ICD-9, and ICD-10 coding
  • Identify issues and formulate solutions relating to retrospective chart review process improvement initiatives
  • Understand and communicate clinical documentation requirements for correct coding and to ensure integrity of the medical record
  • Skill and experience in effectively collaborating with team members & others using oral, written and interpersonal communications
  • PC skills in Microsoft Word and Excel
  • Organize and prioritize multiple assignments
  • Ability to deal with change and ambiguity
  • Able to work, both, as a team member or independently


PREFERRED QUALIFICATIONS:

  • Four year college degree
  • Experience working with Epic


 


 

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