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Cdi Risk Adjustment Jobs (NOW HIRING)

Greater Good Health

Risk Adjustment Coding Specialist

$80K - $95K/yr

The Role We are looking for a Risk Adjustment Coding Specialist to own retrospective CDI chart review and strengthen coding compliance, documentation accuracy, and risk adjustment optimization across ...

Mass Advantage

Manager, Risk Adjustment

Worcester, MA · On-site

... Risk Adjustment activities. This position is responsible for the strategy, execution and ... Serve as the plan-side counterpart to UMMH CDI, HIM, and Coding leadership, coordinating with the ...

Sustainable World, Inc.

$25.75 - $34.50/hr

As a Risk Adjustment Clinical Documentation Specialist, this individual will play a critical role ... Monitor, analyze, and report CDI outcomes, documentation trends, and HCC recapture performance to ...

Vertek Staffing

HCC Risk Adjustment Coder

Franklin, TN · Remote

$18 - $24/hr

HCC / Risk Adjustment Coder - Remote Risk Adjustment / HCC Coding Experience Required Required ... The HCC Coder will collaborate with providers, CDI professionals, quality teams, population health ...

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How much do cdi risk adjustment jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for cdi risk adjustment in the United States is $39.30, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $44.95 per hour, depending on experience, location, and employer.

What is CDI Risk Adjustment?

CDI Risk Adjustment refers to the process of Clinical Documentation Improvement (CDI) focused on ensuring accurate and thorough documentation of patient diagnoses and health status for risk adjustment models. This is important because proper documentation affects how healthcare organizations are reimbursed and how patient populations are assessed for health risks. CDI professionals working in risk adjustment review medical records to identify conditions that impact risk scores, supporting accurate coding and compliance with regulations. This work is vital for optimizing reimbursements and improving the quality of patient care.

What are the key skills and qualifications needed to thrive as a CDI Risk Adjustment specialist?

To thrive as a CDI Risk Adjustment Specialist, a strong understanding of clinical documentation, ICD-10 coding, and risk adjustment methodologies is essential, typically requiring a background in nursing, health information management, or coding certification (e.g., CCS, CRC). Familiarity with electronic health record (EHR) systems, coding software, and risk adjustment analytics platforms is commonly expected. Attention to detail, analytical thinking, and effective communication skills help specialists accurately capture patient complexity and collaborate with healthcare providers. These competencies are crucial for ensuring accurate risk scoring, optimizing reimbursement, and supporting quality patient care.

What are the typical challenges faced by professionals in CDI Risk Adjustment roles, and how can they be managed?

Professionals in CDI Risk Adjustment often encounter challenges such as staying current with evolving coding guidelines, managing complex patient documentation, and ensuring accurate capture of chronic conditions for risk adjustment purposes. Effective communication with providers and collaboration with coding teams are crucial to clarify ambiguities in clinical records. Regular training, leveraging technology tools, and participating in team audits can help manage these challenges and maintain high documentation and coding accuracy.

What are popular job titles related to Cdi Risk Adjustment jobs?

For Cdi Risk Adjustment jobs, the most frequently searched job titles are:

Infographic showing various Cdi Risk Adjustment job openings in the United States as of June 2026, with employment types broken down into 91% Part Time, and 9% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $81,742 per year, or $39.3 per hour.

CDI & Risk Adjustment Specialist

Phoenix, AZ • On-site

Hospice of the Valley
See more jobs at Hospice of the Valleyexternal

$33 - $44.25/hr

Full-time

PTO

Posted 27 days ago

Hospice Of The Valley (Arizona) rating

7.8

Company rating: 7.8 out of 10

Based on 24 frontline employees who took The Breakroom Quiz

11th of 47 rated hospices

Job description

Join Arizona's largest, most prominent not-for-profit hospice, serving the valley since 1977.
Hospice of the Valley is a national leader in hospice care and has been serving the Phoenix metropolitan area since 1977. A mission-driven, not-for-profit organization, Hospice of the Valley employs compassionate, skilled professionals who are committed to excellence, enjoy teamwork, and contribute daily to our mission and culture of caring. Team members experience a friendly, supportive atmosphere, leadership support, autonomy, flexibility and the privilege of doing meaningful, rewarding work.
Benefits:
  • Supportive work environment with a culture of caring for patients and one another.
  • Competitive wages and excellent benefit program.
  • Generous Paid Time Off.
  • Flexible schedules for work/life balance

Position Profile
The CDI & Risk Adjustment Specialist is responsible for strengthening clinical documentation integrity, improving risk adjustment accuracy, and supporting reliable coding outcomes across the patient population. This senior individual contributor role carries primary accountability for ensuring documentation accurately reflects patient complexity, severity of illness, and applicable risk adjustment requirements. The role serves as a critical link between clinical care, documentation standards, and accurate coding through comprehensive chart review, provider collaboration, and targeted education.
Responsibilities
  • Promotes clinical documentation integrity and accurate coding outcomes.
  • Facilitates provider query, collaboration, and clarification.
  • Conducts quality chart review and audits.
  • Promotes provider education and documentation improvement.
  • Facilitates continuous improvement and assures compliance with documentation and risk adjustment requirements.
  • Strong verbal and written communication skills, including the ability to explain documentation and coding concepts clearly and professionally.
  • High proficiency in Electronic Health Record (EHR) platforms and data analytic tools.
  • Ability to build effective working relationships with providers, clinical staff, coders, compliance partners, and operational leaders.
  • Strong analytical skills with the ability to interpret clinical information, identify documentation gaps, and evaluate coding support.
  • High attention to detail, accuracy, confidentiality, and follow-through.
  • Ability to organize work, manage competing priorities, meet deadlines, and perform independently as a senior individual contributor.

Minimum Qualifications
  • Bachelor's degree in nursing, health information management, healthcare administration, coding, or a related healthcare field preferred; equivalent relevant experience may be considered.
  • Minimum of 3-5 years dedicated experience in clinical documentation integrity, risk adjustment, and HCC coding.
  • Certified Risk Adjustment Coder (CRC) designation from the AAPC required.
  • Experience reviewing medical records for documentation specificity, diagnosis support, coding accuracy, and risk adjustment opportunity identification.
  • Deep understanding of CMS risk adjustment models, HCC categories, ICD-10-CM coding concepts, clinical documentation standards, and provider query practices.
  • Expertise in use of Chronic Care Management and Principal Care Management Codes.
  • Strong clinical knowledge of anatomy, physiology, and pharmacology to effectively evaluate disease progression.

Preferred Qualifications
  • Experience collaborating with providers, clinical leaders, coders, compliance teams, or revenue cycle teams.
  • Registered Nurse.
  • Additional certifications such as CCDS (Certified Clinical Documentation Specialist) or CDIP (Certified Documentation Improvement Practitioner.)

Hospice of the Valley is an equal employment opportunity employer. EOE/M/F/D/V

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