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Cdi Risk Adjustment Jobs (NOW HIRING)

Stryker Corporation

$25.75 - $34.50/hr

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

Colorado Psychiatric

$25.75 - $34.50/hr

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

New

ISHE

Oversee coding programs including chart review, CDI, education, and audit processes * Ensure ... Financial performance tied to risk adjustment * Regulatory compliance and audit outcomes You'll be ...

Texas Health Institute

Oversee coding programs including chart review, CDI, education, and audit processes * Ensure ... Financial performance tied to risk adjustment * Regulatory compliance and audit outcomes You'll be ...

LCMC Health

As the Director of CDI & Inpatient Coding, you will influence: * Patient safety and quality ... Severity of illness and risk adjustment accuracy * Physician engagement and education * Regulatory ...

CINQCARE

Sr. Director, Risk Adjustment (0778)

Washington, DC · On-site

$146K - $183K/yr

... CDI) initiatives in collaboration with clinical and provider engagement teams. • Present risk adjustment performance, trends, and strategic recommendations to C-suite and Board-level stakeholders ...

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How much do cdi risk adjustment jobs pay per hour?

As of Sep 10, 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.

Clinical Risk Adjustment Documentation Specialist

On-site

Stryker Corporation
Medical Equipment and Supplies Manufacturing • 10K+ employees
Learn more about Stryker Corporationexternal

$25.75 - $34.50/hr

Other

PTO

Posted 8 days ago

Stryker rating

8.2

Company rating: 8.2 out of 10

Based on 112 frontline employees who took The Breakroom Quiz

137th of 499 rated machine equipment manufacturers

Job description

At UASI, we're driven by a mission to improve the quality and accuracy of clinical documentation through expert CDI consulting. As we continue to grow our service offerings, we’re looking for experienced and motivated Clinical Risk Adjustment Documentation Specialists to join our dedicated team in a fully remote capacity.

As a Clinical Risk Adjustment Documentation Specialist, this individual will play a critical role in supporting coding accuracy, HCC capture, regulatory compliance, and clinical documentation integrity. This role requires strong clinical judgment, analytical skills, and a commitment to advancing documentation excellence that reflects the patient's true severity of illness and complexity of care.

Key Responsibilities
  • Serves as a subject matter expert in clinical documentation quality, risk adjustment, and HCC coding integrity in the outpatient setting.
  • Performs prospective reviews of medical records from physician practices, outpatient settings, and relevant inpatient encounters to validate chronic conditions and ensure documentation accuracy, clinical integrity, appropriate coding, and HCC capture.
  • Utilizes Epic, OurPractice Advisories (OPAs) to perform prospective chart reviews, identify documentation opportunities, validate chronic conditions, and support accurate coding, HCC capture, and clinical documentation integrity initiatives.
  • Track and manage work queues, review inventories, and OPA-related activities to ensure timely follow-up, productivity targets, and accurate completion of CDI interventions.
  • Monitor, analyze, and report CDI outcomes, documentation trends, and HCC recapture performance to identify improvement opportunities and support program goals.
Qualifications:
  • Minimum 2 years of ambulatory Clinical Documentation Integrity, Risk Adjustment, or related healthcare documentation experience
  • Active LPN or RN license required
  • CCDS, CCDS-O, CDIP, CDEO and/or CRC certification strongly preferred
  • Proficiency in Epic workflows, including interpretation and management of OurPractice Advisories (OPAs) preferred
  • Strong understanding of: ICD-10-CM coding guidelines, HCC documentation and coding requirements
  • Strong understanding of clinical criteria for HCC diagnoses
  • Excellent communication, critical thinking, and organizational skills.
  • Comfortable using MS Office, email, VPNs, virtual machines, two-factor authentication, and video conferencing tools (MS Teams, Zoom, etc.).
Why UASI?

We believe that investing in our people is key to our success. In return for your talents, we offer a full benefits package, PTO and top pay! Additional benefits include:

  • Collaborative, mission-driven team environment.
  • Opportunities for continuous learning, education and professional growth.
  • Leadership that values your expertise and input
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