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Certified Professional Coder information

See Remote, OR salary details

$17

$29

$70

How much do certified professional coder jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for certified professional coder in Remote, OR is $29.26, according to ZipRecruiter salary data. Most workers in this role earn between $21.88 and $29.04 per hour, depending on experience, location, and employer.

Are certified professional coders in demand?

Certified Professional Coders are in high demand due to the ongoing need for accurate medical coding in healthcare settings. The role requires knowledge of coding systems like ICD-10 and CPT, and employment opportunities are expected to grow as healthcare providers seek to improve billing accuracy and compliance.

What is the difference between Certified Professional Coder vs Medical Biller?

AspectCertified Professional CoderMedical Biller
CertificationsCPR, CPC certification from AAPCNone specific; may have billing certifications
Work EnvironmentHospitals, clinics, physician officesBilling companies, healthcare offices
Primary ResponsibilitiesAssigning medical codes for diagnoses and proceduresProcessing insurance claims and payments
OverlapHigh in coding and billing tasksHigh in billing and claims processing

The Certified Professional Coder primarily focuses on assigning accurate medical codes for diagnoses and procedures, while Medical Billers handle the submission of claims and payment processing. Both roles often work together in healthcare settings, but the coder emphasizes coding accuracy, whereas the biller concentrates on claims management and reimbursement.

How long does it take to be a certified professional coder?

Becoming a Certified Professional Coder (CPC) typically requires completing a training program that lasts several months, often around 3 to 6 months, followed by passing the CPC exam administered by the American Academy of Professional Coders (AAPC). The process involves gaining knowledge of medical coding, billing, and compliance, and some candidates may take additional time to prepare based on their prior experience. Overall, it can take approximately 6 months to a year to become certified, depending on individual study pace and schedule.

What are some common challenges certified professional coders face when working with electronic health records (EHR) systems?

Certified Professional Coders often encounter challenges such as navigating different EHR platforms, dealing with incomplete or unclear physician documentation, and keeping up with frequent updates to coding guidelines within the software. These issues can impact coding accuracy and productivity, requiring coders to communicate effectively with healthcare providers and participate in ongoing training. Adapting to new technologies and workflow changes is essential to maintaining compliance and ensuring timely claim submissions.

What is a certified professional coder?

Certified Professional Coders (CPCs) are healthcare professionals who specialize in reviewing and assigning standardized medical codes to diagnoses, treatments, and procedures for billing and insurance purposes. They ensure that healthcare providers are reimbursed accurately and that medical records comply with regulations. CPCs typically earn their certification through the American Academy of Professional Coders (AAPC) by passing a comprehensive exam. Their expertise is essential for maintaining accurate patient records and supporting the financial health of medical practices.

What are the key skills and qualifications needed to thrive as a certified professional coder?

To thrive as a Certified Professional Coder, you need a thorough understanding of medical coding systems (ICD-10, CPT, HCPCS), anatomy, and healthcare regulations, typically supported by CPC certification from AAPC. Familiarity with coding software, electronic health records (EHRs), and medical billing platforms is crucial. Attention to detail, analytical thinking, and strong organizational skills help coders ensure accuracy and compliance. These skills are vital for minimizing billing errors, maximizing reimbursement, and maintaining regulatory compliance in healthcare settings.
What are popular job titles related to Certified Professional Coder jobs in Remote, OR? For Certified Professional Coder jobs in Remote, OR, the most frequently searched job titles are:
What job categories do people searching Certified Professional Coder jobs in Remote, OR look for? The top searched job categories for Certified Professional Coder jobs in Remote, OR are:
Certified Professional Coder jobs near you
Infographic showing various Certified Professional Coder job openings in Remote, OR as of August 2026, with employment types broken down into 1% As Needed, 71% Full Time, 23% Part Time, and 5% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $60,859 per year, or $29.3 per hour.

Director of Quality and Risk Adjustment

DOCS Management Services

Coos Bay, OR • On-site

$140 - $190/hr

Other

Posted 24 days ago

Job description

Overview

Position: Director of Quality and Risk Adjustment

Location: Coos Bay, OR • Hybrid (onsite/remote)

Job Id: 309 • # of Openings: 1

The Director of Quality and Risk Adjustment provides strategic leadership for the development, implementation, oversight, and continuous improvement of organizational quality, risk adjustment, population health, and performance improvement programs. This role collaborates with leadership, providers, and cross-functional teams to improve member outcomes, support value-based care initiatives, enhance revenue integrity, and drive organizational performance through data-informed decision making.

Qualifications, Education & Experience
  • Bachelor’s degree in Healthcare Administration, Public Health, Nursing, Business Administration, Health Information Management, or a related field required
  • Master’s degree in a related field strongly preferred
  • Minimum of five years of progressively responsible leadership experience in healthcare quality improvement, performance improvement, risk adjustment, managed care, value-based payment models, or related healthcare operations
  • Three to five years’ experience in Medicaid risk adjustment and coding
  • Minimum three years’ experience in a medical office, clinic, or healthcare administration setting
  • Experience training, educating, and guiding providers and clinical staff; experience leading and managing a team
  • Certified Professional Coder or Certified Risk Adjustment Coder, willing to obtain within the first year of hire
Essential Responsibilities
  • Develop and execute the organization’s strategic vision for quality improvement, risk adjustment optimization, and performance improvement initiatives
  • Lead design, implementation, evaluation, and continuous improvement of quality and risk adjustment programs
  • Establish departmental goals, KPIs, and performance improvement strategies aligned with organizational priorities
  • Advise executive leadership on quality outcomes, risk adjustment performance, population health, value-based reimbursement, and regulatory requirements
  • Identify trends, risks, opportunities, and best practices; develop proactive strategies to support organizational success
  • Foster a culture of continuous quality improvement, accountability, and data-driven decision-making
  • Collaborate with leaders, providers, vendors, and stakeholders to advance quality and risk adjustment initiatives
Quality Management
  • Oversee the Quality Management Improvement (QMI) Program, Transformation and Quality Strategy (TQS), and related quality initiatives
  • Develop and monitor quality improvement strategies that support contractual obligations, regulatory requirements, and population health
  • Direct the development of evaluation tools, performance metrics, dashboards, and reporting systems
  • Lead efforts to improve quality performance measures, incentive metrics, outcomes, member experience, and provider performance
  • Monitor performance and implement corrective action plans as needed
  • Oversee data validation, analysis, interpretation, and reporting of quality and performance data
  • Ensure compliance with applicable federal, state, accreditation, contractual, and regulatory quality requirements
  • Prepare and submit quality reports, performance improvement reports, and contractual deliverables
  • Provide leadership to quality-related committees, workgroups, and partnerships
  • Collaborate to identify opportunities for systems transformation and process improvement
  • Monitor delegated vendor performance and implement corrective actions when necessary
  • Oversee readiness activities for audits, regulatory reviews, accreditation, and external quality reviews
  • Provide strategic direction for all organizational risk adjustment activities and related strategies
  • Monitor risk adjustment performance metrics, coding accuracy, and documentation integrity
  • Direct provider education, engagement, and incentive strategies to support accurate documentation and coding
  • Utilize analytics to identify trends and opportunities for risk adjustment improvement
  • Oversee relationships with risk adjustment vendors and external partners
  • Implement auditing and monitoring activities to evaluate documentation quality and program compliance
  • Collaborate with internal and external stakeholders to resolve risk adjustment issues
  • Develop and maintain policies, procedures, and workflows for risk adjustment activities
  • Monitor changes in risk adjustment methodologies and regulatory requirements
Performance Management & Analytics
  • Provide strategic oversight of quality performance, risk adjustment analytics, and population health metrics
  • Develop and report KPIs, dashboards, and scorecards to support data-driven decisions
  • Analyze data to identify trends, care gaps, and opportunities for improvement in quality and risk adjustment
  • Communicate performance data to executives, providers, and stakeholders
  • Collaborate to implement performance improvement strategies that enhance member outcomes and operational effectiveness
  • Monitor performance against contractual, regulatory, payer, and organizational benchmarks and develop corrective actions as needed
  • Ensure data integrity and effective use of data to support improvement initiatives
  • Participate in process improvement activities and promote a culture of risk management and quality
  • Foster ethics, integrity, and professional conduct; represent the organization at meetings and conferences as applicable
Knowledge, Skills & Abilities
  • Comprehensive knowledge of healthcare quality improvement, population health, risk adjustment, value-based care, Medicaid managed care, and regulatory requirements
  • Ability to lead programs, analyze data, implement improvements, engage providers, and drive performance through evidence-based decisions
  • Ability to translate complex data into actionable recommendations and communicate results to leadership and stakeholders
  • Strong leadership, relationship management, and cross-functional collaboration skills
  • Knowledge of clinical documentation improvement, medical coding (ICD-10, CPT, HCPCS), HEDIS, and quality measurement frameworks
  • Understanding of managed care concepts and basic health equity considerations
  • Attention to detail, initiative, judgment, and decision-making
  • Proficiency in Microsoft Office and Windows OS
  • Ability to work with diverse populations and handle sensitive situations professionally
  • Knowledge of federal and state laws including OSHA, HIPAA, and other relevant regulations
Working Conditions

This position may be primarily remote with occasional onsite work. Travel locally may be required; own transportation may be necessary. Hours may vary based on operational needs.

Other Information

This job description is intended to provide basic guidelines for meeting job requirements. It is not a comprehensive listing of activities, duties, or responsibilities and may change at any time with or without notice.

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