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Certified Risk Adjustment Coder Jobs (NOW HIRING)

Vertek Staffing

HCC Risk Adjustment Coder

Franklin, TN · Remote

$18 - $24/hr

Certified Professional Coder (CPC) - AAPC * Certified Risk Adjustment Coder (CRC) - AAPC * Certified Coding Specialist (CCS) - AHIMA * Registered Health Information Technician (RHIT) - AHIMA

ClinDCast LLC

Risk Adjustment Coding Auditor

Albany, NY · Remote

$30 - $35/hr

... Certified Professional Coder) certification Active CRC (Certified Risk Adjustment Coder ... certification Proficiency in Microsoft Office Suite (Excel, Word, Outlook) This is a remote ...

Vytwo

Risk Adjustment Coding Auditor

Prosper, TX · On-site

$25 - $28.50/hr

This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV's. Required skillset: MS Suite CPC certified CRC certified 5+ years of risk ...

Insight Global

REMOTE Risk Adjustment Coder

Tampa, FL · Remote

$23 - $25/hr

Insight Global is hiring experienced and CPC certified Risk Adjustment Coding Specialist (HCC) to support Medicare Advantage risk adjustment initiatives. This role will focus primarily on concurrent ...

Apex Health Solutions

Certified Medical Coder

Houston, TX · On-site

$21.50 - $29.25/hr

Description Summary Certified Medical Coder role is responsible for reviewing, abstracting, and ... Follows CMS Risk Adjustment guidelines and has a complete understanding of their real-world ...

BHC ISC

PBO Risk Adjustment Coding

Fort Lauderdale, FL · On-site

Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC). Proficient in Microsoft Word Excel and PowerPoint. Competent in Electronic Health Records NextGen and Cerner experience ...

Apex Health Solutions

Certified Medical Coder

Houston, TX

$21.50 - $29.25/hr

Summary Certified Medical Coder role is responsible for reviewing, abstracting, and coding ... Follows CMS Risk Adjustment guidelines and has a complete understanding of their real-world ...

Harris Health System

Risk Adjustment Coder II

Houston, TX · On-site

$27.69 - $34.61/hr

AHIMA/AAPC Certified Coder, Medical Billing and Coding certification required (CPC, CRC, COC, CCS ... Medicare risk adjustment coding required. Clinical documentation improvement experience for ...

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Certified RISK Adjustment Coder information

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How much do certified risk adjustment coder jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for certified risk adjustment coder in the United States is $29.29, according to ZipRecruiter salary data. Most workers in this role earn between $21.88 and $29.09 per hour, depending on experience, location, and employer.

What is a Certified Risk Adjustment Coder?

A Certified Risk Adjustment Coder is a professional who specializes in reviewing and coding medical records to ensure accurate documentation of diagnoses for risk adjustment purposes. These coders play a crucial role in healthcare reimbursement, especially for Medicare Advantage and other risk-adjusted health plans. They analyze patient records using ICD-10-CM codes to help healthcare organizations receive appropriate compensation based on the severity of patient conditions. Certified Risk Adjustment Coders typically hold certifications such as the CRC from the AAPC, demonstrating their expertise in this specialized field.

What are the key skills and qualifications needed to thrive as a Certified Risk Adjustment Coder, and why are they important?

To thrive as a Certified Risk Adjustment Coder, you need expertise in medical coding, a thorough understanding of ICD-10-CM guidelines, and certification such as CRC (Certified Risk Adjustment Coder). Familiarity with coding software, electronic health records (EHRs), and risk adjustment models like HCC is typically required. Attention to detail, analytical thinking, and strong communication skills help ensure accurate code assignment and effective collaboration with healthcare providers. These skills and qualifications are crucial for capturing precise patient data, which directly impacts healthcare reimbursement and compliance.

What are some common challenges Certified Risk Adjustment Coders face, and how can they overcome them?

Certified Risk Adjustment Coders often encounter challenges such as staying current with evolving coding guidelines and accurately interpreting complex medical records. To overcome these difficulties, coders should regularly participate in ongoing education, leverage resources from professional organizations, and collaborate closely with providers to clarify documentation. Maintaining a strong attention to detail and utilizing coding software tools can also help minimize errors and improve coding accuracy. Engaging in peer reviews within the team can further enhance consistency and knowledge sharing.

What is the difference between Certified Risk Adjustment Coder vs Certified Medical Coder?

AspectCertified Risk Adjustment CoderCertified Medical Coder
CertificationsRequires risk adjustment-specific credentials like RAC, CRC, or CPC-RRequires CPC or CCS certifications
Work EnvironmentPrimarily in health insurance, risk adjustment, and payer settingsHospitals, clinics, physician offices, and outpatient facilities
Industry UsageUsed mainly in health insurance and risk adjustment programsUsed across healthcare providers for medical coding and billing

The Certified Risk Adjustment Coder specializes in coding for risk adjustment programs within health insurance, focusing on accurate documentation for reimbursement. In contrast, the Certified Medical Coder works across various healthcare settings, primarily coding diagnoses and procedures for billing. While both roles require coding certifications, their focus areas and work environments differ significantly.

How do you become a certified risk adjustment coder?

To become a certified risk adjustment coder, you typically need to complete relevant training or coursework in medical coding and risk adjustment, gain experience in medical billing or coding, and pass a certification exam such as the Certified Risk Adjustment Coder (CRC) offered by the American Academy of Professional Coders (AAPC). Continuing education is often required to maintain certification and stay current with industry updates.

Is certified risk adjustment coding a good career?

Certified risk adjustment coding is a growing field within healthcare, focusing on accurately coding patient diagnoses for insurance reimbursement and risk assessment. It requires knowledge of medical terminology, coding systems like ICD-10, and often involves certification such as the RAC or CRC. The role offers stable employment opportunities, competitive salaries, and the potential for remote work, making it a viable career choice for those interested in healthcare administration and coding.
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Certified RISK Adjustment Coder jobs near you
Infographic showing various Certified Risk Adjustment Coder job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 75% Full Time, 15% Part Time, and 7% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $60,920 per year, or $29.3 per hour.

Certified Risk Adjustment Coder

Mount Sinai Medical Center of Florida

Hialeah, FL • On-site

$20.50 - $27.75/hr

Other

Medical, Life, Retirement, PTO

Re-posted 16 days ago

Job description

As Mount Sinai grows, so does our legacy in high-quality health care.
Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.
Culture of Caring: The Sinai Way
Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.
Department:
Job Description Summary:
Position Responsibilities
  • Demonstrates knowledge of coding and documentation standards as well as CMS risk adjustment guidelines and HCCs (hierarchical condition categories)
  • Reviews medical record to ensure all diagnosis codes are documented for the assignment of a valid and accurate HCC for each episode of care
  • Regularly reviews Epic HCC and payor CSI (Clinically Suspect Conditions) reports
  • Queries and provides feedback and education to physicians when identifying documentation deficiencies to improve accuracy of risk adjustment coding
  • Demonstrates understanding of risk adjustment payment models
  • Uses clinical reasoning and critical thinking skills to discern the financial impact of a query in order to prioritize efforts most efficiently
  • Completes patient medical chart review within 24-48 hours of visit completion
  • Responsible for maintaining active status of coding credentials and completes annual continued education hours.
  • Observes work hours and provides proper notice regarding absences and tardiness
  • Maintains positive working relationship with Physician Practices, Managed Care and all other departments and communicates with office staff as needed.
  • Performs other related duties.
Qualifications
  • License/Registration/Certification
    • CPC, CCS-P or CRC Certification Required
  • Education
    • High School graduate
  • Experience
    • Five plus years experience in Coding and Billing, Knowledge of ICD-10-CM and CPT
Benefits:
We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs:
  • Health benefits
  • Life insurance
  • Long-term disability coverage
  • Healthcare spending accounts
  • Retirement plan
  • Paid time off
  • Pet Insurance
  • Tuition reimbursement
  • Employee assistance program
  • Wellness program
  • On-site housing for select positions and more!

Degree Requirements:
Certification:

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