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Certified Risk Adjustment Coder Jobs in Arizona (NOW HIRING)

Arizona Priority Care

Nurse Practioner

Chandler, AZ · On-site

... code EDUCATION, TRAINING AND EXPERIENCE * Master's Degree in Nursing * Board Certification as ... Demonstrates knowledge and proficiency in understanding key elements of Risk Adjustment Factor (RAF ...

Arizona Priority Care

Nurse Practioner

Chandler, AZ

... code EDUCATION, TRAINING AND EXPERIENCE * Master's Degree in Nursing * Board Certification as ... Demonstrates knowledge and proficiency in understanding key elements of Risk Adjustment Factor (RAF ...

Deloitte

Medicaid Actuarial Senior Manager

Tempe, AZ

Experience with risk adjustment mechanisms * Experience with Provider reimbursement streams (i.e ... certifications; and other business and organizational needs. The disclosed range estimate has not ...

PMA Companies

Senior Risk Control Consultant

Phoenix, AZ · On-site

$90K - $120K/yr

Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of ... Certified Safety Professional (CSP) or Associate in Risk Management designation preferred • ...

Varsity Tutors

Finance Tutor

Chandler, AZ · Remote

$40/hr

... certification examinations. * Conceptual Teaching & Problem-Solving: Skilled at breaking down ... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ...

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$66

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

As of Jun 12, 2026, the average hourly pay for certified risk adjustment coder in Arizona is $27.29, according to ZipRecruiter salary data. Most workers in this role earn between $20.38 and $27.12 per hour, depending on experience, location, and employer.

Is HCC coding a good career?

Certified Risk Adjustment Coders (HCC coders) play a vital role in healthcare billing and reimbursement by accurately coding patient diagnoses for risk adjustment models. The field offers steady demand, opportunities for certification, and potential for career advancement, especially with experience and specialized knowledge of coding systems and healthcare regulations.

How to become a certified risk adjustment coder?

To become a certified risk adjustment coder, you need to complete relevant training or coursework in medical coding and risk adjustment, and then pass a certification exam such as the Certified Risk Adjustment Coder (CRC) offered by the American Academy of Professional Coders (AAPC). Maintaining the certification typically requires ongoing education and adherence to industry standards. Strong knowledge of medical terminology, coding guidelines, and health insurance processes is essential for success in this role.

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 pays more, CCS or CPC?

Certified Risk Adjustment Coders (CRC) and Certified Professional Coders (CPC) are both coding certifications, but CPCs generally tend to have higher average salaries due to broader coding responsibilities and demand. Salary differences can also depend on experience, location, and employer, with CPCs often earning more in outpatient and physician office settings. Both certifications can lead to higher pay when combined with relevant experience and specialized skills.

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 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.

What is the highest salary for a CPC coder?

Certified Risk Adjustment Coders (CPCs) typically earn salaries ranging from $50,000 to over $80,000 annually, with top earners in specialized or senior roles reaching higher figures. Factors such as experience, certifications, and work environment influence salary levels in this field.
What are popular job titles related to Certified Risk Adjustment Coder jobs in Arizona? For Certified Risk Adjustment Coder jobs in Arizona, the most frequently searched job titles are:
What job categories do people searching Certified Risk Adjustment Coder jobs in Arizona look for? The top searched job categories for Certified Risk Adjustment Coder jobs in Arizona are:
What cities in Arizona are hiring for Certified Risk Adjustment Coder jobs? Cities in Arizona with the most Certified Risk Adjustment Coder job openings:
Certified Risk Adjustment Coder jobs near you
Coder-Health Information-8125

Coder-Health Information-8125

Kingman Regional Medical Center

Kingman, AZ • On-site

$16.75 - $22.25/hr

Full-time

Posted 4 days ago

Kingman Regional Medical Center rating

4.9

Company rating: 4.9 out of 10

Based on 35 frontline employees who took The Breakroom Quiz

940th of 998 rated hospitals

Job description

Job Description
Staff Position Description
Position Title: Professional Services Certified Coding Reviewer Position Code: Coder-8125
Department: Health Information Management Safety Sensitive: YES
Reports to: HIM Director/Manager Exempt Status: NO
Position Purpose:
All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI's vision to be among the kindest, highest quality health systems in the country.
Key Responsibilities
Ensures data quality in compliance with State, Federal and regulatory requirements.
• Evaluates medical record documentation and charge reports to ensure completeness, accuracy and
compliance with the Correct Coding Initiative Edits.
• Codes all professional charges to ensure accurate and timely billing
• Perform coding reviews and/or surgical coding for practices and providers.
• Evaluates and report audit findings or reviews and reports on results to physicians and/or operations
directors.
• Provides technical guidance, training, and on-going coding education when instructed, to physicians
and their office staff and other ancillary departments on both general and specific coding issues to
include documentation and guidance in quality coding for proper collection of health data.
• Evaluate insurance requests and claim denials to assist the Business Office with the revenue cycle.
• Manage work activities, work assignments and schedules to ensure accurate and timely submission of
information.
• Provides reports as requested on data collected, abstracted and coded.
• Review bulletins, newsletters and periodicals and attends workshops to stay abreast of current issues,
trends and changes in the laws and regulations governing medical record coding and documentation.
• Demonstrates dependability, teamwork, and maintains patient confidentiality.
• Develops and maintains excellent relationships with providers, provider's staff, operational directors,
and business office staff.
• Works well with individual practices, the Business Office, and Operation Directors.
• Strives to be a productive member of this institution, attends departmental meetings as required,
maintains certification, and obtains continued education units (CEU).
• Completes all other duties, projects, and assignments as directed/requested.
Qualifications
• Advanced knowledge of ICD-10-CM, CPT, HCPCS, Medical Terminology and medically approved
abbreviations required.
• Thorough understanding of CMS coding and billing guidelines required.
• Excellent written and verbal communication skills and critical thinking skills.
• Ability to work independently and make independent decisions based on specialized knowledge.
• Computer literacy and familiarity with the operation of basic office equipment, required.
Education: High school diploma or equivalent
Certification/Licensure: Maintains current Certified Coding Specialist (CCS) issued by the American
Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) issued by the
American Academy of Professional Coders (AAPC), or currently enrolled in AHIMA or AAPC and actively
working towards obtaining Coding Specialist (CCS) issued by the American Health Information Management
Association (AHIMA) or Certified Professional Coder (CPC) issued by the American Academy of
Professional Coders (AAPC). Certification required within 12 months of hire or placement in this position.
Preferences
Experience: Experience in a medical billing/coding office.
Special Position Requirements [Optional section: any travel, security, risk, hazard or related special conditions which apply to the position]
• Travel to off-site locations as required.
Exposure Categories: Category II: Expected duties have possible, but not routine, potential for exposure to blood, body fluids or tissues
Work Requirements [Optional section: work requirements for physical or other important issues which relate to the job]
• Ability to stand and walk in the performance of job responsibilities.
• Ability to work at a computer for extended periods.
• Some bending and lifting may be required.
Date Staff Position Description Created / Revised: 03/21/2019

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