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Certified Risk Adjustment Coder Jobs in Arizona (NOW HIRING)

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 ...

Deloitte

Medicaid Actuarial Manager

Tempe, AZ · On-site

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 ...

Deloitte

Actuarial Consultant

Tempe, AZ · On-site

Experience with risk adjustment mechanisms * Experience with provider reimbursement streams ... 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

Tucson, AZ · Remote

$18 - $40/hr

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

Varsity Tutors

Finance Tutor

Scottsdale, AZ · Remote

$18 - $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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Certified Risk Adjustment Coder information

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$15

$27

$66

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

As of Jul 15, 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.

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 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 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
Infographic showing various Certified Risk Adjustment Coder job openings in Arizona as of July 2026, with employment types broken down into 1% As Needed, 80% Full Time, 13% Part Time, and 6% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $56,770 per year, or $27.3 per hour.
Clinical Documentation Improvement Specialist - Hybrid Remote

Clinical Documentation Improvement Specialist - Hybrid Remote

White Plains Hospital

Winslow, AZ

$95K - $143K/yr

Full-time

Posted 28 days ago

White Plains Hospital rating

8.2

Company rating: 8.2 out of 10

Based on 46 frontline employees who took The Breakroom Quiz

95th of 1,020 rated hospitals

Job description

City/State:

White Plains, New York

Department:

WPH Health Info Mgmt HIM_1

Work Shift:

Day

Work Days:

MON-FRI

Scheduled Hours:

8 AM-4 PM

Hours Per Pay Period:

75

Pay Rate/Range:

$95,373.14 - $143,059



Job Summary
The CDIS facilitates accurate documentation for severity of illness and quality in the medical record. This involves extensive record review, interaction with physicians, health information management professionals, and nursing staff. Active participation in team meetings and education of staff in the Clinical Documentation Improvement Program (CDIP) process is a key role.
Essential Functions

  • 1. Understands and adheres to the WPH Performance Standards, Policies and Behaviors.
  • 2. Reviews the medical record for completeness and accuracy for severity of illness (SOI) and quality using the current CDI software and electronic medical record.
  • 3. Performs accurate and timely initial and concurrent record review
  • 4. Recognize opportunities for documentation improvement
  • 5. Facilitates appropriate clinical documentation to support accurate diagnosis coding and to ensure the level of service rendered to all patients is recorded.
  • 6. Formulate clinically credible documentation clarifications (queries) to improve clinical documentation and capture of the appropriate principal diagnosis and all comorbidities.
  • 7. Request documentation clarifications as appropriate for principal diagnosis, severity of illness, risk of mortality, risk adjustment and quality measures.
  • 8. Communicates with physicians, nurse practitioners, case managers, coders and other members of the care team to facilitate comprehensive medical record documentation.
  • 9. Timely follow up on all cases and resolution of those with clinical documentation clarifications.
  • 10. Collaborate with HIM coding staff to promote complete and accurate clinical documentation and resolve discrepancies and appropriate DRG assignment.
  • 11. Communicates with coders and resolves discrepancies
  • 12. Conducts post discharge reviews and reconciliation of queries.
  • 13. Performs all other related duties as assigned.


Qualifications

  • BSN Required or
  • BS
  • 4-6 years 5 years of adult acute care experience in med/surg, critical care, emergency room, or PACU. Required
  • Score (minimum of 70%) on the Clinical Competency Assessment (CCA)
  • Organizational, analytical, writing and interpersonal skills
  • Dependable, self-directed and pleasant
  • Critical thinking, problem solving and deductive reasoning skills
  • Knowledge of Pathophysiology and Disease Process
  • Basic Computer skills - familiarity with Windows based software programs
  • Knowledge of disease processes in all clinical specialties, anatomy & physiology and pharmacology and must have the ability to correlate abnormal lab results to disease processes
  • Knowledge of official coding guidelines and documentation requirements related to the Inpatient Prospective Payment System
  • Knowledge of regulatory environment
  • Understand and communicate differences between Medicare Part A and Part B guidelines and how they impact DRG assignments
  • Knowledge of Coding Guidelines & Quality Measures
  • Registered Nurse New York - New York State Board of Nursing If RN, RN NYS License Upon Hire Required or
  • Physician Assistant - New York State Board of Medicine If PA, PA NYS license Upon Hire Required
  • Score (minimum of 70%) on the Clinical Competency Assessment (CCA)


White Plains Hospital Medical Center is an equal employment opportunity employer. White Plains Hospital Medical Center will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.

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