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Certified Risk Adjustment Coder Jobs in Georgia (NOW HIRING)

Oscar Health

Auditor, Risk Adjustment

Atlanta, GA · Remote

$82K - $108K/yr

Certified professional coder (CPC) * 3+ year(s) retrospective risk adjustment coding experience. * 1+ year(s) experience Quality Auditing and/or Risk Adjustment Data Validation Audit (RADV ...

Humana

Medical Coder

Valdosta, GA · On-site +1

$16 - $21.50/hr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Medical Coder

Lavonia, GA · On-site +1

$16.50 - $22/hr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Medical Coder

Milledgeville, GA · On-site +1

$17 - $22.75/hr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Medical Coder

Macon, GA · On-site +1

$18 - $24/hr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Medical Coder

Valdosta, GA · On-site +1

$15.25 - $20.50/hr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Medical Coder

Marietta, GA · On-site +1

$17.75 - $23.75/hr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Medical Coder

Milledgeville, GA · On-site +1

$17 - $22.75/hr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Medical Coder

Lawrenceville, GA · On-site +1

$17.25 - $23/hr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Medical Coder

Valdosta, GA · On-site +1

$15.25 - $20.50/hr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Medical Coder

Valdosta, GA · On-site +1

$16 - $21.50/hr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Medical Coder

Lavonia, GA · On-site +1

$16.50 - $22/hr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Medical Coder

Lawrenceville, GA · On-site +1

$17.25 - $23/hr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Medical Coder

Milledgeville, GA · On-site +1

$17 - $22.75/hr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Medical Coder

Macon, GA · On-site +1

$18 - $24/hr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Medical Coder

Monroe, GA · On-site +1

$17.25 - $23.25/hr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Medical Coder

Monroe, GA · On-site +1

$17.25 - $23.25/hr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Medical Coder

Marietta, GA · On-site +1

$17.75 - $23.75/hr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Medical Coder

Valdosta, GA · On-site +1

$16 - $21.50/hr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

Humana

Medical Coder

Marietta, GA · On-site +1

$17.75 - $23.75/hr

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong knowledge of all Microsoft Office applications * Valid Driver's license and reliable transportation

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All JobsCertified Risk Adjustment Coder JobsCertified Risk Adjustment Coder Jobs in Georgia

Certified Risk Adjustment Coder information

See Georgia salary details

$14

$24

$59

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

As of Jun 10, 2026, the average hourly pay for certified risk adjustment coder in Georgia is $24.73, according to ZipRecruiter salary data. Most workers in this role earn between $18.46 and $24.57 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 Georgia? For Certified Risk Adjustment Coder jobs in Georgia, the most frequently searched job titles are:
What job categories do people searching Certified Risk Adjustment Coder jobs in Georgia look for? The top searched job categories for Certified Risk Adjustment Coder jobs in Georgia are:
What cities in Georgia are hiring for Certified Risk Adjustment Coder jobs? Cities in Georgia 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 Georgia as of June 2026, with employment types broken down into 1% Locum Tenens, 1% As Needed, 79% Full Time, 15% Part Time, and 4% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $51,439 per year, or $24.7 per hour.
Auditor, Risk Adjustment

Auditor, Risk Adjustment

Oscar Health

Atlanta, GA • Remote

$82K - $108K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 11 days ago

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

226th of 260 rated insurance

Job description

Hi, we're Oscar. We're hiring a Associate, Risk Adjustment Auditor to join our Risk Adjustment team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

The Associate, Risk Adjustment Auditor conducts internal and external quality audits. Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and identified clinical documentation improvement opportunities. You will work with management to implement benchmarks, establish acceptable thresholds, and quality assurance programs.

You will report into the Manager, Risk Adjustment.

Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency: The base pay for this role is: $82,717 - $108,566 per year You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

  • Responsible for daily operations pertaining to Risk Adjustment including but not limited to: medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential Centers of Medicare & Medicaid Services (CMS), Health and Human Services (HHS) audits and medical record retrieval efforts.
  • Mitigate risk by validating Encounter Data Gathering Environment Server (EDGE) data is supported within provider encounter documentation
  • Review the performance of the Risk Adjustment Coding team and report audit trends to Leadership in a timely, consistent and effective manner to ensure the appropriate changes and education are implemented.
  • Maintain compliance with national standards and coding practices set by the ICD-10-CM coding guidelines for accuracy, as well as compliance with Risk adjustment production standards.
  • Conduct CMS audits of Risk Adjustment activities, including but not limited to Risk Adjustment Data Validation audits.
  • Develop relationships with key individuals to foster an increased understanding of the Risk Adjustment process.
  • Identify and execute on the creation of clinical document improvement resources for provider education in both MA and ACA line of business.
  • Manage the implementation process improvements that will maximize risk adjustment factor increases.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • Bachelor's degree in a relevant field of study or commensurate work experience.
  • Certified professional coder (CPC)
  • 3+ year(s) retrospective risk adjustment coding experience.
  • 1+ year(s) experience Quality Auditing and/or Risk Adjustment Data Validation Audit (RADV) experience

Bonus points:

  • Certified Risk Adjustment Coder (CRC) or similar certification
  • Experience coding in a variety of different Electronic Medical Record (EMR) systems.

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.