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Certified Risk Adjustment Coder Jobs in Georgia (NOW HIRING)

Emory Healthcare

CDCE Data Analyst

Atlanta, GA

... coding accuracy, and provider documentation practices. The analyst plays a key role in driving improvements in Case Mix Index (CMI), risk adjustment, and departmental performance by identifying ...

Georgia Eye Institute

Certified Coder/ Biller

Richmond Hill, GA · On-site

$15.50 - $19.75/hr

  • Medical

  • Dental

  • PTO

Certified Medical Coder/Biller Location: Richmond Hill, GA Hybrid Remote Employment Type: Full-time ... Post payments and adjustments to patient accounts accurately. • Reconcile daily billing ...

Georgia Eye Institute

Certified Coder/ Biller

Richmond Hill, GA · On-site

$15.50 - $19.75/hr

  • Medical

  • Dental

  • PTO

Certified Medical Coder/Biller Location: Richmond Hill, GA | Hybrid Remote Employment Type ... Post payments and adjustments to patient accounts accurately. • Reconcile daily billing ...

St Joseph'S/Candler

Medical Coder - Outpatient

Savannah, GA · On-site

$17.50 - $23.25/hr

If certification is not obtained, the staff member will be at risk of termination. * Core Job Functions * Codes are assigned according to regulatory guidelines. Physicians are queried for missing ...

Interim HealthCare

Medical Coder I

Macon, GA · On-site

$18/hr

  • Medical

Understanding of commercial insurance contractual adjustments and balance billing. A few must-haves ... AAPC or AHIMA certification is required. * Excellent communication skills, goal-driven mentality ...

Mercer University

Medical Coder I/II

Macon, GA

$18 - $24/hr

  • Medical

  • Retirement

  • PTO

Coder II: AHIMA or AAPC certification is required along with 1 year of experience using ICD and CPT ... Understanding of commercial insurance contractual adjustments and balance billing. Background Check ...

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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 Aug 15, 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.

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, and then pass a certification exam such as the Certified Risk Adjustment Coder (CRC) offered by the American Academy of Professional Coders (AAPC). Maintaining certification often requires continuing education to stay current with industry standards and coding updates.

Is certified risk adjustment coding a good career?

Certified risk adjustment coding is a growing field within healthcare that involves analyzing patient data to predict healthcare costs and improve reimbursement. It requires strong attention to detail, knowledge of medical coding systems, and often involves working with electronic health records. The demand for certified coders is expected to increase as healthcare organizations focus on risk management and value-based care.

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.

How much do Certified Risk Adjustment Coders make in the US?

Certified Risk Adjustment Coders typically earn between $50,000 and $80,000 annually, with salaries varying based on experience, location, and employer. Certification and proficiency in coding tools like ICD-10 are important factors influencing compensation.

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 August 2026, with employment types broken down into 2% As Needed, 80% Full Time, 12% Part Time, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $51,439 per year, or $24.7 per hour.

CDCE Data Analyst

Emory Healthcare

Atlanta, GA

Full-time

Re-posted 10 days ago

Emory Healthcare rating

7.7

Company rating: 7.7 out of 10

Based on 217 frontline employees who took The Breakroom Quiz

157th of 887 rated healthcare providers

Job description

Overview

Be inspired.  Be rewarded. Belong. At Emory Healthcare. 

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be.  We provide: 

  • Comprehensive health benefits that start day 1 
  • Student Loan Repayment Assistance & Reimbursement Programs 
  • Family-focused benefits  
  • Wellness incentives 
  • Ongoing mentorship, development, and leadership programs  
  • And more 
Description

Overview

The CDCE Data Analyst at Emory Healthcare provides strategic and operational support through the analysis of clinical, financial, and claims data. This role is responsible for leveraging large datasets-including MEDPAR, Vizient, Quality data, and internal claims-to benchmark organizational performance and identify opportunities for improvement in Clinical Documentation Integrity (CDI), coding accuracy, and provider documentation practices. The analyst plays a key role in driving improvements in Case Mix Index (CMI), risk adjustment, and departmental performance by identifying trends and delivering actionable insights. This position collaborates closely with mid-revenue cycle leadership, vendors, and digital teams, utilizing platforms such as Epic, Solventum, Vizient, and other systems to support data-driven decision-making and business application optimization.

Key ResponsibilitiesData Extraction, Validation, and Analysis
  • Develop and execute advanced data queries using programming languages to extract and integrate data from multiple sources
  • Validate data accuracy and ensure integrity of datasets
  • Analyze structured and unstructured data to identify meaningful trends and performance metrics
  • Collect, interpret, and evaluate clinical documentation data to identify opportunities for improvement
Performance Metrics & Trend Analysis
  • Analyze trends in documentation quality, coding accuracy, and financial performance
  • Identify patterns, gaps, and areas of focus impacting quality outcomes and reimbursement
  • Support initiatives to improve CMI, risk adjustment, and overall documentation quality
Reporting & Dashboard Development
  • Design and develop dashboards and visual reports for CDI leadership, physicians, and quality teams
  • Monitor and report on key performance indicators (KPIs), including:
    • Financial impact
    • Risk adjustment trends
    • Patient Safety Indicators (PSI) and Hospital-Acquired Conditions (HAC)
    • Provider performance metrics
Compliance & Audit Readiness
  • Monitor documentation practices for compliance with CMS, ICD-10, and payer requirements
  • Support internal audits and external reviews by preparing and validating data
  • Ensure reporting aligns with regulatory and organizational standards
Collaboration & Strategic Insights
  • Partner with CDI specialists, coders, and clinical teams to translate data insights into actionable strategies
  • Provide feedback to enhance provider education and documentation workflows
  • Collaborate with vendors and digital teams to optimize system functionality and reporting tools
  • Support business decisions related to data applications and mid-revenue cycle systems
Minimum QualificationsEducation
  • Bachelor's degree in Computer Science, Health Information Management (HIM), Data Analytics, or a related field
Required Skills & Experience
  • Proficiency in data analysis and programming tools, including:
    • SQL, SAS, Python
    • Microsoft Excel
    • Power BI, Tableau
    • Cloud platforms (AWS and/or Azure)
  • Strong analytical and problem-solving skills
  • Advanced ability to write code, merge datasets, and validate analysis results
  • Knowledge of clinical documentation standards, healthcare regulations, and industry practices
  • Excellent communication and interpersonal skills
  • Ability to work independently and collaboratively in a team environment
Preferred Qualifications
  • Master's degree in Computer Science, Health Information Management (HIM), Data Analytics, or a related fields.
Additional Details

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

  

ACCOMMODATIONS: EHC will provide reasonable accommodation to qualified individuals with disabilities upon request. To request this document in an alternate format or to request a reasonable accommodation, please contact the Office of Leave and Accommodations.  

 

PHYSICAL REQUIREMENTS: (Medium-Heavy) 36-75 lbs., 0-33% of the work day (occasionally); 20-35 lbs., 34-66% of the workday; (frequently); 10-20 lbs., 67-100% of the workday (constantly); Lifting 75 lbs. max; Carrying of objects up to 35 lbs.; Occasional to frequent standing & walking; Occasional sitting; Close eye work (computers, typing, reading, writing); Physical demands may vary depending on assigned work area and work tasks.  ENVIRONMENTAL FACTORS: Factors affecting environmental conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure; Bio-hazardous waste Chemicals/gases/fumes/vapors; Communicable diseases; Electrical shock; Floor Surfaces; Hot/Cold Temperatures; Indoor/Outdoor conditions; Latex; Lighting; Patient care/handling injuries; Radiation; Shift work; Travel may be required; Use of personal protective equipment, including respirators; environmental conditions may vary depending on assigned work area and work tasks.

Employment Type: FULL_TIME

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