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Certified Risk Adjustment Coder Jobs in Iowa (NOW HIRING)

York Risk Services

Disability Representative Sr

Dubuque, IA · On-site

$35K - $40K/yr

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a ... adjustments, medically managing disability claims including comorbidities, concurrent plans, and ...

Preferred Podiatry Group

Podiatrist

Fort Dodge, IA

$21.75 - $29.75/hr

Deliver preventive care for high-risk patients, including diabetic foot management * Educate patients and caregivers on mobility and foot health * Collaborate with facility staff for patient-centered ...

York Risk Services

Disability Representative Sr

Coralville, IA · On-site

$34K - $39K/yr

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a ... adjustments, medically managing disability claims including comorbidities, concurrent plans, and ...

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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 Sep 9, 2026, the average hourly pay for certified risk adjustment coder in Iowa is $27.51, according to ZipRecruiter salary data. Most workers in this role earn between $20.53 and $27.31 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.

What are popular job titles related to Certified Risk Adjustment Coder jobs in Iowa?

For Certified Risk Adjustment Coder jobs in Iowa, the most frequently searched job titles are:

What job categories do people searching Certified Risk Adjustment Coder jobs in Iowa look for?

The top searched job categories for Certified Risk Adjustment Coder jobs in Iowa are:

Certified Risk Adjustment Coder jobs near you
Infographic showing various Certified Risk Adjustment Coder job openings in Iowa as of August 2026, with employment types broken down into 2% As Needed, 73% Full Time, 19% Part Time, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $57,220 per year, or $27.5 per hour.

Sr. Workers' Compensation Claims Specialist, Supervisor (REMOTE)

West Des Moines, IA • On-site

Creative Risk Solutions, LLC
Insurance Services • 51 - 200 employees
Learn more about Creative Risk Solutions, LLCexternal

$75K - $125K/yr

Other

Medical, Dental, Vision, Retirement

Re-posted yesterday

Job description

Job Overview

We are looking to add a Sr. Workers’ Compensation Claims Specialist, Supervisor to join our Creative Risk Solutions team. The ideal candidate will have jurisdictional experience in multiple states and will provide high quality claims handling oversight and expertise for all CRS customers on litigated and complex claim situations. The role includes assisting staff supervised with investigating, communicating, evaluating, and resolving claims utilizing the CRS Best Practice of Claim Handling, as well as supporting career development and employee engagement.

Essential Responsibilities
  • Claims Management: Adjudicate claims during staffing shortages, investigate, and negotiate settlements per the Best Practices for Claims. Monitor and document claim files, focusing on Coverage, Investigation, Reserves, Plan of Action, Legal, and Medical Management. Recommend adjustments as needed, research and respond to questions and complaints from insureds, claimants, agency partners, and fronting carriers, discuss complex claims and coverage issues with clients, maintain communication with customers and carriers per CRS Communication Expectations and Reportable file guidelines, and assist staff in managing litigation claims to ensure timely responses and protect the interests of insured parties and carriers.
  • Management Responsibilities – Team Leadership: Ensure appropriate staffing, including hiring and terminations; coach team members on workflow, processes, customer service, and client consulting; conduct performance reviews, set goals, and hold employees accountable; foster career development and manage timesheets and compensation decisions.
  • Management Responsibilities – Team Coordination: Facilitate regular team meetings and attend enterprise and leadership training; coordinate training and maintain standardized processes for quality service; provide backup assistance as needed.
  • Additional Responsibilities: Conduct monthly performance meetings and quarterly team meetings; set and monitor annual goals for staff; participate in round tables, claim reviews, and Risk Control Workshops; mediate between insured and insurance companies, addressing coverage issues and large loss reporting; analyze performance data to implement necessary changes; review all files at least every 90 days.
Qualifications
  • Education: High school diploma required; college degree preferred. Technical designations such as AIC and CPCU encouraged.
  • Experience: 5+ years of adjusting property and casualty claims, including litigated claims; prior agency, loss control, or carrier experience preferred; prior supervisory experience preferred.
  • Licensing: Active state-specific Workers Compensation License required or the ability to obtain the license within three months of hire.
  • Skills: Extensive knowledge of General and Auto Liability or Workers Compensation coverages and application in job duties; proficiency in claims processing procedures; knowledge or ability to learn multiple state insurance regulations; pass state licensing exams.
  • Technical Competencies: Strong grasp of claims principles, practices, and insurance coverage interpretation; commitment to compliance requirements; strong problem‑solving abilities; collaborative mindset; dedication to delivering a world‑class client experience.
Salary

The salary range for this role is $75,000–$125,000. Compensation is based on several factors, including education, work experience, and industry certifications.

Benefits
  • Health, dental, and vision coverage
  • Paid parental leave and supportive new‑parent benefits
  • Company‑paid continuing education and tuition reimbursement
  • 401(k) profit sharing
  • Generous time‑off practices in addition to paid holidays
  • Paid volunteer time off and employee matching gifts to charities
  • Inclusion and belonging initiatives, including diversity day time off
  • Consistent merit increase and promotion opportunities
  • Discretionary annual bonus opportunity
Equal Opportunity Employer

Holmes Murphy & Associates is an Equal Opportunity Employer.

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