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Certified Risk Adjustment Coder Jobs in Louisiana

FMOLHS

Coding Audit Coordinator

Baton Rouge, LA · Remote

$26.25 - $29.75/hr

... each coder. Reviews 100% of coding performed by new staff until preset quality standards are met ... risk from a compliance standpoint. * Prepares reports based on audit results (including ...

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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 4, 2026, the average hourly pay for certified risk adjustment coder in Louisiana is $25.05, according to ZipRecruiter salary data. Most workers in this role earn between $18.70 and $24.86 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 Louisiana?

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

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

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

What cities in Louisiana are hiring for Certified Risk Adjustment Coder jobs?

Cities in Louisiana 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 Louisiana as of August 2026, with employment types broken down into 2% As Needed, 76% Full Time, 16% Part Time, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $52,094 per year, or $25 per hour.

Quality Care Coordinator: Value-Based Care

Louisiana State University School of Medicine

New Orleans, LA • On-site

$18.50 - $25/hr

Full-time

Medical, Retirement, PTO

Re-posted 24 days ago

Job description

Description:

SUMMARY

The LSU Healthcare Network is a non-profit, academic, multi-specialty healthcare delivery system dedicated to patient care, research, and education. You can be a part of a progressive healthcare team making a meaningful difference in the care of patients. The LSU Healthcare Network is made up of over 175 healthcare providers – from primary care to specialty care – at several multi-specialty care locations in and around the Greater New Orleans area.

We offer a competitive compensation and benefits package, including:

  • 15 PTO Days
  • 11 Paid Holidays
  • 401(k) Plan with employer match
  • Health Insurance
  • Tuition Reimbursement

Position Purpose

The Care Coordinator is responsible for ensuring each patient’s experience with the LSU Healthcare Network is seamless, coordinated, and comprehensive. This role reviews, plans, and coordinates healthcare services using evidence-based guidelines and value-based care strategies to improve clinical outcomes, reduce healthcare costs, and optimize resource utilization.

The Care Coordinator applies clinical knowledge and population health tools to conduct ongoing patient assessments, identify and close gaps in care, facilitate referrals, screenings, and diagnostic testing, and provide patient education. The role ensures timely follow-up and effective use of appropriate resources to improve patient health outcomes and overall quality of care. The Care Coordinator also collaborates closely with physicians and insurance payers to align quality initiatives and promote coordinated, cost-effective care.


Principal Responsibilities

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Utilize population health management tools to improve quality outcomes and reduce healthcare costs across all value-based contracts 
  • Develop and implement care management protocols and workflows aligned with evidence-based guidelines and organizational best practices to enhance patient care 
  • Engage, educate, and support physicians and clinical staff in quality improvement initiatives and performance on HEDIS measures 
  • Assist in the organization’s participation in the CMS Quality Payment Program (QPP), supporting more than 800 physicians statewide 
  • Assist the Director of Quality by providing and distributing monthly reports on patient outreach and quality metrics
  • Collaborate with insurance payers to build cohesive working relationships that support quality initiatives and coordinated, cost-effective care 
  • Guide patients throughout their healthcare journey—from initial outreach through referral completion, missed appointment follow-up, and care gap closure 
  • Assist patients with scheduling appointments for office visits, diagnostic testing, treatments, procedures, and follow-up care 
  • Ensure results of testing, treatments, and procedures are received, reviewed, and accurately documented in the patient’s medical record in a timely manner 
  • Actively follow up on patient concerns or care coordination issues until resolution, and communicate outcomes to both the patient and their care team 
  • Review HEDIS, Star, and Risk Adjustment reports at least monthly with the Director of Quality to develop action plans that improve measure performance and patient outcomes 
  • Perform other job-related duties as assigned

Core Competencies

  • Professionalism
  • Strong verbal and written communication skills
  • Planning and organizational skills
  • Highly developed sense of integrity and commitment to customer satisfaction
  • Conflict management and resolution
  • Manages time appropriately/efficiently/effectively
  • Excellence in interpersonal relations
  • Ability to work independently and proactively, and make decisions
  • Ability to handle multiple demands of a diverse workload and prioritize critical issues
  • Ability to effectively interact with multifaceted providers, medical professional staff, and insurance payers



Requirements:

Experience/Education

  • High school diploma or GED equivalent required
  • LA LPN license or Medical Assistant Certificate preferred
  • Minimum 2 years clinical experience in a patient care environment in a clinical or similar setting required
  • Experience in Value-Based Care preferred
  • Knowledgeable and experienced in computer skills, particularly Microsoft Office products and Electronic Health Records

Physical Demands/Working Conditions

  • Must be able to lift 10-15 pounds and operate standard office equipment, computer, printer, fax, and copier
  • Ability to travel between various clinics and hospitals
  • Must be available to work extended hours, overtime, and non-traditional hours as needed