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Certified Risk Adjustment Coder Jobs in Louisiana

MedKoder

Physician Coding Auditor

Mandeville, LA · On-site

Identifies risk areas and provides mitigation strategies and recommendations; * Provide detailed ... Certified Coder with 20+ years of experience • Up to 100% EMPLOYER PAID Medical, Dental, and ...

FMOLHS

Manager Coding Physician Group

Baton Rouge, LA · Remote

... results to compliance/risk, and individual Provider meetings to review coding accuracy ... Coding certification (CCS);CPC;RHIT;RHIA 1. Management and Daily Operations * Provides leadership ...

King's Daughters

$15.50 - $16.75/hr

Coordinates cross-functional problem solving with coding, clinical, and payer partners to support ... Reviews charge, payment, and adjustment activity to identify variances and initiate corrective ...

UK St Claire

$15.50 - $16.75/hr

Coordinates cross-functional problem solving with coding, clinical, and payer partners to support ... Reviews charge, payment, and adjustment activity to identify variances and initiate corrective ...

Smchospital

Anesthetist, CRNA

Iowa, LA · On-site

$120 - $180/hr

Consult with the physician regarding "high risk" factors that are evident in the medical history ... Report equipment repairs and adjustments to proper personnel. 3. Maintain patient confidentiality ...

Medix

Board Certified Behavior Analyst

Kenner, LA · On-site

$28.85 - $38.46/hr

Monitor treatment effectiveness and make adjustments to programs as needed. * Supervise and provide ... risk working environments (laboratories, clinical settings), handling hazards chemicals or lab ...

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Showing results 41-60

All JobsCertified Risk Adjustment Coder JobsCertified Risk Adjustment Coder Jobs in Louisiana

Certified Risk Adjustment Coder information

See Louisiana salary details

$14

$25

$60

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

As of Aug 14, 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.

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 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, 77% Full Time, 15% 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.

PB Cardiac Coding Educator/Auditor -Cardiac- Remote

LCMC Health

New Orleans, LA • On-site, Remote

$26.25 - $29.75/hr

Full-time

Re-posted 17 days ago

LCMC Health rating

6.7

Company rating: 6.7 out of 10

Based on 128 frontline employees who took The Breakroom Quiz

533rd of 887 rated healthcare providers

Job description

Your job is more than a job
CThe Coding Educator Auditor will coordinate coding audits and education functions of LCMC system coding services. This individual will be responsible for managing and working the edit and denial coding work queues for inpatient, outpatient and ambulatory and will provide coding feedback for education opportunities identified to the coding team. Prepares and presents educational programs related to coding. Must be familiar with reviewing documentation to assign appropriate CPT/HCPCS and ICD-10-CM-PCS diagnosis codes, understand current professional coder workflows, reviews principal, secondary diagnoses and procedures for hospital and physician (professional) services for Inpatient and Outpatient records based on knowledge of coding systems, including ICD-10 and CPT.
Your Everyday
GENERAL DUTIES
  • Reviews cases for accurate coding, monitoring the assignment and sequencing of ICD-10-CM/PCS and CPT codes to facilitate the correct assignment of diagnostic and procedure codes.
  • Sequences diagnoses and procedures accurately according to coding principles.
  • Reviews non-CC/MCC records to determine if record was miscoded or if additional documentation is needed.
  • Works coding edits work queues and provides feedback and coding education to coding staff regarding completeness and accuracy of code assignment.
  • Utilizes retrospective edit tool to address possible coding and/or documentation issues related to submitted diagnosis and procedure information obtain from the health record.
  • Reviews discrepancies between Clinical Documentation Specialist (CDS) DRG and the Coder DRG.
  • Performs reviews in a timely manner to maintain DNFB within the assigned targeted goals.
  • Assist in the development and provides ICD-10-CM/PCS, CPT/HCPCS, DRG (MS & APR) and APC auditing, coding and reimbursement training.
  • Monitor and report the coders progress through the orientation and training processes.
  • Establish timelines for training completion specific to level of training necessary.
  • Keeps abreast of new regulatory requirements, annual revisions to the codes, etc. and applies this information appropriately.
  • Works as subject matter expert and provides expertise when applicable.
  • Performs and reports research on topics related to health information management, coding, billing and related compliance issues.
  • Ensures audit findings and trends are investigated and education is prepared and reviewed with coding staff when necessary.
  • Monitors changes in laws regulations, standards as they that affect coding, billing and related compliance.
  • Reads, analyzes and interprets laws, regulations, policies and procedures governing the healthcare revenue cycle.
  • Identifies potential areas of compliance vulnerability and risk, develops and identifies potential corrective action plans for resolution of problematic issues, and provides general guidance on how to avoid or deal with similar situations in the future.
  • Prepares and distributes audit results/reports for the system coding program to Coding management staff.
  • Works with coding Manager to improve coding services provided by coding staff.
  • Assist system coding leadership with training and/or development of a performance improvement track for coding staff in the disciplinary process related to quality or productivity performance.
  • Performs special coding -related projects as assigned.
  • Other duties as assigned.

The Must-Haves
Minimum:
EXPERIENCE QUALIFICATIONS
  • 5 years in physician and hospital coding, 2 years of coding audit (LCMC)
  • Preferred: experience in Cardiology on PB or HB side

EDUCATION QUALIFICATIONS
  • Required: Associate's Degree HIM (LCMC)

LICENSES AND CERTIFICATIONS
  • Certification Name: Certified Inpatient Coder
    • Required
    • Issuer: American Academy of Professional Coders (AAPC)
    • Licensure Speciality: Specialty Certification
    • Entity: LCMC

  • Certification Name: Certified Professional Coder
    • Required
    • Issuer: American Academy of Professional Coders (AAPC)
    • Licensure Speciality: Specialty Certification
    • Entity: LCMC

  • Certification Name: Certified Coding Specialist
    • Required
    • Issuer: Commission on Certification for Health Informatics and Information Management (CCHIIM)
    • Licensure Speciality: Certification
    • Entity: LCMC

  • Certification Name: Registered Health Information Technician
    • Issuer: Commission on Certification for Health Informatics and Information Management (CCHIIM)- AHIMA
    • Licensure Speciality: Certification
    • Entity: LCMC

  • Certification Name: Registered Health Information Administrator
    • Issuer: Commission on Certification for Health Informatics and Information Management (CCHIIM)- AHIMA
    • Licensure Speciality: Certification
    • Entity: LCMC

SKILLS AND ABILITIES
  • Knowledge as it relates to, but not limited to, electronic health record, health information systems and healthcare applications and their effects on Coding practices today and in the future.
  • High ethical standards.
  • Knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, MS-DRG, APR-DRG and APC coding principles and guidelines.
  • Experience in ICD-10-CM/PCS, auditing, coding and reimbursement training.
  • Knowledge of Prospective Payment System (PPS) methodology for inpatient, outpatient, ambulatory and provider-based clinic encounters.
  • Extensive knowledge of hospital and professional coding including provider based billing.
  • Knowledge of documentation regulations of Joint Commission and CMS.
  • Experience with concurrent coding reviews.
  • Knowledge of medical terminology, classifications systems and vocabularies.
  • Knowledge of privacy and security regulations, confidentiality, laws, access and release of information practices.
  • Experience in assisting and identifying learning needs as well as providing education and training designed to support a learning organization.
  • Strong analytical abilities and problem-solving skills.
  • Excellent oral, written and interpersonal communication skills.
  • Ability to organize and set priorities to ensure objectives are met in a timely manner.
  • Ability to adapt to change and handle challenges proactively and with pose.
  • Ability to effectively collaborate with physicians and managerial staff at all levels.

WORK SHIFT:
Days (United States of America)
LCMC Health is a community.
Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little "come on in" attitude is the foundation of LCMC Health's culture of everyday extraordinary
Your extras
  • Deliver healthcare with heart.
  • Give people a reason to smile.
  • Put a little love in your work.
  • Be honest and real, but with compassion.
  • Bring some lagniappe into everything you do.
  • Forget one-size-fits-all, think one-of-a-kind care.
  • See opportunities, not problems - it's all about perspective.
  • Cheerlead ideas, differences, and each other.
  • Love what makes you, you - because we do

You are welcome here.
LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.
The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.
Simple things make the difference.
1. To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information.
2. To ensure quality care and service, we may use information on your application to verify your previous employment and background.
3. To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed.
4. To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.

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About LCMC Health

Sourced by ZipRecruiter

LCMC Health, located in New Orleans, Louisiana, US, is a non-profit health system committed to providing high-quality healthcare services. Established in the year 2009, the company operates in the healthcare industry and dexterously manages several institutions, including children’s hospitals, academic medical centers, and local area hospitals. Employing over 8,500 skilled professionals across its network, LCMC Health's mission is to provide healthcare that goes beyond the ordinary to make a positive difference in every life it touches. Their core values encapsulate this mission too, prominently featuring care, innovation, trust, and respect.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

New Orleans, LA, US

Year founded

2009

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