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Certified Risk Adjustment Coder Jobs in Michigan

Arbor Hospice

EverCare Nurse Practitioner

Kalamazoo, MI · On-site

  • Medical

  • Life

... of care, quality and coding standards, risk adjustment accuracy, and practice metrics ... Gerontological specialty certification (e.g., GS-C) preferred. * Understanding of value-based care ...

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Certified Risk Adjustment Coder information

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$61

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

As of Aug 17, 2026, the average hourly pay for certified risk adjustment coder in Michigan is $25.53, according to ZipRecruiter salary data. Most workers in this role earn between $19.09 and $25.34 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, 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.

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.

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 popular job titles related to Certified Risk Adjustment Coder jobs in Michigan?

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

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

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

Certified Risk Adjustment Coder jobs near you
Infographic showing various Certified Risk Adjustment Coder job openings in Michigan as of August 2026, with employment types broken down into 2% As Needed, 75% Full Time, 17% Part Time, and 6% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $53,097 per year, or $25.5 per hour.

**Manager- Outpatient Clinical Documentation Improvement/Full Time/Remote

Corporate Services

Troy, MI • Remote

Full-time

Posted 17 days ago

Job description

Meet the Leader

Join a health system that's redefining excellence in outpatient care. As the Outpatient Clinical Documentation (CDI) Manager, you'll lead the strategy, people, and processes behind one of the most critical functions in modern healthcare: ensuring documentation tells the full, accurate story of every patient encounter.

You'll manage and inspire a skilled CDI team, collaborate directly with physicians and clinical leaders, and serve as the organization's expert on documentation standards, coding compliance, HCC/Risk Adjustment, and revenue integrity. Your leadership will influence enterprisewide initiatives, shape system design, and drive consistent, highquality documentation across all Henry Ford Health facilities.

This is more than a management role - it's a chance to elevate care quality, strengthen financial performance, and leave a lasting impact on a nationally recognized health system.

EDUCATION/EXPERIENCE REQUIRED: 

  • Bachelor's Degree in Business Administration or Healthcare Administration. A Bachelor's Degree in Art or Science with a medical focus would also be acceptable. Bachelor's Degree in Nursing preferred. 
  • Five (5) years clinical operations experience as evidenced by Acute or Ambulatory Nursing and/or Coding and CDI experience directly related to revenue coding and reimbursement for hospital or physician services. 
  • Significant project management experience and outstanding analytical, communication and interpersonal skills. 
  • Excellent oral and written communication skills, including the ability to teach complex technical/analytical concepts to physicians, system leadership, management and staff. 
  • Analytical ability necessary to conduct basic research, analyze and interpret data, evaluate processes and propose improvements. 
  • Ability to manage, coordinate, and lead simultaneously. 
  • Ability to estimate time frames and meet projected deadlines. 
  • Ability to understand and lead change. 
  • Ability to develop strong working and collaborative relationships with physician leaders in clinical and academic settings. 
  • Demonstrates clinical and/or coding competence. 
  • Demonstrate experience in all areas of medical record functions, including privacy & compliance regulations. 
  • Demonstrates strong knowledge of ICD-10 CM/PCS conventions, rules and regulations. 

CERTIFICATIONS/LICENSURES REQUIRED: 

  • Registered Nurse (RN or BSN) and/or Coding Certification required. Coding Certification may be CPC, CCS, RHIT, and RHIA.

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Additional Information
  • Organization: Corporate Services
  • Department: CDI - Education Delivery
  • Shift: Day Job
  • Union Code: Not Applicable

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