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Certified Risk Adjustment Coder Jobs in Rhode Island

Cumming Group

Senior Scheduler

West Greenwich, RI · On-site

Develop and maintain project risk assessments, qualitative and quantitative. * Develop and maintain ... Experience with estimate validation and adjustments and comparative cost analyses. * Knowledge of ...

Brownhealth

Polysomnographic Tech

Providence, RI · On-site

Reviews output, making adjustments as necessary, to produce tracings of multiple variables ... Alerts physician and/or code team, as necessary, and initiates cardiopulmonary resuscitation if ...

Cushman & Wakefield

Operating Engineer

Providence, RI · On-site

$70K - $94K/yr

... adjustments and installations about the property • Perform repairs to plumbing fixtures (water ... Journeyman or Master Electrician License or City Licenses, such as Refrigeration Certificate of ...

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All JobsCertified Risk Adjustment Coder JobsCertified Risk Adjustment Coder Jobs in Rhode Island

Certified Risk Adjustment Coder information

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$16

$28

$69

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 Rhode Island is $28.68, according to ZipRecruiter salary data. Most workers in this role earn between $21.44 and $28.46 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 Rhode Island?

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

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

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

Certified Risk Adjustment Coder jobs near you
Infographic showing various Certified Risk Adjustment Coder job openings in Rhode Island 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 $59,659 per year, or $28.7 per hour.

Senior Scheduler

West Greenwich, RI • On-site

Cumming Group
Construction • 1 - 5K employees
Learn more about Cumming Groupexternal

Other

Medical, Dental, Vision, Retirement, PTO

Posted 28 days ago

Job description

At Cumming Group, you will work on some of the world's most exciting projects in a dynamic environment where your success is measured by the impact you make. We are one of the fastest-growing project and cost management consultancies in the United States, as reflected in our top 10 rankings in ENR. With over 60 offices globally, an extremely diverse project portfolio, and double-digit year-over-year revenue growth, the opportunities to make your mark are limitless!
We are seeking a Senior Scheduler to support the planning and execution of complex life sciences and pharmaceutical construction projects in West Greenwich, RI. In this role, you will develop, maintain, and analyze project schedules while collaborating with project teams to ensure successful project delivery from preconstruction through completion.
Essential Duties & Responsibilities:

  • Support Project Managers with quality project schedules at appropriate levels of detail for proposed and on-going projects.
  • Develop, monitor, status and resolve negative impacts to schedule critical paths.
  • Provide guidance on design issues, client concerns and code issues.
  • Lead project managers, design and contractors on monthly project progress of work.
  • Develop and maintain project risk assessments, qualitative and quantitative.
  • Develop and maintain 4D, 5D modeling.
  • Manage the development of critical monthly progress reports.
  • Participate in design verifications and construction site walks.
  • Support efforts to collect, integrate and report key project data.
  • Develop and maintain detailed construction schedules.
  • Perform forensic scheduling analysis.
  • Overview clients' schedules for as-planned schedule validation, labor productivity, critical path delay and acceleration.
  • Development of risk management plan, using crystal ball, PRA.
  • Manage resource and cost loading of schedules.
  • Contributes to and monitors scope control, change management and associated implications to project cost and scheduling, escalating when appropriate.
  • Provides mentorship to Scheduler I & Scheduler II Team Members.
  • Other duties as assigned.
  • Attendance at work during normal business hours.
Knowledge & Skills Required:
  • Demonstrated knowledge of developing and maintaining project risk assessments (qualitative and quantitative).
  • Knowledge of 4D/5D modeling.
  • Experience with forensic scheduling analysis of construction or engineering projects independently.
  • Experience with estimate validation and adjustments and comparative cost analyses.
  • Knowledge of Pre- and Post-Construction cost audits and valuations.
  • Experience performing detailed cost and schedule analyses.
  • Knowledge of project document control.
  • ability to provide forensic scheduling analysis of construction or engineering projects.
  • Demonstrated ability to develop high-level logic driven schedules.
  • Utilize effective written and oral communication skills.
  • Understand how your role contributes to the organization's goals.
  • Deliver quality work product by role modeling organizational core values.
  • Hold self accountable to individual and team goals.
  • Consistently communicate and collaborate with team members and clients.
  • Build relationships with peers, leaders, and clients.
  • Proactively participate in self-development to continually enhance current skills and build new skills required to excel at current role and prepare for career progression.
  • Demonstrate ability to be dependable, diligent, and thorough.
  • Exercise creativity and resourcefulness in managing the project effectively in a compressed timeframe.
Preferred Education and Experience:
Education: BS in Construction Management or Engineering
Experience: 5-7 years exp in project scheduling or as a Project Engineer
Preferred Certification: PSP, PMP, CPE, CEP, CCP, CMIT or MRICS
#LI-IG1
Cumming Group is committed to providing Equal Employment Opportunity in its personnel policies and practices. It is Cumming Group's policy to recruit, hire, train and promote Team Members and applicants for employment without regard to race, color, creed, religion, age, sex, marital status, registered domestic partner status, genetic information, sexual preference, sexual orientation, gender (including gender expression and gender identity), pregnancy (including childbirth or related medical conditions, including breastfeeding), military service, national origin, ancestry, citizenship, physical disability, mental disability, veteran status or any other protected classification under federal, state, or local law. All such decisions are based on (1) individual merit, qualifications, and competence as they relate to the particular position, and (2) promotion of the principle of equal employment opportunity.
All other terms and conditions of employment, such as compensation, benefits, transfers, layoff, return from layoff, training, education, and social and recreational programs, are administered without regard to the characteristics described above. To this end, Cumming Group complies with all provisions of Title VII of the Civil Rights Act of 1964 as amended, all of the rules, regulations and relevant orders of the Secretary of Labor, and all similar state and local laws.
The salary range for this full-time role is $109,600.00-$146,133.35 per year. Ranges are determined based on the position, geography, client and industry experience and level, and represent a good faith effort to provide a fair and equitable salary. This range reflects base salary only, and not the total compensation package. Cumming Group reserves the right to pay more or less than the posted range, depending on a candidate's experience, skills, and qualifications, including client requirements.
In addition to base salary, Cumming Group offers a comprehensive benefits package including:
  • Medical
  • Dental Insurance
  • Vision Insurance
  • 401(k)
  • 401(k) Matching
  • Paid Time Off
  • Paid Holidays
  • Short and long-term disability
  • Employee Assistance Program

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