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Certified Risk Adjustment Coder Jobs in Texas (NOW HIRING)

St Luke's Health

Value Based Coder II

Houston, TX

$25.30 - $35.74/hr

Job Requirements 2+ years of experience in outpatient coding 2+ years focused on risk adjustment ... and HCC principles. Advanced knowledge of CPT and ICD-10 coding, with significant expertise in HCC ...

Elevance Health

Coding Analyst Sr.

Austin, TX

AAPC Certified Risk Adjustment Coder (CRC) is highly preferred. * Knowledge of medical terminology and anatomy strongly preferred. Job Level: Non-Management Non-Exempt Workshift: 1st Shift (United ...

Elevance Health

Coding Analyst Sr.

Austin, TX

AAPC Certified Risk Adjustment Coder (CRC) is highly preferred. * Knowledge of medical terminology and anatomy strongly preferred. Please be advised that Elevance Health only accepts resumes for ...

St Luke's Health

Value Based Coder II

Houston, TX

$25.30 - $35.74/hr

The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk ... as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC ...

CommonSpirit Health

Value Based Coder II

Houston, TX

$18 - $23.75/hr

The Value Based Coder II is an experienced professional within the Quality Management/Risk team ... as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC ...

Mehta Medical Group PLLC

$20 - $25/hr

... Certified Medical Coder with multi-specialty experience to join our growing healthcare organization ... RAF risk adjustment concepts • Experience with EMR systems (eCW preferred but not required ...

Mehta Medical Group PLLC

$20 - $25/hr

... Certified Medical Coder with multi-specialty experience to join our growing healthcare organization ... RAF risk adjustment concepts • Experience with EMR systems (eCW preferred but not required ...

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Certified Risk Adjustment Coder information

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$66

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

As of Jul 17, 2026, the average hourly pay for certified risk adjustment coder in Texas is $27.29, according to ZipRecruiter salary data. Most workers in this role earn between $20.38 and $27.12 per hour, depending on experience, location, and employer.

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.

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 Texas? For Certified Risk Adjustment Coder jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Certified Risk Adjustment Coder jobs in Texas look for? The top searched job categories for Certified Risk Adjustment Coder jobs in Texas are:
Certified Risk Adjustment Coder jobs near you
Coding Quality Assurance Specialist II

Coding Quality Assurance Specialist II

Texas Children's Hospital

Houston, TX • On-site

Full-time

Re-posted 3 days ago

Texas Children's Hospital rating

8.3

Company rating: 8.3 out of 10

Based on 174 frontline employees who took The Breakroom Quiz

78th of 1,020 rated hospitals

Job description


We're searching for a Coding Quality Assurance Specialist II - someone who works well in a fast-paced setting. In this position, you will assign and audit the accuracy of the ICD-10-CM and CPT codes to ambulatory, emergency center, observation, and day surgery records for purposes of billing, research, and providing information to government and regulatory agencies. Ascertains the accuracy of the physicians' E/M and procedure coding to their documentation, completes the auditing reporting tool, and provides feedback to the education team and/or provider.
Think you've got what it takes?
Job Duties & Responsibilities
  • Assigns ICD-10-CM, ICD-10-PCS, and CPT codes.
  • Reviews and interprets documentation for appropriate diagnosis and procedures.
  • Communicates with and provides feedback to the education team and/or provider.
  • Identifies principle and secondary diagnoses and procedure codes from the electronic medical and/or paper record.
  • Utilizes the encoder or coding books to correctly assign all ICD-10-CM, ICD-10-PCS, and CPT codes for diagnosis and procedures.
  • Sequences diagnosis and procedures to generate appropriate ICD-10-CM, CPT, PCS, and DRG codes for billing.
  • Queries physicians to obtain clarification or missing elements in the record preventing correct coding.
  • Utilizes other available resources for assignment of codes as necessary (e.g., Epic, MIQS, Cardio IMS, Logician, and coding reference materials).
  • Assists other coders in resolving coding problems/questions.
  • Provides ICD-10 and CPT, for physician research projects, and reporting purposes.
  • Completes abstracts for records when appropriate.
  • Identifies problem accounts.
  • Corrects problem accounts.
  • Participates in education and maintains certification.
  • Assists in auditing records.
  • Maintains concurrent coding for inpatient records.
  • Skills & Requirements
  • Required H.S. Diploma or GED

Required Licenses/Certifications
  • CCA - Certified Coding Associate by the American Health Information Management Association (AHIMA)
  • CCS - Cert-Cert Coding Specialist by the American Health Information Management Association (AHIMA)
  • CCS-P - Cert-CCS-P Physician Based by the American Health Information Management Association (AHIMA)
  • CIPC - Certified Inpatient Coder by the American Academy of Professional Coders (AAPC)
  • COC - Certified Outpatient Coder by the American Academy of Professional Coders (AAPC)
  • CPC - Cert-Cert Professional Coder by the American Academy of Professional Coders (AAPC)
  • CRC - Cert Risk Adjustment Coder by the American Academy of Professional Coders (AAPC)
  • RHIA - Cert-Reg Health Inform. Admins by the American Health Information Management Association (AHIMA)
  • RHIT - Cert-Reg Health Inform. TECH by the American Health Information Management Association (AHIMA)
  • Required 2 years' experience in coding

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