ZipRecruiter

Log In

1

Certified Risk Adjustment Coder Jobs in Boston, MA

Community Care Cooperative

Outpatient Coder

Boston, MA · On-site

$50K - $57K/yr

The Certified Outpatient Coder will be a part of an emerging coding team under the billing and ... Identify coding or documentation trends that may pose a risk to revenue stream and report such ...

DRC Systems

Technical Lead - Data Analysis

Boston, MA · Remote

$50 - $54/hr

Strong understanding of medical economics, risk adjustment, quality measures, and population health ... Experience integrating or validating AI-powered coding or analytics tools * Exposure to model QA, ...

Victory Capital

Senior Investment Risk Analyst

Boston, MA · On-site

$103K - $121K/yr

Willingness to learn coding (Python, R, VBA), with a focus on using APIs and data frames (Pandas ... and certifications. Victory Capital Management operates a pay-for-performance compensation ...

previous pagenext page

Showing results 21-40

All JobsCertified Risk Adjustment Coder JobsCertified Risk Adjustment Coder Jobs in Boston, MA

Certified Risk Adjustment Coder information

See Boston, MA salary details

$18

$31

$77

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

As of Aug 6, 2026, the average hourly pay for certified risk adjustment coder in Boston, MA is $31.81, according to ZipRecruiter salary data. Most workers in this role earn between $23.75 and $31.59 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 Boston, MA? For Certified Risk Adjustment Coder jobs in Boston, MA, the most frequently searched job titles are:
What job categories do people searching Certified Risk Adjustment Coder jobs in Boston, MA look for? The top searched job categories for Certified Risk Adjustment Coder jobs in Boston, MA are:
Certified Risk Adjustment Coder jobs near you
Infographic showing various Certified Risk Adjustment Coder job openings in Boston, MA as of July 2026, with employment types broken down into 1% As Needed, 82% Full Time, 11% Part Time, and 6% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $66,175 per year, or $31.8 per hour.

Nurse Practitioner (PRN) - Health Risk Assessments

Hueman Risk Adjustment Solutions

Roxbury, MA • On-site

Other

Re-posted 14 days ago

Job description

Description
Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Roxbury, MA.
This unique opportunity adapts to your lifestyle, giving you the freedom to achieve your professional goals on your terms, all while enjoying a schedule designed with your preferences in mind. Whether it be for supplemental income or the desire for community connection, this position invites you to become an integral part of the thriving HRA landscape, fostering connections that go beyond the clinic.
Benefits include:
  • Competitive compensation and travel reimbursement
  • Flexible schedule
  • Comprehensive home assessment training
  • Dedicated patient scheduling assistance
  • Liability insurance options
Position Summary
Qualified Nurse Practitioners interested in this position will have the opportunity to interact with members in a more intimate setting. Unlike a typical clinic visit, this role allows NPs to connect with patients on a more personal and effective level. Nurse Practitioners performing HRAs are not required to treat or prescribe in the home.
Nurse Practitioner Responsibilities
  • Travel to and from patients' homes.
  • Perform comprehensive, non-invasive physical assessments.
  • Review medical history and ensure accurate and timely documentation.
  • Conduct medical reconciliation to ensure patient safety and compliance.
  • Provide basic patient education on wellness and preventative healthcare measures.
Nurse Practitioner Qualifications and Experience Requirements:
  • Master's Degree OR commensurate experience and satisfactory completion of NP license
  • Active State NP license
  • Active National board certification
  • Current BLS certification
  • 12 months of experience as a paid advanced clinical provider is preferred but not required

To learn more about this position, please use this link to schedule a call with a member of our recruitment team.
About Hueman
At Hueman, we're dedicated to guiding you toward fulfilling career opportunities.
We believe that happiness should be a fundamental part of every role in risk assessment. Our opportunities provide flexibility, extra income, and integration into your local healthcare network. If this resonates with your idea of career satisfaction, allow us to assist you in discovering your next healthcare position!
#Purple

Apply