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Certified Risk Adjustment Coder Jobs in Boston, MA

WSP

Senior Risk Manager

Boston, MA · On-site

... to WSP's Code of Conduct and related policies and procedures Preferred Qualifications ... PMP, PMI-RMP or other certification * Experience in effectively reporting and communicating risk ...

WSP

Senior Risk Manager

Boston, MA · On-site

... to WSP's Code of Conduct and related policies and procedures Preferred Qualifications ... PMP, PMI-RMP or other certification * Experience in effectively reporting and communicating risk ...

Anthropic

Insider Risk Investigator

Boston, MA · On-site

$245K - $305K/yr

Leverage AI tools (Claude, Claude Code) to accelerate investigation workflows and data analysis ... All certifications or educational credentials listed * Prior experience working in the AI field ...

Varsity Tutors

Finance Tutor

Newton, MA · Remote

$18 - $40/hr

... certification examinations. * Conceptual Teaching & Problem-Solving: Skilled at breaking down ... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ...

Varsity Tutors

Finance Tutor

Somerville, MA · Remote

$18 - $40/hr

... certification examinations. * Conceptual Teaching & Problem-Solving: Skilled at breaking down ... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ...

Varsity Tutors

Finance Tutor

Waltham, MA · Remote

$18 - $40/hr

... certification examinations. * Conceptual Teaching & Problem-Solving: Skilled at breaking down ... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ...

Varsity Tutors

Finance Tutor

Lowell, MA · Remote

$18 - $40/hr

... certification examinations. * Conceptual Teaching & Problem-Solving: Skilled at breaking down ... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ...

Varsity Tutors

Finance Tutor

Quincy, MA · Remote

$18 - $40/hr

... certification examinations. * Conceptual Teaching & Problem-Solving: Skilled at breaking down ... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ...

Varsity Tutors

Finance Tutor

Lynn, MA · Remote

$18 - $40/hr

... certification examinations. * Conceptual Teaching & Problem-Solving: Skilled at breaking down ... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ...

Varsity Tutors

Finance Tutor

Cambridge, MA · Remote

$18 - $40/hr

... certification examinations. * Conceptual Teaching & Problem-Solving: Skilled at breaking down ... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ...

Varsity Tutors

Finance Tutor

Boston, MA · Remote

$18 - $40/hr

... certification examinations. * Conceptual Teaching & Problem-Solving: Skilled at breaking down ... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ...

Bookmark Medical

Provider Network Manager

Westwood, MA · On-site

$80K - $90K/yr

Collaborate with clinical, quality, and risk adjustment leaders to develop strategies and actions ... coding practices Education * Bachelor's degree in relevant field preferred * In lieu of a Bachelor ...

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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 11, 2026, the average hourly pay for certified risk adjustment coder in Boston, MA is $31.82, 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.

Senior Risk Manager

WSP

Boston, MA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 24 days ago

WSP rating

8.6

Company rating: 8.6 out of 10

Based on 69 frontline employees who took The Breakroom Quiz

17th of 72 rated business consultants

Job description


This Opportunity
At WSP, we are driven by inspiring the right people to be part of our future-focused business objectives. Our devotion to teamwork has allowed us to build communities and expand our skylines. Here at WSP, anything is within our reach and yours as a WSP employee. Come join us and help shape the future!
WSP is currently initiating a search for a Senior Risk Manager in Boston, MA.
Your Impact
  • Provide risk leadership and act as the risk management subject matter expert on assigned project, program, portfolio being accountable for the risk management performance on assigned commissions.
  • Develop effective risk management framework / strategy.
  • Plan, design and implement risk management processes tailored to the client's needs and aligned with best practice (e.g. AACE International, Project Management Institute, ISO 31000).
  • Facilitate risk management workshops, meetings, interviews and discussions with project teams and clients.
  • Develop and maintain project and/or program risk registers with input from project and client team members.
  • Conduct quantitative cost and schedule risk analysis. (QCRA / QSRA)
  • Prepare project and/or program risk reports as required.
  • Provides regular briefing to project managers / clients on risks, issues, and concerns
  • Support project teams in developing and implementing appropriate internal and external response plans for critical risks.
  • Work with project teams to determine appropriate contingency and schedule reserve amounts.
  • Provide training to junior risk managers and other staff as required.
  • Advocate the incorporation of risk management in the implementation of new systems, processes, and changes to existing systems and procedures.
  • Strong attention to detail while maintaining a big-picture point of view.
  • Articulate complex information and ideas to non-technical audience.
  • Ability to manage challenging behaviors and maintain effective working relationships based on diplomacy while maintaining independence and not swayed in judgment or course of actions.
  • Demonstrate strong organizational, analytical, and multi-tasking skills (i.e. ability to handle multiple projects simultaneously).
  • Ability to display supportive behavior and communicate positively regarding project and client goals and objectives.
  • Excellent oral and written communication skills, with demonstrated ability to prepare clear and concise reports and presentations.
  • Reviews project documents for consistency with project/program risk registers and resolve issues.
  • Performs other duties as assigned.
  • Travel as required

Who You Are
Required Qualifications:
  • Bachelor's Degree in Engineering, Construction Management, Economics, Finance or relevant field
  • 12 Years of experience in risk management; construction management; project management; and/or contract or change management
  • Knowledge of general risk management and project control standards and frameworks, (e.g. AACE International, APM, IRM, Project Management Institute, ISO 31000).
  • Experience in facilitating quantitative risk analysis (QRA) workshops on cost and schedule.
  • Experience in conceptualizing and developing risk models using analytical methods;
  • Working knowledge of cost risk analysis software (@Risk, Acumen Risk, Crystal Ball etc.) and schedule risk analysis software (OPC, Primavera Risk Analysis, etc.);
  • Experienced in development and management of diverse teams.
  • Experience in preparing risk reports and documentation
  • Proven track record of upholding workplace safety and ability to abide by WSP's health, safety and drug/alcohol and harassment policies
  • Exercise responsible and ethical decision-making regarding company funds, resources and conduct and adhere to WSP's Code of Conduct and related policies and procedures

Preferred Qualifications:
  • Engineering / Project Controls Management background;
  • Experience in multiple sectors (e.g. transportation, energy, aviation etc.) and familiar with project/program delivery processes.
  • PMP, PMI-RMP or other certification
  • Experience in effectively reporting and communicating risk analysis outcomes to wider project team.
  • Experience in Strategic and / or Enterprise Risk Management is a plus
  • Experience in FTA funded programs
  • Knowledge and understanding of Federal, state, and local transportation administration regulations and policies
  • Practical Knowledge of Power BI and other reporting suite tools.
  • Commercial acumen in relation to business development
  • Knowledge of planning tools (e.g. P6, MS Project)

WSP Benefits:
WSP provides a comprehensive suite of benefits focused on a providing health and financial stability throughout the employee's career. These benefits include coverage related to medical, dental, vision, disability, and life; retirement savings; paid sick leave; paid vacation (or other personal time); paid parental leave; and paid time off for purposes of bereavement, voting, and/or attendance at naturalization proceedings.
Compensation:
Expected Salary (all locations): $212,700-$259,100
WSP USA is providing the compensation range that the company in good faith believes it might pay and offer for this position, based on the successful applicant's education, experience, knowledge, skills, abilities in addition to internal equity and specific geographic location. WSP USA reserves the right to ultimately pay more or less than the posted range and offer additional benefits and other compensation, depending on circumstances not related to an applicant's sex or other status protected by local, state, and/or federal law.
#LI-MP1
About Us
About WSP
WSP USA is the U.S. operating company of WSP, one of the world's leading engineering and professional services firms. Dedicated to serving local communities, we are engineers, planners, technical experts, strategic advisors and construction management professionals. WSP USA designs lasting solutions in the buildings, transportation, energy, water and environment markets. With more than 15,000 employees in over 300 offices across the U.S., we partner with our clients to help communities prosper.
www.wsp.com
WSP provides a flexible and agile workplace model while meeting client needs. Employees are also afforded a comprehensive suite of benefits including medical, dental, vision, disability, life, and retirement savings focused on providing health and financial stability throughout the employee's career.
At WSP, we want to give our employees the challenges they seek to grow their careers and knowledge base. Your daily contributions to your team will be essential in meeting client objectives, goals and challenges. Are you ready to get started?
WSP USA (and all of its U.S. companies) is an Equal Opportunity Employer Race/Age/Color/Religion/Sex/Sexual Orientation/Gender Identity/National Origin/Disability or Protected Veteran Status.
The selected candidate must be authorized to work in the United States.
NOTICE TO THIRD PARTY AGENCIES:
WSP does not accept unsolicited resumes from recruiters, employment agencies, or other staffing services. Unsolicited resumes include any resume or hiring document sent to WSP in the absence of a signed Service Agreement where WSP has expressly requested recruitment/staffing services specific to the position at hand. Any unsolicited resumes, including those submitted to hiring managers or other business leaders, will become the property of WSP and WSP will have the right to hire that candidate without reservation - no fee or other compensation will be owed or paid to the recruiter, employment agency, or other staffing service.

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