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Certified Risk Adjustment Coder Jobs in Remote, OR

O'Reilly Auto Parts

Parts Specialist

North Bend, OR · On-site

$16.75 - $22.50/hr

... adjustments, inventory cycle counts, etc. Operate brake lathe and other store test equipment after ... trouble codes, replace headlight capsules, etc.) Occasionally drive a delivery vehicle to make ...

O'Reilly Auto Parts

Parts Specialist

Winston, OR · On-site

$17.50 - $23.75/hr

... adjustments, inventory cycle counts, etc. Operate brake lathe and other store test equipment after ... trouble codes, replace headlight capsules, etc.) Occasionally drive a delivery vehicle to make ...

Koerber

Specialist Controls Engineer

OR · Remote

$85K - $110K/yr

You will provide technical oversight and lead design reviews for large-scale and high-risk projects ... Your professional certifications, such as Certified Automation Professional (CAP) or TUV Functional ...

Koerber

Senior Project Manager

OR · Remote

... adjustments * You will serve as the primary client-facing contact, managing all customer ... You will lead risk management, issue escalation, and resolution efforts by identifying, assessing ...

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All JobsCertified Risk Adjustment Coder JobsCertified Risk Adjustment Coder Jobs in Remote, OR

Certified Risk Adjustment Coder information

See Remote, OR salary details

$17

$29

$70

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

As of Aug 22, 2026, the average hourly pay for certified risk adjustment coder in Remote, OR is $29.26, according to ZipRecruiter salary data. Most workers in this role earn between $21.88 and $29.04 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 Remote, OR?

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

What job categories do people searching Certified Risk Adjustment Coder jobs in Remote, OR look for?

The top searched job categories for Certified Risk Adjustment Coder jobs in Remote, OR are:

Certified Risk Adjustment Coder jobs near you
Infographic showing various Certified Risk Adjustment Coder job openings in Remote, OR as of August 2026, with employment types broken down into 2% As Needed, 77% Full Time, 14% Part Time, and 7% Contract. Highlights an 81% Physical, 1% Hybrid, and 18% Remote job distribution, with an average salary of $60,859 per year, or $29.3 per hour.

Director of Quality and Risk Adjustment

DOCS Management Services

Coos Bay, OR • On-site

$140 - $190/hr

Other

Re-posted 6 days ago

Job description

Overview

Position: Director of Quality and Risk Adjustment

Location: Coos Bay, OR • Hybrid (onsite/remote)

Job Id: 309 • # of Openings: 1

The Director of Quality and Risk Adjustment provides strategic leadership for the development, implementation, oversight, and continuous improvement of organizational quality, risk adjustment, population health, and performance improvement programs. This role collaborates with leadership, providers, and cross-functional teams to improve member outcomes, support value-based care initiatives, enhance revenue integrity, and drive organizational performance through data-informed decision making.

Qualifications, Education & Experience
  • Bachelor’s degree in Healthcare Administration, Public Health, Nursing, Business Administration, Health Information Management, or a related field required
  • Master’s degree in a related field strongly preferred
  • Minimum of five years of progressively responsible leadership experience in healthcare quality improvement, performance improvement, risk adjustment, managed care, value-based payment models, or related healthcare operations
  • Three to five years’ experience in Medicaid risk adjustment and coding
  • Minimum three years’ experience in a medical office, clinic, or healthcare administration setting
  • Experience training, educating, and guiding providers and clinical staff; experience leading and managing a team
  • Certified Professional Coder or Certified Risk Adjustment Coder, willing to obtain within the first year of hire
Essential Responsibilities
  • Develop and execute the organization’s strategic vision for quality improvement, risk adjustment optimization, and performance improvement initiatives
  • Lead design, implementation, evaluation, and continuous improvement of quality and risk adjustment programs
  • Establish departmental goals, KPIs, and performance improvement strategies aligned with organizational priorities
  • Advise executive leadership on quality outcomes, risk adjustment performance, population health, value-based reimbursement, and regulatory requirements
  • Identify trends, risks, opportunities, and best practices; develop proactive strategies to support organizational success
  • Foster a culture of continuous quality improvement, accountability, and data-driven decision-making
  • Collaborate with leaders, providers, vendors, and stakeholders to advance quality and risk adjustment initiatives
Quality Management
  • Oversee the Quality Management Improvement (QMI) Program, Transformation and Quality Strategy (TQS), and related quality initiatives
  • Develop and monitor quality improvement strategies that support contractual obligations, regulatory requirements, and population health
  • Direct the development of evaluation tools, performance metrics, dashboards, and reporting systems
  • Lead efforts to improve quality performance measures, incentive metrics, outcomes, member experience, and provider performance
  • Monitor performance and implement corrective action plans as needed
  • Oversee data validation, analysis, interpretation, and reporting of quality and performance data
  • Ensure compliance with applicable federal, state, accreditation, contractual, and regulatory quality requirements
  • Prepare and submit quality reports, performance improvement reports, and contractual deliverables
  • Provide leadership to quality-related committees, workgroups, and partnerships
  • Collaborate to identify opportunities for systems transformation and process improvement
  • Monitor delegated vendor performance and implement corrective actions when necessary
  • Oversee readiness activities for audits, regulatory reviews, accreditation, and external quality reviews
  • Provide strategic direction for all organizational risk adjustment activities and related strategies
  • Monitor risk adjustment performance metrics, coding accuracy, and documentation integrity
  • Direct provider education, engagement, and incentive strategies to support accurate documentation and coding
  • Utilize analytics to identify trends and opportunities for risk adjustment improvement
  • Oversee relationships with risk adjustment vendors and external partners
  • Implement auditing and monitoring activities to evaluate documentation quality and program compliance
  • Collaborate with internal and external stakeholders to resolve risk adjustment issues
  • Develop and maintain policies, procedures, and workflows for risk adjustment activities
  • Monitor changes in risk adjustment methodologies and regulatory requirements
Performance Management & Analytics
  • Provide strategic oversight of quality performance, risk adjustment analytics, and population health metrics
  • Develop and report KPIs, dashboards, and scorecards to support data-driven decisions
  • Analyze data to identify trends, care gaps, and opportunities for improvement in quality and risk adjustment
  • Communicate performance data to executives, providers, and stakeholders
  • Collaborate to implement performance improvement strategies that enhance member outcomes and operational effectiveness
  • Monitor performance against contractual, regulatory, payer, and organizational benchmarks and develop corrective actions as needed
  • Ensure data integrity and effective use of data to support improvement initiatives
  • Participate in process improvement activities and promote a culture of risk management and quality
  • Foster ethics, integrity, and professional conduct; represent the organization at meetings and conferences as applicable
Knowledge, Skills & Abilities
  • Comprehensive knowledge of healthcare quality improvement, population health, risk adjustment, value-based care, Medicaid managed care, and regulatory requirements
  • Ability to lead programs, analyze data, implement improvements, engage providers, and drive performance through evidence-based decisions
  • Ability to translate complex data into actionable recommendations and communicate results to leadership and stakeholders
  • Strong leadership, relationship management, and cross-functional collaboration skills
  • Knowledge of clinical documentation improvement, medical coding (ICD-10, CPT, HCPCS), HEDIS, and quality measurement frameworks
  • Understanding of managed care concepts and basic health equity considerations
  • Attention to detail, initiative, judgment, and decision-making
  • Proficiency in Microsoft Office and Windows OS
  • Ability to work with diverse populations and handle sensitive situations professionally
  • Knowledge of federal and state laws including OSHA, HIPAA, and other relevant regulations
Working Conditions

This position may be primarily remote with occasional onsite work. Travel locally may be required; own transportation may be necessary. Hours may vary based on operational needs.

Other Information

This job description is intended to provide basic guidelines for meeting job requirements. It is not a comprehensive listing of activities, duties, or responsibilities and may change at any time with or without notice.

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