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Certified Risk Adjustment Coder Jobs (NOW HIRING)

Apex Health Solutions

Certified Medical Coder

Houston, TX · On-site

$21.50 - $29.25/hr

Description Summary Certified Medical Coder role is responsible for reviewing, abstracting, and ... Follows CMS Risk Adjustment guidelines and has a complete understanding of their real-world ...

AAPC

PACE Risk Adjustment Coder

Salt Lake City, UT · On-site +1

Strong time management, organization skills, and work ethic Certification Requirements: * CRC and 3 years' experience coding risk adjustment Attributes: * Humble - Learns, adapts, and improves ...

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

As of Jun 22, 2026, the average hourly pay for certified risk adjustment coder in the United States is $29.29, according to ZipRecruiter salary data. Most workers in this role earn between $21.88 and $29.09 per hour, depending on experience, location, and employer.

Is HCC coding a good career?

Certified Risk Adjustment Coders (HCC coders) play a vital role in healthcare billing and reimbursement by accurately coding patient diagnoses for risk adjustment models. The field offers steady demand, opportunities for certification, and potential for career advancement, especially with experience and specialized knowledge of coding systems and healthcare regulations.

How to become a certified risk adjustment coder?

To become a certified risk adjustment coder, you 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 the certification typically requires ongoing education and adherence to industry standards. Strong knowledge of medical terminology, coding guidelines, and health insurance processes is essential for success in this role.

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 pays more, CCS or CPC?

Certified Risk Adjustment Coders (CRC) and Certified Professional Coders (CPC) are both coding certifications, but CPCs generally tend to have higher average salaries due to broader coding responsibilities and demand. Salary differences can also depend on experience, location, and employer, with CPCs often earning more in outpatient and physician office settings. Both certifications can lead to higher pay when combined with relevant experience and specialized skills.

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 is the highest salary for a CPC coder?

Certified Risk Adjustment Coders (CPCs) typically earn salaries ranging from $50,000 to over $80,000 annually, with top earners in specialized or senior roles reaching higher figures. Factors such as experience, certifications, and work environment influence salary levels in this field.
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Certified Risk Adjustment Coder jobs near you
Infographic showing various Certified Risk Adjustment Coder job openings in the United States as of June 2026, with employment types broken down into 1% Locum Tenens, 1% As Needed, 80% Full Time, 16% Part Time, and 2% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $60,920 per year, or $29.3 per hour.
Certified Medical Coder

Certified Medical Coder

Apex Health Solutions

Houston, TX • On-site

$21.50 - $29.25/hr

Full-time

Posted 6 days ago

Job description

Description
Summary
Certified Medical Coder role is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment requirements.
Key Responsibilities
  • Follows CMS Risk Adjustment guidelines and has a complete understanding of their real-world application

  • Reviews submitted medical records to identify ICD-10-CM diagnoses, ensuring the documentation meets all CMS standard requirements for valid submission

  • Codes all diagnoses and services accurately and completely, from the medical record in accordance with the ICD-10-CM coding classification system

  • Selects and accurately records all appropriate records and data on assigned chart abstraction projects

  • Ability to meet productivity and accuracy requirements

  • Performs other duties as assigned

Qualifications
  • High School Diploma or GED required

  • A certification in one of the following is required:

  • Certified Professional Coder (CPC)

  • Certified Risk Adjustment Coder (CRC)

  • Certified Coding Specialist (CCS)

  • Registered Health Information Technician (RHIT)

  • Registered Health Information Administrator (RHIA)

  • Minimum of three (3) years HCC experience performing concurrent and retrospective risk adjustment chart reviews required

  • Current AAPC or AHIMA credential required

  • Risk Adjustment / HCC knowledge required

  • Managed Care experience preferred

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