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Certified Risk Adjustment Coder Jobs (NOW HIRING)

Memorial Hermann

Risk Adjustment Coder-2

$23.25 - $31/hr

Certified Professional Coder (CPC), or * Certified Coding Specialist-Physician Based (CCS-P), or * Clinical Documentation Expert (CDEO), or * Certified Risk Adjustment Coder (CRAC), or * Certified ...

New

Apex Health Solutions

Certified Medical Coder

Houston, TX · On-site

$21.50 - $29.25/hr

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

Apex Health Solutions

Certified Medical Coder

Houston, TX · On-site

$21.50 - $29.25/hr

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

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 ...

Apex Health Solutions

Certified Medical Coder

Houston, TX · On-site

$21.50 - $29.25/hr

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

Apex Health Solutions

Certified Medical Coder

Houston, TX · On-site

$21.50 - $29.25/hr

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

BHC ISC

PBO Risk Adjustment Coding

Fort Lauderdale, FL · On-site

Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC). Proficient in Microsoft Word Excel and PowerPoint. Competent in Electronic Health Records NextGen and Cerner experience ...

Harris Health System

Risk Adjustment Coder II

Houston, TX · On-site

$27.69 - $34.61/hr

AHIMA/AAPC Certified Coder, Medical Billing and Coding certification required (CPC, CRC, COC, CCS ... Medicare risk adjustment coding required. Clinical documentation improvement experience for ...

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

As of Sep 14, 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.

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.
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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 September 2026, with employment types broken down into 1% Locum Tenens, 3% As Needed, 74% Full Time, 16% Part Time, and 6% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $60,920 per year, or $29.3 per hour.

Risk Adjustment Coder IHCI

Indianapolis, IN • On-site

eCommunity.com
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Other

Posted 4 days ago

Job description

Join Community
Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered - and we couldn't do it without you.
Partner with Community Health Network and Deaconess Health System - IHCI
The Innovative Healthcare Collaborative of Indiana LLC (IHCI) is a company formed through the partnership of Community Health Network (CHNw) and Deaconess Health System (DHS). Both CHNw and DHS place high importance on continuing and advancing population health and value-based care to improve patient health outcomes.
Make a Difference
Reporting to the Clinical Documentation Integrity Manager, this role performs patient chart reviews to ensure the appropriateness and completeness of diagnostic coding with evidence based on CMS HCC standards. The Risk Adjustment Coder is responsible for:
  • Timely, accurate, and complete review of patient charts following patient encounters, utilizing a variety of technical platforms to complete workflows.
  • Validating diagnosis codes representing patient conditions along with necessary MEAT documentation.
  • Ensuring coding is consistent with guidelines from regulatory entities.
  • Conducting audits to meet compliance with ACA standards.
  • Creating post-visit queries with follow up.
  • Collaborating with CDI team members, particularly with clinical findings.
  • Contributing to the provider education body of work, participating in pre-encounter reviews as needed.
Exceptional Skills and Qualifications
Applicants for this position should be able to collaborate with others in a team setting, have excellent communication skills, and a positive attitude toward problem-solving.
  • High School diploma or GED is required.
  • Associate degree is preferred.
  • Three (3) or more years of experience in professional OUTPATIENT Risk Adjustment (HCC) coding is required.
  • Three (3) or more years of experience in population health, VBC/ACO is preferred.
  • Three (3) or more years of experience in OUTPATIENT Coding is preferred.
  • Must obtain one of the following certifications through AAPC and/or AHIMA: CPC, CPC-H, CPC-I, CPC-A, CCSP, CCS, Certified Risk Adjustment Coder (CRC) within 6 months from hire.
  • This is a REMOTE position. Community caregivers performing work remotely are permitted to live in the following states: Indiana, Illinois, Ohio, Michigan, Kentucky, Florida and Texas. Caregivers are not allowed to perform work remotely outside of the above states. Applicants from other states may apply; however, if hired, they will be required to relocate to one of the above states within 60 days of their employment date.

Why Community?
At Community Health Network, we build teams that deliver exceptional care through empathy, communication and collaboration. We consider ALL an integral part of the exceptional patient experience. We PRIIDE ourselves on not having employees but Caregivers. Join our Community as we make a difference in your community.
Caring people apply here.
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