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Crc Risk Adjustment Coder Jobs (NOW HIRING)

HCC Risk Adjustment Coder

Franklin, TN · Remote

$18 - $24/hr

Certified Risk Adjustment Coder (CRC) - AAPC * Certified Coding Specialist (CCS) - AHIMA * Registered Health Information Technician (RHIT) - AHIMA * Registered Health Information Administrator (RHIA ...

Risk Adjustment Coder III

Miami, FL · On-site

$18 - $24/hr

Certified Risk Adjustment Coder (CRC) preferred. * 5 years of experience in medical coding with a focus on risk adjustment or HCC coding. * Extensive knowledge of ICD-10-CM coding guidelines and risk ...

New

Risk Adjustment Coder III

Miami, FL · On-site

$18 - $24/hr

Certified Risk Adjustment Coder (CRC) preferred. * 5 years of experience in medical coding with a focus on risk adjustment or HCC coding. * Extensive knowledge of ICD-10-CM coding guidelines and risk ...

Risk Adjustment Coder III

Miami, FL · On-site

$18 - $24/hr

Certified Risk Adjustment Coder (CRC) preferred. * 5 years of experience in medical coding with a focus on risk adjustment or HCC coding. * Extensive knowledge of ICD-10-CM coding guidelines and risk ...

Risk Adjustment Coder III

Miami, FL · On-site

$18 - $24/hr

Certified Risk Adjustment Coder (CRC) preferred. * 5 years of experience in medical coding with a focus on risk adjustment or HCC coding. * Extensive knowledge of ICD-10-CM coding guidelines and risk ...

New

Risk Adjustment Coder III

Miami, FL

$18 - $24/hr

Certified Risk Adjustment Coder (CRC) preferred. * 5 years of experience in medical coding with a focus on risk adjustment or HCC coding. * Extensive knowledge of ICD-10-CM coding guidelines and risk ...

New

Must obtain Certified Risk Adjustment Coder (CRC) certification within two years of employment. Prefer one-year experience with risk adjustment program in a Health Plan or Provider setting (i.e ...

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 ...

Risk Adjustment Coding Auditor

Prosper, TX · On-site

$25 - $28.50/hr

This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV's. Required skillset: MS Suite CPC certified CRC certified 5+ years of risk ...

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Crc Risk Adjustment Coder information

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$15

$27

$43

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

As of Sep 14, 2026, the average hourly pay for crc risk adjustment coder in the United States is $27.49, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $34.62 per hour, depending on experience, location, and employer.

What is the difference between Crc Risk Adjustment Coder vs Medical Coder?

AspectCrc Risk Adjustment CoderMedical Coder
CertificationsCPMA, CPC, or RHIT/RHIA often preferredCPC, CCS, or CPC-H
Work EnvironmentHealthcare facilities, insurance companies, risk adjustment teamsHospitals, clinics, physician offices
Industry UsageRisk adjustment, Medicare Advantage, health plansMedical billing, coding, documentation

The Crc Risk Adjustment Coder specializes in coding for risk adjustment programs, focusing on accurate documentation for insurance and Medicare plans. Medical Coders handle a broader range of medical records and billing tasks across various healthcare settings. While both roles require coding certifications, Crc Risk Adjustment Coders focus more on risk and reimbursement accuracy within insurance programs.

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Infographic showing various Crc Risk Adjustment Coder job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 89% Full Time, 8% Part Time, and 2% Contract. Highlights an 82% Physical, 4% Hybrid, and 14% Remote job distribution, with an average salary of $57,182 per year, or $27.5 per hour.

Risk Adjustment Coder

Virginia Beach, VA • On-site

Sentara Healthcare Inc
Hospitals • 10K+ employees

$16.50 - $22/hr

Other

Posted 12 days ago


Sentara Health rating

6.8

Company rating: 6.8 out of 10

Based on 417 frontline employees who took The Breakroom Quiz


Job description

Sentara Medical Group is now hiring a full-time hybrid Risk Adjustment Coder in Virginia Beach, VA!

Hours: Monday - Friday, 8:00AM -5:00PM, dayshift.

This is a hybrid position that offers a combination of remote and onsite work, with a requirement to be in the office one to two days each week. The role also includes travel as needed to support business objectives and team collaboration.

Overview

Performs compliance activities focused on risk adjustment in accordance with Centers for Medicare & Medicaid Services (CMS) and U.S. Department of Health & Human Services (HHS). Performs prospective/retrospective medical record reviews (MMR) & CMS/HHS Risk Adjustment Data Validation (RADV) audits. Reviews provider coding for professional & inpatient/outpatient services to ensure capture of diagnostic conditions supported within the provider's documentation for CMS/HHS Hierarchical Condition Categories (HCC). Supports risk adjustment data validation (RADV), medical record retrieval, vendor coding audits, provider engagement, & all risk adjustment ICD-10-CM coding-related activities. Conducts annual risk assessments, training, monitoring, & auditing, control assessment, reporting, investigation, root cause analysis, and corrective action oversight. Performs vendor quality oversight audits; reviews and/or makes final coding determination for non-agreeable coding. Makes final decision on vendor-to-vendor diagnosis coding rebuttal concerns. Serves as subject matter expert on risk adjustment diagnosis coding guidelines. Coordinates risk adjustment gap elimination with clinical and quality gap elimination Maintains a reasonable fluency in workings & financial implications of applicable risk adjustment models.

Education
  • Associate degree (Required)
Experience
  • Medical Records Data - 1 year (Required)
  • Coding - 2 years (Required)
Certifications:

One of the following certifications are required: Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), Certified Coding Specialist-Physician-based (CCS-P), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA).

Must obtain Certified Risk Adjustment Coder (CRC) certification within two years of employment.

Keywords:

Risk Adjustment Coding & Documentation Specialist, Talroo-Allied Health, Medical Office

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