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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 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 ...

Sr Risk Adjustment Coder

Newark, NJ · On-site

$44.13 - $57.36/hr

CRC - Certified Risk Adjustment Coder * CCDS - Cert Clinical Document Spec preferred Physical Demands and Work Conditions Physical Demands * Constant Sitting. * Frequent Walking. * Occasional ...

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 ...

New

CRC and 3 years' experience coding risk adjustment Attributes: * Humble - Learns, adapts, and improves relentlessly. Seeks feedback without insecurity and implements coaching. Recognizes others ...

CRC and 3 years' experience coding risk adjustment Attributes: * Humble - Learns, adapts, and improves relentlessly. Seeks feedback without insecurity and implements coaching. Recognizes others ...

The Risk Adjustment Coder is required to follow procedures and documentation policies regarding ... CPC, CPC-A or CCS-P, CRC Coding Certification Knowledge, Skills & Proficiencies * Builds Trust:

The Risk Adjustment Coder is required to follow procedures and documentation policies regarding ... CPC, CPC-A or CCS-P, CRC Coding Certification Knowledge, Skills & Proficiencies * Builds Trust:

Certified Risk Adjustment Coder

Hialeah, FL · On-site

$20.50 - $27.75/hr

Demonstrates knowledge of coding and documentation standards as well as CMS risk adjustment ... CPC, CCS-P or CRC Certification Required * Education * High School graduate * Experience * Five ...

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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 Jul 15, 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.

More about Crc Risk Adjustment Coder jobs
What cities are hiring for Crc Risk Adjustment Coder jobs? Cities with the most Crc Risk Adjustment Coder job openings:
What states have the most Crc Risk Adjustment Coder jobs? States with the most job openings for Crc Risk Adjustment Coder jobs include:
HCC Risk Adjustment Coder

HCC Risk Adjustment Coder

Vertek Staffing

Franklin, TN • Remote

$18 - $24/hr

Contractor

Posted 20 days ago


Job description

HCC / Risk Adjustment Coder - Remote

Risk Adjustment / HCC Coding Experience Required

Required Education
  • High School Diploma required with submission
Required Certifications

Online certification verification required with submission.

Candidates must possess one of the following certifications:

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

CRC Certification is highly preferred.

Schedule
  • Monday - Friday
  • Occasional weekend coverage may be required based on client needs

Position Summary

The HCC / Risk Adjustment Coder is responsible for reviewing medical records and clinical documentation to accurately identify, validate, and code chronic and acute conditions impacting patient risk scores and reimbursement.

The coder will ensure accurate assignment of ICD-10-CM diagnosis codes in accordance with CMS Risk Adjustment guidelines, Official ICD-10-CM Coding Guidelines, and client-specific requirements. This role supports Risk Adjustment initiatives through retrospective chart reviews, prospective reviews, coding validation, provider education support, and quality assurance activities.

The HCC Coder will collaborate with providers, CDI professionals, quality teams, population health departments, and coding leadership to ensure complete and accurate capture of chronic conditions and disease burden.


Key Responsibilities
  • Review medical records to identify and code HCC-eligible diagnoses.
  • Assign ICD-10-CM diagnosis codes in accordance with CMS and Risk Adjustment guidelines.
  • Validate chronic conditions and ensure documentation supports code assignment.
  • Perform retrospective and prospective chart reviews.
  • Identify missed HCC opportunities and documentation gaps.
  • Assist with coding validation and quality assurance audits.
  • Support provider education initiatives regarding Risk Adjustment documentation requirements.
  • Maintain productivity and quality standards established by the client.
  • Participate in internal and external audit activities.
  • Stay current on CMS Risk Adjustment regulations, coding updates, and industry best practices.
  • Assist leadership with special projects and additional duties as assigned.

Required Experience
  • Risk Adjustment / HCC coding experience required
  • Strong understanding of ICD-10-CM coding guidelines
  • Experience reviewing outpatient and provider documentation
  • Knowledge of CMS-HCC Risk Adjustment methodologies
  • Experience validating chronic conditions and disease burden
  • Strong attention to detail and coding accuracy
Preferred Experience
  • CRC certification
  • Experience with Medicare Advantage populations
  • Experience with value-based care programs
  • Experience performing coding audits and quality reviews
  • Experience with Epic, Cerner, Athena, eClinicalWorks, NextGen, or other EMR systems
  • Experience educating providers on Risk Adjustment documentation

 

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About Vertek Solutions

Sourced by ZipRecruiter

Vertek Solutions is a boutique staffing firm that specializes in recruiting top level IT talent who can enhance our clients’ teams. Our team works every day to foster relationships with both our consultants and clients to understand their needs and ensure that we are providing a solution that is mutually beneficial.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Franklin, TN, US

Year founded

2006

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