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$15

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$43

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

As of Jun 3, 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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Crc Risk Adjustment Coder jobs near you
REMOTE Risk Adjustment Coder (6-month contract)

REMOTE Risk Adjustment Coder (6-month contract)

Sanford Barrows Group

Manhattan, NY • Remote

$20.75 - $27.50/hr

Contractor

Posted 24 days ago

Job description

REMOTE Risk Adjustment Coder (6-month contract) The Risk Adjustment Coder works in a collaborative effort directly with physicians and their office staff and other support departments to review medical records and other clinical documentation to identify appropriate risk adjustment codes and quality gap closure opportunities. A major focus of the position is to collect and review documents to support the organization's quality and risk adjustment initiatives, which results in improving quality of care. ESSENTIAL JOB DUTIES/RESPONSIBILITIES: Ensures compliance with all applicable Federal, State and/or County laws and regulations related to coding and documentation guidelines for Risk Adjustment Reviews of medical records, patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries to verify whether: The diagnosis codes are supported by the documentation and ensure with ICD-10-CM Guidelines for Coding and Reporting.

The diagnosis codes for each chronic or major medical condition have been captured correctly. Any diagnosis code that is unsubstantiated by the record should be queried to provider and assess to accuracy. Reviews for clinical indicators and query providers to capture the severity of illness of the patient.

Conducts medical charts to identifying opportunities for improving individual member risk adjustment score accuracy. Provides feedback to internal clients on: Examples of documentation and physician self-coding that do not meet quality standards. Examples of missed operations missed opportunities.

Examples of clinical that ensure quality and timely care of our members as well as correct reimbursement. Identifies clinical coding and documentation trends and training needs to improve the quality of documentation to reflect our patients' health data. Attends all meetings as required.

Other duties as assigned and modified at manager's discretion. KNOWLEDGE, SKILLS & ABILITIES: Advanced understanding of medical terminology, body systems/anatomy, physiology and concepts of disease processes. Demonstrated ability to utilize a variety of electronic medical records systems.

Ability to manage significant work load, and to work efficiently under pressure meeting established deadlines with minimal supervision. Strong time management skills. Excellent written and oral communication for representation of clear and concise results.

Strong follow-up skills & organizational skills required. Must possess high degree of accuracy, efficiency and dependability. EDUCATION AND EXPERIENCE CRITERIA: High School Diploma or GED required.

Coding Certificate required. APPC or AHIMA coding certified preferred. CRC (certified risk coder) is required, or minimum of 3-5 years' experience in risk adjusting coding in lieu of certificate.

Two (2) + years' experience in a primary care environment is required. Strong knowledge of Microsoft Office Suite (Excel-basic mathematical formulas, charts, tables). Strong medical coding and third party operating procedures and practices.

Knowledge of CPT/ICD-9 & 10 & Medical Terminology.

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