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Crc Risk Adjustment Coder Jobs (NOW HIRING)

Greater Good Health

Risk Adjustment Coding Specialist

$80K - $95K/yr

Certified Risk Adjustment Coder (CRC or equivalent) required * CDI credential preferred (CDIP, CCDS, or equivalent) in addition to CRC Clinical amp; Coding Experience * Medicare risk adjustment ...

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 ...

Memorial Hermann

Risk Adjustment Coder-2

$23.25 - $31/hr

Certified Risk Adjustment Coder (CRAC), or * Certified Professional Medical Auditor (CPMA), or * Certified Coding Associate (CCA) Experience / Knowledge / Skills: * Five (5) years of progressive ...

New

Datavant

HCC Risk Adjustment Coder

Charleston, WV · On-site

$25 - $26.70/hr

... for risk adjustment and reimbursement purposes. You will play a critical role in translating ... We are accepting CPC-As but you must have your CRC as well** Pay ranges for this job title may ...

New

Datavant

HCC Risk Adjustment Coder

Augusta, ME · On-site

$25 - $26.70/hr

... for risk adjustment and reimbursement purposes. You will play a critical role in translating ... We are accepting CPC-As but you must have your CRC as well** Pay ranges for this job title may ...

New

Datavant

HCC Risk Adjustment Coder

Sacramento, CA · On-site

$25 - $26.70/hr

... for risk adjustment and reimbursement purposes. You will play a critical role in translating ... We are accepting CPC-As but you must have your CRC as well** Pay ranges for this job title may ...

New

Datavant

HCC Risk Adjustment Coder

Carson City, NV · On-site

$25 - $26.70/hr

... for risk adjustment and reimbursement purposes. You will play a critical role in translating ... We are accepting CPC-As but you must have your CRC as well** Pay ranges for this job title may ...

New

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Crc Risk Adjustment Coder information

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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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Crc Risk Adjustment Coder jobs near you
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.

Senior Risk Adjustment Coding Specialist

Columbus, IN • On-site

SIHO HOLDING INC
See more jobs at SIHO HOLDING INCexternal

Other

Posted 3 days ago

New

Job description

Senior Risk Adjustment Coding Specialist
Position Summary
The Senior Risk Adjustment Coding Specialist serves as a subject matter expert, providing advanced coding guidance, mentoring team members, supporting audits, and contributing to process improvement initiatives.
Responsible for performing retrospective, concurrent and RADV medical record reviews to ensure accurate and compliant diagnosis coding that supports Medicare Advantage, ACA, and other risk-adjusted reimbursement programs. This role collaborates with providers, clinical staff, and operational teams to identify coding opportunities, ensure documentation integrity, and improve overall risk adjustment performance.
Essential Responsibilities
  • Perform comprehensive medical record reviews to identify, validate, and capture chronic and acute conditions according to CMS and risk adjustment guidelines.
  • Assign and validate appropriate ICD-10-CM diagnosis codes based on provider documentation.
  • Ensure coding accuracy and compliance with CMS-HCC, HHS-HCC, and organizational risk adjustment requirements.
  • Conduct retrospective, concurrent, and prospective chart reviews.
  • Identify documentation gaps and communicate findings to providers and clinical teams.
  • Support provider education efforts related to risk adjustment documentation and coding best practices.
  • Participate in internal and external coding audits and validation activities.
  • Maintain productivity and quality standards while meeting departmental goals.
  • Research and interpret coding regulations, compliance updates, and CMS guidance.
  • Collaborate with quality, population health, clinical operations, and provider engagement teams.
  • Track coding trends and recommend opportunities for documentation improvement.
  • Maintain confidentiality and comply with HIPAA requirements.

Additional Responsibilities
  • Serve as a resource and mentor for coding specialists and clinical staff.
  • Lead complex coding reviews and second-level quality audits.
  • Assist with policy development, workflow optimization, and coding program initiatives.
  • Analyze coding and audit results to identify trends, risks, and improvement opportunities.
  • Support readiness for RADV, internal, and external audits.
  • Deliver provider and staff education on coding and documentation best practices.
  • Participate in cross-functional strategic projects related to risk adjustment performance.

Required Qualifications
  • High school diploma or GED required; Associate's or Bachelor's degree preferred.
  • Minimum 5 years of medical coding experience.
  • Minimum 3 years of dedicated risk adjustment coding experience.
  • Demonstrated experience supporting audits, provider education, or coding quality initiatives.
  • Advanced knowledge of CMS-HCC and risk adjustment methodologies.
  • Strong knowledge of ICD-10-CM coding guidelines.
  • Experience reviewing electronic medical records (EMRs).
  • Proficiency with Microsoft Office applications.

Required Certifications
One or more of the following certifications is required:
  • Certified Professional Coder (CPC)
  • Certified Risk Adjustment Coder (CRC)
  • Certified Coding Specialist (CCS)
  • Certified Coding Associate (CCA)

Preferred Certifications
  • CPC and CRC combination strongly preferred.
  • Additional specialty coding certifications preferred.

Knowledge, Skills, and Abilities
  • Strong understanding of CMS-HCC risk adjustment methodology.
  • Knowledge of Medicare Advantage and value-based care programs.
  • Ability to interpret clinical documentation and coding guidelines accurately.
  • Strong attention to detail and analytical skills.
  • Excellent written and verbal communication skills.
  • Ability to work independently and manage multiple priorities.
  • Experience with coding audits and quality assurance processes.
  • Proficiency with EMR systems such as Epic, Athena, eClinicalWorks, or similar platforms.
  • Strong organizational and problem-solving abilities.

Preferred Experience
  • Medicare Advantage, Medicaid, ACA, or value-based care experience.
  • Experience with RADV audits and risk adjustment validation programs.
  • Provider education and clinical documentation improvement (CDI) experience.
  • Experience working for a health plan, managed care organization, ACO, IPA, or large provider group.
  • Familiarity with population health and quality improvement initiatives.

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