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Crc Risk Adjustment Coder Jobs (NOW HIRING)

Oscar Health

Auditor, Risk Adjustment

Tempe, AZ · Remote

$82K - $108K/yr

Certified Risk Adjustment Coder (CRC) or similar certification * Experience coding in a variety of different Electronic Medical Record (EMR) systems. This is an authentic Oscar Health job opportunity.

Oscar Health

Auditor, Risk Adjustment

Dallas, TX · Remote

$82K - $108K/yr

Certified Risk Adjustment Coder (CRC) or similar certification * Experience coding in a variety of different Electronic Medical Record (EMR) systems. This is an authentic Oscar Health job opportunity.

Guidehouse

Remote Risk Adjustment Medical Coder

$44K - $74K/yr

The Remote Risk Adjustment Coder must be proficient in ICD10CM Risk Adjustment coding as well as ... CPC or CRC certification from AAPC * EMR experience * Must maintain credential throughout ...

Oscar Health

Auditor, Risk Adjustment

Miami, FL · Remote

$82K - $108K/yr

Certified Risk Adjustment Coder (CRC) or similar certification * Experience coding in a variety of different Electronic Medical Record (EMR) systems. This is an authentic Oscar Health job opportunity.

Oscar Health

Auditor, Risk Adjustment

Atlanta, GA · Remote

$82K - $108K/yr

Certified Risk Adjustment Coder (CRC) or similar certification * Experience coding in a variety of different Electronic Medical Record (EMR) systems. This is an authentic Oscar Health job opportunity.

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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 Jun 16, 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
Certified Coder (Risk Adjustment Experience Required) - REMOTE

Certified Coder (Risk Adjustment Experience Required) - REMOTE

Molina Healthcare

Long Beach, CA • Remote

$19.84 - $38.69/hr

Full-time

Posted 18 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 192 frontline employees who took The Breakroom Quiz

146th of 261 rated insurance

Job description

JOB DESCRIPTION Job SummaryProvides support for medical coding activities, including ensuring that ICD-10 and CPT codes are reported accurately to maintain compliance, and minimize risk and denials. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
Performs on-going member medical chart reviews. Abstracts and reports ICD-10 and CPT diagnosis codes accurately and in compliance with established coding and billing principles - minimizing risk and denials.
Demonstrates understanding of current provider office billing practices - ensuring that diagnosis and CPT codes are submitted accurately.
Documents results/findings from chart reviews and provides feedback to leadership, providers and office staff.
Provides training and education to provider network regarding risk adjustment and coding updates related to risk adjustment.
Builds positive relationships between providers and the business by providing coding assistance as needed.
Facilitates administrative duties such as planning, chart reviews scheduling, medical records procurement, provider training and education.
Assists in coordination of management activities with other departments including finance, revenue analytics, claims, encounters and enterprise/plan medical directors.
Maintains professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks and participating in professional societies related to medical coding in the managed care industry.
Required Qualifications At least 2 years medical coding experience, or equivalent combination of relevant education and experience.
Certified Professional Coder (CPC).
Certified Coding Specialist (CCS).
Latest Centers for Medicare and Medicaid Services (CMS) and American Hospital Association (AHA) clinic coding knowledge.
Ability to maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
Ability to effectively interface with staff, clinicians, and management.
Excellent verbal and written communication skills.
Ability to establish and maintain positive and effective work relationships with coworkers, members, providers and all other customers.
Strong verbal and written communication skills.
Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
Certified Risk Adjustment Coder (CRC).
Certified Professional Payer - Payer (CPC-P).
Certified Coding Specialist - Physician Based (CCS-P).
Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model.
Background in supporting risk adjustment management activities and clinical informatics.
Experience with risk adjustment data validation.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $19.84 - $38.69 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Employment Type: Full Time

What Molina Healthcare employees say

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Benefits

Hours and flexibility

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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