The Risk Adjustment Clinical Documentation Specialist facilitates accurate, complete, consistent ... Certified Coder (COC or CPC) preferred. TRAINING AND EXPERIENCE: Required: 5 years of adult acute ...
The Risk Adjustment Clinical Documentation Specialist facilitates accurate, complete, consistent ... Certified Coder (COC or CPC) preferred. TRAINING AND EXPERIENCE: Required: 5 years of adult acute ...
Medical Coder
$14.80/hr
The coder will identify risk adjustment codes based upon coding guidelines. The coder will be knowledgeable and familiar with computers and technology. The coder will be a certified professional ...
Medical Coder
$14.80/hr
The coder will identify risk adjustment codes based upon coding guidelines. The coder will be knowledgeable and familiar with computers and technology. The coder will be a certified professional ...
We are seeking a Risk Adjustment Associate Data Analyst to support Medicare Advantage (MA) and ACA ... risk score accuracy, coding performance, and financial outcomes. This position focuses on ...
We are seeking a Risk Adjustment Associate Data Analyst to support Medicare Advantage (MA) and ACA ... risk score accuracy, coding performance, and financial outcomes. This position focuses on ...
Coordinate and present education of providers/practices related to risk adjustment, coding, and clinical documentation improvement. * Assess workflow processes in physician practices that impact the ...
Coordinate and present education of providers/practices related to risk adjustment, coding, and clinical documentation improvement. * Assess workflow processes in physician practices that impact the ...
Physician Educator HPL- Remote- Clearfield County, PA & Surrounding Area!
Pittsburgh, PA · On-site +1
$29.92 - $51.79/hr
Coordinate and present education of providers/practices related to risk adjustment, coding, and clinical documentation improvement. * Assess workflow processes in physician practices that impact the ...
Physician Educator HPL- Remote- Clearfield County, PA & Surrounding Area!
Pittsburgh, PA · On-site +1
$29.92 - $51.79/hr
Coordinate and present education of providers/practices related to risk adjustment, coding, and clinical documentation improvement. * Assess workflow processes in physician practices that impact the ...
Telehealth Nurse Practitioner
Harrisburg, PA · Remote
$600 - $720/day
Complete risk adjustment documentation (HCC coding) * Close HEDIS care gaps during patient visits * Document visits using ICD-10 and CPT II codes * Review patient history, medications, and preventive ...
Telehealth Nurse Practitioner
Harrisburg, PA · Remote
$600 - $720/day
Complete risk adjustment documentation (HCC coding) * Close HEDIS care gaps during patient visits * Document visits using ICD-10 and CPT II codes * Review patient history, medications, and preventive ...
Advanced Practice Provider - Pittsburgh, PA
Pittsburgh, PA · On-site +1
$107K - $120K/yr
Risk Adjustment & Documentation Acumen: Strong knowledge of risk adjustment methodologies and coding principles, coupled with the ability to ensure documentation integrity for compliant medical ...
Advanced Practice Provider - Pittsburgh, PA
Pittsburgh, PA · On-site +1
$107K - $120K/yr
Risk Adjustment & Documentation Acumen: Strong knowledge of risk adjustment methodologies and coding principles, coupled with the ability to ensure documentation integrity for compliant medical ...
Clinical Documentation Integrity Registered Nurse - Full Time
Indiana, PA · On-site
$31.75 - $42.75/hr
Experience in clinical validation or working with Coding/HIM * Experience with payer audits, utilization review, quality improvement, or risk adjustment concepts preferred * LICENSURE/CERTIFICATION:
Clinical Documentation Integrity Registered Nurse - Full Time
Indiana, PA · On-site
$31.75 - $42.75/hr
Experience in clinical validation or working with Coding/HIM * Experience with payer audits, utilization review, quality improvement, or risk adjustment concepts preferred * LICENSURE/CERTIFICATION:
Senior Consultant - Clinical Documentation Specialist
Philadelphia, PA · On-site
$35 - $47.25/hr
... risk adjustment * Has strong interpersonal skills to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality, Case Management, Finance, Revenue Cycle, and Coders * Other ...
Senior Consultant - Clinical Documentation Specialist
Philadelphia, PA · On-site
$35 - $47.25/hr
... risk adjustment * Has strong interpersonal skills to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality, Case Management, Finance, Revenue Cycle, and Coders * Other ...
Engineer, Site Risk Management
Delta, PA · On-site
$122K - $154K/yr
Expected salary range: * Entry-Level - $87,000 * Mid-Level - $92,700 - $114,000 * Sr Level - $122 ... industry codes, and all regulatory requirements. * Perform engineering and technical tasks as ...
Engineer, Site Risk Management
Delta, PA · On-site
$122K - $154K/yr
Expected salary range: * Entry-Level - $87,000 * Mid-Level - $92,700 - $114,000 * Sr Level - $122 ... industry codes, and all regulatory requirements. * Perform engineering and technical tasks as ...
Land Surveyor - Entry Level
Phoenixville, PA · On-site +1
... architecture, code enforcement, plan review, construction management, construction materials ... with data analysis, adjustments, and quality checks. * Conduct project research and help plot ...
Land Surveyor - Entry Level
Phoenixville, PA · On-site +1
... architecture, code enforcement, plan review, construction management, construction materials ... with data analysis, adjustments, and quality checks. * Conduct project research and help plot ...
Land Surveyor - Entry Level
Furlong, PA · On-site +1
... architecture, code enforcement, plan review, construction management, construction materials ... with data analysis, adjustments, and quality checks. * Conduct project research and help plot ...
Land Surveyor - Entry Level
Furlong, PA · On-site +1
... architecture, code enforcement, plan review, construction management, construction materials ... with data analysis, adjustments, and quality checks. * Conduct project research and help plot ...
Engineer, Risk Assessment
Kennett Square, PA · On-site
$122K - $154K/yr
Expected salary range: * Entry-Level - $87,000 * Mid-Level - $92,700 - $114,000 * Sr Level - $122 ... industry codes, and all regulatory requirements. * Perform engineering and technical tasks as ...
Engineer, Risk Assessment
Kennett Square, PA · On-site
$122K - $154K/yr
Expected salary range: * Entry-Level - $87,000 * Mid-Level - $92,700 - $114,000 * Sr Level - $122 ... industry codes, and all regulatory requirements. * Perform engineering and technical tasks as ...
Corrections Counselor 2 - SCI Fayette
La Belle, PA · Hybrid
$63K - $96K/yr
... Job Code 47540 Position Number 00128641 Union SEIU Local 668 Bargaining Unit F4 Pay Group ST07 ... This position plays a key role in improving adjustment and preparing individuals for life after ...
Corrections Counselor 2 - SCI Fayette
La Belle, PA · Hybrid
$63K - $96K/yr
... Job Code 47540 Position Number 00128641 Union SEIU Local 668 Bargaining Unit F4 Pay Group ST07 ... This position plays a key role in improving adjustment and preparing individuals for life after ...
Machinist (I & II)
$21.25 - $29/hr
... adjustments, tool changes, and basic program edits as required. • Troubleshoot mechanical ... code knowledge a plus for Machinist II roles.
Machinist (I & II)
$21.25 - $29/hr
... adjustments, tool changes, and basic program edits as required. • Troubleshoot mechanical ... code knowledge a plus for Machinist II roles.
Support risk enablement and positive risk-taking, using legal and statutory knowledge to mitigate ... Reasonable Adjustments: If you consider yourself to have a disability or require any reasonable ...
Support risk enablement and positive risk-taking, using legal and statutory knowledge to mitigate ... Reasonable Adjustments: If you consider yourself to have a disability or require any reasonable ...
You will manage and assess risk, leveraging technical authority and deep expertise in social care ... Reasonable Adjustments: If you consider yourself to have a disability or require any reasonable ...
You will manage and assess risk, leveraging technical authority and deep expertise in social care ... Reasonable Adjustments: If you consider yourself to have a disability or require any reasonable ...
Electrician I
Leesport, PA · On-site
Inspects electrical systems, equipment, or components to identify hazards, defects, or the need for adjustment or repair, and to ensure in compliance with codes. * Tests electrical systems or ...
Electrician I
Leesport, PA · On-site
Inspects electrical systems, equipment, or components to identify hazards, defects, or the need for adjustment or repair, and to ensure in compliance with codes. * Tests electrical systems or ...
Electrician I
Leesport, PA · On-site
Inspects electrical systems, equipment, or components to identify hazards, defects, or the need for adjustment or repair, and to ensure in compliance with codes. * Tests electrical systems or ...
Electrician I
Leesport, PA · On-site
Inspects electrical systems, equipment, or components to identify hazards, defects, or the need for adjustment or repair, and to ensure in compliance with codes. * Tests electrical systems or ...
Corrections Officer I
$43K - $56K/yr
... risk reduction, and re-entry services to those who are incarcerated so that they may live in a ... This is entry-level work involving formal and informal academic and on-the-job training in ensuring ...
Corrections Officer I
$43K - $56K/yr
... risk reduction, and re-entry services to those who are incarcerated so that they may live in a ... This is entry-level work involving formal and informal academic and on-the-job training in ensuring ...
Entry Level Risk Adjustment Coder information
See Pennsylvania salary details
$18.37 is the 25th percentile. Wages below this are outliers.
$15.90 - $18.42
26% of jobs
$18.42 - $20.94
9% of jobs
$20.94 - $23.46
12% of jobs
The median wage is $24.72 / hr.
$23.46 - $25.98
9% of jobs
$25.98 - $28.50
11% of jobs
$28.50 - $31.02
5% of jobs
$32.91 is the 75th percentile. Wages above this are outliers.
$31.02 - $33.54
6% of jobs
$33.54 - $36.06
5% of jobs
$36.06 - $38.58
5% of jobs
$38.58 - $41.09
3% of jobs
$41.09 - $43.61
10% of jobs
$15
$27
$43
How much do entry level risk adjustment coder jobs pay per hour?
What is an Entry Level Risk Adjustment Coder job?
An Entry Level Risk Adjustment Coder reviews medical records to identify and assign accurate diagnosis codes for risk adjustment purposes. Their work ensures healthcare organizations receive appropriate reimbursement based on patient health conditions. They typically use ICD-10-CM codes and follow guidelines from CMS and other regulatory bodies. This role requires strong attention to detail, knowledge of medical terminology, and an understanding of risk adjustment models. Entry-level coders may work in various healthcare settings, including insurance companies, hospitals, or coding firms.
What are the key skills and qualifications needed to thrive in the Entry Level Risk Adjustment Coder position, and why are they important?
To thrive as an Entry Level Risk Adjustment Coder, you need a strong understanding of medical terminology, anatomy, and ICD-10-CM coding guidelines, typically supported by completion of a coding training program or relevant coursework. Familiarity with coding software, electronic medical records (EMR) systems, and coding certification such as CPC or CRC is often preferred. Attention to detail, analytical thinking, and effective communication are essential soft skills for this role. These skills and qualifications ensure the accurate coding of diagnoses for risk adjustment, compliance with regulations, and contribute to optimal healthcare reimbursement.
What does a typical workday look like for an entry level risk adjustment coder?
A typical day for an entry level risk adjustment coder involves reviewing patient medical records to identify and assign appropriate diagnostic codes based on clinical documentation. You’ll use specialized coding software and electronic health record systems to ensure accuracy and compliance with federal guidelines. Collaboration with senior coders, team leads, and occasionally clinicians is common when clarification or additional documentation is needed. Most entry level coders work in an office or remote environment and spend much of their day analyzing records, updating databases, and participating in training sessions to stay current on coding updates.

$33 - $44.25/hr
Full-time
Posted 5 days ago
Job description
Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Risk Adjustment Clinical Documentation Specialist facilitates accurate, complete, consistent and timely documentation for severity of illness and quality in medical records completed in the physician office setting.
This involves extensive record review, interaction with physicians, advanced practitioners, health information management professionals, nursing staff and other physician office staff JOB DUTIES AND RESPONSIBILITIES: Review medical record(s) for completeness, accuracy, consistency and clinical evidence for severity of illness (appropriate capture of true disease burden and quality using official Risk Adjustment and relevant official documentation/coding guidelines. Accurate, comprehensive and timely medical record review. Consistent and effective use of Compliant Documentation Management Program (CDMP) Risk Adjustment strategies.
Recognize opportunities for documentation improvement. Formulate clinically credible documentation clarifications. Request documentation clarifications as appropriate for severity of illness.
Effective and appropriate communication with Providers. Timely follow up on all cases and resolution of those with clinical documentation clarifications. Provide routine formal and informal (just-in-time) Risk Adjustment and documentation improvement education to providers/staff.
Participate in Risk Adjustment steering committee meetings. Manage and adjust to changing work volumes and priorities. Communicate with HIM and/or billing staff and resolve discrepancies Document activity and outcomes accurately, consistently, and in timely manner.
Participate in data collection, analysis and reporting for program management and performance improvement. PHYSICIAL AND SENSORY REQUIREMENTS: Requires sitting, standing and walking for extended periods of time (up to 8 hours at a time). Requires continual use of fingers for writing and computer entry.
Routine use of upper extremities; occasional requirement to lift up to 25 pounds. Regularly requires ability to stoop, bend and reach above shoulder level. Requires ability to hear normal conversation and good general, near and peripheral vision.
EDUCATION: Graduation from a program of nursing. BSN preferred. Certified Coder (COC or CPC) preferred.
TRAINING AND EXPERIENCE: Required: 5 years of adult acute or ambulatory care experience in med/surg or physician office setting. Preferred: 1 year of Clinical Documentation Improvement (CDI) experience. Current state Registered Nurse license.
Certified Risk Adjustment Coder (CRC) Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable.
It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!
St. Luke's University Health Network is an Equal Opportunity Employer.