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Entry Level Risk Adjustment Coder Jobs in Texas (NOW HIRING)

Apex Health Solutions

Certified Medical Coder

Houston, TX · On-site

$21.50 - $29.25/hr

Follows CMS Risk Adjustment guidelines and has a complete understanding of their real-world ... Codes all diagnoses and services accurately and completely, from the medical record in accordance ...

Apex Health Solutions

Certified Medical Coder

Houston, TX

$21.50 - $29.25/hr

Follows CMS Risk Adjustment guidelines and has a complete understanding of their real-world ... Codes all diagnoses and services accurately and completely, from the medical record in accordance ...

Apex Health Solutions

Certified Medical Coder

Houston, TX · On-site

$21.50 - $29.25/hr

Follows CMS Risk Adjustment guidelines and has a complete understanding of their real-world ... Codes all diagnoses and services accurately and completely, from the medical record in accordance ...

Pacer Group

Certified Coder (Varied) Dallas, TX

Dallas, TX · On-site

$22.25 - $30.50/hr

If a candidate has Risk Adjustment coding experience, they must also have Evaluation and Management (E/M) coding experience in addition to Risk Adjustment Submission Requirements * AAPC certificate ...

Altegra Health

Remote Certified Coder

Dallas, TX · Remote

$22.25 - $30.50/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk ...

Altegra Health

Remote Certified Coder

Dallas, TX · On-site +1

$22.25 - $30.50/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk ...

UTMB Health

Senior Coder - RCO Coding (Remote)

Galveston, TX · On-site +1

$21.50 - $28.50/hr

CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional services for inpatient and/or professional and hospital outpatient technical services for multiple ...

UTMB Health

Senior Coder - RCO Coding (Remote)

Galveston, TX · Remote

$21.50 - $28.50/hr

CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional services for inpatient and/or professional and hospital outpatient technical services for multiple ...

UTMB Health

Senior Coder - RCO Coding (Remote)

Galveston, TX · Remote

$21.50 - $28.50/hr

CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional services for inpatient and/or professional and hospital outpatient technical services for multiple ...

UTMB Health

Senior Coder - RCO Coding (Remote)

Galveston, TX · Remote

$21.50 - $28.50/hr

CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional services for inpatient and/or professional and hospital outpatient technical services for multiple ...

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How much do entry level risk adjustment coder jobs pay per hour?

As of May 30, 2026, the average hourly pay for entry level risk adjustment coder in Texas is $25.61, according to ZipRecruiter salary data. Most workers in this role earn between $17.69 and $32.26 per hour, depending on experience, location, and employer.

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.
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Entry Level Risk Adjustment Coder jobs near you
Risk Adjustment Coder (On-site)

Risk Adjustment Coder (On-site)

Gonzaba Medical Group

San Antonio, TX

$17 - $22.75/hr

Full-time

Posted 3 days ago

Gonzaba Medical Group rating

5.9

Company rating: 5.9 out of 10

Based on 18 frontline employees who took The Breakroom Quiz

Job description

General Summary: This role focuses on the Risk Adjustment process that supports the documentation of acuity diagnoses for the Managed Care (MC) patient population and required activities for submission of records to Medicare Advantage (MA) payers under established capitated contracts. It assists with medical record reviews for HCC diagnoses, correct usage of various coding guidelines (ICD-10-CM, CPT, HCPCS) and federal and MA payor regulations, as well as clinical validation of appropriate supporting documentation.
Supervisory Responsibilities: This position has no supervisory responsibilities.
General Requirements: All duties performed will be done accurately and in a timely manner.
  • Assumes responsibility for maintaining clinical competencies according to Gonzaba Medical Group policy.
  • Exercise tact and courtesy when dealing with patients, visitors, providers, and co-workers.
  • Must always adhere to customer service expectations including in-person and virtual (via telephone, or telehealth applications) communication.
  • Participates in other Managed care projects to include but not limited to marketing events, and Medicare Open enrollment period.
  • Reviews reports to identify areas for improvement or needed action to meet departmental goals.
  • Supports team members in all aspects of the Risk Adjustment process to ensure that defined timelines and departmental goals are met.
  • Adhere to all confidentiality and HIPAA requirements as always outlined within Gonzaba Medical Group Operating Policies and Procedures in all ways and with respect to any aspect of the data handled or services rendered.
  • Other duties as assigned.
Essential Job Responsibilities:
  • Maintain compliance with Gonzaba Medical Group policies, Official Coding Guidelines and the Gonzaba Medical Group Coder's Pledge.
  • Provides queries or technical guidance to physicians, clinical staff, and other departmental staff in identifying and resolving issues or errors, such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, or codes that do not conform to approved coding principles/guidelines data in the form of a query, email and or task.
  • Accurately validate and abstract diagnosis codes from provider documentation in the patient medical record to ensure that reported ICD-10 codes are appropriately supported by the documentation.
  • Selects correct ICD-10-CM (diagnostic), CPT (procedural) and HCPCS codes based upon interpretation of office visit and other documentation, correct coding principles, and clinical validation with a focus on accurate capture of all supported HCC diagnosis codes. Remains up to date on all coding changes and usage.
  • Assesses qualifying notes for completion and/or identification of deficiencies; Communicates with provider/staff on elements to be addressed to ensure the note can be processed within the required timeline.
  • Performs review of Risk Adjustment audits for accuracy and for data entry into the EMR.
  • Utilizes nursing and coding knowledge to assist with review activities to support the Risk Adjustment process to include re-review of audit findings to ensure accuracy in documented HCC diagnoses and ICD-10 coding; review of various payer denial/rejection reports to identify areas for provider education.
  • Completes required electronic forms necessary for submission of applicable acuity diagnosis codes based on scheduled appointments.

Education and Training: Minimum high school education or equivalent required. An active Coding Certification by AHIMA (RHIA, RHIT, CCS, CCS-P or CCA) or AAPC (CPC, CRC) is required. Graduation from an approved practical nursing program and state-licensed practical nurse preferred. CPR with AED certification required. All certifications are required as initial and continued employment at Gonzaba Medical Group.
Experience: 3+ years' experience in working with the Risk Adjustment (HCC) process preferred. Knowledge of ICD-10-CM, CPT, and HCPCS coding systems, guidelines, and rules. Knowledge of billing regulations, Managed Care insurance coverage limitations and protocols. Knowledge of medical terminology, medical procedures, human anatomy, and physiology.
Other Requirements: Computer Skills: Skilled in use of computer/EMR systems. Knowledge of Word processing software, spreadsheet software, Internet, and database software.
Work Environment: Depending upon the area assigned, may be 100% clinical setting or office setting in a clinical environment. Exposure to communicable diseases, bodily fluids, toxic substances, ionizing radiation, medicinal preparations, and other conditions common to a clinic environment.
Mental / Physical Requirements: Requires manual dexterity, sitting, standing, stooping, reaching, kneeling, crouching, bending, walking, lifting up to 40 lbs. without assistance. Close vision and ability to adjust focus. Must be able to work efficiently under pressure.
Additional Information: Gonzaba Medical Group is seeking team members who contribute as A-Players, demonstrate a strong work ethic, are committed to the culture and our core values.

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