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Entry Level Risk Adjustment Coder Jobs in Freehold, NJ

PCP Nurse Practitioner

Oceanport, NJ · On-site

$130K - $140K/yr

Accurately document diagnoses with attention to proper coding practices, supporting risk adjustment and quality reporting metrics. * Provide coverage for the 24/7 on-call rotation, addressing ...

Claims Adjudication Associate

New York, NY · On-site +1

$19.50 - $26.25/hr

... risk, and resolving escalated or non-routine claim matters ... Make coverage, liability, payment, adjustment, recovery, subrogation, stop-loss, and recoupment ...

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Entry Level Risk Adjustment Coder information

See Freehold, NJ salary details

$15

$27

$43

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

As of Aug 5, 2026, the average hourly pay for entry level risk adjustment coder in Freehold, NJ is $27.53, according to ZipRecruiter salary data. Most workers in this role earn between $19.04 and $34.66 per hour, depending on experience, location, and employer.

What is an entry level risk adjustment coder?

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 as an entry level risk adjustment coder?

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 an entry level risk adjustment coder do?

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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What cities near Freehold, NJ are hiring for Entry Level Risk Adjustment Coder jobs? Cities near Freehold, NJ with the most Entry Level Risk Adjustment Coder job openings:
Infographic showing various Entry Level Risk Adjustment Coder job openings in Freehold, NJ as of July 2026, with employment types broken down into 40% As Needed, and 60% Full Time. Highlights an 100% In-person job distribution, with an average salary of $57,269 per year, or $27.5 per hour.

Healthcare Practice Transformation Specialist

PBACO Holding LLC

Plainsboro, NJ • On-site

$50K - $65K/yr

Full-time

Posted 2 days ago

New


Job description

About Us

PBACO supports independent physicians with the tools, services and incentives to thrive - without giving up control. We collaborate with like-minded hospital systems and care centers to create a seamless, integrated experience that improves outcomes and lowers costs. You're not just a participant - you're our partner.

Position Overview

The Healthcare Practice Transformation Specialist will serve as a key liaison between physician practices and our organization. This role combines EHR training, clinical documentation review, risk adjustment coding, and billing support. The ideal candidate will be a Certified Professional Coder (CPC) with strong experience in Medicare, risk adjustment, and healthcare analytics.

Key Responsibilities

  • Manage and support a physician network to ensure successful EHR integration and troubleshooting.
  • Consult with medical practices to analyze workflows, configure EHR systems, and develop customized training plans.
  • Train physicians and office staff on EHR best practices, regulatory compliance, and specialty-specific workflows.
  • Review clinical documentation and medical records to ensure accurate ICD-10, CPT, and HCPCS coding for risk adjustment and quality gap closure.
  • Conduct coding audits and provide education to providers on compliant documentation.
  • Monitor payer guidelines and coding updates, especially for Medicare Advantage and accountable care organizations.
  • Assist with billing, claims submission, payment posting, and collections as needed.
  • Perform financial analysis and reporting using Microsoft Excel (pivot tables, trend analysis).
  • Analyze denial reports, identify trends, and recommend corrective actions.
  • Support quality improvement initiatives by ensuring accurate coding for chronic conditions.
  • Answer patient billing and claims questions in a professional and clear manner.
  • Maintain compliance with HIPAA, coding regulations, and company policies.
  • Participate in special projects, audits, and continuous process improvement initiatives.

Qualifications

  • Certified Professional Coder (CPC) or equivalent certification.
  • Experience with Medicare Advantage (MA) plans, risk adjustment, or insurance companies.
  • High school diploma or GED required; associate’s or bachelor’s degree preferred.
  • 2+ years of medical coding, billing, or risk adjustment experience.
  • Proficiency in EHR systems (Athena, eClinicalWorks, or similar) and MS Office Suite (Excel expertise strongly preferred).
  • Strong knowledge of ICD-10, CPT, and HCPCS coding and regulatory compliance.
  • Excellent communication and training skills for working directly with providers and staff.

This position requires 50-75% local travel and is eligible for standard IRS mileage reimbursement.