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Entry Level Risk Adjustment Coder Jobs in Hartford, CT

Corvel

Bill Review Analyst I

East Hartford, CT · Hybrid

$16.94 - $23.42/hr

Knowledge of CPT/ICD/HCPS coding * Knowledge of UBO4/DWC-9/DWC-10 and CMS 1500 form types preferred ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Corvel

Bill Review Analyst I

East Hartford, CT · On-site

$16.94 - $23.42/hr

Knowledge of CPT/ICD/HCPS coding * Knowledge of UBO4/DWC-9/DWC-10 and CMS 1500 form types preferred ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Newcastle

Junior IBMi Software Developer

Cobalt, CT · On-site +1

$68K - $88K/yr

... coding, testing,implementationand ongoing support. You'llwork closely with colleagues across the ... managed risk framework would also beadvantageous. About Us The Newcastle Building Society ...

Pwc

Partnership Tax Senior Associate - SALT

Hartford, CT

$55K - $187K/yr

... reducing risk. In this role, you will review and analyze complex tax data and support internal ... PwC does not intend to hire experienced or entry level job seekers who will need, now or in the ...

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Entry Level Risk Adjustment Coder information

See Hartford, CT salary details

$16

$27

$43

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

As of Jul 27, 2026, the average hourly pay for entry level risk adjustment coder in Hartford, CT is $27.73, according to ZipRecruiter salary data. Most workers in this role earn between $19.13 and $34.90 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.

What are the most commonly searched types of Risk Adjustment Coder jobs in Hartford, CT? The most popular types of Risk Adjustment Coder jobs in Hartford, CT are:
What are popular job titles related to Entry Level Risk Adjustment Coder jobs in Hartford, CT? For Entry Level Risk Adjustment Coder jobs in Hartford, CT, the most frequently searched job titles are:
What job categories do people searching Entry Level Risk Adjustment Coder jobs in Hartford, CT look for? The top searched job categories for Entry Level Risk Adjustment Coder jobs in Hartford, CT are:
Entry Level Risk Adjustment Coder jobs near you
Infographic showing various Entry Level Risk Adjustment Coder job openings in Hartford, CT as of July 2026, with employment types broken down into 1% As Needed, 76% Full Time, 15% Part Time, and 8% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution, with an average salary of $57,680 per year, or $27.7 per hour.
Registered Nurse - HCC/RAF Coding Specialist

Registered Nurse - HCC/RAF Coding Specialist

Baystate Health

Springfield, MA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 12 days ago

Baystate Health rating

6.4

Company rating: 6.4 out of 10

Based on 141 frontline employees who took The Breakroom Quiz

644th of 890 rated healthcare providers

Job description

Registered Nurse - HCC/RAF Coding Specialist
SUMMARY:
The HCC/RAF Coding Nurse is responsible for conducting comprehensive medical record reviews and assigning accurate ICD-10-CM diagnosis codes for risk adjustment-eligible patients. This role supports the organization's Population Health and Value-Based Care initiatives by ensuring complete, accurate, and compliant documentation of chronic conditions in accordance with Centers for Medicare & Medicaid Services (CMS) and Hierarchical Condition Category (HCC) guidelines.
Working collaboratively with providers and clinical staff, the HCC/RAF Coding Nurse identifies documentation opportunities, promotes coding accuracy, improves the completeness of patient problem lists, and supports appropriate reimbursement through Medicare Risk Adjustment (RAF) and quality initiatives, including Healthcare Effectiveness Data and Information Set (HEDIS). This position also serves as a clinical coding resource by providing education and guidance to providers while improving documentation quality, patient outcomes, and provider satisfaction.
This position complies with all organizational policies, regulatory requirements, and applicable federal and state laws while performing other duties as assigned.
RESPONSIBILITIES:
  • Review medical records and assign accurate ICD-10-CM diagnosis codes in accordance with CMS HCC guidelines.
  • Identify documentation gaps and collaborate with providers to clarify incomplete, conflicting, or ambiguous documentation.
  • Maintain accurate patient problem lists by adding, updating, and resolving diagnoses as appropriate.
  • Identify and validate chronic conditions that impact Medicare Risk Adjustment (RAF) and quality reporting.
  • Educate providers and staff on HCC coding, documentation improvement, and coding best practices.
  • Utilize risk adjustment reports to prioritize chart reviews, provider education, and documentation improvement efforts.
  • Promote Medicare Annual Wellness Visits to support preventive care, documentation accuracy, and risk adjustment capture.
  • Support clinical outcome initiatives, quality improvement projects, Population Health initiatives, and patient onboarding activities.
  • Maintain compliance with organizational policies, CMS regulations, ICD-10-CM coding standards, and applicable federal and state laws.
  • Perform other duties as assigned.

SCHEDULE:
  • Full-Time, 40-hours per week
  • Monday-Friday, no holidays or weekends
  • Hybrid work schedule with the ability to travel to practices throughout the Baystate Health System to conduct provider education, trainings, and on-site documentation improvement initiatives.

QUALIFICATIONS:
  • Associate Degree in Nursing (ADN) required; Bachelor of Science in Nursing (BSN) preferred.
  • Current Massachusetts Registered Nurse (RN) license required.
  • Minimum of three (3) years of clinical RN experience required.
  • Valid driver's license required.
  • Physician practice clinical experience may be considered.
  • Experience with HCC/RAF coding, Medicare Risk Adjustment, Clinical Documentation Improvement (CDI), or Population Health preferred.
  • Experience with electronic medical record systems; Cerner experience preferred.
  • Strong clinical knowledge of chronic disease management.
  • Knowledge of ICD-10-CM coding, CMS HCC guidelines, Medicare Risk Adjustment methodologies, HEDIS, and Clinical Documentation Improvement (CDI) principles.
  • Exceptional analytical and critical thinking skills with the ability to interpret complex clinical documentation and coding requirements.
  • Strong presentation, facilitation, and provider education skills with the ability to effectively communicate complex coding and regulatory concepts to diverse clinical audiences.
  • Demonstrated ability to build collaborative relationships with providers and clinical staff through education, coaching, and consultation.
  • Excellent communication, organizational, analytical, and problem-solving skills.
  • Proficiency with Microsoft Office applications and electronic medical record systems.
  • Ability to work independently while managing multiple priorities and maintaining high productivity, accuracy, and quality standards.
  • Self-motivated with a commitment to continuous learning and maintaining current knowledge of CMS HCC, ICD-10-CM, Medicare Risk Adjustment, and related regulatory guidelines.

THE ADVANTAGES OF WORKING WITH BAYSTATE!
  • Excellent compensation
  • High-quality, low-cost medical, dental, and vision insurance
  • Pet, home, auto, and personal insurance
  • Certification and continuing education reimbursement
  • 403(b) retirement plan with company match and annual company contribution increases based on years of service
  • Life insurance
  • Free financial coaching from a certified professional
  • Reimbursement for well-being activities, including gym memberships, fitness equipment, personal training, massage, and more
  • Well-being programs supporting mental, physical, and financial health

We strive to be the place where you can build the career you deserve-apply today! You belong at Baystate!
All correspondence can be directed to:
Kimberly Jeznach
Healthcare Recruiter
kimberly.jeznach@baystatehealth.org
Education:
Associates Degree (Required)
Certifications:
Driver License - OtherOtherOther, Registered Nurse - State of MassachusettsState of MassachusettsState of Massachusetts
Compensation
Note: The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non-exempt employees and based on assumed full time commitment for exempt employees.
Minimum - Midpoint - Maximum
$89,606.00 - $103,001.00 - $121,804.00
Equal Employment Opportunity Employer
Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.

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