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Entry Level Risk Adjustment Coder Jobs in Raleigh, NC

Keebler Health

Delivery Engineer

Durham, NC · On-site

As a member of the team, you won't just write code or stay in your lane-you'll shape critical ... Exposure to risk adjustment , RAF scoring , or clinical data quality workflows. What Success Looks ...

RELX

Senior Software Engineer I

Raleigh, NC

$135K/yr

... code reviews. Operate in various developments environments (Agile, Waterfall, etc.) while ... Train entry-level software engineers as directed by department management, ensuring they are ...

RELX Group plc

Senior Software Engineer I

Raleigh, NC · On-site

$135K/yr

... code reviews. Operate in various developments environments (Agile, Waterfall, etc.) while ... Train entry-level software engineers as directed by department management, ensuring they are ...

UNC Health

CT Technologist II

Bahama, NC

$35.87 - $51.57/hr

... and adjustment of scan parameters limiting radiation dosage. 3) Evaluates any contra-indications ... Demonstrates ability to train CT Tech I team members on these and other high-risk exams/procedures ...

UNC Health

CT Technologist II - Rex CT Scan

Raleigh, NC

$35.87 - $51.57/hr

... and adjustment of scan parameters limiting radiation dosage. 3) Evaluates any contra-indications ... Demonstrates ability to train CT Tech I team members on these and other high-risk exams/procedures ...

UNC Health

CT Technologist II - Rex CT Scan

Raleigh, NC

$35.87 - $51.57/hr

... and adjustment of scan parameters limiting radiation dosage. 3) Evaluates any contra-indications ... Demonstrates ability to train CT Tech I team members on these and other high-risk exams/procedures ...

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All JobsRisk Adjustment Coder JobsEntry Level Risk Adjustment Coder JobsEntry Level Risk Adjustment Coder Jobs in Raleigh, NC

Entry Level Risk Adjustment Coder information

See Raleigh, NC salary details

$15

$26

$42

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

As of Jul 28, 2026, the average hourly pay for entry level risk adjustment coder in Raleigh, NC is $26.72, according to ZipRecruiter salary data. Most workers in this role earn between $18.46 and $33.65 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 Raleigh, NC? The most popular types of Risk Adjustment Coder jobs in Raleigh, NC are:
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Entry Level Risk Adjustment Coder jobs near you
Infographic showing various Entry Level Risk Adjustment Coder job openings in Raleigh, NC as of July 2026, with employment types broken down into 80% Full Time, and 20% Contract. Highlights an 80% In-person, and 20% Remote job distribution, with an average salary of $55,585 per year, or $26.7 per hour.
Systems Analyst - Payer Encounter Management Platform

Systems Analyst - Payer Encounter Management Platform

Veradigm

Raleigh, NC • On-site

$69K - $97K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

Job description

Veradigm is a healthcare analytics and technology company that helps health plans and at-risk providers improve Risk Adjustment and Quality outcomes across HIX, Medicare Advantage, and Medicaid. With advanced analytics and real-time intelligence, we give clients clear visibility into member and provider activity so they can close documentation, coding, and quality gaps more efficiently.
The Veradigm Encounter Management Platform is a centralized solution that processes, validates, and submits encounter and supplemental data for Medicare, Medicaid, ACA, and other government programs. It streamlines ingestion, edit resolution, submission readiness, and CMS response handling, giving health plans and BPO partners a reliable, compliant way to manage large-scale encounter operations.
Job Summary
The Systems Analyst works primarily with enterprise customers of Veradigm's Encounter Management Platform, proactively assisting them with post- sales installation, configuration, upgrade, troubleshooting and day to day operational management. Responsibilities include taking a proactive leadership role working with the Engineering team and Customers to triage and resolve highly complex, technical, and application-related issues which impact product performance in customer-specific environments, or issues that directly hamper a broader customer adoption of Veradigm's Encounter Management Platform. In addition to working with customers, the Systems Analyst will routinely partner with our Development, Sustaining Engineering and Sales Engineering organizations to resolve support issues, document bugs, provide UAT on product builds, and ensure that new and newly upgraded server installations are successful.
What you will contribute:
  • Support encounter data reporting processes for EDPS, RAPS and the EDGE server, including tracking, reporting, and resolving rejections
  • Conduct gap analysis and data validation, identifying possible issues in data submission and determining financial impact.
  • Analyze and reconcile claims and encounter data which will include 837 EDI encounter files for EDPS, RAPS and Edge Server submission files
  • Perform research in the encounter management system and liaison with the CSSC Helpdesk for exception resolution
  • Be comfortable with raw data files in their native format and accessing these through various servers
  • Partner with Product Support Engineers and development teams as necessary
  • Assist development team with performance analysis and testing during release cycles for service packs, hot fixes etc
  • Answer email and phone requests for help from customers
  • Collaborate in virtual teamwork with other Product Support staff
  • Host online troubleshooting and investigation sessions on customer's production environments
  • Deliver a consistent, responsive and satisfying customer experience with each contact
  • Collect all necessary problem details from customers to be able to effectively see the problem to resolution
  • Successfully reproduce customer issues in a controlled test environment
  • Follow standard operational procedures for case management
  • Continuously improve troubleshooting skills, product expertise, and knowledge on related technical topics
  • Perform ACA and MA Submissions for Clients
  • Understand RAPS and EDPS filtering logic which CMS uses for Risk Adjustment and/or Risk Score calculations
  • Monitor CMS data submission deadlines for both MA and ACA lines of business

The ideal candidate will have:
Academic and Professional Qualifications:
• Bachelor's Degree in Health IT/Informatics/Management Information Systems or related field required
Experience:
  • 2+ years of professional experience in Risk Adjustment data management
  • Understanding of claims data, encounter response files, 837 EDI encounter files, EDGE/MA billing & business rules as well as MA filtering logic for EDPS
  • Experience with CMS Submissions Process and EDI transactions
  • Excellent time management and organizational skills necessary
  • Prior experience troubleshooting performance problems that may have many underlying causes such as Disk, Database, Network, Messaging and other platform / 3rd party solutions
  • Experience with managing product back end and webservices
  • Ability to guide customers remotely through complex, multi-server deployments and upgrades for enterprise products
  • Familiarity with EDI Standards such as X12, EDIFACT, HL7, NCPDP and knowledge of HIPAA transactions
  • Prior knowledge of 837's along with various loops and segments and an understanding of the requirements set forth by CMS for EDPS submission files
  • Working knowledge in SQL scripts is a plus
  • Good written and verbal skills.
  • Knowledge in CMS model changes is a plus
  • Knowledge in CMS Risk Score and Risk Adjustment methodologies is a plus
  • Knowledge in Medicaid is a plus

Travel Requirements:
Less than 5%
Compensation Range:
$69,852-$97,094
Compensation for this job is subject to market conditions, geographic considerations, the candidate's unique skills and experience, state and local laws, and budget. Our commitment to pay transparency is a testament to our dedication to creating a fair, equitable, and inclusive workplace. By continuously analyzing market trends, staying abreast of changes in state laws, and making budgetary adjustments accordingly, we strive to ensure that our compensation practices reflect the value we place on our associates' unique contributions and support their professional growth.
Enhancing Lives and Building Careers
Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work and to further their professional development. Together, we are In the Network. Interested in learning more?
Take a look at our Culture, Benefits, Early Talent Program, and Additional Openings.
We strongly advocate that our associates receive all CDC recommended vaccinations in prevention of COVID-19.
Visa Sponsorship is not offered for this position.
At Veradigm, our greatest strength comes from bringing together talented people with diverse perspectives to support the needs of healthcare providers, life science companies, health plans, and the patients they serve. The Veradigm Network is a dynamic, open community of solutions, external partners, and cutting-edge artificial intelligence technologies that provide advanced insights, technology, and data-driven solutions. Veradigm offers a comprehensive compensation and benefits package, including holidays, vacation, medical, dental, and vision insurance, company paid life insurance and retirement savings.
Veradigm's policy is to provide equal employment opportunity and affirmative action in all of its employment practices without regard to race, color, religion, sex, national origin, ancestry, marital status, protected veteran status, age, individuals with disabilities, sexual orientation or gender identity or expression or any other legally protected category. Applicants for North American based positions with Veradigm must be legally authorized to work in the United States or Canada. Verification of employment eligibility will be required as a condition of hire. Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce.
From a "VEVRAA Federal Contractor" We request Priority Referral of Protected Veterans
This is an official Veradigm Job posting. To avoid identity theft, please only consider applying to jobs posted on our official corporate site.
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