Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent credential is required. * Requires a minimum of 6 years of experience in ...
Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent credential is required. * Requires a minimum of 6 years of experience in ...
Risk Adjustment Compliance Coding Specialist, Consultant
Oakland, CA · On-site
$123.09 - $184.80/hr
Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent credential is required. * Requires a minimum of 6 years of experience in ...
Risk Adjustment Compliance Coding Specialist, Consultant
Oakland, CA · On-site
$123.09 - $184.80/hr
Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent credential is required. * Requires a minimum of 6 years of experience in ...
Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent credential is required. * Requires a minimum of 6 years of experience in ...
Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent credential is required. * Requires a minimum of 6 years of experience in ...
Data Scientist, Actuarial
San Francisco, CA · Remote
$160K - $200K/yr
... risk adjustment. * Experience producing analysis that a customer or partner built into their own pricing or reserving. * Fluency with AI coding assistants (e.g., Claude Code, Cursor) in your day-to ...
Quick apply
Data Scientist, Actuarial
San Francisco, CA · Remote
$160K - $200K/yr
... risk adjustment. * Experience producing analysis that a customer or partner built into their own pricing or reserving. * Fluency with AI coding assistants (e.g., Claude Code, Cursor) in your day-to ...
Data Scientist, Actuarial
San Francisco, CA · On-site
$160K - $200K/yr
... risk adjustment. * Experience producing analysis that a customer or partner built into their own pricing or reserving. * Fluency with AI coding assistants (e.g., Claude Code, Cursor) in your day-to ...
Data Scientist, Actuarial
San Francisco, CA · On-site
$160K - $200K/yr
... risk adjustment. * Experience producing analysis that a customer or partner built into their own pricing or reserving. * Fluency with AI coding assistants (e.g., Claude Code, Cursor) in your day-to ...
... risk adjustment * Has strong interpersonal skills to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality, Case Management, Finance, Revenue Cycle, and Coders * Other ...
... risk adjustment * Has strong interpersonal skills to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality, Case Management, Finance, Revenue Cycle, and Coders * Other ...
HEDIS Abstractor (NorCal Region)
San Francisco, CA · Hybrid
$27 - $33/hr
Interpret and apply HEDIS measure specifications, coding guidelines, and NCQA technical requirement ... Knowledge of CMS Stars, risk adjustment, and population health initiatives strongly preferred ...
Quick apply
HEDIS Abstractor (NorCal Region)
San Francisco, CA · Hybrid
$27 - $33/hr
Interpret and apply HEDIS measure specifications, coding guidelines, and NCQA technical requirement ... Knowledge of CMS Stars, risk adjustment, and population health initiatives strongly preferred ...
... code of conduct and independence requirements - Leading compliance training sessions to educate ... PwC does not intend to hire experienced or entry level job seekers who will need, now or in the ...
... code of conduct and independence requirements - Leading compliance training sessions to educate ... PwC does not intend to hire experienced or entry level job seekers who will need, now or in the ...
Administrative Coordinator
San Francisco, CA · On-site
$25 - $28/hr
... risk management personnel. * Codes and splits invoices based on cost centers and services performed * Prepares bill backs/re-bills for special tenant requests * Prepare manual adjustment forms for ...
Quick apply
Administrative Coordinator
San Francisco, CA · On-site
$25 - $28/hr
... risk management personnel. * Codes and splits invoices based on cost centers and services performed * Prepares bill backs/re-bills for special tenant requests * Prepare manual adjustment forms for ...
Administrative Coordinator
San Francisco, CA · On-site
$22 - $25/hr
... risk management personnel. * Codes and splits invoices based on cost centers and services performed * Prepares bill backs/re-bills for special tenant requests * Prepare manual adjustment forms for ...
Quick apply
Administrative Coordinator
San Francisco, CA · On-site
$22 - $25/hr
... risk management personnel. * Codes and splits invoices based on cost centers and services performed * Prepares bill backs/re-bills for special tenant requests * Prepare manual adjustment forms for ...
Property Assistant
$60K - $65K/yr
... risk management personnel. * Codes and splits invoices based on cost centers and services performed * Prepares bill backs/re-bills for special tenant requests * Prepare manual adjustment forms for ...
Quick apply
Property Assistant
$60K - $65K/yr
... risk management personnel. * Codes and splits invoices based on cost centers and services performed * Prepares bill backs/re-bills for special tenant requests * Prepare manual adjustment forms for ...
Administrative Coordinator
$22 - $25/hr
... risk management personnel. * Codes and splits invoices based on cost centers and services performed * Prepares bill backs/re-bills for special tenant requests * Prepare manual adjustment forms for ...
Quick apply
Administrative Coordinator
$22 - $25/hr
... risk management personnel. * Codes and splits invoices based on cost centers and services performed * Prepares bill backs/re-bills for special tenant requests * Prepare manual adjustment forms for ...
Property Administrator
$60K - $65K/yr
... risk management personnel. * Codes and splits invoices based on cost centers and services performed * Prepares bill backs/re-bills for special tenant requests * Prepare manual adjustment forms for ...
Quick apply
Property Administrator
$60K - $65K/yr
... risk management personnel. * Codes and splits invoices based on cost centers and services performed * Prepares bill backs/re-bills for special tenant requests * Prepare manual adjustment forms for ...
Claims Representative (IAP): Workers Compensation Training Program | Concord, CA
Concord, CA · On-site
$27.69/hr
We are seeking enthusiastic and service-oriented individuals for an entry-level trainee position ... Documenting claims files and properly coding claim activity. Preparing detailed reports documenting ...
Claims Representative (IAP): Workers Compensation Training Program | Concord, CA
Concord, CA · On-site
$27.69/hr
We are seeking enthusiastic and service-oriented individuals for an entry-level trainee position ... Documenting claims files and properly coding claim activity. Preparing detailed reports documenting ...
Consult with parents and family members to assist in understanding the learning and adjustment ... Adhere to the ethical standards and codes of the profession and to the established rules ...
Consult with parents and family members to assist in understanding the learning and adjustment ... Adhere to the ethical standards and codes of the profession and to the established rules ...
Consult with parents and family members to assist in understanding the learning and adjustment ... Adhere to the ethical standards and codes of the profession and to the established rules ...
Consult with parents and family members to assist in understanding the learning and adjustment ... Adhere to the ethical standards and codes of the profession and to the established rules ...
Consult with parents and family members to assist in understanding the learning and adjustment ... Adhere to the ethical standards and codes of the profession and to the established rules ...
Consult with parents and family members to assist in understanding the learning and adjustment ... Adhere to the ethical standards and codes of the profession and to the established rules ...
Software Engineer
San Francisco, CA · On-site +1
Code Quality & Maintenance: Leading thorough, meaningful code reviews, writing detailed ... risk to the system. * Cross-Team Collaboration: Partnering with other engineering, product, and ...
Software Engineer
San Francisco, CA · On-site +1
Code Quality & Maintenance: Leading thorough, meaningful code reviews, writing detailed ... risk to the system. * Cross-Team Collaboration: Partnering with other engineering, product, and ...
Software Engineer
San Francisco, CA · On-site +1
Code Quality & Maintenance: Leading thorough, meaningful code reviews, writing detailed ... risk to the system. * Cross-Team Collaboration: Partnering with other engineering, product, and ...
Software Engineer
San Francisco, CA · On-site +1
Code Quality & Maintenance: Leading thorough, meaningful code reviews, writing detailed ... risk to the system. * Cross-Team Collaboration: Partnering with other engineering, product, and ...
Software Engineer
San Francisco, CA · On-site +1
Code Quality & Maintenance: Leading thorough, meaningful code reviews, writing detailed ... risk to the system. * Cross-Team Collaboration: Partnering with other engineering, product, and ...
Software Engineer
San Francisco, CA · On-site +1
Code Quality & Maintenance: Leading thorough, meaningful code reviews, writing detailed ... risk to the system. * Cross-Team Collaboration: Partnering with other engineering, product, and ...
Entry Level Risk Adjustment Coder information
See Vallejo, CA salary details
$20.68 is the 25th percentile. Wages below this are outliers.
$17.90 - $20.74
26% of jobs
$20.74 - $23.57
9% of jobs
$23.57 - $26.41
12% of jobs
The median wage is $27.83 / hr.
$26.41 - $29.24
9% of jobs
$29.24 - $32.08
11% of jobs
$32.08 - $34.92
5% of jobs
$37.04 is the 75th percentile. Wages above this are outliers.
$34.92 - $37.75
6% of jobs
$37.75 - $40.59
5% of jobs
$40.59 - $43.42
5% of jobs
$43.42 - $46.26
3% of jobs
$46.26 - $49.09
10% of jobs
$17
$31
$49
How much do entry level risk adjustment coder jobs pay per hour?
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.
- Work From Home Medical Coder
- Freelance Remote Risk Adjustment Coder
- Flex Time Entry Level Remote Medical Coder
- Remote Outpatient Medical Coder
- Seasonal Remote Hcc Medical Coder
- Entry Level Remote Hcc Medical Coder
- Full Time Medical Coder Trainee
- Freelance Remote Hcc Medical Coder
- Contract Coder
- Trainee Va Medical Coder
- Remote Cerner Medical Coding
- Night Remote Dental Coding
- Weekend E&M Medical Coder
- Remote Medical Coder Government
- Per Diem Work From Home Prn Medical Coder
- Work From Home Pay Per Chart Medical Coder
- Certified Outpatient Coder
- Hourly Certified Radiology Coder
- Contractual International Medical Coding
- Entry Level Optum Hcc Coding
Other
Posted 7 days ago
Job description
Your Role
The Risk Adjustment Compliance Coding Specialist (Consultant) helps to ensure organizational compliance with laws related to Risk Adjustment across our Marketplace (ACA), Medi-Cal (Medicaid), and Medicare Advantage lines of business. Specifically, the role helps to ensure the accuracy, completeness, and integrity of medical coding for risk adjustment programs. This specialist reviews clinical documentation and medical records to verify that all diagnoses and procedures are properly captured and coded in accordance with regulatory standards. By doing so, the specialist helps healthcare organizations meet compliance requirements for federal and state risk adjustment initiatives by supporting appropriate reimbursement, accurate risk stratification, and quality improvement efforts.
Your Knowledge and Experience
- Requires a bachelor's degree or equivalent experience. A degree in Health Information Management, Nursing, Health Administration, or a related clinical field is preferred
- Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent credential is required.
- Requires a minimum of 6 years of experience in compliance audit, risk adjustment coding, medical coding, compliance auditing, or similar roles in a healthcare setting. Experience with Medicare Advantage, ACA plans, or Medicaid Managed Care is highly preferred
- Requires deep familiarity with compliance risk assessments and audits
- Requires direct experience supporting or responding to CMS RADV audits, internal coding compliance audits, or OIG related reviews is strongly preferred.
- Requires advanced proficiency in ICD-10-CM coding, electronic health record (EHR) systems, coding audit tools, and Microsoft Office Suite (Word, Excel, PowerPoint, Outlook). Experience with risk adjustment analytics software is a plus
- Requires an in-depth understanding of risk adjustment models (CMS-HCC, HHS-HCC), Official Coding Guidelines, payer policies, and regulatory requirements (CMS, HHS, OIG, DHCS)
- Requires exceptional analytical and critical thinking abilities, meticulous attention to detail, strong organizational and time management skills, and the capacity to interpret and summarize complex clinical documentation
- Requires ability to work collaboratively in a team, perform duties with minimal supervision, multi-task, and to deliver a quality work product in a highly regulated, demanding, and constantly changing corporate environment
- Requires outstanding written and verbal communication skills
Hybrid
This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.
Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.
#LI-CS1