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Entry Level Risk Adjustment Coder Jobs in Warren, MI

BELFOR Holdings

Project Manager

Mount Clemens, MI · On-site

... risk/high-profile environments. You will serve on BELFOR Cat teams following hurricanes and other ... Communicate daily with Estimators on status of project, adjustments needed to timelines, or issues

BELFOR Property Restoration

Project Manager

Troy, MI · On-site

... risk/high-profile environments. You will serve on BELFOR Cat teams following hurricanes and other ... Communicate daily with Estimators on status of project, adjustments needed to timelines, or issues

Sedgwick

Leave of Absence Coordinator

Southfield, MI · On-site

... or adjustments for client paid leave plans ensuring that on-going claim management is within ... Establishes FMLA claims; tracks and codes documentation in accordance with internal workflow ...

BELFOR Holdings

Project Manager

Troy, MI · On-site

... risk/high-profile environments. You will serve on BELFOR Cat teams following hurricanes and other ... Communicate daily with Estimators on status of project, adjustments needed to timelines, or issues

Sedgwick

Leave of Absence Coordinator

Southfield, MI · On-site

... or adjustments for client paid leave plans ensuring that on-going claim management is within ... Establishes FMLA claims; tracks and codes documentation in accordance with internal workflow ...

Aston Carter

Staff Accountant

Troy, MI · On-site

$60K - $65K/yr

Overview Entry-level Staff Accountant supporting day-to-day accounting operations and month-end ... Process credit card transactions and expense reimbursements, ensuring proper GL coding * Complete ...

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All JobsRisk Adjustment Coder JobsEntry Level Risk Adjustment Coder JobsEntry Level Risk Adjustment Coder Jobs in Warren, MI

Entry Level Risk Adjustment Coder information

See Warren, MI salary details

$14

$25

$40

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

As of Jul 9, 2026, the average hourly pay for entry level risk adjustment coder in Warren, MI is $25.82, according to ZipRecruiter salary data. Most workers in this role earn between $17.84 and $32.50 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 job categories do people searching Entry Level Risk Adjustment Coder jobs in Warren, MI look for? The top searched job categories for Entry Level Risk Adjustment Coder jobs in Warren, MI are:
What cities near Warren, MI are hiring for Entry Level Risk Adjustment Coder jobs? Cities near Warren, MI with the most Entry Level Risk Adjustment Coder job openings:
Entry Level Risk Adjustment Coder jobs near you
Infographic showing various Entry Level Risk Adjustment Coder job openings in Warren, MI as of July 2026, with employment types broken down into 9% As Needed, 82% Full Time, and 9% Part Time. Highlights an 64% In-person, and 36% Remote job distribution, with an average salary of $53,707 per year, or $25.8 per hour.
Revenue Management & Risk Adjustment Analyst III - Health Alliance Plan

Revenue Management & Risk Adjustment Analyst III - Health Alliance Plan

HAP (Health Alliance Plan)

Troy, MI • On-site

Other

Posted 16 days ago

Job description

General Summary:

To assist the Revenue Management and Risk Adjustment department (RMRA) in ensuring the Financial Reporting and Analysis responsibilities for the oversight of the Revenue Management and/or Risk Adjustment programs for all government funded product lines.  Under direction of Department Manager:

Principal Duties and Responsibilities:

  • Coordination of weekly and ad hoc data submissions, monitoring data for accurate tracking and reporting of medical, drug claim data and membership data to CMS EDPS and Edge Server. Produce, distribute, monthly, quarterly, and annual key performance indicators (KPI's) and error/rejection detail for all report submissions and external vendor support system data correction.

  • Premium reconciliation reports for monthly financial close; file payment issues with CMS and monitor response; monitor MMR, MOR, MAO-002, and MAO-004 loads; estimate risk adjustment premium impact for final reconciliation with CMS; allocation of premium to at-risk.

  • Develop and enhance reporting capabilities for financial and operational performance.

  • Annual financial reporting activities including CMS bid filings, HCR Premium Development, RFP on financial Risk Adjustment projects, Employer Group Rate Renewals, financial audits, CMS Attestations, premium and member revenue budgets, Medical Loss Ratio reporting.

  • Produce reports to provide M&B discrepancies in the premium payments from CMS.  Team with Membership & Billing staff to identify and resolve enrollment, claims, provider and premium discrepancies.  Develop detail to support reporting discrepancies to CMS for discrepancies outside of M&B's influence.

  • Monitor CMS material and calls for required compliance and system or process changes.  Work with management on design and implementation of the changes.

  • Development and maintenance of departmental policies and procedures for audit purposes and support department in adhering to HAP Compliance department requirements.  Complete routine monitoring of departmental procedures and documentation to demonstrate internal (MAR) and external (CMS) audit readiness.

  • Coordinate and assign tasks related to testing IT projects and new system related initiatives and CMS software releases.

  • Analyze department reports to identify data integrity issues, system and programming problems, and work with management to develop and implement improvement solutions.

  • Assist department in performing routine assignments, ad-hoc projects and meeting established deadlines.  Engage assistance of departmental support analysts in completion of required responsibilities where appropriate.

  • Perform other related duties as assigned.

Education/Experience Required:

  • Bachelor's degree in Accounting, Finance, Business Administration or a related field (must include financial or accounting related course work).  Master's degree preferred (Finance, Business Administration, etc.)

  • Completion of Advanced Access, Excel, GQL, Cognos, or SQL training preferred.

  • Two (2) years of Accounting/Finance business related experience required.

  • Two (2) years managing projects and initiatives designed to improve business operations required.

  • Three (3) to Five (5) years of experience developing, analyzing, interpreting & trending data preferred.

  • Experience with Medicare Advantage, Medicare Part D, Medicaid or Qualified Health Plans preferred.

  • Experience in health care finance preferred.

  • Affordable Care Act (ACA) experience or knowledge preferred.

  • Knowledge of Alteryx One preferred.

  • Proficient knowledge of Windows - Excel and/or Access.

  • Proficient at using various data sources to develop relevant reporting tools, and to use those tools to enhance processes and procedures.

  • Knowledge of accounting and financial reporting principles and business functions.

  • Ability to research, analyze, interpret, trend, and implement process improvement initiatives.

  • Ability to collect and prepare data for written/oral presentation - report creation and generation.

  • The ability to work effectively with all levels within the organization.

  • Excellent written and verbal communication skills.

  • Well defined problem solving and decision-making skills.

  • Knowledge of Facets or other Health Insurance Claims/Membership systems preferred.

  • Knowledge of Medicare and/or Medicare Advantage processes preferred

  • Experience with Cognos, SQL Developer, GQL reporting tool, CDW, Data Factory. preferred.

Additional Information
  • Organization: HAP (Health Alliance Plan)
  • Department: RMRA Data Mgmt & Analytics
  • Shift: Day Job
  • Union Code: Not Applicable

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