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Evening Risk Adjustment Specialist Jobs (NOW HIRING)

Upward Health

Manager of Risk Adjustment

Houston, TX

Manager of Risk Adjustment Upward Health is an in-home, multidisciplinary medical group providing ... Everyone on our team from our doctors, nurses, and Care Specialists to our HR, Technology, and ...

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Evening Risk Adjustment Specialist information

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$11K

$142.3K

$190K

How much do evening risk adjustment specialist jobs pay per year?

As of Jul 18, 2026, the average yearly pay for evening risk adjustment specialist in the United States is $142,322.00, according to ZipRecruiter salary data. Most workers in this role earn between $132,500.00 and $132,500.00 per year, depending on experience, location, and employer.

What is the difference between Evening Risk Adjustment Specialist vs Risk Adjustment Analyst?

AspectEvening Risk Adjustment SpecialistRisk Adjustment Analyst
Required CredentialsTypically requires healthcare or insurance certifications, such as CPC or RHIAOften requires similar certifications, with additional data analysis or coding credentials
Work EnvironmentPrimarily in healthcare or insurance offices, with evening shiftsIn office or remote, focusing on data analysis during standard or flexible hours
Employer & Industry UsageUsed by health plans, hospitals, and insurance companies for risk managementUsed by insurance companies and healthcare analytics firms for data evaluation

The Evening Risk Adjustment Specialist focuses on managing risk adjustment processes during evening hours, often involving claims review and coding. The Risk Adjustment Analyst typically performs data analysis and reporting to support risk management strategies. While both roles require healthcare or insurance certifications, the specialist role emphasizes operational tasks during evening shifts, whereas the analyst role centers on data interpretation and analysis during regular hours.

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Evening Risk Adjustment Specialist jobs near you

Risk Adjustment Analyst

PCC MEDICAL HOLDINGS LLC

North Palm Beach, FL • On-site

$65K - $75K/yr

Full-time

Posted 21 days ago

Job description

Risk Adjustment Specialist – Primary Care
Location: Remote
Employment Type: Full-Time
Pay : $65K - $75K
About Us
Here at Physician Care Centers, we are a patient-centered primary care organization committed to delivering high-quality, value-based care. Our team partners with providers to improve patient outcomes while ensuring accurate clinical documentation and coding practices.
Position Overview
We are seeking a detail-oriented Risk Adjustment Specialist to support our value-based care initiatives. In this role, you will work closely with providers and clinical teams to ensure accurate documentation and coding of patient conditions, helping reflect the true complexity of our patient population.
What You’ll Do
  • Perform pre-visit and post-visit chart reviews to identify risk adjustment opportunities
  • Ensure accurate ICD-10-CM and HCC coding based on clinical documentation
  • Partner with providers to clarify diagnoses and improve documentation quality
  • Educate providers and staff on risk adjustment and coding best practices
  • Track and monitor Risk Adjustment Factor (RAF) scores and performance metrics
  • Support internal and external audits and ensure compliance with Centers for Medicare & Medicaid Services (CMS) guidelines
  • Stay current on coding updates and value-based care requirements
What We’re Looking For
  • 2+ years of experience in risk adjustment, medical coding, or primary care
  • Strong knowledge of ICD-10-CM and HCC coding
  • Certification such as CRC or CPC preferred
  • Experience working with electronic health records (EHRs)
  • Excellent attention to detail and analytical skills
  • Strong communication skills and ability to collaborate with providers
Why Join Us?
  • Competitive salary and benefits package
  • Opportunity to work in a growing value-based care environment
  • Collaborative and supportive team culture
  • Professional development and certification support