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Medicare Risk Adjustment Coder Jobs (NOW HIRING)

AAPC

PACE Risk Adjustment Coder

Salt Lake City, UT · On-site

Job Duties: * Code medical records to validate ICD-10-CM codes for PACE Risk Adjustment * Meet department production and quality standards * Research regulatory guidelines for supporting ...

AAPC

PACE Risk Adjustment Coder

Salt Lake City, UT · On-site +1

Job Duties: * Code medical records to validate ICD-10-CM codes for PACE Risk Adjustment * Meet department production and quality standards * Research regulatory guidelines for supporting ...

AAPC

PACE Risk Adjustment Coder

Salt Lake City, UT · Remote

Job Duties: * Code medical records to validate ICD-10-CM codes for PACE Risk Adjustment * Meet department production and quality standards * Research regulatory guidelines for supporting ...

Msmc

Certified Risk Adjustment Coder

Hialeah, FL

$20.50 - $27.75/hr

Demonstrates knowledge of coding and documentation standards as well as CMS risk adjustment guidelines and HCCs (hierarchical condition categories) * Reviews medical record to ensure all diagnosis ...

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Medicare Risk Adjustment Coder information

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How much do medicare risk adjustment coder jobs pay per hour?

As of Jul 12, 2026, the average hourly pay for medicare risk adjustment coder in the United States is $22.42, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $24.04 per hour, depending on experience, location, and employer.

What is the difference between Medicare Risk Adjustment Coder vs Medical Coder?

AspectMedicare Risk Adjustment CoderMedical Coder
CertificationsAHIMA or AAPC certifications, specialized in risk adjustmentAHIMA or AAPC certifications, general coding credentials
Work EnvironmentHealthcare organizations, insurance companies, risk adjustment teamsHospitals, clinics, physician offices
Industry UsageFocused on Medicare Advantage and risk adjustment programsBroad medical billing and coding across specialties

Medicare Risk Adjustment Coders specialize in coding for Medicare Advantage plans and risk adjustment models, requiring specific knowledge of CMS guidelines. Medical Coders have a broader scope, focusing on general medical billing and coding across various healthcare settings. While both roles require coding certifications, Medicare Risk Adjustment Coders focus on risk scores and Medicare-specific data, making their expertise more specialized.

What are the key skills and qualifications needed to thrive as a Medicare Risk Adjustment Coder, and why are they important?

To thrive as a Medicare Risk Adjustment Coder, you need strong knowledge of ICD-10-CM coding guidelines, risk adjustment methodologies, and compliance standards, typically validated by a coding certification such as CPC or CRC. Familiarity with electronic health record (EHR) systems, coding software, and risk adjustment platforms is essential. Attention to detail, analytical thinking, and effective communication are vital soft skills for accurate code assignment and collaboration with healthcare providers. These skills ensure precise risk score calculations, regulatory compliance, and optimal reimbursement for healthcare organizations.

What is a Medicare Risk Adjustment Coder?

A Medicare Risk Adjustment Coder is a healthcare professional responsible for reviewing medical records and assigning diagnostic codes to ensure accurate risk adjustment for Medicare Advantage plans. Their work helps determine the level of reimbursement health plans receive from Medicare based on the health status and risk profile of enrolled patients. Coders must have a strong understanding of ICD-10 coding, clinical documentation, and CMS regulations. They play a vital role in compliance and in ensuring that health plans receive appropriate funding for the care of their members.

What are some common challenges Medicare Risk Adjustment Coders face when ensuring accurate documentation for risk adjustment purposes?

Medicare Risk Adjustment Coders often encounter challenges such as incomplete or inconsistent provider documentation, which can make it difficult to capture all relevant diagnoses for accurate risk adjustment. They must stay current with ever-changing CMS guidelines and coding updates, requiring continual education and attention to detail. Additionally, collaboration with providers is essential to clarify documentation and ensure compliance, which can sometimes be challenging due to time constraints or varying levels of coding knowledge among clinicians.
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What job categories do people searching Medicare Risk Adjustment Coder jobs look for? The top searched job categories for Medicare Risk Adjustment Coder jobs are:
Medicare Risk Adjustment Coder jobs near you
Infographic showing various Medicare Risk Adjustment Coder job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 78% Full Time, 14% Part Time, and 7% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $46,638 per year, or $22.4 per hour.
PACE Risk Adjustment Coder

PACE Risk Adjustment Coder

AAPC

Salt Lake City, UT • On-site

Other

Re-posted 2 days ago

Job description

This is a remote contract position.
 
Job Duties:

  • Code medical records to validate ICD-10-CM codes for PACE Risk Adjustment
  • Meet department production and quality standards
  • Research regulatory guidelines for supporting documentation
  • Prepare coding reports using excel
  • Prepare oral and/or written reports of work activity to Supervisor
  • Be responsible and accountable for maintaining the confidentiality, integrity, and availability of protected health information. Follow HIPAA security policies and procedures affecting your job, and report any suspected or actual violation or breach
  • Other duties as assigned

Minimum Requirements:
  • Minimum 3 years of PACE risk adjustment coding experience
  • Extensive ICD-10-CM coding experience, with Risk Adjustment models for PACE
  • Excellent written and verbal communication skills
  • Ability to “own” project and complete charts assigned in work queue daily
  • Detail oriented and deadline driven attitude
  • Ability to think critically and determine the best method for completing tasks
  • Strong computer skills (Excel, Word, EMR systems, and internet)
  • Ability to multitask and keep a sense of urgency
  • Strong time management, organization skills, and work ethic

Certification Requirements:
  • CRC and 3 years’ experience coding risk adjustment
Attributes:
  • Humble - Learns, adapts, and improves relentlessly.  Seeks feedback without insecurity and implements coaching. Recognizes others' contributions gratefully. Approaches work and relationships with an abundance mentality. Places the needs of others above self.
  • Supportive - Empowers and uplifts others. Listens actively and responds with empathy and understanding. Prioritizes well-being and growth of team members and customers ahead of own interest. Faces challenges together, believing in collective strength and unity.
  • Driven - Self-starts and stays highly motivated to achieve ambitious goals. Shares contagious energy and enthusiasm liberally. Takes initiative without always being directed. Demonstrates confidence in decision-making and effectively balances autonomy and authority with accountability.
  • Transparent - Aligned with a culture of openness, integrity, and trustworthiness. Follows through on commitments to internal and external parties. Maintains strict accountability and values the trust placed in them by others.
  • Innovative - Entrepreneurial spirit with a scrappy mentality. Dreams big, sees opportunity, pursues full potential, and finds ways to accomplish the impossible. Rolls up sleeves and does real work. Works quickly, intelligently, and flexibly. 

AAPC Services is an Equal Opportunity Employer. This company does not and will not discriminate in employment and personnel practices on the basis of race, sex, age, handicap, religion, national origin or any other basis prohibited by applicable law. Hiring, transferring and promotion practices are performed without regard to the above listed items.


 

We are an Equal Opportunity Employer. This company does not and will not discriminate in employment and personnel practices on the basis of race, sex, age, disability, religion, national origin, or any other basis prohibited by applicable law. Hiring, transferring and promotion practices are performed without regard to the above-listed items.

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