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Medicare Risk Adjustment Jobs in Kentucky (NOW HIRING)

Alternate Solutions Health Network

Physical Therapist (PT)

Paducah, KY · On-site

$1.6K - $2.1K/wk

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Helps decrease re-hospitalizations by front loading visits for high risk patients * Treats patients ... Completes all clinical documentation in accordance with agency protocol and Medicare/Federal ...

Alternate Solutions Health Network

Physical Therapist (PT)

Paducah, KY · On-site

$1.6K - $2.1K/wk

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Helps decrease re-hospitalizations by front loading visits for high risk patients * Treats patients ... Completes all clinical documentation in accordance with agency protocol and Medicare/Federal ...

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All JobsMedicare Risk Adjustment JobsMedicare Risk Adjustment Jobs in Kentucky

Medicare Risk Adjustment information

See Kentucky salary details

$11

$19

$34

How much do medicare risk adjustment jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for medicare risk adjustment in Kentucky is $19.47, according to ZipRecruiter salary data. Most workers in this role earn between $13.99 and $23.61 per hour, depending on experience, location, and employer.

What are jobs in Medicare Risk Adjustment?

Jobs in Medicare risk adjustment include work in data analytics, consulting, insurance, and closely related industries. Your duties and responsibilities differ depending on the type of work. For example, as a Medicare risk-adjustment consultant, you provide advice and recommendations to healthcare organizations or an insurance provider on how to mitigate risk across a customer pool. Data analytics and statistics specialists gather and analyze insurance and Medicare data and documentation from hospitals, healthcare providers, and other medical care facilities that accept Medicare. This includes reviewing different types of diagnosis and comparing patient chart information. Some health care providers have in-house risk adjustment workers, while others contract with outside consulting and analytics firms.

What is the difference between Medicare Risk Adjustment vs Medicare Coding Specialist?

AspectMedicare Risk AdjustmentMedicare Coding Specialist
Primary FocusAssessing patient health risk scores for reimbursementAccurately coding medical diagnoses and procedures
Required CredentialsCertifications in risk adjustment or coding, often CPC or RHITCertifications like CPC, CCS, or RHIT
Work EnvironmentHealth plans, risk adjustment companies, healthcare providersHospitals, clinics, billing departments
Industry UsageUsed for Medicare Advantage plan reimbursementsUsed for medical billing and claims processing

While both roles involve healthcare coding and require similar certifications, Medicare Risk Adjustment focuses on evaluating patient health data to determine reimbursement levels, whereas Medicare Coding Specialists concentrate on accurately coding diagnoses and procedures for billing purposes.

What is Medicare Risk Adjustment?

Medicare Risk Adjustment is a process used by the Centers for Medicare & Medicaid Services (CMS) to adjust payments to Medicare Advantage plans based on the health status and demographic characteristics of their enrolled beneficiaries. The goal is to ensure that plans receive appropriate compensation for taking care of members with varying levels of health risk. This system uses diagnosis codes and other data to predict future healthcare costs, encouraging plans to provide comprehensive care and accurately document patient conditions.

What are some common challenges faced by professionals working in Medicare Risk Adjustment roles?

Professionals in Medicare Risk Adjustment often encounter challenges such as staying current with frequently changing CMS regulations, ensuring the accurate capture and documentation of patient diagnoses, and collaborating effectively with providers to optimize risk scores. The role requires meticulous attention to detail when reviewing medical records and coding, as well as strong communication skills to educate and support healthcare teams. Additionally, there can be pressure to meet strict deadlines for data submission and to ensure compliance with audit standards.

What are the key skills and qualifications needed to thrive in Medicare Risk Adjustment?

To excel in Medicare Risk Adjustment, you need a solid understanding of medical coding (especially ICD-10), healthcare regulations, and risk adjustment methodologies, often supported by credentials like CRC or CPC certifications. Familiarity with data analytics platforms, EHR systems, and specialized risk adjustment software is typically required. Strong attention to detail, analytical thinking, and effective communication are crucial soft skills for interpreting complex clinical data and collaborating across teams. These competencies ensure accurate risk scores, compliance with CMS requirements, and optimal financial outcomes for healthcare organizations.
More about Medicare Risk Adjustment jobs
What are popular job titles related to Medicare Risk Adjustment jobs in Kentucky? For Medicare Risk Adjustment jobs in Kentucky, the most frequently searched job titles are:
What job categories do people searching Medicare Risk Adjustment jobs in Kentucky look for? The top searched job categories for Medicare Risk Adjustment jobs in Kentucky are:
Medicare Risk Adjustment jobs near you
Infographic showing various Medicare Risk Adjustment job openings in Kentucky as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 11% Part Time, and 3% Contract. Highlights an 87% Physical, 5% Hybrid, and 8% Remote job distribution, with an average salary of $40,502 per year, or $19.5 per hour.

Occupational Therapist

Alternate Solutions Health Network

Louisville, KY • On-site

$38.75 - $51/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 6 days ago

Job description

Our culture and people are what set us apart from other post-acute care providers. We're dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY.
Schedule: Monday-Friday 8:30-5:00 PM
Agency: Baptist Health Home Care Kentucky
Territory: Louisville, Buckner, Crestwood, Finchville, Goshen, Lagrange, Mt. Washington and surrounding areas
HOW YOU'LL MAKE A DIFFERENCE:
Care and compassion are at the heart of what you'll do as an Occupational Therapist (OT). You'll be part of an interdisciplinary team that focuses on providing compassionate quality care and producing positive outcomes for your patient population. You'll provide home-based therapy care for patients as directed by the attending physician. Interacting with patients' families while caring for your patients and experiencing the rewarding privilege to be part of every step of their recovery journey. Home care provides context and real-world perspective about what will really help patients restore their health.
WHAT WE OFFER:
We make it easy to do your job and have competitive financial incentives. On a pay per visit model, the more visits you make, the more you will earn! We pay mileage and have bonus opportunities. Our schedules are flexible, and you'll have the support of a whole team, from scheduling to patient admissions. Our benefits package is also competitive in the market. We provide medical, dental, and vision insurance with flexibility for you to select what works best for you. Eligible teammates will also receive paid time off, opportunity to participate in 401k, company paid life insurance and access to a robust Employee Assistance Program.
HOW YOU'LL WORK:
You'll provide comprehensive skilled services as ordered by the attending physician. You will educate patients and their family members and ensures the safety of the patient. You are accountable for completing accurate documentation and remaining compliant with all legal rules and regulations.
MAJOR AREAS OF RESPONSIBILITY:

  • Plan of Care: Provide skilled occupational therapy as ordered by the attending physician. Observe, record, and report patient reactions, changes, and progress to attending physician and any appropriate agency staff. Develop an individualized OT plan of care and make adjustments as needs change.
  • Evaluation: Evaluate the patient's level of functioning by applying diagnostic and prognostic procedures.
  • Patient Outcomes: Use activities and home exercise programs to improve range of motion, muscle strength, and coordination through passive/active exercise and/or activity.
  • Minimize Patient Risk: Helps decrease re-hospitalizations by teaching the patient on preventative measures and making good decisions.
  • Family Educator/Advocate: Counsel patient and family on the disease/injury and how to manage in all phases of occupational therapy. Instruct patient and family members on proper use of equipment such as wheelchairs, braces, walkers, crutches, canes, and other prosthetic/orthotic devices.
  • Supervision: Oversee and supervise total care of patient provided by COTA.
  • Communication/Collaboration: Communicate with the COTA on supervisory visit results.
  • Policies: Completes all clinical documentation following agency protocol and Medicare/Federal guidelines.
  • Rules and Regulations: Understand and follow agency policies, procedures, rules, and regulations and communicate changes in schedule/availability to schedulers or supervisors.
  • Operations: Attend in-service training and mandatory agency meetings.
HARD & SOFT SKILLS:
  • Compassionate communicator with a positive attitude
  • Patience is a virtue when working with patients, families, physicians, and coworkers
  • Attention to detail is critical, as is being observant and following directions
REQUIREMENTS
  • Occupational Therapist with a current license in the state of employment.
  • Minimum one-year experience as a OT in an acute care setting. Home care experience preferred.
  • Valid driver's license and auto insurance in your name as a driver
  • Capable of all physical demands

We are proud to be part of the Alternate Solutions Health Network family.
We'll help you put your passion for patient care to work. Apply today!
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.
We are an Equal Opportunity Employer.

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