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Medicare Risk Assessment Jobs (NOW HIRING)

BHC ISC

PBO Risk Adjustment Coding

Fort Lauderdale, FL · On-site

Review and audit documentation for appropriate capture of CAT II coding Medicare Annual Wellness Visits Medicare Risk HRA/HCC Assessment forms Medicare Advantage plans suspect HCC condition forms ...

Mass Advantage

Manager, Risk Adjustment

Worcester, MA · On-site

The Manager of Risk Management is also responsible for analysis, projections, and assessment of Medicare revenue initiatives for senior products; leading and coordinating enterprise risk adjustment ...

Cano Health

Auditor, ACO Coding

Miami, FL · On-site

$26 - $29.75/hr

... Assessments and Action Plan Education & Experience * High School diploma or GED required. * Required Certified Coder; CPC, CRC, CCS-P, CCS-H, RHIT * 3+ years of Medicare Risk Adjustment experience

Cano Health

Auditor, ACO Coding

Miami, FL · On-site

$26 - $29.75/hr

... Assessments and Action Plan Education & Experience * High School diploma or GED required. * Required Certified Coder; CPC, CRC, CCS-P, CCS-H, RHIT * 3+ years of Medicare Risk Adjustment experience

Ennoble Care

Sr. Medical Economics Analyst

Marlton, NJ · Remote

$120K - $140K/yr

Key Responsibilities Risk Assessment & Medicare Analytics * Develop and maintain sophisticated risk-adjusted provider group performance models using CMS-HCC methodology. * Analyze VBC performance ...

Ennoble Care

Sr. Medical Economics Analyst

Arlington, VA · Remote

$120K - $140K/yr

Key Responsibilities Risk Assessment & Medicare Analytics * Develop and maintain sophisticated risk-adjusted provider group performance models using CMS-HCC methodology. * Analyze VBC performance ...

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How much do medicare risk assessment jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for medicare risk assessment in the United States is $38.68, according to ZipRecruiter salary data. Most workers in this role earn between $23.80 and $54.33 per hour, depending on experience, location, and employer.

What is a Medicare Risk Assessment?

A Medicare Risk Assessment job involves evaluating patients' health conditions to determine risk scores that impact Medicare Advantage plan reimbursements. Professionals in this role collect and analyze medical data, review patient histories, and ensure accurate coding of diagnoses. Their work helps healthcare providers and insurers understand patient risks and deliver appropriate care. Strong knowledge of ICD-10 coding, healthcare regulations, and medical terminology is essential for this role.

What are some common challenges faced in a Medicare Risk Assessment role?

One common challenge in Medicare Risk Assessment is staying up to date with frequently changing Medicare regulations and coding requirements, which directly affect risk scoring and patient documentation. Handling large volumes of patient data while ensuring accuracy and compliance can also be demanding, as errors may impact reimbursement and care outcomes. Collaboration with clinicians, billing teams, and administrators is often necessary to clarify complex cases and ensure complete, compliant documentation. Successfully navigating these challenges requires ongoing learning, keen attention to detail, and effective communication skills.

What are the key skills and qualifications needed to thrive in the Medicare Risk Assessment position, and why are they important?

To thrive in a Medicare Risk Assessment role, you need a strong understanding of healthcare regulations, Medicare guidelines, data analysis, and clinical assessment—often supported by a background in nursing, healthcare administration, or a related field. Proficiency with health risk assessment tools, electronic health records (EHRs), and data management systems is important, and certification such as Certified Risk Adjustment Coder (CRC) can be beneficial. Attention to detail, analytical thinking, and effective communication stand out as key soft skills in this position. These skills are crucial for accurately evaluating patient risk, ensuring compliance, and supporting optimal Medicare plan outcomes.

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What cities are hiring for Medicare Risk Assessment jobs?

Cities with the most Medicare Risk Assessment job openings:

What states have the most Medicare Risk Assessment jobs?

States with the most job openings for Medicare Risk Assessment jobs include:

What job categories do people searching Medicare Risk Assessment jobs look for?

The top searched job categories for Medicare Risk Assessment jobs are:

Medicare Risk Assessment jobs near you
Infographic showing various Medicare Risk Assessment job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 89% Full Time, 8% Part Time, and 2% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $80,460 per year, or $38.7 per hour.

PBO Risk Adjustment Coding

BHC ISC

Fort Lauderdale, FL • On-site

Other

This job post has expired today. Applications are no longer accepted.

Job description

Broward Health Corporate ISC

Shift: Shift 1

FTE: 1.000000

Requisition:  31881

Summary:  Ensures procedures E&M and diagnoses are coded as documented in the medical records according to ICD-10-CM CPT-4 and HCPCS in an effort to maintain accurate coding and obtain reimbursement all within the professional coding guidelines Centers for Medicare and Medicaid (CMS) guidelines and Broward Health policies. Review and audit documentation for appropriate capture of CAT II coding Medicare Annual Wellness Visits Medicare Risk HRA/HCC Assessment forms Medicare Advantage plans suspect HCC condition forms prior to submission to the payer.

Education:   High School or Equivalent

Experience:   2-5 years of risk adjustment coding E/M procedures and diagnosis experience required

Credentials:  Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC).  Proficient in Microsoft Word Excel and PowerPoint.  Competent in Electronic Health Records NextGen and Cerner experience preferred.

Visit us online at www.BrowardHealth.org or contact Talent Acquisition 

*Bonus Exclusions may apply in accordance with policy HR-004-026

Broward Health is proud to be an equal opportunity employer. Broward Health prohibits any policy or procedure which results in discrimination on the basis of race color national origin gender gender identity or gender expression pregnancy sexual orientation religion age disability military status genetic information or any other characteristic protected under applicable federal or state law.

At Broward Health the dedication and contributions of veterans are valued. Supporting the military community and giving back to those who served is a priority. Broward Health is proud to offer veteran's preference in the hiring process to eligible veterans and other individuals as defined by applicable law.

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