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Risk Adjustment Coder Jobs (NOW HIRING)

Boston Medical Center

Risk Adjustment Coder

$19.25 - $25.50/hr

The Risk Adjustment Coder determines the appropriate ICD10-CM diagnoses codes based on clinical documentation that follows the Official Guidelines for Coding and Reporting and Risk Adjustment ...

Strive Health

Risk Adjustment Coder

Denver, CO · Remote

$27.88 - $32.21/hr

What You'll Do The Coder, Risk Adjustment Coding is responsible for supporting the Strive operational and clinical team and partner Nephrologists by reviewing risk adjustment visits for appropriate ...

Village Care

Risk Adjustment Coder

Manhattan, NY · On-site

$77.51K - $87.20K/yr

Risk Adjustment Coder Location: Remote (Must reside in NY/NJ/CT) Schedule: Monday - Friday 9am-5pm Compensation: $77,506.87 - 87,195.23 annual salary **CPC, CCS, RHIT or RHIA and CRC are required*

Village Care

Risk Adjustment Coder

Manhattan, NY · On-site

$77.51K - $87.20K/yr

Risk Adjustment Coder Location: Remote (Must reside in NY/NJ/CT) Schedule: Monday - Friday 9am-5pm Compensation: $77,506.87 - 87,195.23 annual salary **CPC, CCS, RHIT or RHIA and CRC are required*

Strive Health

Risk Adjustment Coder

Denver, CO · On-site

$19.25 - $25.75/hr

What You'll Do The Coder, Risk Adjustment Coding is responsible for supporting the Strive operational and clinical team and partner Nephrologists by reviewing risk adjustment visits for appropriate ...

Cano Health

Risk Adjustment Coder

Jupiter, FL · On-site

Job Summary The Risk Adjustment coder will identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical Condition Categories. Verify and ensure ...

Msmc

Certified Risk Adjustment Coder Senior

Campus, IL · On-site

$22 - $30/hr

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

Msmc

Certified Risk Adjustment Coder Senior

Miami Beach, FL · On-site

$22.25 - $30.25/hr

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

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How much do risk adjustment coder jobs pay per hour?

As of May 31, 2026, the average hourly pay for risk adjustment coder in the United States is $27.49, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $34.62 per hour, depending on experience, location, and employer.

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

To thrive as a Risk Adjustment Coder, you need a solid understanding of medical coding (especially ICD-10-CM), healthcare regulations, and risk adjustment methodologies, typically supported by certifications like CRC or CPC. Proficiency with coding software, electronic health records (EHR) systems, and auditing tools is essential. Attention to detail, analytical thinking, and strong organizational skills set top performers apart in this role. These competencies ensure accurate coding, compliance, and optimal reimbursement for healthcare organizations.

What are some common challenges faced by Risk Adjustment Coders, and how can they be overcome?

Risk Adjustment Coders often encounter challenges such as interpreting complex medical documentation and ensuring accurate code assignment to reflect patient risk profiles. Keeping up with frequent updates to coding guidelines and payer requirements can also be demanding. To overcome these challenges, coders should engage in continuous education, actively participate in team discussions to clarify ambiguities, and utilize available coding resources or auditing tools. Strong communication with providers and attention to detail are key to maintaining compliance and high-quality coding standards.

What are Risk Adjustment Coders?

Risk Adjustment Coders are healthcare professionals who review and analyze patient medical records to ensure accurate coding of diagnoses and procedures for risk adjustment purposes. Their work is crucial for health plans and providers, as it affects reimbursement rates and compliance with government programs like Medicare Advantage and the Affordable Care Act. These coders use specialized knowledge of coding systems, such as ICD-10, to assign appropriate codes that reflect patients’ health status and help organizations receive proper funding for patient care.

What jobs make $3,000 a month without a degree?

A Risk Adjustment Coder can earn around $3,000 or more per month with relevant coding skills and certification, often working in healthcare settings. Other jobs that typically pay this amount without a degree include administrative roles, sales positions, and certain skilled trades, but these may require specific training or experience.

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

AspectRisk Adjustment CoderMedical Coder
CertificationsCPR, RHIT, CCS, or CPC often preferredCCS, CPC, or CPC-H
Work EnvironmentHealthcare facilities, insurance companies, remoteHospitals, clinics, physician offices
Industry UsageHealth plans, risk adjustment programsGeneral medical billing and coding

Both Risk Adjustment Coders and Medical Coders require similar certifications and work in healthcare settings. However, Risk Adjustment Coders focus on coding for risk adjustment models used by insurance companies, while Medical Coders handle broader medical billing and coding tasks. Understanding these differences helps professionals choose the right career path and employers.

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What cities are hiring for Risk Adjustment Coder jobs? Cities with the most Risk Adjustment Coder job openings:
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Who are the top companies hiring for Risk Adjustment Coder jobs? The top employers for Risk Adjustment Coder jobs are:
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Risk Adjustment Coder jobs near you
Infographic showing various Risk Adjustment Coder job openings in the United States as of May 2026, with employment types broken down into 98% Full Time, 1% Part Time, and 1% Contract. Highlights an 42% Physical, 21% Hybrid, and 37% Remote job distribution, with an average salary of $57,182 per year, or $27.5 per hour.
Risk Adjustment Coder

Risk Adjustment Coder

Boston Medical Center

Remote

$19.25 - $25.50/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 5 days ago

Boston Medical Center rating

7.0

Company rating: 7.0 out of 10

Based on 105 frontline employees who took The Breakroom Quiz

476th of 990 rated hospitals

Job description

POSITION SUMMARY:
The Risk Adjustment Coder determines the appropriate ICD10-CM diagnoses codes based on clinical documentation that follows the Official Guidelines for Coding and Reporting and Risk Adjustment guidelines for risk adjustment and Hierarchical Condition Categories (HCC). Risk adjustment coding relies on ICD-10-CM coding to assign risk scores to patients. The incumbent reviews retrospective medical record documentation and ensures that the codes are appropriately assigned. The outcome will be documentation that accurately and completely captures the clinical picture/severity of illness/complexity of the patient while providing specific and complete information to be utilized in coding, profiling and outcomes reporting of both the facility and the physicians. The Risk Adjustment Coder utilizes standards of compliance, specifically in OP compliant query processes and clinical knowledge to identify opportunities and to achieve results Also required is advanced knowledge of CPT, ICD-10-CM, and HCPCS coding systems.
Position: Risk Adjustment Coder
Department: Clinical Documentation
Schedule: Full Time
ESSENTIAL RESPONSIBILITIES / DUTIES:
  • Review documentation available in the Medical Record to facilitate workflows that support the clinical picture/severity of illness/complexity of the patient care rendered to patients.
  • Reviews medical records to ensure accurate codes are applied to the encounter.
  • Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM diagnosis codes mapped to HCCs or other RA methodologies
  • Actively participate in and maintain coding quality and productivity processes
  • Collaborates with nursing or coding staff on retrospective medical record review for severity, accuracy, and quality issues.
  • Ensure documentation in the medical record follows the official coding guidelines, internal guidelines and the
  • AHIMA/ACDIS physician query brief.
  • Create and analyze reports for coding improvement trending and high-level dashboards for ongoing monitoring and opportunities.
  • Provide ongoing feedback to physicians and other providers regarding coding guidelines and requirements.
  • Assist with educational in-services for physicians, other providers, and clinic staff relating to coding and documentation compliance as well as new policies and procedures related to billing.
  • Participate in training new coding staff, as needed. IND123

JOB REQUIREMENTS
EDUCATION:
  • High school diploma or equivalent medical coding education.
  • Associates Degree preferred (or direct work experience equivalent to at least 2 years)

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:
  • Coding Certification from American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) is required. Certification may include Certified Risk Adjustment Coder (CRC) or Certified Professional Coder (CPC) and/or Certified Clinical Documentation Specialist- Outpatient or Certified Documentation Expert Outpatient (CDEO) Certified Coding Specialist (CCS), or Certified Coding Specialist Physician-Based (CCS-P), or a Certified Coding Associate (CCA), or Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) required

EXPERIENCE:
  • Minimum of two (2) years progressive coding experience in multiple specialties, HCC Risk adjustment Coding

KNOWLEDGE AND SKILLS:
  • Willing to work as a team - innovation and collaboration is a priority
  • Experience with an Electronic Medical Record (EMR), EPIC preferred
  • Knowledge of AHA coding guidelines and methodologies: HCC's and other RA methodologies, ICD-10-CM coding guidelines, Office of Inspector General (OIG) and Federal and State regulations
  • Extensive knowledge of medical terminology, anatomy, and pathophysiology, pharmacology, and ancillary test results
  • Strong organization and analytical thinking skills - detail oriented
  • Proficient with Microsoft Office applications (Outlook, Word, Excel)
  • Demonstrates critical thinking skills, able to assess, evaluate, and teach
  • Self-motivated and able to work independently without close supervision
  • Strong communication skills (interpersonal, verbal and written)
  • Medical Record audits and review
  • Familiarity with the external reporting aspects of healthcare
  • Familiarity with the business aspects of healthcare, including prospective payment systems
  • Proficient with computer applications (MS Office etc.), Excellent data entry skills
  • Strong knowledge of health records, computerized billing and charging systems, Microsoft applications, data integrity, and processing techniques required.
  • Excellent organizational skills, including ability to multi-task, prioritize essential tasks, follow-through and meet timelines.
  • Ability to work with accuracy and attention to detail
  • Ability to solve problems appropriately using job knowledge and current policies/procedures.
  • Ability to work cooperatively with members of the healthcare delivery team and staff, ability to handle frequent interruptions and adapt to changes in workload and work schedule and to respond quickly to urgent requests.
  • Must be able to maintain strict confidentiality of all personal/health sensitive information and ensure compliance of HIPAA rules and regulations.

Compensation Range:
$24.04- $33.65
This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being.
NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location.
Equal Opportunity Employer/Disabled/Veterans
According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or "apps" job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.

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About Boston Medical Center

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Boston Medical Center (BMC) is more than a hospital. It's a network of support and care that touches the lives of hundreds of thousands of people in need each year. It is the largest and busiest provider of trauma and emergency services in New England. Emphasizing community-based care, BMC is committed to providing consistently excellent and accessible health services to all-and is the largest safety-net hospital in New England. The hospital is also the primary teaching affiliate of the nationally ranked Boston University School of Medicine (BUSM) and a founding partner of Boston HealthNet - an integrated health care delivery systems that includes many community health centers. Join BMC today and help us achieve our Vision 2030 which is a long-term goal to make Boston the healthiest urban population in the world.

Industry

Hospitals

Company size

1,001 - 5,000 Employees

Headquarters location

Boston, MA, US

Year founded

1996

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