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Risk Adjustment Coder Rn Jobs (NOW HIRING)

DaMar Staffing

Risk Adjustment Coder

Virginia Beach, VA · On-site

$100 - $125/hr

Education/Certification/Experience Associate degree required in healthcare administration, nursing ... Registered Health Information Administrator (RHIA). Must obtain Certified Risk Adjustment Coder ...

Liberty Health

RISK ADJUSTMENT CODER

Wilmington, NC · On-site

$16 - $21.50/hr

RISK ADJUSTMENT CODER Job Summary: * Perform code abstraction of medical records to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentation * Identify diagnosis and ...

Vertek Staffing

HCC Risk Adjustment Coder

Franklin, TN · Remote

$18 - $24/hr

HCC / Risk Adjustment Coder - Remote Risk Adjustment / HCC Coding Experience Required Required ... Registered Health Information Technician (RHIT) - AHIMA * Registered Health Information ...

GeBBS Healthcare Solutions

Risk Adjustment Coder

Coders will add risk-adjusting diagnoses that are valid but not reported Requirements Active certification through AAPC or AHIMA is required Minimum 5 years verifiable risk adjustment coding ...

Liberty Health

RISK ADJUSTMENT CODER

Wilmington, NC · Remote

$16 - $21.50/hr

RISK ADJUSTMENT CODER (MUST RESIDE IN NC) Job Summary: * Perform code abstraction of medical records to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentation

Insight Global

HCC Risk Adjustment Coder

Fort Worth, TX · Remote

$18 - $22/hr

M-F Pay: $18-$22/hr Day-to-Day Responsibilities Insight Global is seeking experienced HCC Risk Adjustment Medical Coders for a high-volume seasonal project supporting Medicare risk adjustment ...

Harris Health System

Risk Adjustment Coder II

Houston, TX · On-site

$27.69 - $34.61/hr

Job Profile JOB SUMMARY The Risk Adjustment Coder II provides advanced support for complex medical record reviews to ensure the correct capture of chronic conditions and complexities to calculate a ...

Harris Health System

Risk Adjustment Coder II

Houston, TX · On-site

$27.69 - $34.61/hr

Job Profile JOB SUMMARY The Risk Adjustment Coder II provides advanced support for complex medical record reviews to ensure the correct capture of chronic conditions and complexities to calculate a ...

Msmc

Certified Risk Adjustment Coder

Hialeah, FL · On-site

$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 ...

ClinDCast LLC

Risk Adjustment Coding Auditor

Albany, NY · Remote

$30 - $35/hr

... Certified Professional Coder) certification Active CRC (Certified Risk Adjustment Coder ... certification Proficiency in Microsoft Office Suite (Excel, Word, Outlook) This is a remote ...

Mount Sinai Medical Center of Florida, Inc.

NY · On-site

$60 - $80/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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Risk Adjustment Coder Rn information

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

As of Sep 9, 2026, the average hourly pay for risk adjustment coder rn 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 is a risk adjustment coder RN?

Risk Adjustment Coder RNs are registered nurses who specialize in reviewing and coding medical records to ensure accurate documentation for risk adjustment purposes. They analyze patient charts to identify diagnoses and conditions, assigning appropriate codes that impact healthcare reimbursement and quality reporting. Their work helps healthcare organizations comply with regulations and receive proper compensation based on patient complexity. These professionals combine clinical knowledge with coding expertise to support accurate risk adjustment data.

What skills and qualifications are needed to be a risk adjustment coder RN?

To thrive as a Risk Adjustment Coder RN, you need a strong background in clinical nursing, detailed knowledge of ICD-10-CM coding, and understanding of risk adjustment models, usually validated by an RN license and medical coding certification (such as CRC or CPC). Familiarity with electronic health record (EHR) systems, coding software, and regulatory guidelines like CMS-HCC is essential. Strong analytical skills, attention to detail, and effective communication help coders accurately interpret clinical documentation and collaborate with healthcare teams. These skills ensure precise coding, optimized reimbursement, and compliance with healthcare regulations.

What are common challenges faced by risk adjustment coder RNs, and how can they be managed?

Risk Adjustment Coder RNs often encounter challenges such as keeping up with frequently updated coding guidelines, accurately translating complex clinical documentation into appropriate codes, and ensuring compliance with regulatory standards. To manage these challenges, it is helpful to participate in ongoing education, leverage coding resources and software tools, and collaborate closely with clinical staff to clarify documentation. Developing strong attention to detail and communication skills also contributes to accuracy and efficiency in the role.

What are popular job titles related to Risk Adjustment Coder Rn jobs?

For Risk Adjustment Coder Rn jobs, the most frequently searched job titles are:

Infographic showing various Risk Adjustment Coder Rn job openings in the United States as of June 2026, with employment types broken down into 90% Full Time, 9% Part Time, and 1% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $57,182 per year, or $27.5 per hour.

Risk Adjustment Coder

Virginia Beach, VA • On-site

Sentara Healthcare Inc
Hospitals • 10K+ employees
Learn more about Sentara Healthcare Incexternal

$60 - $80/hr

Other

Posted 7 days ago

Sentara Health rating

6.8

Company rating: 6.8 out of 10

Based on 417 frontline employees who took The Breakroom Quiz

495th of 898 rated healthcare providers

Job description

Sentara Medical Group is now hiring a full-time hybrid Risk Adjustment Coder in Virginia Beach, VA!

Hours: Monday - Friday, 8:00AM -5:00PM, dayshift.

This is a hybrid position that offers a combination of remote and onsite work, with a requirement to be in the office one to two days each week. The role also includes travel as needed to support business objectives and team collaboration.

Overview

Performs compliance activities focused on risk adjustment in accordance with Centers for Medicare & Medicaid Services (CMS) and U.S. Department of Health & Human Services (HHS). Performs prospective/retrospective medical record reviews (MMR) & CMS/HHS Risk Adjustment Data Validation (RADV) audits. Reviews provider coding for professional & inpatient/outpatient services to ensure capture of diagnostic conditions supported within the provider's documentation for CMS/HHS Hierarchical Condition Categories (HCC). Supports risk adjustment data validation (RADV), medical record retrieval, vendor coding audits, provider engagement, & all risk adjustment ICD-10-CM coding-related activities. Conducts annual risk assessments, training, monitoring, & auditing, control assessment, reporting, investigation, root cause analysis, and corrective action oversight. Performs vendor quality oversight audits; reviews and/or makes final coding determination for non-agreeable coding. Makes final decision on vendor-to-vendor diagnosis coding rebuttal concerns. Serves as subject matter expert on risk adjustment diagnosis coding guidelines. Coordinates risk adjustment gap elimination with clinical and quality gap elimination Maintains a reasonable fluency in workings & financial implications of applicable risk adjustment models.

Education
  • Associate degree (Required)
Experience
  • Medical Records Data - 1 year (Required)
  • Coding - 2 years (Required)
Certifications:

One of the following certifications are required: Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), Certified Coding Specialist-Physician-based (CCS-P), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA).

Must obtain Certified Risk Adjustment Coder (CRC) certification within two years of employment.

Keywords:

Risk Adjustment Coding & Documentation Specialist, Talroo-Allied Health, Medical Office

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