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Risk Adjustment Coder Jobs in Delaware (NOW HIRING)

Brandywine Urology Consultants

Medical Coder

New Castle, DE · On-site

$20 - $24/hr

Assists Billing Specialists, Coders, and Patient Accounts Specialists in the ongoing operations of ... Post all credit and debit adjustments to patient accounts with strict adherence to the guidelines ...

Brandywine Urology Consultants

Medical Coder

New Castle, DE

$18.25 - $24.25/hr

Assists Billing Specialists, Coders, and Patient Accounts Specialists in the ongoing operations of ... Post all credit and debit adjustments to patient accounts with strict adherence to the guidelines ...

Brandywine Urology Consultants

Medical Coder

New Castle, DE · On-site

$20 - $24/hr

Assists Billing Specialists, Coders, and Patient Accounts Specialists in the ongoing operations of ... Post all credit and debit adjustments to patient accounts with strict adherence to the guidelines ...

Christiana Care Health Services

$27.31 - $40.96/hr

Performs coding and abstracting tasks to support data quality and statistics, and calculation of severity of illness and risk of mortality reporting. * Utilizes information on diagnostic reports to ...

ChristianaCare

Coder II (Remote)

Newark, DE · On-site +1

$23.85 - $35.78/hr

Performs coding and abstracting tasks to support billing, data quality and statistics, and to support calculation for severity of illness and risk of mortality reporting. * Applies information on ...

ChristianaCare

Coder III-REMOTE

Newark, DE · On-site +1

$27.31 - $40.96/hr

Performs coding and abstracting tasks to support data quality and statistics, and calculation of severity of illness and risk of mortality reporting. * Utilizes information on diagnostic reports to ...

Christiana Care Health Services

$27.31 - $40.96/hr

Performs coding and abstracting tasks to support data quality and statistics, and calculation of severity of illness and risk of mortality reporting. * Utilizes information on diagnostic reports to ...

Bayhealth

Coder

Dover, DE · On-site

$18.75 - $25/hr

Works with coding databases and confirms DRG assignments. Responsibilities: 1. Codes data from patient records utilizing computerized coding systems to ensure optimal reimbursement of the hospital.

TidalHealth

Inpatient Coder

Seaford, DE · On-site

$26.92 - $41.72/hr

Inpatient Coder Position Summary The Hospital Inpatient Coder accurately abstracts pertinent information from the patient record to apply the appropriate diagnostic and procedural codes to individual ...

TidalHealth

Coder-Outpatient

Seaford, DE

$24.41 - $37.84/hr

Coder-Outpatient Position Summary The Hospital Outpatient Coder accurately abstracts pertinent information from the patient record to apply the appropriate diagnostic and procedural codes to ...

TidalHealth

Inpatient Coder

Seaford, DE

$26.92 - $41.72/hr

Inpatient Coder Position Summary The Hospital Inpatient Coder accurately abstracts pertinent information from the patient record to apply the appropriate diagnostic and procedural codes to individual ...

TidalHealth

Coder-Outpatient

Seaford, DE · On-site

$24.41 - $37.84/hr

Coder-Outpatient Position Summary The Hospital Outpatient Coder accurately abstracts pertinent information from the patient record to apply the appropriate diagnostic and procedural codes to ...

M&T Bank

Senior Application Security Engineer

Wilmington, DE · On-site

$57 - $76.25/hr

Partner with engineering teams during code reviews to identify potential security vulnerabilities ... Identify risk-related issues needing escalation to management. * Promote an environment that ...

Allied Engineering and Design

Scheduler

Newark, DE · On-site

Perform schedule risk analysis, critical path identification, float management, and scenario ... Support resource leveling and craft productivity inputs; incorporate productivity adjustments for ...

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All JobsRisk Adjustment Coder JobsRisk Adjustment Coder Jobs in Delaware

Risk Adjustment Coder information

See Delaware salary details

$15

$27

$43

How much do risk adjustment coder jobs pay per hour?

As of Jun 26, 2026, the average hourly pay for risk adjustment coder in Delaware is $27.51, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $34.66 per hour, depending on experience, location, and employer.

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.

Is HCC coding a good career?

Risk adjustment coders specializing in Hierarchical Condition Category (HCC) coding play a vital role in healthcare reimbursement and risk management. The field offers steady demand, especially as value-based care models grow, and often requires certification and attention to detail. It can be a stable and rewarding career for those interested in medical coding and healthcare finance.

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 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.

How to become a risk adjustment coder?

To become a risk adjustment coder, typically one needs a high school diploma or equivalent, followed by specialized training or certification in medical coding, such as the Certified Risk Adjustment Coder (CRC) credential. Experience with medical billing, coding software, and understanding of healthcare documentation are also important for this role.

What pays more, CCS or CPC?

As a Risk Adjustment Coder, earning potential depends on certification and experience. Generally, Certified Coding Specialist (CCS) coders tend to have higher salaries than Certified Professional Coder (CPC) coders due to the advanced skills and hospital setting focus, but salaries can vary based on location and employer. Both certifications require strong coding skills and knowledge of medical coding systems.

How much do risk adjustment coders make in the US?

Risk adjustment coders in the US typically earn between $50,000 and $75,000 annually, depending on experience, certification, and location. Experienced coders with certifications like CPC or CCS may earn higher salaries, especially in healthcare hubs or with specialized skills in coding and documentation. Salaries can also vary based on employer size and work setting, such as hospitals or insurance companies.

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 popular job titles related to Risk Adjustment Coder jobs in Delaware? For Risk Adjustment Coder jobs in Delaware, the most frequently searched job titles are:
What job categories do people searching Risk Adjustment Coder jobs in Delaware look for? The top searched job categories for Risk Adjustment Coder jobs in Delaware are:
Risk Adjustment Coder jobs near you
Infographic showing various Risk Adjustment Coder job openings in Delaware as of June 2026, with employment types broken down into 88% Full Time, and 12% Part Time. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $57,231 per year, or $27.5 per hour.

RISK ADJUSTMENT CODING SPECIALIST - VBC OPERATIONS AND TRANSFORMATION

Bebee Healthcare

Lewes, DE • On-site

$23.67/hr

Full-time

Medical, Dental, Vision, Life, PTO

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

Job description

Why Beebe?
Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence.
Benefits
In addition to competitive compensation and wellness benefits (medical, dental, vision and prescription) Beebe Healthcare also offers:
  • Sign-on and Referral Bonuses for select positions
  • Tuition Assistance up to $5,000
  • Paid Time Off
  • Long Term Sick accrual
  • Employer Contribution Plan
  • Free Short and Long-Term Disability for Full Time employees
  • Zero copay for drugs on prescription plan for certain conditions
  • College Bound 529 Savings Plan
  • Life Insurance
  • Beebe Perks via Work Advantage
  • Employee Assistance Program
  • Pet Insurance

Overview
Provides thorough concurrent, prospective, and retrospective review of ambulatory medical record clinical documentation to ensure accurate and complete capture of the clinical picture, severity of illness, and complexity of the patient. Utilizes knowledge of official coding guidelines (ICD-10, CPT, HCPCs), Hierarchical Condition Categories (HCC), M.E.A.T (Monitored, Evaluated/Assessed/Addressed, Treated) standards, Risk Adjustment Factor (RAF) scoring, and AHIMA/ACDIS physician query brief. Provides education to providers on the importance of diagnosis specificity. May participate in developing, presenting, and disseminating provider communication and other activities related to clinical documentation.
Responsibilities
  • Review provider documentation of diagnostic data from medical record to verify that all Medicare Advantage, MSSP and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum
  • Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC)
  • Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines
  • Interacts with physicians regarding coding, billing, documentation policies, procedures, and conflicting/ambiguous or non-specific documentation
  • Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing
  • Provides ongoing feedback to physicians and other providers regarding coding guidelines and requirements, including education and support for improvement in HCC coding and RAF scoring. Assists with educational in-services for physicians, other providers, and clinic staff relating to clinical documentation compliance related to billing.

Qualifications
Required Certification/Licensure: Certified Risk Adjustment Coder (CRC) & Certified Coding Specialist (CCS-P), CCS, CPC
Minimum of two years' experience in medical coding
Reliable transportation/Valid Driver's License/Must be able to travel at least 50% of work time
Credentials
Education
Entry
USD $23.67/Hr.
Max
USD $36.69/Hr.

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