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Risk Adjustment Coder Jobs in Delaware (NOW HIRING)

Bayhealth

Coding Manager

Dover, DE · On-site

The Professional Coding Manager is responsible for overseeing the professional claims coding team and ensuring accurate, efficient coding of patient records for billing, compliance, and reimbursement ...

Bayhealth

Coding Manager

Dover, DE · On-site

The Professional Coding Manager is responsible for overseeing the professional claims coding team and ensuring accurate, efficient coding of patient records for billing, compliance, and reimbursement ...

Highmark Health

Supervisor Coding

Dover, DE · On-site

$48.54/hr

Associates Degree in a Health Information related field or 4 years of experience in lieu of Associate's degree * 3 years experience as a production coder related to the coding team being supervised ...

Liquid Personnel

Carry out risk assessments and safeguarding enquiries, ensuring statutory responsibilities are met ... Reasonable Adjustments: If you consider yourself to have a disability or require any reasonable ...

Intermountain Health

PB Coding Supervisor

Dover, DE · On-site

$34.26 - $53.96/hr

Monitor staffing levels, coder productivity, quality assurance audits, and adherence to departmental protocols and guidelines. Provide day-to-day support for coders including monitoring schedules ...

Liquid Personnel

The ability to analyze complex information and identify necessary actions to mitigate risk to ... Reasonable Adjustments: If you consider yourself to have a disability or require any reasonable ...

Datavant

Profee Coding Consultant - PRN

Dover, DE · On-site

$20 - $28/hr

The Provider Practice Coding Consultant role is an opportunity to make a significant impact in the field of medical coding. You will provide essential consulting services and educational support ...

Datavant

Profee Coding Consultant - Full Time

Dover, DE · On-site

$20 - $28/hr

The Provider Practice Coding Consultant role is an opportunity to make a significant impact in the field of medical coding. You will provide essential consulting services and educational support ...

GE Aerospace

Machinist - 2nd shift

Newark, DE · On-site

$20.25 - $27.50/hr

Blueprint, GD&T interpretation, understanding of G code: Read and interpret routers, engineering ... This role may encounter high risk or hazardous operations and/or include working shifts beyond a ...

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Showing results 41-54

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 Aug 16, 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.

What is a risk adjustment coder?

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.

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 August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 11% Part Time, and 4% Contract. Highlights an 87% Physical, 5% Hybrid, and 8% Remote job distribution, with an average salary of $57,231 per year, or $27.5 per hour.

Coding Manager

Bayhealth

Dover, DE • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 27 days ago

Bayhealth (Delaware) rating

7.3

Company rating: 7.3 out of 10

Based on 55 frontline employees who took The Breakroom Quiz

307th of 887 rated healthcare providers

Job description

If you care about the opportunity to grow, to make a difference, to build a future and a life, then we just might have the career for you. Care to talk?
Bayhealth Medical Center is Central and Southern Delaware's healthcare leader with hospitals in Dover and Milford, as well as stand-alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton. We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore. Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand!
Bayhealth Medical Center offers a competitive salary and comprehensive benefits package (for eligible positions) including:

  • Generous Paid Time Off and Paid Holidays
  • Matching 401(k)/403(b) Plans
  • Excellent Health, Dental, and Vision
  • Disability and Life Insurance options
  • On Site Child Care
  • Educational Reimbursement
  • Health Care and Dependent Care Flex Spending Accounts
  • Plus, an array of Voluntary Benefits to include Critical Care Coverage and more!
Location: Kent Campus Hospital
Status: Full Time 80 Hours
Shift: Days
SALARY RANGE: 77,105.60 - 119,537.60YEARLY
General Summary:
The Professional Coding Manager is responsible for overseeing the professional claims coding team and ensuring accurate, efficient coding of patient records for billing, compliance, and reimbursement purposes. Needs skills with operational leadership, compliance oversight, team management, and process improvement within the healthcare revenue cycle.
Responsibilities:
1. Oversee day-to-day operations of the medical coding team, ensuring timely and accurate coding and allocation of duties
2. Ensure that all codes (ICD-10, CPT, HCPCS, etc.) are applied correctly and consistently according to official coding guidelines.
3. Conduct regular internal/external audits to ensure compliance with federal regulations (e.g., CMS, HIPAA) and payer requirements address issues discovered
4. Maintain knowledge of coding regulations, AMA/CMS guidelines and payer requirements.
5. Research and Development of Compliance and Coding Standards
6. Provide training for new hires and ongoing education for existing staff.
7. Track coding productivity and quality metrics (e.g., charts coded per day, accuracy rates). Prepare reports regarding coding efficiency, denial trends, audit outcomes, etc.
8. Identify trends, issues, or bottlenecks through performance data and propose process improvements.
9. Work in collaboration with the RCM team to resolve any coding/insurance verification related issues by working closely with team members and other departments to implement solutions.
10. Collaborate with physicians and APCs to clarify documentation and coding queries. New physician and APC education.
11. Maintains accurate budget data and monitors coding staff productivity
12. All other duties as assigned as assigned within the scope and range of job responsibilities.
Required Education, Credential(s) and Experience:
  • Education: Associate Degree Related field
  • Credential(s): Certified Coding Specialist Or Registered Health Information Technician (RHIT) certification.
  • Experience:
    Required: Minimum of 5 years of experience in a professional medical office space or health system. 5 years of coding experience.
    Preferred: Five (5) years supervisory experience, 10 years of professional coding experience.
Preferred Education, Credential(s) and Experience:
  • Education: Bachelor Degree Health Care or Health Information Technology or related field.
  • Credential(s):
  • Experience:

To view a full list of all open position at Bayhealth, please visit:
https://apply.bayhealth.org/join/

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