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Risk Adjustment Coder Jobs in Hawaii (NOW HIRING)

Analyzes and forecasts premium revenue, risk adjustment payments, and other revenue streams related ... Supports RAF and financial data needs of program driving accurate coding and documentation to ...

Senior Financial Analyst

Honolulu, HI · On-site

$84K - $105K/yr

Analyzes and forecasts premium revenue, risk adjustment payments, and other revenue streams related ... coding and documentation to optimize revenue. * Develops and maintains financial models to assess ...

Coder

Wailuku, HI · On-site

$60 - $80/hr

Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements and complications. Researches and analyzes data needs for ...

New

Coder I

Hilo, HI · On-site

$65 - $90/hr

This position is responsible for assigning ICD-10-CM and CPT-4 codes to hospital outpatient (i.e. lab, radiology and nuclear medicine, emergency department, clinics, urgent care, etc.) diagnoses and ...

New

This position is responsible for assigning ICD-10-CM and CPT-4 codes to hospital outpatient (i.e. lab, radiology and nuclear medicine, emergency department, clinics, urgent care, etc.) diagnoses and ...

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Showing results 1-20

Risk Adjustment Coder information

See Hawaii salary details

$16

$28

$45

How much do risk adjustment coder jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for risk adjustment coder in Hawaii is $28.56, according to ZipRecruiter salary data. Most workers in this role earn between $19.71 and $35.96 per hour, depending on experience, location, and employer.

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 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.

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 software and compliance.

How to become a risk adjustment coder?

To become a risk adjustment coder, individuals typically need a high school diploma or equivalent, followed by specialized training in medical coding and risk adjustment principles. Certification through organizations like the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA) is often required or preferred, and proficiency with coding tools and medical record review is essential.

Is risk adjustment coding a good career?

Risk adjustment coding is a growing field within healthcare that involves reviewing medical records and assigning codes to accurately reflect patient health status for insurance purposes. It requires knowledge of medical terminology, coding systems like ICD-10, and often certification such as CPC, making it a stable career with opportunities for advancement and specialization.

What job categories do people searching Risk Adjustment Coder jobs in Hawaii look for?

The top searched job categories for Risk Adjustment Coder jobs in Hawaii are:

Infographic showing various Risk Adjustment Coder job openings in Hawaii as of August 2026, with employment types broken down into 71% Full Time, 18% Part Time, and 11% Contract. Highlights an 77% In-person, and 23% Remote job distribution, with an average salary of $59,410 per year, or $28.6 per hour.

Director of Revenue Strategy

Hawai'i Island Community Health Center

Kailua Kona, HI • On-site

$113K - $153K/yr

Full-time

Re-posted 12 days ago


Job description

Director of Revenue Strategy
Hawaiʻi Island Community Health Center (HICHC)

Hawaiʻi Island Community Health Center is seeking an experienced and visionary Director of Revenue Strategy to lead and transform our revenue cycle operations. This key leadership role will drive financial performance, value-based care initiatives, revenue integrity, and operational excellence across the organization.

The Director of Revenue Strategy will work closely with executive leadership to oversee revenue cycle strategy, risk adjustment coding, payer relationships, compliance, analytics, and process improvement initiatives. This position is ideal for a strategic healthcare leader who is passionate about leveraging data, technology, and innovation to improve organizational outcomes and patient care.

Pay Range: $113,262.50 - $153,237.50 annually
Home Location: Kuakini Admin (Kona-based candidates preferred)
Work Arrangement: Hybrid schedule with onsite presence expected 2-3 days per week

Qualifications:

  • Bachelor's degree in Healthcare Administration, Health Information Management, or a related field (Master's preferred)
  • 10+ years of healthcare finance, revenue cycle, or medical informatics experience
  • 6+ years of progressive leadership experience
  • Strong knowledge of revenue cycle management, value-based care, healthcare analytics, and compliance requirements
  • Experience with EPIC, data analytics, and performance improvement initiatives preferred

Join a mission-driven organization dedicated to improving the health and well-being of Hawaiʻi Island communities while helping shape the future of healthcare delivery and financial sustainability.

Apply today and make a lasting impact at HICHC.