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Risk Adjustment Coder Jobs in Iowa (NOW HIRING)

Intermountain Health

PB Coding Supervisor

Des Moines, IA · 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 ...

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Showing results 21-40

All JobsRisk Adjustment Coder JobsRisk Adjustment Coder Jobs in Iowa

Risk Adjustment Coder information

See Iowa salary details

$14

$25

$40

How much do risk adjustment coder jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for risk adjustment coder in Iowa is $25.82, according to ZipRecruiter salary data. Most workers in this role earn between $17.84 and $32.50 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 Iowa? For Risk Adjustment Coder jobs in Iowa, the most frequently searched job titles are:
What job categories do people searching Risk Adjustment Coder jobs in Iowa look for? The top searched job categories for Risk Adjustment Coder jobs in Iowa are:
Risk Adjustment Coder jobs near you
Infographic showing various Risk Adjustment Coder job openings in Iowa as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $53,709 per year, or $25.8 per hour.

Advocacy Coordination Team Specialist

York Risk Services

Dubuque, IA

Full-time

Re-posted 25 days ago

Job description

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies

Certified as a Great Place to Work

Fortune Best Workplaces in Financial Services & Insurance

Advocacy Coordination Team Specialist

PRIMARY PURPOSE:To actively research, resolve, and administer escalated inquires for all lines of business including but not limited to FMLA, Accommodations, and disability claims; and to execute technical and jurisdictional requirements for accurate claims processing, benefit review and interpretation of regulations, financial payment processing, and error correction of complex or high exposure claims.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Analyzes and authorizes claims and determines benefits due pursuant to a plan.
  • Enters and adjusts payments and evaluates file interface to support payment research and resolution.
  • Communicates clearly with claimant and client on all aspects of the claims process including: claim approval, decision authority level to move the call forward, and issue resolution.
  • Facilitates claim resolution with claimant, human resources managers, treating physician's office, client, or other callers.
  • Ensures claims files are coded correctly and that adequate documentation is in the claim.
  • Reviews and analyzes complex medical information (i.e. diagnostic tests, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan and take all necessary action to manage claims process to completion.
  • Informs claimants and client of documentation required to process claims, required timeframes, payment information and claims status.
  • Determines benefits due, makes timely claims payments/approvals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

  • Performs other duties as assigned.
  • Supports the organization's quality program(s).

QUALIFICATIONS

Education & Licensing
Bachelor's degree from an accredited college or university preferred.

Experience
Three (3) years of related experience or equivalent combination of experience and education required to include two (2) years of disability claims experience. Experience with TAMS, Juris, SMART, SIR, viaOne express, GAIN, or other HR system preferred.

Skills & Knowledge

  • Knowledge of ERISA regulations, FMLA, ADAAA, disability procedures and basic clinical terminology.
  • Excellent oral and written communication skills
  • PC literate, including Microsoft Office products
  • Analytical and interpretive skills
  • Excellent interpersonal skills
  • Strong organizational skills
  • Ability to work in a team environment
  • Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental:Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical:Computer keyboarding, travel as required

Auditory/Visual:Hearing, vision and talking

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description.They are not intended to constitute a comprehensive list of functions, duties, or local variances.Management retains the discretion to add or to change the duties of the position at any time.

Sedgwickis an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

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