$170 - $200/hr
The work is real, the scope is broad, and your decisions directly affect coder productivity and ... Risk Adjustment * Education * Resource Library * Blog * Events * Webinars * Popular Resources
New
$170 - $200/hr
The work is real, the scope is broad, and your decisions directly affect coder productivity and ... Risk Adjustment * Education * Resource Library * Blog * Events * Webinars * Popular Resources
New
Consulting Actuary - ACA Risk Adjustment
Louisville, KY · On-site
$143K - $229K/yr
Medical
Dental
Vision
Retirement
PTO
Strong understanding of diagnosis coding (ICD-10-CM) , provider documentation practices, and their impact on risk adjustment outcomes. * Advanced analytical skills to identify risk adjustment leakage ...
Consulting Actuary - ACA Risk Adjustment
Louisville, KY · On-site
$143K - $229K/yr
Medical
Dental
Vision
Retirement
PTO
Strong understanding of diagnosis coding (ICD-10-CM) , provider documentation practices, and their impact on risk adjustment outcomes. * Advanced analytical skills to identify risk adjustment leakage ...
$150 - $230/hr
... risk adjustment across the continuum of care. This leader serves as the operational bridge between providers, Clinical Documentation Integrity (CDI), Coding, Case Management, Population Health ...
New
$150 - $230/hr
... risk adjustment across the continuum of care. This leader serves as the operational bridge between providers, Clinical Documentation Integrity (CDI), Coding, Case Management, Population Health ...
New
Hierarchical Condition Category (HCC) Coding Specialist
Frankfort, KY · On-site
$41.85/hr
Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS ... Certified Risk Coder (CRC) * Certified Coding Specialist (CCS) * Registered Health Information ...
Hierarchical Condition Category (HCC) Coding Specialist
Frankfort, KY · On-site
$41.85/hr
Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS ... Certified Risk Coder (CRC) * Certified Coding Specialist (CCS) * Registered Health Information ...
Field Nurse Practitioner - Daviess County, KY
Owensboro, KY · On-site
$137.76/hr
Your primary objective will be to assess the overall health and well-being of member beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care.
Field Nurse Practitioner - Daviess County, KY
Owensboro, KY · On-site
$137.76/hr
Your primary objective will be to assess the overall health and well-being of member beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care.
Coder
Louisville, KY · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Coder The Coder reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid and private insurance payments. This role is responsible for coding, charge entry ...
Quick apply
Coder
Louisville, KY · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Coder The Coder reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid and private insurance payments. This role is responsible for coding, charge entry ...
Coder
Lexington, KY · On-site
$16.50 - $22/hr
As a Coder, you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed efficiently. Every day you will accurately translate ...
New
Coder
Lexington, KY · On-site
$16.50 - $22/hr
As a Coder, you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed efficiently. Every day you will accurately translate ...
New
Inpatient Coder
Lexington, KY · On-site
$19 - $23/hr
Summary Baptist Health is looking for an Inpatient Coder to join our team! This is a remote work position that requires residency in KY or IN Function in a fully accountable role with respect to ...
Inpatient Coder
Lexington, KY · On-site
$19 - $23/hr
Summary Baptist Health is looking for an Inpatient Coder to join our team! This is a remote work position that requires residency in KY or IN Function in a fully accountable role with respect to ...
Inpatient Coder
Louisville, KY · Remote
$21 - $25.25/hr
Summary Baptist Health is looking for an Inpatient Coder to join our team! This is a remote work position that requires residency in KY or IN Function in a fully accountable role with respect to ...
Inpatient Coder
Louisville, KY · Remote
$21 - $25.25/hr
Summary Baptist Health is looking for an Inpatient Coder to join our team! This is a remote work position that requires residency in KY or IN Function in a fully accountable role with respect to ...
Inpatient Coder
Louisville, KY · On-site
$21 - $25.25/hr
Summary Baptist Health is looking for an Inpatient Coder to join our team! This is a remote work position that requires residency in KY or IN Function in a fully accountable role with respect to ...
Inpatient Coder
Louisville, KY · On-site
$21 - $25.25/hr
Summary Baptist Health is looking for an Inpatient Coder to join our team! This is a remote work position that requires residency in KY or IN Function in a fully accountable role with respect to ...
Inpatient Coder
Louisville, KY · On-site
$7.25/hr
The coder ensures that accurate and complete coding isperformed so it can be used for measuring and reporting physician and hospital outcomes. The codermaintains an extensive up to date knowledge of ...
Inpatient Coder
Louisville, KY · On-site
$7.25/hr
The coder ensures that accurate and complete coding isperformed so it can be used for measuring and reporting physician and hospital outcomes. The codermaintains an extensive up to date knowledge of ...
Inpatient Coder
Louisville, KY · On-site
$35 - $42/hr
Inpatient Coder Remote (KY or IN) Remote role Compensation: $35 - $42 per hour Contract Length: 3 months with possible extension Hours: 40 hrs/week, Mon-Fri between 7AM - 7PM EST Start Date: ASAP ...
Inpatient Coder
Louisville, KY · On-site
$35 - $42/hr
Inpatient Coder Remote (KY or IN) Remote role Compensation: $35 - $42 per hour Contract Length: 3 months with possible extension Hours: 40 hrs/week, Mon-Fri between 7AM - 7PM EST Start Date: ASAP ...
Medical Coder
Shepherdsville, KY · On-site
$17.50 - $23.50/hr
Medical
Dental
Vision
Life
Retirement
The Medical Coder is a remote position with requirements to be located within 2 hours drive from Shepherdsville, Kentucky. Overview The Medical Coding Specialist ensures the accuracy of medical ...
Medical Coder
Shepherdsville, KY · On-site
$17.50 - $23.50/hr
Medical
Dental
Vision
Life
Retirement
The Medical Coder is a remote position with requirements to be located within 2 hours drive from Shepherdsville, Kentucky. Overview The Medical Coding Specialist ensures the accuracy of medical ...
Outpatient Coder
Louisville, KY · Remote
Outpatient Coder Company: Physician Care Coordination Consultants (PC3) Location: Remote Job Type: Full-time Job Classification: This is an exempt position under the Fair Labor Standards Act (FLSA ...
Outpatient Coder
Louisville, KY · Remote
Outpatient Coder Company: Physician Care Coordination Consultants (PC3) Location: Remote Job Type: Full-time Job Classification: This is an exempt position under the Fair Labor Standards Act (FLSA ...
Certified Coder
Edgewood, KY · On-site
$21.50 - $28.50/hr
Coding certification (CPC-A or CPC) through AAPC or a (CCA or CCS) through AHIMA is required. Other Requirements: Schedules will change as department needs change including overtime, evenings and ...
Certified Coder
Edgewood, KY · On-site
$21.50 - $28.50/hr
Coding certification (CPC-A or CPC) through AAPC or a (CCA or CCS) through AHIMA is required. Other Requirements: Schedules will change as department needs change including overtime, evenings and ...
Outpatient Coder
Louisville, KY · On-site
Outpatient Coder Company: Physician Care Coordination Consultants (PC3) Location: Remote Job Type: Full-time Job Classification: This is an exempt position under the Fair Labor Standards Act (FLSA ...
Outpatient Coder
Louisville, KY · On-site
Outpatient Coder Company: Physician Care Coordination Consultants (PC3) Location: Remote Job Type: Full-time Job Classification: This is an exempt position under the Fair Labor Standards Act (FLSA ...
Outpatient Coder
Louisville, KY · On-site +1
Outpatient Coder Company: Physician Care Coordination Consultants (PC3) Location: Remote Job Type: Full-time Job Classification: This is an exempt position under the Fair Labor Standards Act (FLSA ...
Outpatient Coder
Louisville, KY · On-site +1
Outpatient Coder Company: Physician Care Coordination Consultants (PC3) Location: Remote Job Type: Full-time Job Classification: This is an exempt position under the Fair Labor Standards Act (FLSA ...
Inpatient Coder
Lexington, KY · Remote
$21.50 - $26/hr
Summary Baptist Health is looking for an Inpatient Coder to join our team! This is a remote work position that requires residency in KY or IN Function in a fully accountable role with respect to ...
Inpatient Coder
Lexington, KY · Remote
$21.50 - $26/hr
Summary Baptist Health is looking for an Inpatient Coder to join our team! This is a remote work position that requires residency in KY or IN Function in a fully accountable role with respect to ...
Medical Coder
$17.50 - $23.50/hr
Medical
Dental
Vision
Life
Retirement
The Medical Coder is a remote position with requirements to be located within 2 hours drive from Shepherdsville, Kentucky. Overview The Medical Coding Specialist ensures the accuracy of medical ...
Medical Coder
$17.50 - $23.50/hr
Medical
Dental
Vision
Life
Retirement
The Medical Coder is a remote position with requirements to be located within 2 hours drive from Shepherdsville, Kentucky. Overview The Medical Coding Specialist ensures the accuracy of medical ...
Certified Coder
Crescent Springs, KY · On-site
$21.50 - $28.75/hr
Orthopaedic Care Data Entry And Coding Specialist Contributes in the delivery of excellent orthopaedic care in a patient centered environment by completing data entry and coding for all premier ...
Certified Coder
Crescent Springs, KY · On-site
$21.50 - $28.75/hr
Orthopaedic Care Data Entry And Coding Specialist Contributes in the delivery of excellent orthopaedic care in a patient centered environment by completing data entry and coding for all premier ...
Risk Adjustment Coder information
See Kentucky salary details
$15.92 is the 25th percentile. Wages below this are outliers.
$13.78 - $15.96
26% of jobs
$15.96 - $18.14
9% of jobs
$18.14 - $20.33
12% of jobs
The median wage is $21.42 / hr.
$20.33 - $22.51
9% of jobs
$22.51 - $24.69
11% of jobs
$24.69 - $26.88
5% of jobs
$28.51 is the 75th percentile. Wages above this are outliers.
$26.88 - $29.06
6% of jobs
$29.06 - $31.24
5% of jobs
$31.24 - $33.42
5% of jobs
$33.42 - $35.61
3% of jobs
$35.61 - $37.79
10% of jobs
$13
$23
$37
How much do risk adjustment coder jobs pay per hour?
As of Aug 20, 2026, the average hourly pay for risk adjustment coder in Kentucky is $23.88, according to ZipRecruiter salary data. Most workers in this role earn between $16.49 and $30.05 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?
| Aspect | Risk Adjustment Coder | Medical Coder |
|---|---|---|
| Certifications | CPR, RHIT, CCS, or CPC often preferred | CCS, CPC, or CPC-H |
| Work Environment | Healthcare facilities, insurance companies, remote | Hospitals, clinics, physician offices |
| Industry Usage | Health plans, risk adjustment programs | General 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 are popular job titles related to Risk Adjustment Coder jobs in Kentucky?
For Risk Adjustment Coder jobs in Kentucky, the most frequently searched job titles are:
What job categories do people searching Risk Adjustment Coder jobs in Kentucky look for?
The top searched job categories for Risk Adjustment Coder jobs in Kentucky are:
What cities in Kentucky are hiring for Risk Adjustment Coder jobs?
Cities in Kentucky with the most Risk Adjustment Coder job openings:
$170 - $200/hr
Other
Posted 2 days ago
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Datavant rating
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Based on 103 frontline employees who took The Breakroom Quiz
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Senior Product Manager, Retrospective Risk Adjustment Coding7707 Remote - United States Full-time regular
Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health.
By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare.
What We’re Looking For
Datavant is migrating its entire retrospective risk adjustment coding platform to next-generation infrastructure and this role sits at the center of that transformation. As Senior PM for Coding Data Platform, you will own the data strategy that moves medical data reliably from customers and internal Datavant partners into the hands of users every day.
You will define the roadmap for data ingestion, pipeline reliability, scalability and usage patterns. Beyond the immediate roadmap, this role offers something rarer: the opportunity to develop genuine depth in healthcare data. You will understand how clinical data flows from payer to retrieval to coding; how it gets ingested, transformed, and structured and you will have direct influence over how the underlying platform infrastructure is optimized for downstream consumption by AI models, reporting tools, and client-facing products. If you want to be the person who truly understands the data layer in a healthcare AI company, this is that seat.
This is a high-visibility role at the intersection of product, data engineering, ML platform, operations, and client success, with direct influence over the pace and quality of client migrations to Datavant's flagship coding platform. The work is real, the scope is broad, and your decisions directly affect coder productivity and client outcomes, with clear senior sponsorship and visibility to VP and C‑suite.
What You Will Do
- Roadmap & Strategy: Own the product roadmap for the Coding Data Platform. Prioritize across engineering, client, and platform demands and communicate tradeoffs to senior leadership.
- Data Integration: Lead Integration strategies with clients and Datavant’s retrieval business and transition to the new Document Services layer, including adoption of universal document identifiers across coding systems.
- Pipeline Automation: Drive automation of the project setup lifecycle, from data receipt to its availability downstream to end users and define the metrics that make pipeline performance visible and actionable.
- Client Data Onboarding: Maintain standardized data specifications and ingestion profiles across MA, ACA, and Medicaid programs. Ensure HIPAA and CMS compliance and reduce manual configuration errors.
- Migration Support: Define dual-load strategies, rollback windows, and project routing logic to support client migrations to the next generation platform
- Cross-functional Coordination: Serve as the connective tissue across Data Integration, ML Platform, Data Engineering, Business Intelligence, Retrieval, Operations and Client Success owning RACI clarity and unblocking dependencies.
What You Need to Succeed
- Experience: 5+ years of product management experience, with at least 2 years in data platform, data integration. Experience as PM at the center of a multi-team platform migration.
- Technical fluency in data pipeline concepts, including pipeline architecture, database replication, API design without needing to write code.
- Execution-Oriented Comfortable owning complex problems and delivering results in fast-paced, ambiguous environments.
What Helps You Stand Out
- Experience with cloud-based document repositories, Snowflake/Databricks, or OCR/document ingestion pipelines.
We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.
At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services.
The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job.
The estimated total cash compensation range for this role is: $170,000 — $200,000 USD
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case‑by‑case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy‑related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren’t even able to see whether you’ve responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request ithere, by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis.
For more information about how we collect and use your data, please review our Privacy Policy.
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About Datavant
Sourced by ZipRecruiter
Industry
Software development
Company size
51 - 200 Employees
Headquarters location
San Francisco, CA, US
Year founded
2017