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Risk Adjustment Coder Jobs in Minnesota (NOW HIRING)

Familiarity with Risk Adjustment Documentation, Coding practices and NCQA quality metric experience preferred * Bachelor's degree in Mathematics, Statistics, Health Informatics or similar research ...

Experience with the CMS HCC Risk Adjustment Model and Medical Record Review/Provider Documentation Validation is preferred. What You'll Do * Apply understanding of relevant medical coding subject ...

Perform CMS-HCC/Risk Adjustment coding and medical record review when applicable. * Apply ICD-10-CM, CPT, HCPCS, and modifier coding guidelines. * Review documentation for completeness, accuracy, and ...

Preferably with experience in CMS HCC Risk Adjustment Model; Medical Record Review Provider Documentation Validation * Apply understanding of relevant medical coding subject areas (e.g., diagnosis ...

Sr Med

Minneapolis, MN · On-site

$20/hr

Preferably with experience in CMS HCC Risk Adjustment Model; Medical Record Review Provider Documentation Validation * Apply understanding of relevant medical coding subject areas (e.g., diagnosis ...

Sr Med

Minneapolis, MN · On-site

$20/hr

Preferably with experience in CMS HCC Risk Adjustment Model; Medical Record Review Provider Documentation Validation * Apply understanding of relevant medical coding subject areas (e.g., diagnosis ...

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Risk Adjustment Coder information

See Minnesota salary details

$15

$26

$42

How much do risk adjustment coder jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for risk adjustment coder in Minnesota is $26.93, according to ZipRecruiter salary data. Most workers in this role earn between $18.61 and $33.89 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 are the most commonly searched types of Risk Adjustment Coder jobs in Minnesota?

The most popular types of Risk Adjustment Coder jobs in Minnesota are:

What are popular job titles related to Risk Adjustment Coder jobs in Minnesota?

For Risk Adjustment Coder jobs in Minnesota, the most frequently searched job titles are:

Infographic showing various Risk Adjustment Coder job openings in Minnesota as of August 2026, with employment types broken down into 1% As Needed, 87% Full Time, 6% Part Time, and 6% Contract. Highlights an 85% Physical, 5% Hybrid, and 10% Remote job distribution, with an average salary of $56,005 per year, or $26.9 per hour.

Risk Adjustment Coding Analyst Senior

HealthPartners

Bloomington, MN • Remote

Full-time

Posted 7 days ago


HealthPartners rating

7.6

Company rating: 7.6 out of 10

Based on 136 frontline employees who took The Breakroom Quiz

189th of 893 rated healthcare providers


Job description

HealthPartners is hiring a Risk Adjustment Coding Analyst Senior. 

This position is responsible for diagnosis coding review and vendor coding quality assurance; working to ensure that plan performance and plan revenue is based on an accurate representation of our population's care needs and risks.


 ACCOUNTABILITIES: 

  1. Performs retrospective chart review for diagnosis coding accuracy.
  2. Identifies, analyzes, and reports coding error trends to inform risk adjustment analytics and deliver provider education.
  3. Reviews vendor coding and provide recurring feedback and education to vendor team.
  4. Participates in internal and CMS-mandated risk adjustment data validation review.
  5. Identifies, documents, and messages process improvements, clinical documentation improvements and/or other educational opportunities.
  6. Develops and performs training and educational seminars to physicians and advanced practice providers on risk adjustment topics.
  7. Increases collaborative efforts between HealthPartners Health Plan and HealthPartners Medical Group as it relates to optimization of diagnosis coding.
  8. Analyzes and organizes complex information for effective reporting to leadership.
  9. Conducts daily work consistent with HealthPartners core values and comply with all federal and state regulations.
  10. Maintains confidentiality of protected health information.
  11. Increases organizational efficiency in daily operations.
  12. Responsible for other duties as assigned.

REQUIRED QUALIFICATIONS: 

  • High School Diploma or GED or Associate's degree in a related field
  • One of the following credentials required: RHIA, RHIT, CPC, CCS, CCS-P
  • Certified Risk Adjustment Coder (CRC) credential
  • Minimum of five years experience with diagnosis coding review as a certified coder
  • Demonstrated working knowledge of the revenue cycle process, claims processing, retrospective chart review process, compliance and federal/state regulations, CPT, ICD-9, and ICD-10 coding
  • Identify issues and formulate solutions relating to retrospective chart review process improvement initiatives
  • Understand and communicate clinical documentation requirements for correct coding and to ensure integrity of the medical record
  • Skill and experience in effectively collaborating with team members & others using oral, written and interpersonal communications
  • PC skills in Microsoft Word and Excel
  • Organize and prioritize multiple assignments
  • Ability to deal with change and ambiguity
  • Able to work, both, as a team member or independently


PREFERRED QUALIFICATIONS:

  • Four year college degree
  • Experience working with Epic


 


 


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