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Risk Adjustment Coder Jobs in Ohio (NOW HIRING)

Centerwell

Risk Adjustment Coding Analyst

Columbus, OH · On-site

Become a part of our caring community The Risk Adjustment Coding Analyst provides operational, analytical, and administrative support to business leaders and teams. You will analyze data to support ...

New

Premier Health

PHYSICIAN ADVISOR

Dayton, OH · On-site

This role focuses on optimizing case mix index (CMI), risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding, and Quality teams. The Physician Advisor ...

Premier Health

PHYSICIAN ADVISOR

Dayton, OH

This role focuses on optimizing case mix index (CMI), risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding, and Quality teams. The Physician Advisor ...

Premier Health

PHYSICIAN ADVISOR

Dayton, OH · On-site

This role focuses on optimizing case mix index (CMI), risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding, and Quality teams. The Physician Advisor ...

Premier Health

PHYSICIAN ADVISOR

Dayton, OH

This role focuses on optimizing case mix index (CMI), risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding, and Quality teams. The Physician Advisor ...

Premier Health

PHYSICIAN ADVISOR

Dayton, OH · On-site

This role focuses on optimizing case mix index (CMI), risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding, and Quality teams. The Physician Advisor ...

Purposelink Recruitment

Remote Nurse Practitioner

OH · Remote

Familiarity with HCC coding, risk adjustment, STAR ratings, and HEDIS quality measures * Background in home‑based care, transitional care, or chronic disease management Overview Salary 135k Join ...

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Risk Adjustment Coder information

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$41

How much do risk adjustment coder jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for risk adjustment coder in Ohio is $26.14, according to ZipRecruiter salary data. Most workers in this role earn between $18.08 and $32.88 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 popular job titles related to Risk Adjustment Coder jobs in Ohio?

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

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

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

What cities in Ohio are hiring for Risk Adjustment Coder jobs?

Cities in Ohio with the most Risk Adjustment Coder job openings:

Risk Adjustment Coder jobs near you
Infographic showing various Risk Adjustment Coder job openings in Ohio as of August 2026, with employment types broken down into 1% As Needed, 91% Full Time, 6% Part Time, and 2% Contract. Highlights an 87% Physical, 5% Hybrid, and 8% Remote job distribution, with an average salary of $54,363 per year, or $26.1 per hour.

Risk Adjustment Coding Analyst

Centerwell

Columbus, OH • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

New

CenterWell rating

9.0

Company rating: 9.0 out of 10

Based on 10 frontline employees who took The Breakroom Quiz

Job description

Become a part of our caring community

The Risk Adjustment Coding Analyst provides operational, analytical, and administrative support to business leaders and teams. You will analyze data to support decision-making, performance monitoring, project tracking, and partner communication.

  • You will develop recurring dashboards and reports that support operational oversight, analytics, compliance monitoring, and leadership decision-making.

  • You will analyze operational trends, variances, aging, volumes, activity breakdowns, and performance changes; summarize findings in a clear business narrative with important takeaways and recommended next steps.

  • Prepare executive-ready summaries, presentations, and written analyses that explain the "story behind the data" rather than relying solely on raw reports or pivot tables.

  • Support recurring and ad hoc reporting needs, including dashboard maintenance, pending work analyses, activity tracking, audit reporting, GenAI-related reporting, CDI tracking, query tracking, and other priorities.

  • Partner with leaders and teams to define reporting needs, resolve data issues, and support interpretation of results.

  • Document active deliverables, reporting schedule, data sources, process notes, dependencies, risks, and transition plans to ensure business continuity knowledge transfer.

  • You will manage priorities, meet deadlines, escalate barriers, and make independent decisions regarding work methods within established guidelines.

  • Maintain confidentiality and handle sensitive business, operational, and healthcare-related information observing organizational policies and compliance expectations.

  • Improve reporting processes by identifying opportunities to improve manual work, strengthen data quality, enhance partner usability, and improve the clarity of deliverables.

Use your skills to make an impact

Required Qualifications:

  • Bachelor's degree or equivalent experience in business, analytics, healthcare administration, operations, information management, or a related field.

  • Experience supporting operations, analytics, project coordination, or administrative responsibilities.

  • Proficiency with Microsoft Office Suite with the ability to organize data, create summaries, and support presentation-ready deliverables.

  • Validate data, identify trends, compare time periods, calculate changes, and explain findings in concise language.

  • Produce written summaries including main insights, and recommend next steps for leadership review.

  • Validate calculations, removing duplicates, and confirming assumptions before sharing deliverables.

  • Partner across teams and translate partner requests into applicable reporting or documentation.

  • Maintain confidentiality and handle sensitive operational, employee, provider, member, and business information.

  • Experience improving business processes, partner experience, and operational outcomes through accurate reporting and applicable insights.

Preferred Qualifications:

  • Experience managing dashboards, trackers, scorecards, or recurring performance reports.

  • Experience with Excel-based analysis, Power BI, SharePoint, OneDrive, Teams, or other collaboration and reporting platforms.

  • Experience supporting healthcare operations, risk adjustment, coding operations, audit reporting, CDI tracking, provider education reporting, or similar regulated activities.

  • Convert complex data into executive-ready summaries, visual tables, trend narratives, and partner-facing updates.

  • Experience documenting processes, creating transition plans, maintaining report inventories, and supporting knowledge transfer.

  • Comfort working with latest tools, including AI-assisted summaries or analytics, while validating outputs for accuracy before use.

  • Identify data discrepancies, clarify definitions, align reporting logic, and support interpretation across partners.

#LI-CM1

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$58,700 - $70,400 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 09-18-2026

About us

About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient's well-being.

About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at?CenterWell.com.

?

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources

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