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Risk Adjustment Coder Jobs in Ohio (NOW HIRING)

APS Medical

Coder

Toledo, OH · On-site +1

$45K - $54K/yr

$45,000.00 to $54,000.00 annually APS Medical Billing located in Toledo, Ohio is seeking certified professional coders with experience in surgical pathology or diagnostic radiology to become part of ...

Kettering Health

Director - HIMS

Miamisburg, OH · On-site

Lead initiatives that improve coding accuracy, documentation completeness, case-mix index, risk adjustment, denial prevention, quality outcomes, and reimbursement integrity. * Serve as a strategic ...

Wooster Community Hospital

BMS CODER

Wooster, OH · On-site

$18.69 - $28.03/hr

Job Summary The Coder is responsible to review, abstract and assign appropriate CPT/HCPC and ICD 10 codes to all BMS clinic visits as well as services provided by BMS providers in the hospital ...

Wooster Community Hospital

BMS CODER

Wooster, OH · On-site

$18.69 - $28.03/hr

Job Summary The Coder is responsible to review, abstract and assign appropriate CPT/HCPC and ICD 10 codes to all BMS clinic visits as well as services provided by BMS providers in the hospital ...

Medic Management Group LLC

Coder I

Beachwood, OH · On-site +1

The Coder I is responsible to lead our billing team to obtain accurate reimbursement for our providers' claims. This is done through thoroughly reviewing, analyzing, and coding both diagnostic and ...

Medic Management Group LLC

Coder I

Beachwood, OH · On-site

The Coder I is responsible to lead our billing team to obtain accurate reimbursement for our providers' claims. This is done through thoroughly reviewing, analyzing, and coding both diagnostic and ...

DaMar Staffing

BMS CODER

Wooster, OH · On-site

$60 - $80/hr

Job Summary The Coder is responsible to review, abstract and assign appropriate CPT/HCPC and ICD 10 codes to all BMS clinic visits as well as services provided by BMS providers in the hospital ...

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All JobsRisk Adjustment Coder JobsRisk Adjustment Coder Jobs in Ohio

Risk Adjustment Coder information

See Ohio salary details

$15

$26

$41

How much do risk adjustment coder jobs pay per hour?

As of Sep 8, 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 September 2026, with employment types broken down into 1% As Needed, 85% Full Time, 9% Part Time, 4% Contract, and 1% Nights. Highlights an 82% Physical, 4% Hybrid, and 14% Remote job distribution, with an average salary of $54,363 per year, or $26.1 per hour.

Coder Professional - Coder Professional

Lima Memorial Hospital

Lima, OH • On-site

Other

Re-posted 19 days ago

Lima Memorial Health System rating

6.2

Company rating: 6.2 out of 10

Based on 16 frontline employees who took The Breakroom Quiz

Job description

Coder - Professional

Functioning within the health system# mission, values, objectives, procedures and policies, the Coder - Professional codes all physician office medical records as assigned by reviewing the entire medical record to determine if the documentation supports the code assignment as well as reviewing the chart for any specific regulations such as medical necessity.

Education: An associate#s degree or completion of a certified coding program is required.

Licensure/Certification: Current CPC or AHIMA Certified Physician Coder is required. Will consider candidate who is actively enrolled in certification program. To retain position, if individual without a current certification is hired into a Coder - Professional position, s/he must successfully obtain certification within one year of hire.

Experience: A minimum of two years of coding experience in a physician#s office or hospital setting is preferred.

Skills: Must be knowledgeable in grouper mechanics, medical necessity, clinical documentations, RAC#s and other review processes and demonstrate proficiency with reimbursement and MS-DRG#s. Basic competency with Word and Excel is also required. Knowledge of Quantim encoder and Meditech is strongly preferred.

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