ZipRecruiter

Log In

1

Risk Adjustment Coder Jobs in Oregon (NOW HIRING)

HealthEdge

The Director, Risk Adjustment Products will lead the strategy, roadmap, and execution for the ... Work with various departments, including revenue management, coding, and compliance, to align ...

Centene

Sr. Actuarial Analyst - Risk Adjustment

OR · On-site +1

$70K - $126K/yr

The Senior Actuarial Analyst is responsible for supporting risk adjustment programs by ensuring the ... This role partners with clinical, operational, and coding to improve documentation accuracy and ...

Cotiviti

... coder as certified by either AAPC or AHIMA). CRC a plus. * BS Degree preferred. May be substituted for 10+ years of medical coding/record abstraction experience. * 10+ years of HCC or Risk Adjustment ...

Scout Exchange

Inpatient Facility Medical Coder

Clackamas, OR · On-site

$19.75 - $26.25/hr

Demonstrates knowledge and understand of CMS HCC Risk Adjustment coding. Routinely performs chart analysis to identify areas of the medical record that contain incomplete, inaccurate or inconsistent ...

Veracity

Coding Auditor, Facility

Clackamas, OR · On-site

$28.75 - $32.50/hr

Demonstrates knowledge and understand of CMS HCC Risk Adjustment coding. · Routinely performs chart analysis to identify areas of the medical record that contain incomplete, inaccurate or ...

Scout Exchange

Coding Auditor, Facility

Clackamas, OR · On-site

$28.75 - $32.50/hr

Demonstrates knowledge and understand of CMS HCC Risk Adjustment coding. * Routinely performs chart analysis to identify areas of the medical record that contain incomplete, inaccurate or ...

Cotiviti

Senior AI Engineer

$128K - $164K/yr

Experience in Risk Adjustment coding Cognitive/Metal Requirements: * Ability to work independently as well as collaborate as a team with a sense of urgency. * Professional with ability to properly ...

next page

Showing results 1-20

All JobsRisk Adjustment Coder JobsRisk Adjustment Coder Jobs in Oregon

Risk Adjustment Coder information

See Oregon salary details

$16

$29

$46

How much do risk adjustment coder jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for risk adjustment coder in Oregon is $29.07, according to ZipRecruiter salary data. Most workers in this role earn between $20.10 and $36.59 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 Oregon? For Risk Adjustment Coder jobs in Oregon, the most frequently searched job titles are:
What job categories do people searching Risk Adjustment Coder jobs in Oregon look for? The top searched job categories for Risk Adjustment Coder jobs in Oregon are:
What cities in Oregon are hiring for Risk Adjustment Coder jobs? Cities in Oregon with the most Risk Adjustment Coder job openings:
Risk Adjustment Coder jobs near you
Infographic showing various Risk Adjustment Coder job openings in Oregon as of August 2026, with employment types broken down into 2% As Needed, 90% Full Time, 6% Part Time, and 2% Temporary. Highlights an 82% In-person, 2% Hybrid, and 16% Remote job distribution, with an average salary of $60,458 per year, or $29.1 per hour.

Director of Quality and Risk Adjustment

DOCS Management Services

Coos Bay, OR • On-site

$140 - $190/hr

Other

Posted 26 days ago

Job description

Overview

Position: Director of Quality and Risk Adjustment

Location: Coos Bay, OR • Hybrid (onsite/remote)

Job Id: 309 • # of Openings: 1

The Director of Quality and Risk Adjustment provides strategic leadership for the development, implementation, oversight, and continuous improvement of organizational quality, risk adjustment, population health, and performance improvement programs. This role collaborates with leadership, providers, and cross-functional teams to improve member outcomes, support value-based care initiatives, enhance revenue integrity, and drive organizational performance through data-informed decision making.

Qualifications, Education & Experience
  • Bachelor’s degree in Healthcare Administration, Public Health, Nursing, Business Administration, Health Information Management, or a related field required
  • Master’s degree in a related field strongly preferred
  • Minimum of five years of progressively responsible leadership experience in healthcare quality improvement, performance improvement, risk adjustment, managed care, value-based payment models, or related healthcare operations
  • Three to five years’ experience in Medicaid risk adjustment and coding
  • Minimum three years’ experience in a medical office, clinic, or healthcare administration setting
  • Experience training, educating, and guiding providers and clinical staff; experience leading and managing a team
  • Certified Professional Coder or Certified Risk Adjustment Coder, willing to obtain within the first year of hire
Essential Responsibilities
  • Develop and execute the organization’s strategic vision for quality improvement, risk adjustment optimization, and performance improvement initiatives
  • Lead design, implementation, evaluation, and continuous improvement of quality and risk adjustment programs
  • Establish departmental goals, KPIs, and performance improvement strategies aligned with organizational priorities
  • Advise executive leadership on quality outcomes, risk adjustment performance, population health, value-based reimbursement, and regulatory requirements
  • Identify trends, risks, opportunities, and best practices; develop proactive strategies to support organizational success
  • Foster a culture of continuous quality improvement, accountability, and data-driven decision-making
  • Collaborate with leaders, providers, vendors, and stakeholders to advance quality and risk adjustment initiatives
Quality Management
  • Oversee the Quality Management Improvement (QMI) Program, Transformation and Quality Strategy (TQS), and related quality initiatives
  • Develop and monitor quality improvement strategies that support contractual obligations, regulatory requirements, and population health
  • Direct the development of evaluation tools, performance metrics, dashboards, and reporting systems
  • Lead efforts to improve quality performance measures, incentive metrics, outcomes, member experience, and provider performance
  • Monitor performance and implement corrective action plans as needed
  • Oversee data validation, analysis, interpretation, and reporting of quality and performance data
  • Ensure compliance with applicable federal, state, accreditation, contractual, and regulatory quality requirements
  • Prepare and submit quality reports, performance improvement reports, and contractual deliverables
  • Provide leadership to quality-related committees, workgroups, and partnerships
  • Collaborate to identify opportunities for systems transformation and process improvement
  • Monitor delegated vendor performance and implement corrective actions when necessary
  • Oversee readiness activities for audits, regulatory reviews, accreditation, and external quality reviews
  • Provide strategic direction for all organizational risk adjustment activities and related strategies
  • Monitor risk adjustment performance metrics, coding accuracy, and documentation integrity
  • Direct provider education, engagement, and incentive strategies to support accurate documentation and coding
  • Utilize analytics to identify trends and opportunities for risk adjustment improvement
  • Oversee relationships with risk adjustment vendors and external partners
  • Implement auditing and monitoring activities to evaluate documentation quality and program compliance
  • Collaborate with internal and external stakeholders to resolve risk adjustment issues
  • Develop and maintain policies, procedures, and workflows for risk adjustment activities
  • Monitor changes in risk adjustment methodologies and regulatory requirements
Performance Management & Analytics
  • Provide strategic oversight of quality performance, risk adjustment analytics, and population health metrics
  • Develop and report KPIs, dashboards, and scorecards to support data-driven decisions
  • Analyze data to identify trends, care gaps, and opportunities for improvement in quality and risk adjustment
  • Communicate performance data to executives, providers, and stakeholders
  • Collaborate to implement performance improvement strategies that enhance member outcomes and operational effectiveness
  • Monitor performance against contractual, regulatory, payer, and organizational benchmarks and develop corrective actions as needed
  • Ensure data integrity and effective use of data to support improvement initiatives
  • Participate in process improvement activities and promote a culture of risk management and quality
  • Foster ethics, integrity, and professional conduct; represent the organization at meetings and conferences as applicable
Knowledge, Skills & Abilities
  • Comprehensive knowledge of healthcare quality improvement, population health, risk adjustment, value-based care, Medicaid managed care, and regulatory requirements
  • Ability to lead programs, analyze data, implement improvements, engage providers, and drive performance through evidence-based decisions
  • Ability to translate complex data into actionable recommendations and communicate results to leadership and stakeholders
  • Strong leadership, relationship management, and cross-functional collaboration skills
  • Knowledge of clinical documentation improvement, medical coding (ICD-10, CPT, HCPCS), HEDIS, and quality measurement frameworks
  • Understanding of managed care concepts and basic health equity considerations
  • Attention to detail, initiative, judgment, and decision-making
  • Proficiency in Microsoft Office and Windows OS
  • Ability to work with diverse populations and handle sensitive situations professionally
  • Knowledge of federal and state laws including OSHA, HIPAA, and other relevant regulations
Working Conditions

This position may be primarily remote with occasional onsite work. Travel locally may be required; own transportation may be necessary. Hours may vary based on operational needs.

Other Information

This job description is intended to provide basic guidelines for meeting job requirements. It is not a comprehensive listing of activities, duties, or responsibilities and may change at any time with or without notice.

#J-18808-Ljbffr

Apply