ZipRecruiter

Log In

1

Risk Adjustment Coder Jobs in Oregon (NOW HIRING)

Cotiviti

Coder 1/HCC Risk Adjustment

$23 - $26.50/hr

We are currently looking for multiple Remote Risk Adjustment / HCC Coders (Coder 1) for full-time permanent positions. See what it's like to work as a Coder at Cotiviti: Responsibilities * Reviews ...

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 ...

Cotiviti

$75K - $105K/yr

... coding, and reporting team leads and will focus on the execution and delivery of the Cotiviti Risk ... Strong knowledge of healthcare required, specifically Risk Adjustment. * A minimum of 3 years of ...

Ascension

Coding and Risk Management

$85K - $115K/yr

Risk Adjustment Schedule: Full time Days | Monday-Friday Salary: $85,666.90-$115,902.58 per year Eligible for an annual bonus incentive How you'll make an impact in this role * Oversee the coders and ...

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 Jul 27, 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 do risk adjustment coders do?

Risk adjustment coders review medical records and assign accurate diagnosis codes to reflect patients' health conditions. Their work helps insurance companies and healthcare organizations assess risk and determine appropriate reimbursements, often using coding systems like ICD-10. Attention to detail and knowledge of coding guidelines are essential for accuracy in this role.

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.

Is HCC coding a good career?

Risk adjustment coders specializing in Hierarchical Condition Category (HCC) coding play a vital role in healthcare reimbursement and risk management. The field offers steady demand, opportunities for certification, and potential for career advancement, especially for those with strong attention to detail and knowledge of medical coding and billing systems.

What are Risk Adjustment Coders?

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.

How to become a risk adjustment coder?

To become a risk adjustment coder, typically one needs a high school diploma or equivalent, followed by completing a coding certification program such as Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC). Experience with medical coding, understanding of healthcare documentation, and proficiency in coding software are also important for this role.

What pays more, CCS or CPC?

As a Risk Adjustment Coder, CPC (Certified Professional Coder) typically offers higher pay than CCS (Certified Coding Specialist) because CPCs are often more versatile and in demand across various healthcare settings. However, salaries can vary based on experience, certification, and geographic location. Both certifications are valuable, but CPCs generally have higher earning potential in the coding field.

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 July 2026, with employment types broken down into 1% As Needed, 82% Full Time, 11% Part Time, and 6% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% 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 • Hybrid

$110K - $150K/yr

Full-time

Posted 11 days ago

Job description

We are currently hiring a Director of Quality and Risk Adjustment! If you are an analytical healthcare leader, quality improvement champion, relationship builder, and value being part of a team that makes a difference, you may be the right person for the position! Apply today!
Classification: EXEMPT | Status amp; Schedule: FULL-TIME, MONDAY – FRIDAY, 8AM – 5PM
Location: HYBRID/ONSITE, this position works remotely and reports to the Coos Bay Office location; travels frequently around Coos and Curry counties
Salary: $4,230.77 - $5,769.23/BI-WEEKLY
Department: QUALITY | Reports to: CHIEF COMPLIANCE amp; QUALITY OFFICER | Supervision Exercised: QUALITY STAFF OVERSIGHT
Job Purpose: Director of Quality and Risk Adjustment
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 position is responsible for establishing quality and risk adjustment frameworks, monitoring organizational performance, ensuring compliance with regulatory and contractual requirements. The Director 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, amp; Experience
  • Bachelor's degree in Healthcare Administration, Public Health, Nursing, Business Administration, Health Information Management, or a related field required
  • Master’s degree in relevant 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 experience
  • Minimum three years’ experience in a medical office, clinic or healthcare administration setting
  • Track record of success providing training, education, and guidance to providers and clinical staff
  • Experience leading, training, and managing a team
  • Certified Professional Coder or Certified Risk Adjustment Coder, willing to obtain within the first year of hire
Essential Responsibilities: Director of Quality and Risk Adjustment
Strategic Leadership and Program Development
  1. Develop and execute the organization's strategic vision for quality improvement, risk adjustment optimization, and performance improvement initiatives.
  2. Provide leadership in the design, implementation, evaluation, and continuous improvement of organizational quality and risk adjustment programs.
  3. Establish departmental goals, objectives, key performance indicators, and performance improvement strategies aligned with organizational priorities.
  4. Serve as a strategic advisor to executive leadership regarding quality outcomes, risk adjustment performance, population health, healthcare transformation, value-based reimbursement and regulatory requirements.
  5. Identify emerging trends, risks, opportunities, and best practices and develop proactive strategies to support organizational success.
  6. Foster a culture of continuous quality improvement, innovation, accountability, and data-driven decision-making throughout the organization.
  7. Collaborate with executive leadership, providers, vendors, community partners, and stakeholders to advance organizational quality and risk adjustment initiatives.
Quality Management
  1. Provide oversight and direction of the Quality Management Improvement (QMI) Program, Transformation and Quality Strategy (TQS), Performance Improvement Projects (PIPs), and related quality initiatives.
  2. Ensure the development, implementation, and monitoring of quality improvement strategies that support contractual obligations, regulatory requirements, organizational goals, and population health outcomes.
  3. Direct the development and utilization of evaluation tools, performance metrics, dashboards, and reporting systems used to monitor organizational performance.
  4. Lead efforts to improve quality performance measures, incentive metrics, healthcare outcomes, member experience, and provider performance.
  5. Monitor organizational performance and implement corrective action plans when performance goals are not achieved.
  6. Oversee the validation, analysis, interpretation, and reporting of quality and performance data.
  7. Ensure compliance with all applicable federal, state, accreditation, contractual, and regulatory quality requirements.
  8. Direct the preparation and submission of required quality reports, performance improvement reports, and contractual deliverables.
  9. Provide leadership to quality-related committees, workgroups, and stakeholder partnerships.
  10. Collaborate with clinical and operational leaders to identify opportunities for systems transformation and process improvement.
  11. Monitor delegated vendor performance related to quality activities and implement corrective actions when necessary.
  12. Oversee readiness activities associated with audits, regulatory reviews, accreditation activities, and external quality reviews.
Risk Adjustment Program Leadership
  1. Provide strategic oversight and direction for all organizational risk adjustment activities.
  2. Develop and implement comprehensive risk adjustment strategies that support organizational performance, revenue optimization, regulatory compliance, and population health goals.
  3. Monitor risk adjustment performance metrics, coding accuracy, documentation integrity, and program effectiveness.
  4. Direct provider education, engagement, and incentive strategies that support accurate clinical documentation and coding practices.
  5. Utilize analytics to identify trends, opportunities, and areas for improvement related to risk adjustment performance.
  6. Oversee relationships and performance of risk adjustment vendors, consultants, and external partners.
  7. Ensure implementation of auditing and monitoring activities to evaluate documentation quality, coding accuracy, and program compliance.
  8. Collaborate with internal departments and external stakeholders to resolve issues affecting risk adjustment performance and compliance.
  9. Develop, implement, and maintain policies, procedures, and workflows supporting risk adjustment activities.
  10. Monitor changes in risk adjustment methodologies, payment models, and regulatory requirements and implement program modifications as needed.
Performance Management and Analytics
  1. Provide strategic oversight of quality performance, risk adjustment analytics, population health metrics, and organizational performance measurement activities.
  2. Develop, monitor, and report key performance indicators, dashboards, scorecards, and other performance measurement tools to support organizational goals and data-driven decision-making.
  3. Analyze quality, risk adjustment, utilization, financial, and population health data to identify trends, care gaps, coding opportunities, performance variances, and opportunities for improvement.
  4. Direct the collection, interpretation, and communication of performance data and outcomes to executive leadership, providers, committees, and key stakeholders.
  5. Collaborate with clinical, operational, and provider teams to develop and implement performance improvement strategies that enhance member outcomes, patient experience, provider performance, and operational effectiveness.
  6. Monitor performance against contractual, regulatory, payer, and organizational benchmarks and develop corrective action plans when performance targets are not achieved.
  7. Ensure the integrity, accuracy, and effective use of quality, risk adjustment, utilization, and population health data to support quality improvement, strategic planning, and organizational performance initiatives.
Essential Responsibilities: ORGANIZATIONAL TEAM MEMBER
  • Participate in quality and organizational process improvement activities when requested
  • Support and contribute to effective safety, quality, and risk adjustment efforts by adhering to established policies and procedures, maintaining a safe environment, promoting accident prevention, and identifying and reporting potential liabilities
  • Openly, clearly, and respectfully share and receive information, opinions, concerns, and feedback in a supportive manner
  • Work collaboratively by mentoring new and existing co-workers, building bridges, and creating rapport with team members across the organization
  • Provide excellent customer service to all internal and external customers, which includes team members, members, students, visitors, and vendors, by consistently exceeding the customer’s expectations
  • Recognize new developments and remain current in care management and coordination best practice standards and anticipate organizational modifications
  • Advance personal knowledge base by pursuing continuing education to enhance professional competence
  • Promote individual and organizational integrity by exhibiting ethical behavior to maintain high standards
  • Represent organization at meetings and conferences as applicable
Essential Responsibilities: Personnel Management
  • Plan, orient and assign work to personnel that supports goals and objectives contained in the organization’s Strategic Plan and delivers outstanding team-based services
  • Promote a culture of risk-management, team-based, values-based, high-performance, and continually improving practice that values learning and a commitment to quality
  • Establish and monitor assigned staff performance, assign accountabilities, set objectives, and establish priorities
  • Ensure the completion of annual Development Reviews for assigned staff and recommend merit wage adjustments as appropriate, per policy
  • Assist in the recruitment, hiring, orientation, development, and evaluation of assigned staff to ensure
  • Promote employee retention, productivity, and satisfaction through ongoing support, encouragement, empowerment, coaching and effective teamwork
  • Ensure staff comply with approved organizational policy and procedure
  • Knowledge of federal and state employment and labor laws
  • Assist employees to read, interpret and apply policies and procedures
  • Support and mobilize assigned staff to engage in their assigned work through implementation of team building, performance coaching and problem-solving strategies
  • Ensure that staff is cross-trained to accomplish the goals and objectives of the organization
  • Responsible to back-up assigned staff workloads when necessary
  • Respond to the needs of direct and indirect staff with clear, open, and honest communication, mutual respect, and consistent follow through to generate trust and enhance personal effectiveness
  • Recommend discharge of employees, when indicated, based on work performance and behaviors
  • Demonstrated teaching ability and experience
Knowledge, Skills, amp; Abilities:
  • Comprehensive knowledge of healthcare quality improvement, population health management, risk adjustment methodologies, value-based care, Medicaid managed care, and applicable federal and state regulatory requirements
  • Demonstrated skill in leading quality and risk adjustment programs; analyzing healthcare data and performance metrics; implementing process improvement initiatives; managing provider engagement strategies; and driving organizational performance through evidence-based decision-making
  • Ability to develop and execute strategic initiatives that improve quality outcomes, health equity, compliance, and financial performance; translate complex data into actionable recommendations; and effectively communicate results to executive leadership, providers, and other stakeholders
  • Strong leadership and relationship-management abilities, including building high-performing teams, fostering cross-functional collaboration, managing competing priorities, and influencing organizational change in a complex healthcare environment
  • Knowledge of clinical documentation improvement, medical coding and classification systems (ICD-10, CPT, HCPCS), HEDIS and other quality measurement frameworks, healthcare analytics, and reporting tools used to support quality and risk adjustment performance
  • Knowledge of evidence-based practices and requirements to evaluate existing standards and implement new procedures
  • Understanding of principles of health care of populations
  • Knowledge of OHP program requirements, benefit package, eligibility categories, and Oregon Division of Medical Assistance Program (MAP) rules and regulations preferred
  • Knowledge of the Oregon Health Authorities Coordinated Care Organization required metrics
  • Understanding of basic concepts of managed care
  • Critical attention to detail for accuracy and timeliness
  • High degree of initiative, judgment, discretion, and decision-making
  • Ability to exercise sound clinical judgment, independent analysis, critical thinking skills, and knowledge of health conditions to determine best outcomes for members
  • Ability to report to work as scheduled, and willingness to work a flexible schedule when needed
  • Proficient in Microsoft Office Suite and Windows Operating System (OS)
  • Training in or awareness of Health Literacy, Poverty Informed, Systemic Oppression, language access and the use of healthcare interpreters, uses of data to drive health equity, Cultural Awareness, Trauma-Informed Care, Adverse Childhood Experiences (ACEs), Culturally and Linguistically Appropriate Service (CLAS) Standards, and universal access
  • Knowledge and understanding of how the positions’ responsibilities contribute to the department and company goals and mission
  • Knowledge of federal and state laws including OSHA, HIPAA, Waste Fraud and Abuse
  • Awareness and understanding of

Apply