ZipRecruiter

Log In

1

Risk Adjustment Coder Jobs in Boston, MA (NOW HIRING)

Community Care Cooperative

Risk Coder

Boston, MA · On-site

$24.75 - $32.75/hr

The Certified Risk Coder has experience in risk adjustment, outpatient primary care and/or behavioral health condition coding, billing compliance, and coding quality assurance protocols. The person ...

Community Care Cooperative

Risk Coder

Boston, MA · On-site

$50K - $57K/yr

The Certified Risk Coder has experience in risk adjustment, outpatient primary care and/or behavioral health condition coding, billing compliance, and coding quality assurance protocols. The person ...

US Tech Solutions

Medical Billing Coder

Wellesley, MA · Remote

$20.50 - $27.50/hr

Collect and document chart and coding information as required for Commercial Risk Adjustment and Medicare Advantage Risk Adjustment Client's data collection procedures and systems. * Assist with ...

Lynn Community Health Center

Medical Coder II

Lynn, MA · On-site

$22.20 - $29.88/hr

Serves as a resource for clinical teams to address risk adjustment and medical coding guidelines and updates. * Communicates and addresses documentation issues and variances nursing staff, physicians ...

Daymark Health

Manager, Revenue Cycle Management

Boston, MA · On-site

$120K - $135K/yr

Experience with HCC coding, risk adjustment suspecting, and chart review workflows * Familiarity with AI applications in RCM and a genuine interest in applying them * Experience at a startup or high ...

DRC Systems

Technical Lead - Data Analysis

Boston, MA · Remote

$50 - $54/hr

Strong understanding of medical economics, risk adjustment, quality measures, and population health ... Experience integrating or validating AI-powered coding or analytics tools * Exposure to model QA, ...

Brockton Hospital

Coder

West Bridgewater, MA · On-site

Under the general supervision of the Ambulatory Coding Manager, the primary function of the coder is to ensure accurate documentation, coding (CPT/HCPCS/ICD10) and billing of service provided. The ...

Signature HealthCARE

Coder

West Bridgewater, MA · On-site

Coder Under the general supervision of the Ambulatory Coding Manager, the primary function of the coder is to ensure accurate documentation, coding (CPT/HCPCS/ICD10) and billing of service provided.

Signature Healthcare

Coder

West Bridgewater, MA · On-site

Under the general supervision of the Ambulatory Coding Manager, the primary function of the coder is to ensure accurate documentation, coding (CPT/HCPCS/ICD10) and billing of service provided. The ...

Signature Healthcare

Coder

West Bridgewater, MA

Under the general supervision of the Ambulatory Coding Manager, the primary function of the coder is to ensure accurate documentation, coding (CPT/HCPCS/ICD10) and billing of service provided. The ...

next page

Showing results 1-20

All JobsRisk Adjustment Coder JobsRisk Adjustment Coder Jobs in Boston, MA

Risk Adjustment Coder information

See Boston, MA salary details

$17

$29

$47

How much do risk adjustment coder jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for risk adjustment coder in Boston, MA is $29.86, according to ZipRecruiter salary data. Most workers in this role earn between $20.62 and $37.60 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 Boston, MA? For Risk Adjustment Coder jobs in Boston, MA, the most frequently searched job titles are:
What job categories do people searching Risk Adjustment Coder jobs in Boston, MA look for? The top searched job categories for Risk Adjustment Coder jobs in Boston, MA are:
Risk Adjustment Coder jobs near you
Infographic showing various Risk Adjustment Coder job openings in Boston, MA as of August 2026, with employment types broken down into 83% Full Time, and 17% Contract. Highlights an 58% In-person, and 42% Remote job distribution, with an average salary of $62,119 per year, or $29.9 per hour.

Risk Coder

Community Care Cooperative

Boston, MA • On-site

$24.75 - $32.75/hr

Other

Re-posted 8 days ago

Job description

Title: Certified Risk Coder
Reports to: Manager, Risk Coding
Classification: Individual Contributor
Location: Boston (Remote)
Job description revision number and date: 2.0, 01.06.2025
Organization Summary:
Community Care Cooperative (C3) is a 501(c)(3) non-profit, Accountable Care Organization (ACO) governed by Federally Quality Health Centers (FQHCs). Our mission is to leverage the collective strengths of FQHCs to improve the health and wellness of the people we serve. We are a fast-growing organization founded in 2016 with 9 health centers and now serving hundreds of thousands of beneficiaries who receive primary care at health centers and independent practices across Massachusetts. We are an innovative organization developing new partnerships and programs to improve the health of members and communities, and to strengthen our health center partners.
Job Summary:
The Certified Risk Coder will be a part of an emerging coding team and coding service that performs retrospective and prospective risk coding reviews and completes provider training for a group of outpatient primary care practices across Massachusetts. In so doing, the Certified Risk Coder will use knowledge of appropriate coding, combined expertise in claims submission processes to improve the accuracy of documentation. This work ultimately leads to a greater understanding of the patient's complexity while ensuring accurate risk adjustment for patient care. The Certified Risk Coder has experience in risk adjustment, outpatient primary care and/or behavioral health condition coding, billing compliance, and coding quality assurance protocols. The person in this role will report to the Manager, Risk Coding, and interface with an internal team of Practice Transformation Managers, as well as staff at FQHCs.
Responsibilities:
  • Serves as an expert on ICD-10-CM coding guidelines, AHA Coding Clinic Guidance and MassHealth Risk Adjustment guidance
  • Completes record review with a high degree of familiarity with common EHRs, especially Epic, NextGen, Centricity, and eCW
  • Assists in the compilation and delivery of project reports and facilitates provider-facing interactions
  • Completes internal audits per quality assurance protocols
  • Facilitates allowable modifications to the bill to ensure accuracy, involving extensive interaction with FQHC billing and operations staff departments
  • Assists in chart preparation for providers in advance of appointments
  • Communicates with provider education team on observed trends to improve documentation
  • Utilizes population health reporting tools to assist in the identification of patients and conditions in need of review and improvement
  • Identifies opportunities for FQHC risk score improvement
  • Performs other duties as assigned
Required Skills:
The Certified Risk Coder must be innovative, comfortable with ambiguity, well-organized, and committed to moving quickly and collaboratively as a member of an emerging team within a fast-paced organization. They must communicate clearly and succinctly in writing and verbally across multiple tiers of the organization, from leadership to individual providers and health center staff. Additionally, they must have a strong commitment to quality assurance and exceptional customer service.
  • 0-5 years of risk coding experience
  • 0-5 years of medical billing experience in an outpatient setting, preferably in primary care, pediatrics, or behavioral health
  • In-depth knowledge of medical terminology, anatomy, physiology, and disease process
  • Knowledge of electronic health record systems: Epic, NextGen, Centricity, and eCW preferred
  • Expertise in Medicaid and/or Medicare risk adjustment models
  • Billing compliance expertise required
  • Self-starter; exercises high degree of initiative, judgement, discretion and decision making to achieve objectives
  • Familiarity with Excel
  • Performs with great integrity and produces accurate work with close attention to detail, especially in the completion of final deliverables to internal and external stakeholders
Desired Other Skills:
  • Familiarity with the MassHealth ACO program
  • Familiarity with Federally Qualified Health Centers
  • Experience with anti-racism activities, and/or lived experience with racism is highly preferred
Qualifications:
  • Certified Risk Coding (CRC) Certification through AAPC required

** In compliance with Infection Control practices per Mass.gov recommendations, we require all employees to be vaccinated consistent with applicable law. **

Apply