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

South Shore Health

Professional Coder

Weymouth, MA · On-site

$26.30 - $37.60/hr

Day (United States of America) The Professional Surgical Coder I is responsible for the accurate and timely assignment of ICD-10-CM, CPT, and E/M codes for inpatient and outpatient services. This ...

South Shore Health

Professional Coder

South Weymouth, MA · On-site

$26.30 - $37.60/hr

Professional Surgical Coder I The Professional Surgical Coder I is responsible for the accurate and timely assignment of ICD-10-CM, CPT, and E/M codes for inpatient and outpatient services. This role ...

South Shore Health

Professional Coder

Weymouth, MA · Remote

$26.30 - $37.60/hr

Summary The Professional Surgical Coder I is responsible for the accurate and timely assignment of ICD-10-CM, CPT, and E/M codes for inpatient and outpatient services. This role reviews clinical ...

Integrated Resources INC

Medical Coder

Cambridge, MA

$20.50 - $27.25/hr

Medical Coder (/Medical coding) Duration: 10 Months+ (Possible Extension) Job Summary: The Medical Coder is responsible for conducting centralized medical coding activities using agEncoder as part of ...

Integrated Resources INC

Medical Coder

Cambridge, MA

$20.50 - $27.25/hr

Client Direct Client Location Cambridge, MA Job Title Medical Coder Position Duration 9+ Months Must have skill-set [ ] Job Summary The Medical Coder is responsible for conduct of centralized medical ...

Encompass Health Corporation

HIMS Coder

Braintree, MA

$22 - $26.75/hr

Medical HIMS Coder Full-Time career opportunity Valued for your Expertise in HIMS Coding Are you a skilled Health Information Management Systems (HIMS) Coder seeking a career that aligns with your ...

HealthSouth

HIMS Coder

Braintree, MA · On-site

$23.25 - $28/hr

Medical HIMS Coder Full-Time career opportunity Valued for your Expertise in HIMS Coding Are you a skilled Health Information Management Systems (HIMS) Coder seeking a career that aligns with your ...

Bookmark Medical

Provider Network Manager

Westwood, MA · On-site

Collaborate with clinical, quality, and risk adjustment leaders to develop strategies and actions ... coding practices Education * Bachelor's degree in relevant field preferred * In lieu of a Bachelor ...

YO AI Labs

Medical Coder - Remote

Boston, MA · Remote

$50 - $80/hr

Medical Coder Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Coders to contribute their healthcare coding expertise to an innovative project focused on ...

Beth Israel Lahey Health

Outpatient Coder 2

Charlestown, MA · Remote

$20.50 - $27.25/hr

The OP coder will work closely with the Coding leadership, and OP Coding Validators to ensure coding uniformity, consistency, and accuracy with ICD-10-CM, CPT, Official Coding Guidelines, Federal and ...

Westborough Behavioral

Coder - Per Diem

Westborough, MA · On-site

$19.25 - $25.75/hr

Medical Office Coder Shift details: Per diem Job Summary: The Medical Coder complies with all legal requirements regarding coding procedures and practices. Conducts audits and coding reviews to ...

Beth Israel Lahey Health

Outpatient Coder 2

Charlestown, MA · Remote

$20.50 - $27.25/hr

The OP coder will work closely with the Coding leadership, and OP Coding Validators to ensure coding uniformity, consistency, and accuracy with ICD-10-CM, CPT, Official Coding Guidelines, Federal and ...

YO AI Labs

Medical Coder - Remote

Boston, MA · Remote

$50 - $80/hr

Medical Coder Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Coders to contribute their healthcare coding expertise to an innovative project focused on ...

UnitedHealth Group

Senior Medical Coder

Chelmsford, MA · On-site

$24 - $43/hr

Codes a variety of medical records using CPT, HCPCS and ICD-10 codes for office, outpatient, inpatient, surgical, hospital ancillary, nursing facility, urgent care, ambulatory surgery center and ...

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Showing results 21-40

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 Sep 2, 2026, the average hourly pay for risk adjustment coder in Boston, MA is $29.90, according to ZipRecruiter salary data. Most workers in this role earn between $20.67 and $37.64 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 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 73% Full Time, 14% Part Time, and 13% Contract. Highlights an 70% In-person, and 30% Remote job distribution, with an average salary of $62,201 per year, or $29.9 per hour.

Professional Coder

South Shore Health

Weymouth, MA • On-site

$26.30 - $37.60/hr

Full-time

Re-posted 3 days ago

South Shore Health rating

7.8

Company rating: 7.8 out of 10

Based on 53 frontline employees who took The Breakroom Quiz

134th of 898 rated healthcare providers

Job description

If you are an existing employee of South Shore Health then please apply through the internal career site.

Requisition Number:

R-21350

Facility:

LOC0014 - 549 Columbian Street549 Columbian Street Weymouth, MA 02190

Department Name:

SHS Physician Services Admin

Status:

Full time

Budgeted Hours:

40

Shift:

Day (United States of America)The Professional Surgical Coder I is responsible for the accurate and timely assignment of ICD-10-CM, CPT, and E/M codes for inpatient and outpatient services.
This role reviews clinical documentation, assigns appropriate diagnoses and procedures, identifies documentation gaps, and queries providers as needed to ensure coding accuracy, compliance, and optimal reimbursement.
The Professional Surgical Coder I collaborates with physicians and leadership to support documentation improvement and maintain high-quality coding standards.

Compensation Pay Range:

$26.30 - $37.60

ESSENTIAL FUNCTIONS

1 - Analyzes patient medical records and interprets documentation to identify all diagnoses and procedures performed. Assigns proper ICD-10CM and CPT-4 diagnostic and procedural codes to charts and related records by reference to designated coding manuals and other reference material.
a - Codes 6-9 (# determined according to type of record coded) records per hour, consistently with 95% accuracy.
b - Assigns diagnostic and procedural codes for physicians in the inpatient, outpatient, and observation setting.

2 - Identifies any and/or all complications or comorbidities.
a - Applies sequencing guidelines based on medical record information provided according to official coding rules

3 - Assesses the appropriateness of medical record documentation to ensure that it supports the procedure(s), diagnosis', as well as complications and/or comorbid conditions documented. Consults with the appropriate provider to clarify medical record information.
a - Identifies any documentation inadequacies with provider and clarifies medical record information with courtesy and tact.
b - Retrieves any and all records corresponding to surgical cases including laboratory/path reports to ensure accurate assignment of ICD-10-CM and CPT-4 codes.
c - Ensures accurate, correctly coded information is entered intoEpic

4 - Answers provider/clinician questions regarding coding principles,
a - Assists with coding queries for claims appeals and resolution.
b - Refer ancillary department coding questions to Professional Coding Manager

5 - Remains abreast of developments in medical record technology by pursuing a program of professional growth and development, attending educational programs and meetings, reviewing pertinent literature and so forth.
a - Utilizes professional affiliations, etc., in order to maintain current in professional developments.
b - Attends all pertinent coding seminars and manager assigned training.
c - Utilize all available hospital-provided electronic resources

6 - Works collaboratively with appropriate team members to recommend strategies for process improvement

7 - Assists in responses to billing review requests

8 - Abides by Standards of Ethical Coding as set forth by American Health Information Management Association (AHIMA)

9 - Meets coding, quality and productivity standards.

10 - Performs all job functions in compliance with applicable federal, state and local laws as well as hospital policy and procedures

JOB REQUIREMENTS

Minimum Education - Preferred

Equivalent to an Associate's Degree in Medical Information Technology (with course work in medical terminology, anatomy, physiology, disease processes, ICD-10-CM coding required and prospective payment preferred).

Minimum Work Experience

Two to three (2-3) years in a surgical practice preferred.

Required Certifications

CPC - Certified Professional Coder OR

CCS-P Certified Coding Specialist- Physician Based

Required additional Knowledge and Abilities

Strong proficient computer and data entry skills to gather and interpret data.

Strong analytical skills to gather and interpret data.

7-3:30

Responsibilities if Required:

Education if Required:

License/Registration/Certification Requirements:

Certified Coding Specialist - Physician Based - American Health Information Management Association (AHIMA), Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC)

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About South Shore Health

Sourced by ZipRecruiter

South Shore Health is a leading provider of health services in South Weymouth, Massachusetts, US. As an integrated health system, the company has a broad offering ranging from primary and specialty care, home health and hospice services, to preventive and emergency care. Founded over a century ago, South Shore Health initially operated as a single hospital but has since morphed into a health network of providers and facilities for comprehensive care. The company's mission is to benefit the community by providing easily accessible, top-quality health services with an emphasis on wellness and prevention.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

South Weymouth, MA, US

Year founded

1922

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