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

UnitedHealth Group

Senior Medical Coder

Chelmsford, MA · Remote

$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 ...

CodaMetrix

Medical Coder II/III

Boston, MA · Remote

$90K - $105K/yr

CodaMetrix's autonomous coding drives efficiency under fee-for-service and value-based care models and supports improved patient care. We are passionate about getting physicians and healthcare ...

CodaMetrix

Medical Coder II/III

Boston, MA · Remote

$90K - $105K/yr

CodaMetrix's autonomous coding drives efficiency under fee-for-service and value-based care models and supports improved patient care. We are passionate about getting physicians and healthcare ...

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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.

Coder - Per Diem

Westborough Behavioral Healthcare Hospital

Westborough, MA • On-site

$19.25 - $25.75/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 6 days ago

Job description

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 ensure all documentation is accurate and precise, assign and sequence all codes for services rendered and collaborate with the business office to ensure all bill are satisfied in a timely manner.
Essential Duties:
    • Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing.
    • Review claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place prior to submission.
    • Conduct medical records research and correspond with insurance companies and healthcare professionals to resolve issues resulting from denied claims.
    • Adhere to coding policies and procedures consistent with the industry standard guidelines for CPT, ICD-9 and ICD-10.

Westborough Behavioral Healthcare Hospital (WBHH) provides psychiatric stabilization diagnosis treatments for Children, Special Needs, and Adult populations in both inpatient and outpatient settings. Our goal is to ensure patients and their loved ones feel comfortable and are well informed regarding treatment options.
We are conveniently located in Westborough near the intersection of Route 495 and Route 9. The hospital operates 24/7 with multiple shifts available.
Requirements
Education and/or Licensure:
  • High School degree required.
  • Associate's Degree or Certificate in Medical Coding/CPC required.
  • Knowledge of medical terminology; basic and advanced ICD-9-CM coding; anatomy and physiology; computer data entry; and medical law, privacy and ethics.
  • Knowledge of CMS rules and regulations and current coding resources
  • Knowledge of Healthcare Common Procedure Coding Systems (HCPCS), Current Procedural Terminology (CPT) coding and healthcare reimbursement methods.

Experience:
  • A minimum of 1 year coding experience required, preferably with psychiatric services.
  • Understanding of Medical Terminology required.
  • A minimum of 2-3 years experience working in a Medical office.
  • At least 1 year experience working in a Behavioral Healthcare Hospital.
  • The ability to work without supervision

Benefits
Benefits:
  • 401K
  • Medical, Dental and Vision Coverage
  • Pet Insurance
  • Paid Time Off
  • HSA/FSA
  • Tuition Reimbursement
  • Employee Assistance Program
  • Employee Discount Program

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