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Risk Adjustment Coder Jobs in Raleigh, NC (NOW HIRING)

WakeMed Health & Hospitals

Senior Inpatient Coder

Raleigh, NC · On-site

$21.25 - $25.50/hr

Overview Serves as the senior member of the corporate coding team by providing extensive knowledge for timely and accurate coding and DRG assignment. Performs the function of coding, DRG assignment ...

WakeMed

Coder II, Inpatient

Raleigh, NC · On-site

$21.25 - $25.50/hr

Overview The Coder II, Inpatient is responsible for coding inpatient accounts with a balance less than $90,000 including Rehab and accounts that fall into the Inpatient Coder I category, performs the ...

UNC Health Careers

Medical Coder II

Chapel Hill, NC · Remote

$23.24 - $33.41/hr

Ensures compliance with all appropriate coding, billing and data collection regulations and procedures. Uses appropriate software to validate information. 2. Provides information to physicians and ...

WakeMed Health & Hospitals

Coder II, Inpatient

Raleigh, NC · On-site

$21.25 - $25.50/hr

Overview The Coder II, Inpatient is responsible for coding inpatient accounts with a balance less than $90,000 including Rehab and accounts that fall into the Inpatient Coder I category, performs the ...

UNC HEALTH

Medical Coder II

Chapel Hill, NC · On-site +1

$23.24 - $33.41/hr

Ensures compliance with all appropriate coding, billing and data collection regulations and procedures. Uses appropriate software to validate information. 2. Provides information to physicians and ...

Duke University

MEDICAL RECORDS CODER II

Durham, NC · On-site

$17 - $22.75/hr

Code medical records utilizing ICD-10-CM and CPT-4 coding conventions. Review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and ...

Duke University

MEDICAL RECORDS CODER II

Durham, NC · Remote

$18 - $24.25/hr

Code medical records utilizing ICD-10-CM and CPT-4 coding conventions. Review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and ...

Dukehealth.org

MEDICAL RECORDS CODER II

Durham, NC · On-site

$17 - $22.75/hr

Code medical records utilizing ICD-10-CM and CPT-4 coding conventions. Review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and ...

Duke Health

MEDICAL RECORDS CODER II

Durham, NC · Remote

$18 - $24.25/hr

Code medical records utilizing ICD-10-CM and CPT-4 coding conventions. Review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and ...

Duke Health

MEDICAL RECORDS CODER II

Durham, NC · On-site

$18 - $24.25/hr

Code medical records utilizing ICD-10-CM and CPT-4 coding conventions. Review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and ...

Duke University

MEDICAL RECORDS CODER II

Durham, NC · On-site

$18 - $24.25/hr

Code medical records utilizing ICD-10-CM and CPT-4 coding conventions. Review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and ...

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All JobsRisk Adjustment Coder JobsRisk Adjustment Coder Jobs in Raleigh, NC

Risk Adjustment Coder information

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How much do risk adjustment coder jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for risk adjustment coder in Raleigh, NC is $24.51, according to ZipRecruiter salary data. Most workers in this role earn between $16.92 and $30.87 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 the most commonly searched types of Risk Adjustment Coder jobs in Raleigh, NC?

The most popular types of Risk Adjustment Coder jobs in Raleigh, NC are:

What are popular job titles related to Risk Adjustment Coder jobs in Raleigh, NC?

For Risk Adjustment Coder jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Risk Adjustment Coder jobs in Raleigh, NC look for?

The top searched job categories for Risk Adjustment Coder jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Risk Adjustment Coder jobs?

Cities near Raleigh, NC with the most Risk Adjustment Coder job openings:

Risk Adjustment Coder jobs near you
Infographic showing various Risk Adjustment Coder job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 90% Full Time, 7% Part Time, and 2% Contract. Highlights an 84% Physical, 5% Hybrid, and 11% Remote job distribution, with an average salary of $55,585 per year, or $26.7 per hour.

Senior Inpatient Coder

Raleigh, NC • On-site

WakeMed Health & Hospitals
Health Care and Social Assistance • 5 - 10K employees
Learn more about WakeMed Health & Hospitalsexternal

$21.25 - $25.50/hr

Other

Posted 9 days ago

WakeMed rating

7.7

Company rating: 7.7 out of 10

Based on 135 frontline employees who took The Breakroom Quiz

Job description

Overview

Serves as the senior member of the corporate coding team by providing extensive knowledge for timely and accurate coding and DRG assignment. Performs the function of coding, DRG assignment, collection of predefined indicators, and abstracting medical records. Provides timely and accurate ICD-10-CM and ICD-10-PCS codes for reimbursement and specific information for statistical purposes. Serves as a liaison between coders and CDS team on coding and documentation issues. Reviews SMART accounts on a daily basis as assigned.

Department Description

Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org. EOE

Licensure
  • Registered Health Information Technician Required
  • Registered Health Information Administrator Required
  • Certified Professional Coder Required
  • Certified Coding Specialist Required
  • Certified Outpatient Coder Required
Education
  • Associate's Degree Health Information Management Required
  • Bachelor's Degree Health Information Management Preferred
Experience

5 Years Coding - Inpatient Required Diagnosis-Related Group Analysis Required

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What WakeMed employees say

Pay

Benefits

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About WakeMed

Sourced by ZipRecruiter

Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Raleigh, NC, US

Year founded

1961

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