ZipRecruiter

Log In

1

Risk Adjustment Coder Jobs (NOW HIRING)

Aquity Solutions

Director Risk Adjustment - Remote

$130K - $150K/yr

Act as the internal authority on CMS-HCC coding updates, as well as future strategic expansion into commercial coding and state-specific Medicaid lines of business, ensuring all risk adjustment ...

New

Mercor

HCC Coding Leader - Risk Adjustment

New York, NY · Remote

$110/hr

CRC (Certified Risk Coder) , CCS , CPC , or RHIA credential. * Experience with risk adjustment analytics platforms and chart retrieval systems. * Background in health plan, Medicare Advantage ...

Apex Health Solutions

Certified Medical Coder

Houston, TX

$21.50 - $29.25/hr

Follows CMS Risk Adjustment guidelines and has a complete understanding of their real-world ... Codes all diagnoses and services accurately and completely, from the medical record in accordance ...

Apex Health Solutions

Certified Medical Coder

Houston, TX · On-site

$21.50 - $29.25/hr

Follows CMS Risk Adjustment guidelines and has a complete understanding of their real-world ... Codes all diagnoses and services accurately and completely, from the medical record in accordance ...

next page

Showing results 1-20

All JobsRisk Adjustment Coder Jobs

Risk Adjustment Coder information

See salary details

$15

$27

$43

How much do risk adjustment coder jobs pay per hour?

As of Jul 16, 2026, the average hourly pay for risk adjustment coder in the United States is $27.49, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $34.62 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.
More about Risk Adjustment Coder jobs
What cities are hiring for Risk Adjustment Coder jobs? Cities with the most Risk Adjustment Coder job openings:
What are the most commonly searched types of Risk Adjustment Coder jobs? The most popular types of Risk Adjustment Coder jobs are:
Who are the top companies hiring for Risk Adjustment Coder jobs? The top employers for Risk Adjustment Coder jobs are:
What states have the most Risk Adjustment Coder jobs? States with the most job openings for Risk Adjustment Coder jobs include:
What job categories do people searching Risk Adjustment Coder jobs look for? The top searched job categories for Risk Adjustment Coder jobs are:
Risk Adjustment Coder jobs near you
Medicare Risk Adjustment Specialist - Medical Assistant

Medicare Risk Adjustment Specialist - Medical Assistant

Complete Health

Jacksonville, FL • On-site

$16.50 - $20.75/hr

Full-time

Re-posted 20 days ago

Complete Health rating

6.8

Company rating: 6.8 out of 10

Based on 21 frontline employees who took The Breakroom Quiz

Job description

SUMMARY OF JOB DUTIES:
Searching for a strong Medical Assistant or Certified Nursing Assistant for a rapidly growing company who would like to come off the floor and become a Medicare Risk Adjustment Specialist.
ESSENTIAL JOB FUNCTIONS:

  • Reviews medical record and claims information to identify all appropriate coding based on Centers for Medicare and Medicaid Services Hierarchical Condition Categories (CMS-HCC & HHS-HCC) models
  • Abstract all risk adjusted diagnosis codes from acceptable provider documentation and in accordance with industry standards for coding and reporting.
  • Adherence to current industry standard, as defined in the ICD-10 guidelines for coding and reporting.
  • Conduct Provider queries for any documentation for risk conditions within client electronic medical record and/or other query system
  • Develop and share guidelines/best practices with internal risk adjustment coders to improve coding documentation techniques.
  • Help with special projects within our Risk Adjustment Department


KNOWLEDGE/SKILLS/ABILITIES:

  • Critical Thinking
  • Excellent time management skills and ability to multi-task and prioritize work
  • Strong organizational and planning skills
  • Flexibility
  • Team Player
  • Autonomy

MINIMUM REQUIREMENTS

  • High School Diploma or Equivalent (Required)
  • Medical Assistant or Certified Nursing Assistant
  • 2 -- 3 years Back Office, Primary Care preferred


WORKING ENVIRONMENT

The position requires climbing, stooping, kneeling, crouching, reaching, standing, lifting, grasping, feeling, talking, hearing, repetitive motions, and finger use. Pushing and pulling are occasionally required. Use of a computer, keyboard, and telephone along with various office machines is an essential part of the job.


DISCLAIMER

The above statements are intended to describe the general nature and level of work being performed by the Medicare Risk Adjustment Coder. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. The Medicare Risk Adjustment Coder may be required to perform duties outside of their normal responsibilities from time to time as needed or as directed by supervision.

What Complete Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply