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Risk Adjustment Coding Manager Jobs (NOW HIRING)

Risk Adjustment Coding Manager

Manhattan, NY ยท On-site

$102K - $115K/yr

Medicare Risk Adjustment Coding Manager Location: Remote (Must Reside in NY/NJ/CT) Work Schedule: Monday - Friday, 9:00am - 5:00pm Compensation: $102,549.17 - $115.367.82 Annual Salary Join ...

Risk Adjustment Coder

Denver, CO ยท Remote

$27.88 - $32.21/hr

What You'll Do The Coder, Risk Adjustment Coding is responsible for supporting the Strive ... management team regarding coding and documentation trends to ensure accurate coding and ...

Risk Adjustment Coder

Denver, CO ยท On-site

$19.25 - $25.75/hr

What You'll Do The Coder, Risk Adjustment Coding is responsible for supporting the Strive ... management team regarding coding and documentation trends to ensure accurate coding and ...

Risk Adjustment Coding Specialist

Boston, MA ยท On-site

$65K - $85K/yr

The Risk Adjustment Coding Specialist will play a pivotal role in supporting accurate and complete ... Able to multitask, prioritize, and manage time efficiently * Self-motivated and self-directed; able ...

Risk Adjustment Coding Specialist

Boston, MA ยท On-site

$65K - $85K/yr

The Risk Adjustment Coding Specialist will play a pivotal role in supporting accurate and complete ... Able to multitask, prioritize, and manage time efficiently * Self-motivated and self-directed; able ...

Risk Adjustment Coder

$19.25 - $25.50/hr

Coding Certification from American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) is required. Certification may include Certified Risk Adjustment ...

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Risk Adjustment Coding Manager information

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How much do risk adjustment coding manager jobs pay per hour?

As of Jun 6, 2026, the average hourly pay for risk adjustment coding manager in the United States is $33.02, according to ZipRecruiter salary data. Most workers in this role earn between $25.00 and $39.90 per hour, depending on experience, location, and employer.

What are some common challenges faced by Risk Adjustment Coding Managers, and how can they effectively address them?

Risk Adjustment Coding Managers often encounter challenges such as ensuring coding accuracy, keeping up with regulatory changes, and coordinating across multidisciplinary teams. To address these, effective managers implement rigorous quality assurance processes, provide ongoing coder education, and maintain open communication with clinical, compliance, and data analytics teams. Staying updated on CMS guidelines and fostering a culture of continuous improvement are also key strategies for success in this role.

What are the key skills and qualifications needed to thrive as a Risk Adjustment Coding Manager, and why are they important?

To thrive as a Risk Adjustment Coding Manager, you need expertise in medical coding (CPT, ICD-10), risk adjustment methodologies, and a background in healthcare management, often supported by a coding certification such as CPC, CRC, or CCS. Familiarity with coding software, EHR systems, and data analytics tools is typically required. Strong leadership, attention to detail, and the ability to communicate compliance standards effectively are crucial soft skills. These skills ensure accurate risk adjustment coding, regulatory compliance, and improved financial outcomes for healthcare organizations.

What is the difference between Risk Adjustment Coding Manager vs Risk Adjustment Coder?

AspectRisk Adjustment Coding ManagerRisk Adjustment Coder
CertificationsAHIMA or AAPC credentials, management experienceAHIMA or AAPC credentials, coding certification
Work EnvironmentSupervisory role, overseeing coding teamsPerforming coding tasks directly on patient records
Employer & IndustryHealth plans, healthcare providers, insurance companiesHospitals, clinics, health plans

The Risk Adjustment Coding Manager oversees coding teams and ensures compliance, while the Risk Adjustment Coder focuses on accurately coding patient records. Both roles require similar certifications but differ in responsibilities and work environment, with managers handling supervision and coders performing detailed coding tasks.

What are Risk Adjustment Coding Managers?

Risk Adjustment Coding Managers are professionals responsible for overseeing the medical coding process related to risk adjustment in healthcare organizations. They ensure accurate coding of diagnoses and procedures to reflect the health status of patients, which is essential for proper reimbursement from Medicare Advantage and other insurance plans. These managers lead teams of coders, maintain compliance with regulations, and implement quality assurance processes to optimize coding accuracy and organizational performance.
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Risk Adjustment Coding Manager

Risk Adjustment Coding Manager

Village Care

Manhattan, NY โ€ข On-site

$102K - $115K/yr

Full-time

Posted 17 days ago


Job description

Position: Medicare Risk Adjustment Coding Manager
Location: Remote (Must Reside in NY/NJ/CT)
Work Schedule: Monday - Friday, 9:00am - 5:00pm
Compensation: $102,549.17 - $115.367.82 Annual Salary
Join VillageCare as a Full-Time Medicare Risk Adjustment Coding Manager and enjoy the thrill of playing a vital role in healthcare's future while working from the comfort of your home. This position offers unparalleled flexibility, allowing you to balance personal and professional commitments seamlessly. Envision being part of a team that prioritizes excellence and customer-centric solutions in the ever-evolving health care landscape, all while residing in the vibrant city of New York, NY. As a key player in our organization, you will lead initiatives that directly impact patient care and financial outcomes. The compensation for this role ranges from $102,549.17 to $115,367.82, reflecting the importance we place on your expertise and leadership.
If you are a smart problem solver with a passion for integrity and high-performance culture, consider applying to be a part of our forward-thinking team.
VillageCare: Our Mission
VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years.
Are you excited about this Medicare Risk Adjustment Coding Manager job?
The Risk Adjustment Coding Manager at VillageCare plays a crucial role in enhancing healthcare quality and operational efficiency. This position is responsible for coordinating Risk Adjustment and Quality coding operations, emphasizing documentation integrity across both areas. The manager will oversee retrospective and prospective chart review programs while supervising the Risk Adjustment coding staff and managing day-to-day vendor operations. Acting as the operational bridge between Risk Adjustment and the HEDIS/Quality abstraction team, the manager ensures that all medical record interactions are utilized effectively for Hierarchical Condition Category (HCC) accuracy and closing quality gaps.
By eliminating redundant provider outreach and maximizing the clinical value of each chart interaction, this role aims to achieve year-over-year improvements in Risk Adjustment accuracy, Risk Adjustment Factor (RAF) performance, and STARs quality measure outcomes, directly impacting patient care and organizational success.
Requirements for this Medicare Risk Adjustment Coding Manager job
To excel as the Risk Adjustment Coding Manager at VillageCare, candidates must possess a robust set of skills and qualifications. A CPC, CPMA, CRC, CCS-P, CCS, RHIA, or RHIT certification is essential, along with at least five years of experience in Medicare Risk Adjustment coding and familiarity with RADV audits. Proficiency in HEDIS measure specifications and quality gap closure operations is highly preferred. Candidates should have a strong command of ICD-10 and CPT codes, as well as experience using electronic medical record systems.
Excellent communication skills are vital for effectively collaborating within the department and with cross-functional teams. Additionally, a Bachelor's degree in Business Administration, Finance, or a relevant field, or equivalent work experience, is required, ensuring that the candidate is well-equipped to navigate the complexities of healthcare coding and operational management.
Knowledge and skills required for the position are:
  • CPC /CPMA/ CRC/ CCS-P/ CCS/ RHIA or RHIT certification.
  • Experience with HEDIS measure specifications and quality gap closure operations preferred
  • 5+ years of Medicare Risk Adjustment coding including work on RADV audits
  • Previous experience using electronic medical record systems.
  • Strong knowledge of ICD-10 and CPT codes
  • Excellent communication skills to facilitate working with teammates within the department and cross-functional teams.
  • Bachelor's degree in Business Administration, Finance or relevant field OR equivalent work experience required
Are you ready for an exciting opportunity?
If you have these qualities and meet the basic job requirements, we'd love to have you on our team. Apply now using our online application!