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Risk Adjustment Coding Manager Jobs (NOW HIRING)

We are seeking a Risk Adjustment Coding Auditor with 8+ years of experience to support first- and second-pass audits for CMS RADV (Risk Adjustment Data Validation) projects. The ideal candidate must ...

Risk Adjustment Coding Auditor

Prosper, TX ยท On-site

$25 - $28.50/hr

Risk Adjustment Coding Auditor Quantity of resources: 2 Duration: 6 months JD: This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV'

High School Experience: 2-5 years of risk adjustment coding E/M procedures and diagnosis experience required. Credentials: Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC ...

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Risk Adjustment Coding Manager information

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$13

$33

$54

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

As of Jul 23, 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.
More about Risk Adjustment Coding Manager jobs
What cities are hiring for Risk Adjustment Coding Manager jobs? Cities with the most Risk Adjustment Coding Manager job openings:
What are the most commonly searched types of Risk Adjustment Coding jobs? The most popular types of Risk Adjustment Coding jobs are:
What states have the most Risk Adjustment Coding Manager jobs? States with the most job openings for Risk Adjustment Coding Manager jobs include:
Infographic showing various Risk Adjustment Coding Manager job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 77% Full Time, 14% Part Time, and 8% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution, with an average salary of $68,683 per year, or $33 per hour.
Risk Adjustment Coding Auditor

Risk Adjustment Coding Auditor

ClinDCast LLC

Albany, NY โ€ข Remote

$30 - $35/hr

Full-time

Posted 11 days ago


Job description

Job Summary:
We are seeking a Risk Adjustment Coding Auditor with 8+ years of experience to support first- and second-pass audits for CMS RADV (Risk Adjustment Data Validation) projects. The ideal candidate must be CPC and CRC certified with strong risk adjustment coding expertise and proficiency in Microsoft Office Suite.
Required Skills:
8+ years of Risk Adjustment coding and auditing experience
Experience supporting CMS RADV first- and second-pass audits
Active CPC (Certified Professional Coder) certification
Active CRC (Certified Risk Adjustment Coder) certification
Proficiency in Microsoft Office Suite (Excel, Word, Outlook)

This is a remote position.


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About ClinDCast

Sourced by ZipRecruiter

ClinDCast is at the forefront of shaping the future of healthcare by partnering with globally recognized healthcare organizations and offering them innovative solutions and expert guidance. Our suite of services is designed to cater to a broad range of needs of healthcare organizations, including healthcare IT innovation, electronic health record (EHR) implementation & optimizations, data conversion, regulatory and quality reporting, enterprise data analytics, FHIR interoperability strategy, payer-to-payer data exchange, and application programming interface (API) strategy. With 15+ Years Of Healthcare IT Industry Experience, ClinDCast Is A Trusted Partner For Payers, Providers, And Lifesciences Organizations, Enabling Them To Deliver Exceptional Product And Solutions For Their Customers.

Industry

Health care and social assistance

Company size

11 - 50 Employees

Headquarters location

Wesley Chapel, FL, US

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