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Risk Adjustment Coding Manager Jobs in Texas (NOW HIRING)

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'

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'

Risk Adjustment Coder II

Houston, TX ยท On-site

$18 - $23.75/hr

  • Medical

  • Dental

  • Vision

  • Retirement

... coding guidelines for Commercial and Medicare risk adjustment programs. Conduct thorough clinical documentation review to ensure sufficient support and management for coded conditions. Identify ...

Risk Adjustment Coder II

Houston, TX ยท On-site

$27.69 - $34.61/hr

  • Medical

  • Dental

  • Vision

  • Retirement

... coding guidelines for Commercial and Medicare risk adjustment programs.Conduct thorough clinical documentation review to ensure sufficient support and management for coded conditions.Identify ...

Risk Adjustment Coder II

Houston, TX ยท On-site

$27.69 - $34.61/hr

  • Medical

  • Dental

  • Vision

  • Retirement

... coding guidelines for Commercial and Medicare risk adjustment programs. Conduct thorough clinical documentation review to ensure sufficient support and management for coded conditions. Identify ...

Auditor, Risk Adjustment

Dallas, TX ยท Remote

$82K - $108K/yr

Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and ... You will report into the Manager, Risk Adjustment. Work Location: This is a remote position, open ...

IPA Consultative Coding Manager

Austin, TX ยท On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Accountable for regional coding performance, provider engagement, and risk adjustment outcomes ... leadership or management experience * Certified Professional Coder (CPC) or equivalent ...

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Risk Adjustment Coding Manager information

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?

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 is a risk adjustment coding manager?

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.
What cities in Texas are hiring for Risk Adjustment Coding Manager jobs? Cities in Texas with the most Risk Adjustment Coding Manager job openings:
Infographic showing various Risk Adjustment Coding Manager job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 87% Full Time, 11% Part Time, and 1% Contract. Highlights an 93% Physical, 3% Hybrid, and 4% Remote job distribution.

Risk Adjustment Coding Auditor

Vytwo

Prosper, TX โ€ข On-site

$25 - $28.50/hr

Full-time

Re-posted 3 days ago


Job description

Role type: 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's.
Required skillset:
MS Suite
CPC certified
CRC certified
5+ years of risk adjustment experience