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Risk Adjustment Coding Manager Jobs (NOW HIRING)

CenterWell

Risk Adjustment Coding Analyst

Olympia, WA · On-site

Become a part of our caring community The Risk Adjustment Coding Analyst provides operational ... You will manage priorities, meet deadlines, escalate barriers, and make independent decisions ...

CenterWell

Risk Adjustment Coding Analyst

Santa Fe, NM · On-site

Become a part of our caring community The Risk Adjustment Coding Analyst provides operational ... You will manage priorities, meet deadlines, escalate barriers, and make independent decisions ...

Stanford Health Care

Sr Risk Adjustment Coder

Newark, NJ · On-site

$44.13 - $57.36/hr

The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to Medicare ...

CenterWell

Risk Adjustment Coding Analyst

Dover, DE · On-site

Become a part of our caring community The Risk Adjustment Coding Analyst provides operational ... You will manage priorities, meet deadlines, escalate barriers, and make independent decisions ...

CenterWell

Risk Adjustment Coding Analyst

Salem, OR · On-site

Become a part of our caring community The Risk Adjustment Coding Analyst provides operational ... You will manage priorities, meet deadlines, escalate barriers, and make independent decisions ...

CenterWell

Risk Adjustment Coding Analyst

Concord, NH · On-site

Become a part of our caring community The Risk Adjustment Coding Analyst provides operational ... You will manage priorities, meet deadlines, escalate barriers, and make independent decisions ...

CenterWell

Risk Adjustment Coding Analyst

Lansing, MI · On-site

Become a part of our caring community The Risk Adjustment Coding Analyst provides operational ... You will manage priorities, meet deadlines, escalate barriers, and make independent decisions ...

CenterWell

Risk Adjustment Coding Analyst

Columbia, SC · On-site

Become a part of our caring community The Risk Adjustment Coding Analyst provides operational ... You will manage priorities, meet deadlines, escalate barriers, and make independent decisions ...

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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 Sep 2, 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 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 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 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 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.

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Risk Adjustment Coding Manager jobs near you
Infographic showing various Risk Adjustment Coding Manager job openings in the United States as of August 2026, with employment types broken down into 87% Full Time, 12% Part Time, and 1% Contract. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $68,683 per year, or $33 per hour.

Certified Medical Coder - Risk Adjustment

Porter Cares, Inc.

Pompano Beach, FL

$50K - $54K/yr

Full-time

Re-posted 11 days ago

Job description

Porter is hiring a Risk Adjustment Coder to join our Team!
 
Porter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. We deliver understanding, compassion, information, and peace of mind for your members. Driven by robust AI analytics, Porter's Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member's specific needs, and directs Porter's team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience. 
 
Position Overview
We are seeking a certified coder with expertise in risk adjustment coding and a specialization in in-home health assessments. The ideal candidate will have a strong understanding of CMS risk adjustment and quality initiatives, exceptional attention to coding quality, and experience managing the provider query process. This role also requires the ability to handle multiple clients, each with unique coding requirements, while ensuring accuracy and compliance. Proficiency in utilizing coding clinics for provider education and feedback is essential. This role will be instrumental in ensuring the accuracy of coding and improving the efficiency of our assessment workflows. A key expectation is that the Risk Adjustment Coder will maintain 98% coding accuracy.
 
Schedule: Monday - Friday (some weekends and overtime)
Start: 8am-8:30am ET
Hybrid: Pompano Beach, FL
*This is not a lead or manager position
 
Key Responsibilities
Assign accurate ICD-10, CPT, and CPT II codes based on documentation from in-home assessments, ensuring  compliance with CMS risk adjustment and quality guidelines.
Manage the provider query process to clarify documentation and ensure the completeness and accuracy of patient diagnoses, particularly related to chronic conditions.
Handle multiple clients with varying coding requirements, maintaining high standards of accuracy and adapting to specific client guidelines.
Utilize coding clinics and other reference materials to provide providers with targeted feedback and education on improving documentation and coding accuracy.
Maintain a minimum of 98% coding accuracy to meet performance expectations and ensure compliance.
Stay current with coding standards, risk adjustment methodologies, and CMS regulatory changes to ensure ongoing compliance and optimal coding practices.
Collaborate with clinical teams to review documentation and provide insights on areas for improvement in coding and documentation.
Support coding education initiatives by creating and delivering training materials to providers, particularly focused on improving documentation practices.
Maintain confidentiality and ensure full compliance with HIPAA regulations.
 
$50,000 - $54,000 a year
This is not a leadership or senior position.
Qualifications
- Certification Required - CPC or CSS
- Minimum 5 years of experience in risk adjustment coding, with specific experience in in-home assessments.
- Expertise in managing provider queries and improving provider documentation through coding feedback.
- Proficiency in using coding clinics and reference tools for accurate coding and provider education.
- Strong knowledge of CMS risk adjustment and quality initiatives, including Hierarchical Condition Categories (HCCs).
- Experience with electronic medical records (EMR) and coding tools.
- Excellent communication skills, with the ability to collaborate with providers and clinical teams to drive coding improvements.
- Strong attention to detail, prioritizing coding quality and compliance.
 
Preferred Qualifications
Experience in coding audits and providing actionable feedback to providers.
Knowledge of healthcare reimbursement models and regulations impacting risk adjustment coding.
Prior experience in telehealth or in-home care settings.
 
Benefits
Competitive wage and benefits package.
Opportunities for professional growth and continuing education.
A supportive, collaborative work environment.
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
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