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Risk Adjustment Coding Jobs in Arizona (NOW HIRING)

Suvida

Specialist, Quality

Phoenix, AZ · On-site

... Risk Adjustment experience in supplemental data and chart reviews * Knowledge of CMS STARS program * Must have a basic understanding of billing and claims coding * Experience reviewing Electronic ...

Deem

Information Security Analyst

Phoenix, AZ · On-site

... risk analysis. * Maintain internal governance and recommend adjustments as threats and practices ... Work with product engineering to test for and fix vulnerabilities in the product code. * Develop ...

USAA

Tax Analyst Senior

Phoenix, AZ · On-site +1

$93K - $179K/yr

... adjustments, and completing required forms and schedules. * Leads high-risk tax audit issues in ... Experience with Visual Studio Code (VS Code), GitHub Copilot, OpenAI Codex, Anthropic Claude, and ...

USAA

Tax Analyst Senior

Phoenix, AZ · On-site +1

$93K - $179K/yr

... adjustments, and completing required forms and schedules. * Leads high-risk tax audit issues in ... Experience with Visual Studio Code (VS Code), GitHub Copilot, OpenAI Codex, Anthropic Claude, and ...

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All JobsRisk Adjustment Coding JobsRisk Adjustment Coding Jobs in Arizona

Risk Adjustment Coding information

See Arizona salary details

$15

$27

$66

How much do risk adjustment coding jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for risk adjustment coding in Arizona is $27.29, according to ZipRecruiter salary data. Most workers in this role earn between $20.38 and $27.12 per hour, depending on experience, location, and employer.

How long does it take to become a risk adjustment coder?

Becoming a risk adjustment coder typically requires completing a specialized training program or certification, which can take from a few months up to a year. Many professionals also pursue coding certifications such as CPC or CCS to enhance their skills and job prospects, with some gaining experience through on-the-job training during this period.

What is risk adjustment coding?

Risk adjustment coding is the process of assigning standardized diagnosis codes to patient records to accurately reflect their health status and predict future healthcare costs. These codes are used by health plans and government programs to adjust payments based on the complexity and severity of patient conditions. Proper risk adjustment coding ensures fair reimbursement and supports quality care management by identifying high-risk patients who may require additional resources.

What is the difference between Risk Adjustment Coding vs Medical Coding?

AspectRisk Adjustment CodingMedical Coding
CredentialsCPR, CPC, or CCS certifications often preferredCPR, CPC, or CCS certifications
Work EnvironmentHealthcare facilities, insurance companies, remoteHospitals, clinics, physician offices
Industry UsageHealth plans, risk adjustment programsGeneral healthcare billing and documentation

Risk Adjustment Coding focuses on assigning codes that predict healthcare costs and risk for insurance purposes, often requiring understanding of patient risk factors. Medical Coding covers a broader range of diagnoses and procedures for billing and documentation. While both roles require similar certifications, their work environments and industry applications differ significantly.

What do risk adjustment coders do?

Risk adjustment coders review and assign medical codes to patient records to accurately reflect diagnoses and health conditions, which are used to calculate risk scores for insurance reimbursement and quality measurement. They ensure coding accuracy and compliance with industry standards, often using coding tools and guidelines such as ICD-10 and CPT. Attention to detail and knowledge of medical documentation are essential for this role.

How much do risk adjustment coders make in the US?

Risk adjustment coders in the US typically earn between $50,000 and $75,000 annually, depending on experience, certifications, and location. Entry-level positions may start around $45,000, while experienced coders with certifications like CPC or CCS can earn over $80,000. The role often requires knowledge of medical coding systems and familiarity with healthcare data analysis.

What are the key skills and qualifications needed to thrive as a risk adjustment coder?

To thrive as a Risk Adjustment Coder, you need a solid understanding of medical coding, healthcare regulations, and anatomy, typically supported by certification such as CPC or CRC. Familiarity with coding software, EHR systems, and risk adjustment models like HCC or CMS-HCC is crucial. Attention to detail, analytical thinking, and effective communication are standout soft skills for this role. These skills ensure accurate coding, compliance, and optimized reimbursement, which are vital for healthcare organizations' financial and regulatory success.

What are some common challenges faced by professionals in risk adjustment coding, and how can they be managed?

Risk adjustment coders often encounter challenges such as keeping up with frequent updates to coding guidelines, ensuring complete and accurate documentation, and managing high volumes of medical records. To address these challenges, effective time management, continuous education on coding standards (like ICD-10-CM), and regular communication with healthcare providers are essential. Many coders also rely on auditing tools and ongoing feedback from team leads to improve accuracy and compliance, fostering a collaborative and supportive work environment.
What are popular job titles related to Risk Adjustment Coding jobs in Arizona? For Risk Adjustment Coding jobs in Arizona, the most frequently searched job titles are:
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What cities in Arizona are hiring for Risk Adjustment Coding jobs? Cities in Arizona with the most Risk Adjustment Coding job openings:
Risk Adjustment Coding jobs near you
Infographic showing various Risk Adjustment Coding job openings in Arizona as of August 2026, with employment types broken down into 100% Full Time. Highlights an 50% In-person, and 50% Remote job distribution, with an average salary of $56,770 per year, or $27.3 per hour.

Director of Value-Based Care

HealthOp Solutions

Scottsdale, AZ • On-site

$125K - $145K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 18 days ago

Job description

Now Hiring: Director of Value-Based Care

Location: Scottsdale, Arizona

Schedule: Regular Working Hours (Monday-Friday)

Work Environment: Office-based with collaboration across multiple physician practice locations throughout Arizona.

Travel Required: Occasional travel between clinic locations and partner meetings as needed.

Compensation: $125,000 - $145,000 annually (DOE)

Bonus Offered: Potential performance-based incentive.

Benefits Offered:

Medical, Dental, Vision, 401(k), Paid Holidays, Paid Time Off, Career Development Opportunities

Why work with us:

Join a growing, multi-site healthcare organization serving a large and diverse patient population through an extensive network of care locations and providers. We are committed to delivering personalized, prevention-focused care that helps patients achieve better long-term health outcomes. Our collaborative culture encourages innovation, leadership, and continuous improvement, empowering our teams to make a meaningful impact every day.

What our ideal new team member looks like:

You are a strategic healthcare leader with extensive experience driving value-based care initiatives, improving quality outcomes, and leading multidisciplinary teams. You thrive in a collaborative environment, understand the complexities of risk-based reimbursement models, and are passionate about improving patient care while achieving organizational performance goals.

Job Summary:

The Director of Value-Based Care is responsible for leading the organization's strategic initiatives that improve clinical outcomes, strengthen care coordination, and optimize performance across all value-based contracts. This position oversees the operational functions of Risk Stratification, Quality Gap Closure, and Population Health Management while driving operational excellence, quality improvement, and financial performance. The Director works closely with executive leadership, clinical teams, analytics, and operational stakeholders to ensure successful execution of value-based strategies across the organization.

Job Duties & Responsibilities:
  • Lead the organization's value-based care strategy across all risk-bearing contracts and value-based programs.
  • Direct the operational oversight of Risk Stratification, Quality Gap Closure, and Population Health Management teams.
  • Ensure value-based initiatives achieve targeted financial, quality, and operational performance metrics.
  • Partner with executive leadership, including the Chief Medical Officer and Chief Executive Officer, to develop strategic initiatives that improve patient outcomes.
  • Oversee high-risk patient management, transitions of care, care coordination, and chronic disease management programs.
  • Collaborate with clinical, operational, analytics, and information technology teams to improve care delivery and performance.
  • Evaluate and adjust value-based strategies based on payer requirements, regulatory changes, and organizational objectives.
  • Work closely with business development, marketing, operations, and payer partners to support attribution growth and value-based initiatives.
  • Develop and maintain strong relationships with payers, provider networks, specialists, and community partners.
  • Lead, mentor, and develop high-performing teams while promoting accountability, collaboration, and continuous improvement.
  • Maintain expertise in value-based reimbursement models, HEDIS measures, HCC coding, risk adjustment methodologies, quality incentive programs, and payer portal functionality.
  • Monitor organizational performance through data analytics and reporting to identify opportunities for improvement and strategic growth.
Prerequisites / License & Certification Requirements:
  • Bachelor's degree in Healthcare Administration, Business Administration, or related field required.
  • Master's degree preferred.
  • 7-10 years of progressive healthcare leadership experience with emphasis on Value-Based Care, Population Health, Accountable Care Organizations (ACO), or risk-based reimbursement models.
  • Demonstrated success leading value-based care initiatives within physician practice, medical group, or multi-site healthcare environments.
  • Strong understanding of healthcare reimbursement, regulatory requirements, quality improvement methodologies, and industry trends.
  • Experience managing departmental budgets, financial performance, or P&L responsibilities.
  • Proficiency with electronic medical records, healthcare analytics platforms, reporting tools, and population health technology.
  • Exceptional leadership, communication, strategic planning, and relationship-building skills.

If you meet all of our criteria and would like to be considered, please apply with your most updated Resume/CV. Cover Letter and references are preferred but optional. We look forward to meeting with you!

Requirements

  • Bachelor's degree in Healthcare Administration, Business Administration, or related field required
  • 7-10 years of progressive leadership experience in healthcare
  • Experience overseeing a P&L or managing large-scale initiatives or departmental budgets
  • Proficiency with electronic medical records, healthcare data, analytics, and reporting systems.

Apply