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How much do risk adjustment coding jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for risk adjustment coding in Colorado is $30.80, according to ZipRecruiter salary data. Most workers in this role earn between $22.98 and $30.58 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 the most commonly searched types of Risk Adjustment Coding jobs in Colorado? The most popular types of Risk Adjustment Coding jobs in Colorado are:
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Risk Adjustment Coding jobs near you
Infographic showing various Risk Adjustment Coding job openings in Colorado as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $64,058 per year, or $30.8 per hour.

Manager, Risk Adjustment & HEDIS Education

Strive Health

Denver, CO

Full-time

Posted 8 days ago

Job description

What You'll Do

Strive Health is looking for a collaborative, provider-facing leader to own and scale provider education strategies and improve documentation quality, coding accuracy, audit readiness, and value-based performance across Strive. The Manager, Risk & HEDIS Education will partner across Risk Adjustment, Quality, Clinical Operations, Compliance, Informatics, and provider-facing stakeholders to design and deliver standardized education programs that helps providers document accurate and compliant patient complexity while supporting quality and audit readiness. This role will translate organizational priorities into provider-friendly workflows, targeted coaching, and actionable feedback that improves performance across markets. This individual would report to the Senior Director, Risk Adjustment and HEDIS Enablement. 

The Day to Day 

  • Lead the development and delivery of provider education programs focused on risk adjustment, HCC documentation, ICD-10-CM coding principles, HEDIS quality measures, and documentation best practices for employed and contracted provider groups. 
  • Set goals, timelines, and performance expectations for the education initiatives and ensure work is aligned to departmental priorities, market needs, and enterprise standards. 
  • Serve as a primary subject matter resource to operational teams on documentation requirements, coding guidelines, CMS regulations, audit readiness, and value-based care performance expectations. 
  • Conduct prospective and retrospective documentation and coding reviews to identify trends, educational opportunities, provider-specific gaps, and areas for workflow improvement. 
  • Develop standardized education materials, feedback mechanisms, tip sheets, playbooks, and training curricula to support provider onboarding, ongoing education, and scalable adoption across markets. 
  • Provide targeted coaching and performance feedback to providers, provider groups, and market partners based on audit findings, documentation trends, coding reviews, and quality performance opportunities. 
  • Partner with Risk Adjustment, Quality, Clinical Operations, Compliance, Legal, and Coding leadership to ensure provider-facing guidance is practical, consistent, and aligned with organizational standards. 
  • Monitor provider, group, and market-level documentation and coding trends and develop reporting and recommendations that support accountability, continuous improvement, and stronger value-based performance. 
  • Support workflow and technology optimization efforts by partnering with Informatics, Product, EHR, and operational teams to embed documentation and coding requirements into provider workflows and education. 
  • Support change management and education for new documentation workflows, tools, and process enhancements that improve documentation quality, coding accuracy, provider experience, and operational efficiency. 
  • Meet in person with internal and/or external stakeholders to facilitate team and business priorities and opportunities. Business travel may be required for opportunities to connect with stakeholders, serve patients, and attend Strive-sponsored team events. 

Minimum Qualifications 

  • Bachelor's degree in healthcare administration, nursing, public health, health information management, healthcare management, or a related field. Equivalent combinations of education and experience may be considered. 
  • 4+ years of experience or certification in risk adjustment, medical coding, clinical documentation improvement, provider education, auditing, quality improvement, or related healthcare disciplines. 
  • Active Certified Risk Adjustment Coder (CRC) or Certified Professional Coder (CPC) certification. 
  • Demonstrated experience delivering education, coaching, and training to physicians, advanced practice providers, and clinical teams. 
  • Strong knowledge of Medicare Advantage risk adjustment methodologies, HCC models, CMS regulations, and ICD-10-CM coding guidelines. 
  • Knowledge of HEDIS, Stars, quality programs, and healthcare analytics. 
  • Demonstrated experience analyzing documentation, coding, quality, or performance data and translating findings into targeted education and improvement strategies. 
  • Strong presentation, facilitation, communication, and relationship-building skills with the ability to work effectively across providers, operational leaders, network partners, and cross-functional teams. 
  • Ability to travel and be onsite to meet business needs. 
  • Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60 ms. 
  • Efficient and reliable transportation, including an active driver's license, allowing for travel across an assigned region to meet business needs. 

Preferred Qualifications 

  • Experience supporting value-based care, population health, managed care, accountable care, or delegated provider programs. 
  • Experience conducting coding audits, provider feedback reviews, clinical documentation improvement initiatives, or provider performance education. 
  • Experience supporting EHR optimization, provider workflow redesign, or implementation of documentation support tools. 
  • Certified Professional Medical Auditor (CPMA), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician-based (CCS-P), RHIA, RHIT, CDEO, CCDS, or CCDS-O preferred. 

About You 

  • You are an effective educator who can translate complex coding, documentation, and regulatory requirements into clear, provider-friendly guidance. 
  • You are comfortable balancing relationship-building with accountability and can deliver feedback in a way that drives improvement and trust. 
  • You are highly organized, adaptable, and able to manage multiple priorities across provider groups, markets, and cross-functional stakeholders. 
  • You bring sound judgment, curiosity, and problem-solving skills and can identify practical opportunities to improve workflows, education, and performance. 
  • You thrive in a fast-paced, evolving environment and are motivated by building scalable programs that improve both provider experience and organizational outcomes. 

Annual Base Salary Range: $85,500 - $104,000

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