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Risk Adjustment Coding Jobs in Nevada (NOW HIRING)

York Risk Services

Claims Examiner

Las Vegas, NV · On-site

Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and ... Ensures claim files are properly documented and claims coding is correct. * Refers cases as ...

Rex Moore Group, Inc

Site Superintendent

Reno, NV · On-site

$74 - $80/hr

Monitor codes, specifications, and installation methods. Maintain thorough knowledge of systems and ... Job site risk management * Security on jobsite * Safety meetings and safe work practices * Quality ...

My Family Doc

Medical Assistant/Receptionist

Las Vegas, NV · On-site

$20 - $23/hr

... adjustments in room utilization and assignment. 2. Prepares medical record for patient visit ... Completes a fall risk assessment. May sit with a patient who needs monitoring. 7. Prepares exam ...

Rex Moore Group, Inc.

Site Superintendent

Reno, NV · On-site

$74 - $80/hr

Monitor codes, specifications, and installation methods. Maintain thorough knowledge of systems and ... Job site risk management * Security on jobsite * Safety meetings and safe work practices * Quality ...

RSS, LLC.

Site Superintendent

Reno, NV · On-site

$74 - $80/hr

Monitor codes, specifications, and installation methods. Maintain thorough knowledge of systems and ... Job site risk management * Security on jobsite * Safety meetings and safe work practices * Quality ...

Actalent

Project Manager

Henderson, NV

Review and approve invoices, assign appropriate cost codes, and make strategic budget adjustments ... Drive quality control, safety, risk management, and compliance initiatives on the jobsite. * Lead ...

3M HEALTHCARE

Regional Manager, Affordable Housing

Reno, NV · On-site

$70 - $90/hr

... risk management. As an offsite leader, you will supervise all aspects of the property and staff to ... Monitor & approve the timely receipt, reconciliation, and coding of all vendor invoices. * Ensure ...

Asset Living

Regional Manager

Reno, NV · On-site

$77K - $104K/yr

... risk management. As an offsite leader, you will supervise all aspects of the property and staff to ... Monitor & approve the timely receipt, reconciliation, and coding of all vendor invoices * Ensure ...

Asset Living

Community Manager

Sparks, NV

... risk management. As an on-site leader, you will supervise all aspects of the property and staff to ... Monitor the timely receipt, reconciliation, and coding of all vendor invoices * Ensure property ...

Asset Living

Community Manager

Sparks, NV · On-site

... risk management. As an on-site leader, you will supervise all aspects of the property and staff to ... Monitor the timely receipt, reconciliation, and coding of all vendor invoices * Ensure property ...

Sundt Careers

Project Engineer - Electrical

Sparks, NV · On-site

$90 - $120/hr

... and risk management plans to ensure successful project execution. Demonstrates a thorough ... Prepares cost control budget adjustments and executes in a timely manner. * 9.Prevents claims ...

Asset Living

Regional Manager

Reno, NV · On-site

$77K - $104K/yr

... risk management. As an offsite leader, you will supervise all aspects of the property and staff to ... Monitor & approve the timely receipt, reconciliation, and coding of all vendor invoices * Ensure ...

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All JobsRisk Adjustment Coding JobsRisk Adjustment Coding Jobs in Nevada

Risk Adjustment Coding information

See Nevada salary details

$17

$29

$72

How much do risk adjustment coding jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for risk adjustment coding in Nevada is $29.82, according to ZipRecruiter salary data. Most workers in this role earn between $22.26 and $29.62 per hour, depending on experience, location, and employer.

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 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 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.

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.

How to get into risk adjustment coding?

To enter risk adjustment coding, individuals typically need a medical coding certification such as CPC or CCS, along with knowledge of medical records and coding guidelines. Experience in healthcare or medical billing can be beneficial, and familiarity with electronic health records (EHR) systems is often required. Ongoing education and staying current with coding updates are important for success in this field.

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.

What are the most commonly searched types of Risk Adjustment Coding jobs in Nevada?

The most popular types of Risk Adjustment Coding jobs in Nevada are:

What are popular job titles related to Risk Adjustment Coding jobs in Nevada?

For Risk Adjustment Coding jobs in Nevada, the most frequently searched job titles are:

What job categories do people searching Risk Adjustment Coding jobs in Nevada look for?

The top searched job categories for Risk Adjustment Coding jobs in Nevada are:

What cities in Nevada are hiring for Risk Adjustment Coding jobs?

Cities in Nevada with the most Risk Adjustment Coding job openings:

Risk Adjustment Coding jobs near you
Infographic showing various Risk Adjustment Coding job openings in Nevada as of August 2026, with employment types broken down into 1% As Needed, 91% Full Time, 6% Part Time, and 2% Contract. Highlights an 85% Physical, 5% Hybrid, and 10% Remote job distribution, with an average salary of $62,035 per year, or $29.8 per hour.

Billing Specialist - Patient Account Representative

Las Vegas, NV

Astrana Health, Inc.
See more jobs at Astrana Health, Inc.external

$19 - $22/hr

Full-time

Re-posted 11 days ago

Job description

Description
About the Role 
We are seeking a highly organized and detail-oriented Billing Specialist-Pt Account Rep to support accurate and efficient revenue cycle operations. This role plays a critical part in managing patient accounts by ensuring timely resolution of outstanding patient balances, supporting account reconciliation, coordinating insurance and patient payment activity, and assisting with legacy account cleanup during system transitions. The ideal candidate is customer-service driven, detail-oriented, and experienced in patient financial services, payment arrangements, insurance coordination, and account resolution while maintaining a strong commitment to accuracy, compliance, and continuous process improvement. 
Our Values: 
  • Put Patients First 
  • Empower Entrepreneurial Provider and Care Teams 
  • Operate with Integrity & Excellence 
  • Be Innovative 
  • Work As One Team 

What You'll Do
  • Review and resolve outstanding patient and insurance accounts by researching discrepancies, resolving claim issues and denials, contacting patients regarding outstanding balances, answering billing questions, and establishing payment arrangements to facilitate timely account resolution. 
  • Maintain a strong understanding of payer policies, VBC metrics, RAF/HCC coding relevance, and risk adjustment impacts on reimbursement. 
  • Review and resolve outstanding accounts receivable (AR) and insurance denials by analyzing claims, researching discrepancies, and submitting appeals as needed. 
  • Prepare, review, and submit clean medical claims for primary and secondary payers, including Medicare Advantage, Medicaid Managed Care, and commercial insurers as needed. 
  • Collaborate with internal departments and payers to identify root causes of denials and ensure timely resolution and reimbursement. 
  • Maintain patient confidentiality and demonstrate professionalism and empathy when discussing sensitive financial matters. 
  • Support audits, data clean-up initiatives, and quality reporting related to billing. 
  • Ensure compliance with HIPAA and all regulatory requirements. 

Qualifications
  • High school diploma or equivalent required; associate degree or billing certification (e.g., CPB, CMRS, CBCS) preferred. 
  • At least 2 years of medical billing experience in a multi-specialty or primary care setting preferred.
  • Experience with Medicare Advantage, HMO, PPO, and/or value-based payment models strongly preferred. 
  • Familiarity with EMR and billing software (e.g., eClinicalWorks, Athena, NextGen, Kareo). 
  • Working knowledge of CPT, ICD-10, HCPCS, and modifier usage. 
  • Strong attention to detail, organizational skills, and follow-through. 
  • Excellent communication and teamwork skills.  

Environmental Job Requirements and Working Conditions
  • Scheduling options: 7:30 AM – 4:00 PM or 8:00 AM – 4:30 PM with a 30-minute lunch between 12:00–1:00 PM.
  • The total compensation range for this role is $19–$22/hour. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.
Additional Information: 
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.