Medical Coder CPC / CCS
$18 - $24.25/hr
Provide overall coding expertise as well as administrative and technical oversight to ensure successful integration of Molina Medicare's Risk Adjustment initiatives. May require some travel to ...
Medical Coder CPC / CCS
$18 - $24.25/hr
Provide overall coding expertise as well as administrative and technical oversight to ensure successful integration of Molina Medicare's Risk Adjustment initiatives. May require some travel to ...
Serves as the primary resource and subject matter expert on all CMS Risk Adjustment and quality documentation. * Develop and deliver clinical focused training on advance coding and documentation ...
Serves as the primary resource and subject matter expert on all CMS Risk Adjustment and quality documentation. * Develop and deliver clinical focused training on advance coding and documentation ...
Serves as the primary resource and subject matter expert on all CMS Risk Adjustment and quality documentation. * Develop and deliver clinical focused training on advance coding and documentation ...
Serves as the primary resource and subject matter expert on all CMS Risk Adjustment and quality documentation. * Develop and deliver clinical focused training on advance coding and documentation ...
This role focuses on optimizing case mix index (CMI), risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding, and Quality teams. The Physician Advisor ...
This role focuses on optimizing case mix index (CMI), risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding, and Quality teams. The Physician Advisor ...
This role focuses on optimizing case mix index (CMI), risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding, and Quality teams. The Physician Advisor ...
This role focuses on optimizing case mix index (CMI), risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding, and Quality teams. The Physician Advisor ...
PHYSICIAN ADVISOR
Dayton, OH · On-site
This role focuses on optimizing case mix index (CMI), risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding, and Quality teams. The Physician Advisor ...
PHYSICIAN ADVISOR
Dayton, OH · On-site
This role focuses on optimizing case mix index (CMI), risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding, and Quality teams. The Physician Advisor ...
PHYSICIAN ADVISOR
Dayton, OH · On-site
This role focuses on optimizing case mix index (CMI), risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding, and Quality teams. The Physician Advisor ...
PHYSICIAN ADVISOR
Dayton, OH · On-site
This role focuses on optimizing case mix index (CMI), risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding, and Quality teams. The Physician Advisor ...
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT criteria) candidates without this background will receive structured training. * Multi-setting background ...
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT criteria) candidates without this background will receive structured training. * Multi-setting background ...
Internal Medicine, Quality Advanced Practice Provider
Columbus, OH · Remote
$94K - $128K/yr
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT criteria)candidates without this background will receive structured training. * Multi-setting background ...
Internal Medicine, Quality Advanced Practice Provider
Columbus, OH · Remote
$94K - $128K/yr
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT criteria)candidates without this background will receive structured training. * Multi-setting background ...
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT criteria)-candidates without this background will receive structured training. * Multi-setting background ...
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT criteria)-candidates without this background will receive structured training. * Multi-setting background ...
Nurse Practitioner - Family Practice/Primary Care job available in Cleveland, Ohio
Cleveland, OH · Remote
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT criteria)--candidates without this background will receive structured training. * Multi-setting background ...
Nurse Practitioner - Family Practice/Primary Care job available in Cleveland, Ohio
Cleveland, OH · Remote
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT criteria)--candidates without this background will receive structured training. * Multi-setting background ...
Community Based Quality Advanced Practice Provider - 3001
Columbus, OH · On-site
$99K - $135K/yr
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT criteria)-candidates without this background will receive structured training. * Multi-setting background ...
Community Based Quality Advanced Practice Provider - 3001
Columbus, OH · On-site
$99K - $135K/yr
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT criteria)-candidates without this background will receive structured training. * Multi-setting background ...
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT criteria)--candidates without this background will receive structured training. * Multi-setting background ...
Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT criteria)--candidates without this background will receive structured training. * Multi-setting background ...
Compliance Educator
Columbus, OH · Hybrid
Certified Risk Adjustment Coder (CRC) or Certified Documentation Integrity Practitioner (CDIP), preferred. Skills: * Proficiency with LMS platforms and virtual training tools. * Proficiency with EPIC ...
Compliance Educator
Columbus, OH · Hybrid
Certified Risk Adjustment Coder (CRC) or Certified Documentation Integrity Practitioner (CDIP), preferred. Skills: * Proficiency with LMS platforms and virtual training tools. * Proficiency with EPIC ...
Compliance Educator
Columbus, OH · On-site
Certified Risk Adjustment Coder (CRC) or Certified Documentation Integrity Practitioner (CDIP), preferred. Skills: * Proficiency with LMS platforms and virtual training tools. * Proficiency with EPIC ...
Compliance Educator
Columbus, OH · On-site
Certified Risk Adjustment Coder (CRC) or Certified Documentation Integrity Practitioner (CDIP), preferred. Skills: * Proficiency with LMS platforms and virtual training tools. * Proficiency with EPIC ...
Billing Specialist
$19 - $26/hr
The Medical Billing Specialist ensures accurate coding, timely claim submission, and efficient ... Knowledge of risk adjustment (HCC), HEDIS-quality documentation, and prior auth workflows.
Billing Specialist
$19 - $26/hr
The Medical Billing Specialist ensures accurate coding, timely claim submission, and efficient ... Knowledge of risk adjustment (HCC), HEDIS-quality documentation, and prior auth workflows.
Billing Specialist
Columbus, OH · On-site
$19 - $26/hr
The Medical Billing Specialist ensures accurate coding, timely claim submission, and efficient ... Knowledge of risk adjustment (HCC), HEDIS-quality documentation, and prior auth workflows.
Billing Specialist
Columbus, OH · On-site
$19 - $26/hr
The Medical Billing Specialist ensures accurate coding, timely claim submission, and efficient ... Knowledge of risk adjustment (HCC), HEDIS-quality documentation, and prior auth workflows.
Senior Consultant - Clinical Documentation Specialist
Cincinnati, OH · On-site
$33.25 - $44.75/hr
... risk adjustment * Has strong interpersonal skills to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality, Case Management, Finance, Revenue Cycle, and Coders * Other ...
Senior Consultant - Clinical Documentation Specialist
Cincinnati, OH · On-site
$33.25 - $44.75/hr
... risk adjustment * Has strong interpersonal skills to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality, Case Management, Finance, Revenue Cycle, and Coders * Other ...
Applied AI Scientist III
Dayton, OH · On-site +1
... expertise and code reviews. Essential Functions: * Evaluate emerging technology in LLMs, NLP ... Work closely with interdisciplinary teams across IT, risk adjustment, program integrity, HEDIS ...
Applied AI Scientist III
Dayton, OH · On-site +1
... expertise and code reviews. Essential Functions: * Evaluate emerging technology in LLMs, NLP ... Work closely with interdisciplinary teams across IT, risk adjustment, program integrity, HEDIS ...
Completes adjustment entry and credits reconciliation in a timely and accurate manner including ... Maintains professional knowledge regarding medical billing and coding procedures, insurance ...
Completes adjustment entry and credits reconciliation in a timely and accurate manner including ... Maintains professional knowledge regarding medical billing and coding procedures, insurance ...
Risk Adjustment Coding information
See Ohio salary details
$20.83 is the 25th percentile. Wages below this are outliers.
$16.23 - $20.88
25% of jobs
The median wage is $24 / hr.
$20.88 - $25.53
37% of jobs
$27.91 is the 75th percentile. Wages above this are outliers.
$25.53 - $30.19
25% of jobs
$30.19 - $34.84
4% of jobs
$34.84 - $39.49
4% of jobs
$39.49 - $44.15
2% of jobs
$44.15 - $48.80
2% of jobs
$48.80 - $53.46
0% of jobs
$53.46 - $58.11
0% of jobs
$58.11 - $62.76
0% of jobs
$62.76 - $67.42
0% of jobs
$16
$27
$67
How much do risk adjustment coding jobs pay per hour?
As of Aug 1, 2026, the average hourly pay for risk adjustment coding in Ohio is $27.84, according to ZipRecruiter salary data. Most workers in this role earn between $20.82 and $27.64 per hour, depending on experience, location, and employer.
Is HCC coding a good career?
Risk adjustment coding, including HCC coding, is a growing field with strong job demand due to the increasing focus on value-based care and accurate risk assessment. It requires attention to detail, knowledge of medical terminology, and often certification, making it a stable career option for those interested in healthcare and coding. Opportunities exist in healthcare organizations, insurance companies, and consulting firms.
What is a risk adjustment coder?
A risk adjustment coder is a healthcare professional responsible for reviewing medical records and assigning accurate diagnosis codes to reflect patient health status. Their work supports insurance reimbursement and quality measurement by ensuring proper risk adjustment, often requiring knowledge of coding systems like ICD-10 and certification such as CPC.
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?
| Aspect | Risk Adjustment Coding | Medical Coding |
|---|---|---|
| Credentials | CPR, CPC, or CCS certifications often preferred | CPR, CPC, or CCS certifications |
| Work Environment | Healthcare facilities, insurance companies, remote | Hospitals, clinics, physician offices |
| Industry Usage | Health plans, risk adjustment programs | General 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 does a CRC coder make?
A Certified Risk Adjustment Coder (CRC) typically earns between $50,000 and $70,000 annually, depending on experience, location, and employer. Certification and proficiency with coding tools like ICD-10 are important factors that can influence salary levels.
What are the key skills and qualifications needed to thrive as a Risk Adjustment Coder, and why are they important?
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.
How to get into risk adjustment coding?
To enter risk adjustment coding, individuals typically need a background in medical coding, health information management, or related healthcare fields, along with certification such as the Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). Gaining experience with medical records, coding software, and understanding diagnosis and procedure coding guidelines is essential. Many employers also value familiarity with risk adjustment models and coding for chronic conditions.
What are the most commonly searched types of Risk Adjustment Coding jobs in Ohio? The most popular types of Risk Adjustment Coding jobs in Ohio are:
What are popular job titles related to Risk Adjustment Coding jobs in Ohio? For Risk Adjustment Coding jobs in Ohio, the most frequently searched job titles are:
- Remote Flexible Risk Adjustment Coder
- Risk Adjustment Coder
- Remote Anesthesia Coder
- Remote Hcc Coder
- Hcc Risk Adjustment Coding
- From Home Optum Health Coding Risk Adjustment
- Independent Contractor Anesthesia Coder
- Freelance Remote Risk Adjustment Coder
- Exempt Medical Coder
- Full Time Remote Risk Adjustment Coder
What job categories do people searching Risk Adjustment Coding jobs in Ohio look for? The top searched job categories for Risk Adjustment Coding jobs in Ohio are:
What cities in Ohio are hiring for Risk Adjustment Coding jobs? Cities in Ohio with the most Risk Adjustment Coding job openings:
$18 - $24.25/hr
Other
Re-posted 11 days ago
Job description
Company Description
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Job Description
Company Job Description/Day to Day Duties:
Job Summary
Directly responsible and accountable for performing chart reviews, physician education, and development of tools to ensure that our provider partners are compliant with Risk Adjustment. Provide overall coding expertise as well as administrative and technical oversight to ensure successful integration of Molina Medicare's Risk Adjustment initiatives. May require some travel to various provider partner locations
Performs on-going chart reviews and abstracts diagnoses codes under the HCC Model.Â
Develop an understanding of current billing practices in provider offices to ensure that diagnoses codes are submitted accordingly.Â
Documents results/findings from chart reviews and provides feedback to management, providers, and office staff.Â
Responsible for administrative duties such as planning, scheduling of chart reviews, obtaining of medical records, and provider training and education.Â
Monitor HCC Coding Accuracy at various levels of detail (e.g., by state, by product, by demographic segmentations). Extract information necessary to identify where there are low performing physicians; follow up with plan for education and training. Continue to audit to ensure training is implemented.Â
Resolve and track escalated issues. Track any coding issues identified either at the provider level (including Molina sites) or vendor; manage any non-compliance situation or potential fraud or abuse.Â
Utilize discretion and autonomy to select provider for further training or audits; coordinate efforts with internal clients such as Coding Manager, RAMP Director, State Medicare Directors and Provider Services.Â
Determine coding quality as it relates to CMS standards; selects physicians or vendors that require an audit.Â
Qualifications
Minimum Education/Qualifications/Licensures:
Coding Certification - Active CCS, CCS-P, or CPC credentialing
Coding guidelines knowledge
Travel required (with mileage)
Claims experience
Additional Information
Employment Type: Contract 6 months. With possibility of going perm.
About Healthcare Support
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Maitland, FL, US
Year founded
2003