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Risk Adjustment Coding Jobs in Raleigh, NC (NOW HIRING)

CenterWell

Risk Adjustment Coding Analyst

Raleigh, NC · On-site

Become a part of our caring community The Risk Adjustment Coding Analyst provides operational, analytical, and administrative support to business leaders and teams. You will analyze data to support ...

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Risk Adjustment Coding information

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$16

$28

$68

How much do risk adjustment coding jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for risk adjustment coding in Raleigh, NC is $28.47, according to ZipRecruiter salary data. Most workers in this role earn between $21.25 and $28.27 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 Raleigh, NC?

The most popular types of Risk Adjustment Coding jobs in Raleigh, NC are:

What are popular job titles related to Risk Adjustment Coding jobs in Raleigh, NC?

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

What job categories do people searching Risk Adjustment Coding jobs in Raleigh, NC look for?

The top searched job categories for Risk Adjustment Coding jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Risk Adjustment Coding jobs?

Cities near Raleigh, NC with the most Risk Adjustment Coding job openings:

Risk Adjustment Coding jobs near you
Infographic showing various Risk Adjustment Coding job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 87% Full Time, 9% Part Time, and 3% Contract. Highlights an 88% Physical, 5% Hybrid, and 7% Remote job distribution, with an average salary of $59,215 per year, or $28.5 per hour.

Risk Adjustment Coding Analyst

CenterWell

Raleigh, NC • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago

New

CenterWell rating

9.0

Company rating: 9.0 out of 10

Based on 10 frontline employees who took The Breakroom Quiz

Job description

Become a part of our caring community

The Risk Adjustment Coding Analyst provides operational, analytical, and administrative support to business leaders and teams. You will analyze data to support decision-making, performance monitoring, project tracking, and partner communication.

  • You will develop recurring dashboards and reports that support operational oversight, analytics, compliance monitoring, and leadership decision-making.

  • You will analyze operational trends, variances, aging, volumes, activity breakdowns, and performance changes; summarize findings in a clear business narrative with important takeaways and recommended next steps.

  • Prepare executive-ready summaries, presentations, and written analyses that explain the “story behind the data” rather than relying solely on raw reports or pivot tables.

  • Support recurring and ad hoc reporting needs, including dashboard maintenance, pending work analyses, activity tracking, audit reporting, GenAI-related reporting, CDI tracking, query tracking, and other priorities.

  • Partner with leaders and teams to define reporting needs, resolve data issues, and support interpretation of results.

  • Document active deliverables, reporting schedule, data sources, process notes, dependencies, risks, and transition plans to ensure business continuity knowledge transfer.

  • You will manage priorities, meet deadlines, escalate barriers, and make independent decisions regarding work methods within established guidelines.

  • Maintain confidentiality and handle sensitive business, operational, and healthcare-related information observing organizational policies and compliance expectations.

  • Improve reporting processes by identifying opportunities to improve manual work, strengthen data quality, enhance partner usability, and improve the clarity of deliverables.

Use your skills to make an impact

Required Qualifications:

  • Bachelor's degree or equivalent experience in business, analytics, healthcare administration, operations, information management, or a related field.

  • Experience supporting operations, analytics, project coordination, or administrative responsibilities.

  • Proficiency with Microsoft Office Suite with the ability to organize data, create summaries, and support presentation-ready deliverables.

  • Validate data, identify trends, compare time periods, calculate changes, and explain findings in concise language.

  • Produce written summaries including main insights, and recommend next steps for leadership review.

  • Validate calculations, removing duplicates, and confirming assumptions before sharing deliverables.

  • Partner across teams and translate partner requests into applicable reporting or documentation.

  • Maintain confidentiality and handle sensitive operational, employee, provider, member, and business information.

  • Experience improving business processes, partner experience, and operational outcomes through accurate reporting and applicable insights.

Preferred Qualifications:

  • Experience managing dashboards, trackers, scorecards, or recurring performance reports.

  • Experience with Excel-based analysis, Power BI, SharePoint, OneDrive, Teams, or other collaboration and reporting platforms.

  • Experience supporting healthcare operations, risk adjustment, coding operations, audit reporting, CDI tracking, provider education reporting, or similar regulated activities.

  • Convert complex data into executive-ready summaries, visual tables, trend narratives, and partner-facing updates.

  • Experience documenting processes, creating transition plans, maintaining report inventories, and supporting knowledge transfer.

  • Comfort working with latest tools, including AI-assisted summaries or analytics, while validating outputs for accuracy before use.

  • Identify data discrepancies, clarify definitions, align reporting logic, and support interpretation across partners.

#LI-CM1

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$58,700 - $70,400 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 09-18-2026

About us

About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being.

About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com.

​

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources

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