ZipRecruiter

Log In

1

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

Keebler Health

Solutions Engineer

Durham, NC · On-site

As a member of the team, you won't just write code or stay in your lane-you'll shape critical ... Exposure to risk adjustment , RAF scoring , or clinical data quality workflows. What Success Looks ...

LexisNexis Risk Solutions

Lead Data Scientist

Raleigh, NC · On-site

$104.90 - $174.70/hr

Strong coding skills in Python or another programming language* Excellent communicator, with the ... If you have a disability or other need that requires accommodation or adjustment, please let us ...

The Preiss Company

Property Manager

Knightdale, NC · On-site

Oversee the accounts payable process, and monitor the timely receipt, reconciliation, and coding of ... Risk Management * Identify and address any safety and security risks. Communicate incidents and ...

Duke University

Real Estate Accountant

Durham, NC · Hybrid

$59K - $80K/yr

Additionally, the analyst ensures that expenses are coded correctly using appropriate building ... Additionally, the analyst evaluates adjustments related to taxes, insurance, and operating expenses ...

Duke Health

Real Estate Accountant

Durham, NC · Hybrid

$59K - $80K/yr

Additionally, the analyst ensures that expenses are coded correctly using appropriate building ... Additionally, the analyst evaluates adjustments related to taxes, insurance, and operating expenses ...

Duke Health

Real Estate Accountant

Durham, NC · On-site

$59K - $80K/yr

Additionally, the analyst ensures that expenses are coded correctly using appropriate building ... Additionally, the analyst evaluates adjustments related to taxes, insurance, and operating expenses ...

Duke University

Real Estate Accountant

Durham, NC · On-site

$59K - $80K/yr

Additionally, the analyst ensures that expenses are coded correctly using appropriate building ... Additionally, the analyst evaluates adjustments related to taxes, insurance, and operating expenses ...

previous pagenext page

Showing results 21-40

All JobsRisk Adjustment Coding JobsRisk Adjustment Coding Jobs in Raleigh, NC

Risk Adjustment Coding information

See Raleigh, NC salary details

$16

$28

$68

How much do risk adjustment coding jobs pay per hour?

As of Aug 31, 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, 90% Full Time, 7% Part Time, and 2% Contract. Highlights an 84% Physical, 5% Hybrid, and 11% Remote job distribution, with an average salary of $59,215 per year, or $28.5 per hour.

Solutions Engineer

Keebler Health

Durham, NC • On-site

Full-time

Posted 6 days ago

Job description

About Keebler Health
Keebler Health is building the operating system for value-based care. Our mission is to help risk-bearing healthcare organizations thrive in value-based arrangements by unlocking the full power of their data. We empower leading primary care groups, ACOs, and health plans to act on real-time insights that improve outcomes, reduce costs, and fuel sustainable growth.
We're a fast-moving, high-performing team, and we're looking for people who share our bias toward speed, urgency, and excellence. As a member of the team, you won't just write code or stay in your lane-you'll shape critical systems, innovate quickly, and set a high bar for a product that supports the future of U.S. healthcare.
About the role
As a Solutions Engineer, you will sit at the intersection of client success, data operations, and engineering. You'll manage the flow of data from client intake through to clean, validated deliverables - ensuring each engagement (from a 50-patient pilot to a full population review) runs smoothly, transparently, and with measurable impact.
You'll be both a project manager and a technical operator: coordinating across internal teams, running scripts and pipelines, and ensuring our outputs meet Keebler's high standards for accuracy, security, and clinical integrity.
Responsibilities
  • Serve as the primary workflow owner for assigned clients, including pilots and live accounts.
  • Effectively communicate data requirements, timelines, and expected outcomes with the team and clients.
  • Ingest, clean, and process client-submitted data (e.g., spreadsheets, claims, encounter notes, lab results).
  • Pull, transform, and validate datasets using Python, SQL, and related tools.
  • Develop scripts and lightweight tools to automate recurring data preparation and delivery workflows.
  • Partner with Engineering to troubleshoot ingestion pipelines, QA outputs, and improve automation.
  • Ensure all deliverables meet internal standards for accuracy, compliance, and HIPAA security.
  • Package and deliver client results, working with clinical SMEs to add interpretive context.
  • Track and report client health metrics to support renewals and continuous improvement.
  • Help refine and improve internal delivery playbooks, templates, and documentation as the team scales.

Qualifications
  • Proficiency in Python for data manipulation and automation (pandas, requests, etc.).
  • Experience working with healthcare data (claims, clinical notes, lab results, or EHR exports).
  • Familiarity with Excel/CSVs, and basic SQL for data extraction and validation.
  • Strong communication and project management skills; able to translate between technical and clinical contexts.
  • Must be a self-starter who is comfortable working in a fast-paced, startup environment with evolving specs and limited documentation.

Bonus Points For
  • Experience in health tech startups or consulting.
  • Familiarity with EHR systems and value-based care models.
  • Exposure to risk adjustment, RAF scoring, or clinical data quality workflows.

What Success Looks Like
  • Efficiently executing and delivering results for multiple independent workflows at once.
  • Internal teams utilize your scripts and tools to scale operations efficiently.
  • Pilots demonstrate the speed and comprehensiveness of Keebler's review process - creating clear "wow" moments.
  • Data integrity and compliance are consistently flawless.
  • Client satisfaction and renewal rates remain high.

Whether you apply through the website, or email careers@keebler.health please include:
  • A highly personalized, bold, and hilarious "Keebler Health-style" introduction that grabs attention - outgoing, fun, and uniquely you (not uniquely ChatGPT). Think: confident, high-energy, slightly irreverent (but still professional), with a smart nod to healthcare, value-based care, and the fact that we're building something real.
  • Your resume
  • A link to your LinkedIn profile
  • Anything else you think we should know

Apply