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Risk Adjustment Coding Jobs in Seattle, WA (NOW HIRING)

Coding Specialist 1

Seattle, WA · On-site

$42.10/hr

... Risk Adjustment Factor (RAF) and/or Care Gap review to ensure optimal reimbursement for facility and/or professional fee coding and billing for Clinic, Outpatient and related charges needing coding ...

Kids Zone Counselor

Seattle, WA · On-site

$21.30/hr

  • Medical

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Code of Conduct for Applicants All employees and volunteers are responsible for adhering to abuse ... organization's abuse risk management standards. Qualifications What we're looking for in an ...

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Risk Adjustment Coding information

See Seattle, WA salary details

$19

$33

$80

How much do risk adjustment coding jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for risk adjustment coding in Seattle, WA is $33.33, according to ZipRecruiter salary data. Most workers in this role earn between $24.90 and $33.08 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 popular job titles related to Risk Adjustment Coding jobs in Seattle, WA?

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

What job categories do people searching Risk Adjustment Coding jobs in Seattle, WA look for?

The top searched job categories for Risk Adjustment Coding jobs in Seattle, WA are:

What cities near Seattle, WA are hiring for Risk Adjustment Coding jobs?

Cities near Seattle, WA with the most Risk Adjustment Coding job openings:

Infographic showing various Risk Adjustment Coding job openings in Seattle, WA as of August 2026, with employment types broken down into 100% Full Time. Highlights an 60% In-person, 20% Hybrid, and 20% Remote job distribution, with an average salary of $69,328 per year, or $33.3 per hour.

$33.85 - $55.86/hr

Full-time

Re-posted 14 days ago


Job description


Job Summary and Responsibilities

As our Documentation & Coding Consultant, you will design, implement, and manage ongoing organizational monitoring activities and educational programs. This ensures proper reimbursement and compliance with all regulatory statutes.
Every day you will work in a consulting capacity, identifying compliance issues and analyzing practice patterns. You will verify charges, ensure optimal reimbursement for the organization, and interpret regulatory changes.
To be successful in this role, you will implement the necessary changes and modify VMMC's policies, conveying these changes to the clinical departments. You will possess a strong command of coding guidelines and educate staff thoroughly on compliance requirements.

Job Requirements

Required

  • Bachelor's degree or equivalent plus credentialed as a Certified Professional Coder (CPC) or Certified Coding Specialist-Physician based (CCS-P)
  • One (1) year of CPT and diagnosis coding experience in a healthcare provider or a third party payer
  • Demonstrated interpersonal, organizational, analytical, and problem-solving skills
  • Ability to interact tactfully yet assertively with physicians and other professional staff
  • Strong presentation skills and comfort in settings ranging from one-on-one (1:1) communications to large groups
  • Good written and verbal communication skills

Preferred

  • Five (5) years of Current Procedural Terminology (CPT) and diagnosis coding experience in a healthcare provider or a third party payer and three (3) years of experience as an instructor/trainer
  • Clinical knowledge and exposure to risk adjustment coding
Where You'll Work

Virginia Mason Franciscan Health brings together two award winning health systems in Washington state - CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers. At Virginia Mason Franciscan Health you will find the safest and highest quality of care provided by our expert, compassionate medical care team at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region.

Qualifications:

Required

  • Bachelor's degree or equivalent plus credentialed as a Certified Professional Coder (CPC) or Certified Coding Specialist-Physician based (CCS-P)
  • One (1) year of CPT and diagnosis coding experience in a healthcare provider or a third party payer
  • Demonstrated interpersonal, organizational, analytical, and problem-solving skills
  • Ability to interact tactfully yet assertively with physicians and other professional staff
  • Strong presentation skills and comfort in settings ranging from one-on-one (1:1) communications to large groups
  • Good written and verbal communication skills

Preferred

  • Five (5) years of Current Procedural Terminology (CPT) and diagnosis coding experience in a healthcare provider or a third party payer and three (3) years of experience as an instructor/trainer
  • Clinical knowledge and exposure to risk adjustment coding
Employment Type: Full Time