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Risk Adjustment Medical Coder Jobs (NOW HIRING)

Apex Health Solutions

Certified Medical Coder

Houston, TX · On-site

$21.50 - $29.25/hr

Certified Medical Coder Certified Medical Coder role is responsible for reviewing, abstracting, and ... Follows CMS Risk Adjustment guidelines and has a complete understanding of their real-world ...

Insight Global

Hcc Coders

Charlotte, NC · Remote

$18 - $21/hr

Insight Global is seeking experienced HCC Risk Adjustment Medical Coders for a high-volume seasonal project supporting Medicare risk adjustment initiatives. Responsible for coding 2 Charts per hour.

Liberty Health

RISK ADJUSTMENT CODER

Wilmington, NC · Remote

$16 - $21.50/hr

RISK ADJUSTMENT CODER (MUST RESIDE IN NC) Job Summary ... Perform code abstraction of medical records to ensure ICD-10-CM codes are accurately assigned and ...

Vertek Staffing

HCC Risk Adjustment Coder

Franklin, TN · Remote

$18 - $24/hr

Review medical records to identify and code HCC-eligible diagnoses. * Assign ICD-10-CM diagnosis codes in accordance with CMS and Risk Adjustment guidelines. * Validate chronic conditions and ensure ...

Apex Health Solutions

Certified Medical Coder

Houston, TX

$21.50 - $29.25/hr

Summary Certified Medical Coder role is responsible for reviewing, abstracting, and coding ... Follows CMS Risk Adjustment guidelines and has a complete understanding of their real-world ...

Apex Health Solutions

Certified Medical Coder

Houston, TX · On-site

$21.50 - $29.25/hr

Description Summary Certified Medical Coder role is responsible for reviewing, abstracting, and ... Follows CMS Risk Adjustment guidelines and has a complete understanding of their real-world ...

GeBBS Healthcare Solutions

Risk Adjustment Coder

Coders will add risk-adjusting diagnoses that are valid but not reported Requirements Active certification through AAPC or AHIMA is required Minimum 5 years verifiable risk adjustment coding ...

Harris Health System

Risk Adjustment Coder II

Houston, TX · On-site

$27.69 - $34.61/hr

Job Profile JOB SUMMARY The Risk Adjustment Coder II provides advanced support for complex medical record reviews to ensure the correct capture of chronic conditions and complexities to calculate a ...

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Risk Adjustment Medical Coder information

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How much do risk adjustment medical coder jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for risk adjustment medical coder in the United States is $22.42, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $24.04 per hour, depending on experience, location, and employer.

What is a risk adjustment medical coder?

Risk Adjustment Medical Coders are healthcare professionals who review and analyze patient medical records to assign accurate diagnosis codes. Their main role is to ensure that all relevant health conditions are documented and coded correctly for risk adjustment purposes, which helps determine appropriate reimbursement levels for healthcare providers and insurance plans. They play a critical part in supporting the accuracy of risk scores used in programs like Medicare Advantage and the Affordable Care Act. These coders must have a strong understanding of medical terminology, coding standards (such as ICD-10), and regulatory guidelines.

What skills and qualifications are needed to be a risk adjustment medical coder?

To thrive as a Risk Adjustment Medical Coder, you need a deep understanding of medical coding standards (ICD-10-CM), anatomy, and healthcare regulations, typically supported by certifications such as CRC, CPC, or CCS. Familiarity with coding software, electronic health records (EHR) systems, and risk adjustment tools is essential. Strong attention to detail, analytical thinking, and effective communication distinguish top performers in this role. These skills ensure accurate capture of patient diagnoses, compliance with regulations, and optimal reimbursement for healthcare organizations.

What are common challenges faced by risk adjustment medical coders, and how can they be addressed?

Risk Adjustment Medical Coders often face challenges such as interpreting complex medical documentation, staying current with ever-changing coding guidelines, and ensuring accuracy under tight deadlines. These professionals frequently work closely with healthcare providers to clarify ambiguous notes and ensure complete capture of diagnoses. To overcome these challenges, coders benefit from ongoing education, regular audits for feedback, and robust collaboration with clinical teams. Embracing technology and keeping up with regulatory updates also help maintain high coding accuracy and compliance.

What is the difference between Risk Adjustment Medical Coder vs Medical Coder?

AspectRisk Adjustment Medical CoderMedical Coder
CertificationsCertified Professional Coder (CPC), Risk Adjustment certificationsCertified Professional Coder (CPC), CPC-H
Work EnvironmentInsurance companies, healthcare analytics, risk adjustment programsHospitals, clinics, physician offices
Industry UsageHealth plans, Medicare Advantage, MedicaidHospitals, outpatient clinics, physician practices
Job FocusAnalyzing diagnoses for risk scoring, coding for risk adjustment modelsAssigning accurate medical codes for billing and documentation

While both roles involve medical coding, Risk Adjustment Medical Coders focus on analyzing diagnoses for risk scoring in insurance and health plans, often requiring specialized risk adjustment certifications. Medical Coders typically work in clinical settings, assigning codes for billing purposes. The two roles share foundational coding skills but differ in their industry focus and specific responsibilities.

How long does it take to become a risk adjustment medical coder?

Becoming a risk adjustment medical coder typically requires completing a coding training program or certification course, which can take from a few months to a year. Many coders pursue certifications such as the Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC) to enhance job prospects, and gaining experience with coding tools and medical records is also important.

How much do risk adjustment medical coders make in the US?

Risk adjustment medical coders in the US typically earn between $50,000 and $75,000 annually, depending on experience, certification, and location. Advanced skills in coding systems like ICD-10 and familiarity with risk adjustment models can influence salary levels.

What cities are hiring for Risk Adjustment Medical Coder jobs?

Cities with the most Risk Adjustment Medical Coder job openings:

What states have the most Risk Adjustment Medical Coder jobs?

States with the most job openings for Risk Adjustment Medical Coder jobs include:

What are popular job titles related to Risk Adjustment Medical Coder jobs?

For Risk Adjustment Medical Coder jobs, the most frequently searched job titles are:

Risk Adjustment Medical Coder jobs near you

HEALTH CODER - HCC & RISK ADJUSTMENT

Burlingame, CA • On-site

North East Medical Services
Health Care and Social Assistance • 51 - 200 employees
Learn more about North East Medical Servicesexternal

$42.79 - $48.75/hr

Other

Re-posted 25 days ago

Key responsibilities

  • Perform comprehensive review of patient charts to identify and validate diagnosis codes in alignment with HCC and risk adjustment guidelines.

  • Develop and deliver provider education sessions and materials on best practices for clinical documentation and HCC/RA coding.

  • Analyze coding data to identify trends, documentation gaps, and opportunities for improvement.

Job description

The Healthcare Coder plays a critical role in supporting accurate and compliant coding for NEMS MSO operations with a focus on Medicare Risk Adjustment (RA) programs. This position ensures accurate capture of Hierarchical Condition Category (HCC) coding and improves risk adjustment scores by conducting chart audits, providing provider education, and supporting clinical documentation improvement (CDI) initiatives. The Healthcare Coder will collaborate closely with providers, clinical staff, and leadership to improve coding accuracy and compliance, directly impacting the organization's quality outcomes and financial performance.
ESSENTIAL JOB FUNCTIONS:
  • HCC Coding and Risk Adjustment (RA) Program Support
    • Perform comprehensive review of patient charts to identify and validate diagnosis codes in alignment with HCC and risk adjustment guidelines.
    • Ensure all coding adheres to CMS and ICD-10 guidelines, focusing on accuracy, completeness, and compliance.
    • Conduct prospective and retrospective chart audits to assess risk adjustment coding accuracy.
  • Provider Training and Clinical Documentation Improvement (CDI)
  • Develop and deliver provider education sessions and materials on best practices for clinical documentation and HCC/RA coding.
  • Provide one-on-one and group training to providers and clinical staff to improve documentation quality and accuracy.
  • Serve as a resource and subject matter expert on HCC, risk adjustment, and related coding standards.
  • Data Analysis and Reporting
    • Analyze coding data to identify trends, documentation gaps, and opportunities for improvement.
    • Generate reports and dashboards to track coding performance and documentation accuracy.
    • Collaborate with the Quality and Analytics teams to optimize risk adjustment processes.
  • Compliance and Continuous Improvement
    • Stay up to date with changes in coding, risk adjustment, and Medicare regulations.
    • Assist in the development and implementation of internal coding policies and procedures.
    • Participate in quality improvement initiatives related to coding and documentation.
    • Performs other job duties as required by manager/supervisor

  • Education & Certification:
    • BS/BA Degree in Health Science or General Education is required.
    • Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC), or equivalent coding certification is required.
    • Additional CDI or auditing certifications (CCDS, CDEO, CPMA) are preferred.
  • Experience:
    • Minimum of 3 years of experience in medical coding with a focus on HCC, risk adjustment, and Medicare Advantage programs.
    • Experience in provider education, clinical documentation improvement (CDI), and chart audits.
    • Previous experience working in an IPA, managed care organization, or similar setting is strongly preferred.
  • Skills & Competencies:
    • Excellent communication, presentation, and interpersonal skills.
    • Strong understanding of CMS guidelines for Medicare Advantage and risk adjustment program.
    • Exceptional knowledge of ICD-10-CM coding and HCC risk adjustment coding methodologies.
    • Proficiency in electronic health records (EHR) and coding software.
    • Strong analytical and problem-solving skills.

LANGUAGE:
  • Must be able to fluently speak, read and write English.
  • Fluency in other languages is an asset.

STATUS:
  • This is an FLSA Non-exempt position.
  • This is not an OSHA high-risk position.
  • This a full-time position.

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