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Salaried Optum Health Coding Risk Adjustment Jobs

Dahl Consulting

Risk Adjustment Coding Auditor

$35 - $38/hr

Health Insurance --- About the Role We are partnering with a leading health insurance organization in Minnesota to hire a Risk Adjustment Coding Auditor. Our client is a well-established health plan ...

Vytwo

Risk Adjustment Coding Auditor

Prosper, TX · On-site

$25 - $28.50/hr

Risk Adjustment Coding Auditor Quantity of resources: 2 Duration: 6 months JD: This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV'

Vytwo

Risk Adjustment Coding Auditor

Prosper, TX · On-site

$25 - $28.50/hr

Risk Adjustment Coding Auditor Quantity of resources: 2 Duration: 6 months JD: This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV'

Medix

Risk Adjustment Director

Scotts Valley, CA · On-site

$96.15 - $120.19/hr

  • Medical

  • Dental

  • Vision

  • Retirement

... member health coding, managing financial impacts of risk scores, leading a team, and acting on ... Optimize Risk Adjustment Factor improvements through external vendors. * Partner with the Provider ...

Mercor

HCC Coding Leader - Risk Adjustment

New York, NY · Remote

$110/hr

Background in health plan, Medicare Advantage organisation , or value-based care setting. * Familiarity with AI-assisted HCC coding tools and comfort evaluating AI-generated risk adjustment content

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All JobsSalaried Optum Health Coding Risk Adjustment Jobs

Salaried Optum Health Coding Risk Adjustment information

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$35K

$60.6K

$90.5K

How much do salaried optum health coding risk adjustment jobs pay per year?

As of Aug 17, 2026, the average yearly pay for salaried optum health coding risk adjustment in the United States is $60,634.00, according to ZipRecruiter salary data. Most workers in this role earn between $48,000.00 and $73,000.00 per year, depending on experience, location, and employer.

What is a salaried Optum Health coding risk adjustment specialist?

A Salaried Optum Health Coding Risk Adjustment specialist is a healthcare professional employed by Optum Health who reviews medical records and codes diagnoses to ensure accurate risk adjustment. Their work supports proper reimbursement for Medicare Advantage and other risk-based health plans by identifying and coding chronic conditions and other relevant diagnoses. These specialists use their knowledge of ICD-10-CM coding guidelines and risk adjustment methodologies to improve documentation and compliance. Being salaried means they are full-time employees rather than contractors, which often includes benefits and consistent work schedules. Their efforts help ensure health plans are funded appropriately based on the health status of their members.

What are the key skills and qualifications needed to thrive as a salaried Optum Health coding risk adjustment specialist?

To excel as a Salaried Optum Health Coding Risk Adjustment specialist, you need a thorough understanding of ICD-10 coding, risk adjustment models, and healthcare compliance, typically supported by a coding certification such as CPC or CRC. Familiarity with electronic health record (EHR) systems, coding software, and data analytics tools is essential. Attention to detail, analytical thinking, and effective communication are vital soft skills for accurately interpreting clinical documentation and collaborating with healthcare teams. These competencies ensure accurate risk adjustment coding, regulatory compliance, and optimal reimbursement for healthcare organizations.

What are some common challenges faced by professionals in the salaried Optum Health coding risk adjustment role, and how can they be addressed?

One common challenge in the Salaried Optum Health Coding Risk Adjustment role is staying updated with frequent changes in coding guidelines, payer requirements, and risk adjustment models. Additionally, ensuring high accuracy while reviewing complex patient records under tight deadlines can be demanding. To address these challenges, professionals should engage in ongoing education, leverage available training resources provided by Optum, and actively participate in team knowledge-sharing sessions. Collaborating closely with clinical documentation specialists and auditing teams also helps maintain compliance and improve coding quality.

What is the difference between Salaried Optum Health Coding Risk Adjustment vs Medical Coder?

AspectSalaried Optum Health Coding Risk AdjustmentMedical Coder
CertificationsCPH, CCS, or RHIT often preferredCPH, CCS, or RHIT typically required
Work EnvironmentHealthcare organizations, insurance companies, remote optionsHospitals, clinics, outpatient facilities
Job FocusRisk adjustment coding, reimbursement accuracyClinical documentation, coding for billing
Industry UsageHigh in health insurance and managed careCommon in healthcare facilities

While both roles involve medical coding, Salaried Optum Health Coding Risk Adjustment specialists focus on risk adjustment coding to support insurance reimbursements, often working in managed care environments. Medical Coders typically handle clinical documentation coding for billing purposes in healthcare facilities. The roles share certifications and require strong coding skills but differ in their primary focus and work settings.

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Cities with the most Salaried Optum Health Coding Risk Adjustment job openings:

What are the most commonly searched types of Optum Health Coding Risk Adjustment jobs?

The most popular types of Optum Health Coding Risk Adjustment jobs are:

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States with the most job openings for Salaried Optum Health Coding Risk Adjustment jobs include:

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The top searched job categories for Salaried Optum Health Coding Risk Adjustment jobs are:

Salaried Optum Health Coding Risk Adjustment jobs near you
Infographic showing various Salaried Optum Health Coding Risk Adjustment job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 16% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $60,634 per year, or $29.2 per hour.

Risk Adjustment Coding Auditor

Dahl Consulting

Remote

$35 - $38/hr

Other

Posted 14 days ago

Job description

Job Description
Title: Risk Adjustment Coding Auditor
Location: Remote (To be eligible for this position, candidate must currently reside in one of the following states: AL, AZ, AR, CO, FL, GA, IL, IN, IA, KS, KY, MD, MI, MN, MO, MT, NV, NH, NC, ND, OK, SC, SD, TN, TX, UT, VT, VA, WI.)
Job Type: Contract
Duration: 4 months, potential for conversion to full-time employee
Compensation: $35 - $38/hr
Industry: Health Insurance
---
About the Role
We are partnering with a leading health insurance organization in Minnesota to hire a Risk Adjustment Coding Auditor. Our client is a well-established health plan serving members across commercial, Medicare, and Medicaid lines of business, with a strong commitment to data integrity, regulatory compliance, and accurate reimbursement.
In this role, you will ensure the accuracy and completeness of coded clinical data that supports compliant reporting and appropriate reimbursement across risk adjustment programs. You will strengthen organizational performance by identifying coding and documentation gaps, mitigating financial and regulatory risk, and improving data integrity. As a subject matter expert, you will support the consistent application of coding standards and enable informed decision-making across the enterprise.
Job Description
As the Risk Adjustment Coding Auditor, your responsibilities will include:
  • Evaluating risk adjustment codes to ensure accuracy, consistency, and alignment with coding standards and best practices.
  • Protecting patient records and audit information by ensuring compliance with HIPAA, privacy, security, and regulatory requirements.
  • Performing retrospective and prospective chart reviews to ensure accurate risk adjustment reporting.
  • Verifying and ensuring the accuracy, completeness, specificity, and appropriateness of provider-reported diagnosis codes based on medical record documentation.
  • Reviewing medical record information to identify complete and accurate diagnosis code capture based on CMS HCC categories.
  • Maintaining knowledge of relevant regulatory mandates and ensuring activities comply with requirements.
  • Contributing to audit and production efforts to meet business demand and workload priorities.
  • Providing written and verbal guidance on coding errors to others.
  • Meeting audit deliverables within established timelines and deadlines.
  • Assisting with special projects, such as risk mitigation reviews.
  • Serving as a subject matter resource regarding the risk adjustment process and diagnosis coding for risk adjustment.
Qualifications
Required Qualifications:
  • 7+ years of related professional experience. All relevant experience, including work, education, transferable skills, and military experience, will be considered.
  • 5+ years of HCC coding experience utilizing inpatient and outpatient coding guidelines.
  • 5+ years of experience auditing risk adjustment records.
  • 1+ years working in a production environment.
  • CRC (Certified Risk Coder) in good standing, in addition to a required coding certification, or the ability to obtain certification within the first 6 months of hire upon possible conversion.
  • Intermediate level of knowledge in risk adjustment Medicare, ACA Commercial, and Medicaid models.
  • Demonstrated ability to apply critical thinking skills to coding policy interpretation and implementation.
  • Experience providing written and verbal guidance on coding errors and trends.
  • Intermediate (or higher) proficiency in MS Office (Word, Excel, PowerPoint, and Outlook).
  • Excellent organizational ability to manage multiple projects and perform in a deadline-driven environment.
  • High school diploma (or equivalent) and legal authorization to work in the U.S.
?Preferred Qualifications
  • Bachelor's degree.
  • HEDIS/STARS experience.
  • Provider education experience.
  • Prior RADV experience.
  • CPMA or other coding credentials.
Benefits
Dahl Consulting is proud to offer a comprehensive benefits package to eligible employees that will allow you to choose the best coverage to meet your family's needs. For details, please review the DAHL Benefits Summary: https://www.dahlconsulting.com/benefits-w2fta/. How to Apply
Take the first step on your new career path!To submit yourself for consideration for this role, simply click the apply button and complete our mobile-friendly online application. Once we've reviewed your application details, a recruiter will reach out to you with next steps! Equal Opportunity Statement
As an equal opportunity employer, Dahl Consulting welcomes candidates of all backgrounds and experiences to apply. If this position sounds like the right opportunity for you, we encourage you to take the next step and connect with us. We look forward to meeting you!
Dahl Consulting is proud to offer a comprehensive benefits package to eligible contract employees that will allow you to choose the best coverage to meet your family's needs. For details, please review our Benefits Summary: www.dahlconsulting.com/benefits-w2fta.
Dahl Consulting is an Equal Opportunity Employer and does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other applicable legally protected characteristics.
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