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69 Advantmed Risk Adjustment Coder Jobs Hiring Near You

Insight Global

REMOTE HCC Coder

Denver, CO · Remote

$18 - $25/hr

M-F PR: $18 - $25/hr based on experience Day-to-Day Responsibilities Insight Global is seeking experienced HCC Risk Adjustment Medical Coders for a high-volume seasonal project supporting Medicare ...

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Advantmed Jobs Information

What is it like to work at Advantmed?

Advantmed is a company that values collaboration and innovation, fostering a dynamic work environment where employees can contribute to the development of cutting-edge healthcare solutions.

As a leading provider of risk adjustment and quality improvement services, Advantmed has a team structure that emphasizes expertise and specialization, with professionals working together to deliver high-quality results for clients. The company's mission is to improve healthcare outcomes and reduce costs through data-driven insights and personalized support.

Working at Advantmed may appeal to candidates who are passionate about healthcare and data analysis, as the company offers opportunities for professional growth and development in a fast-paced and supportive environment.

What makes Advantmed an attractive place to work?

Advantmed is a leading healthcare technology company that specializes in value-based care solutions, positioning itself at the forefront of the industry's shift towards more efficient and effective healthcare delivery models.

The company's work environment is characterized by a culture of innovation, collaboration, and continuous learning, where employees are encouraged to share ideas and work together to drive meaningful change in the healthcare sector. Advantmed's commitment to employee growth and development is evident in its investment in training programs, mentorship opportunities, and career advancement pathways.

By joining Advantmed, professionals can contribute to the development of cutting-edge healthcare solutions, collaborate with a talented team of experts, and enjoy opportunities for professional growth and development in a dynamic and forward-thinking organization.

What other companies are hiring for Risk Adjustment Coder jobs?

What are the most popular jobs at Advantmed?

What are the most popular categories at Advantmed?

Infographic showing various Risk Adjustment Coder job openings at Advantmed in the United States as of August 2026, with employment types broken down into 6% As Needed, 14% Full Time, 23% Part Time, and 57% Contract. Highlights an 97% Physical, and 3% Remote job distribution.

Senior Manager, Corporate Compliance - Risk Adjustment

CVS Health

Scottsdale, AZ • On-site

$75K - $165K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 15 days ago

Key responsibilities

  • Oversee and maintain compliance with CMS regulations related to Medicare Advantage Risk Adjustment, HCCs, encounter data submission, documentation, and coding.

  • Partner with various teams to ensure organizational adherence to CMS requirements and develop corrective action plans for compliance issues.

  • Conduct compliance risk assessments related to coding, documentation, and encounter data submissions.

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,366 frontline employees who took The Breakroom Quiz

92nd of 113 rated pharmacies

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary

As a Senior Manager, Medicare Compliance - Risk Adjustment, you are responsible for overseeing and maintaining compliance with CMS regulations related to Medicare Advantage Risk Adjustment, Hierarchical Condition Categories (HCCs), encounter data submission, documentation and coding compliance, and related regulatory requirements. This position serves as a key compliance leader and subject matter expert, partnering with Risk Adjustment Operations, Coding, Provider Education, Clinical Documentation Improvement (CDI), Internal Audit, Legal, and Government Affairs teams to ensure organizational adherence to CMS requirements.

The ideal candidate possesses extensive experience in Medicare Advantage compliance and a deep understanding of CMS Risk Adjustment methodologies, diagnosis coding requirements, medical record documentation standards, RADV audits, and evolving regulatory guidance.

Key Responsibilities

  • Lead the Medicare Advantage Risk Adjustment compliance program.

  • Monitor and interpret CMS regulations, HPMS memoranda, Final Rules, Medicare Managed Care Manual guidance, RADV requirements, and OIG enforcement activities.

  • Assess operational processes for compliance risks related to risk adjustment activities.

  • Develop and implement corrective action plans for identified compliance issues.

  • Conduct compliance risk assessments related to coding, documentation, and encounter data submissions.


Required Qualifications

  • Minimum 7 years of experience in Medicare Advantage, Risk Adjustment, Coding Compliance, Audit, or Regulatory Compliance

  • Minimum 5 years in a leadership role

  • One or more of the following certifications: CPMA (Certified Professional Medical Auditor), CRC (Certified Risk Adjustment Coder), CPC (Certified Professional Coder), CCS (Certified Coding Specialist)

  • Willingness to travel up to 10% (including by plane)


Preferred Qualifications

  • Health Information Management (RHIA/RHIT)

  • Nursing - Strong understanding of clinical documentation and medical record review

  • Certified Risk Adjustment Coder (CRC) with compliance experience

  • Provider coding audit/compliance leadership experience

  • Medicare Advantage compliance leadership experience supporting RADV, HCC validation, and CMS audits


Education

Bachelor's degree in Health Information Management, Healthcare Administration, Nursing, Public Health, Business Administration, Healthcare Compliance, or a related healthcare field required; equivalent years of work experience may substitue.

Pay Range

The typical pay range for this role is:

$75,400.00 - $165,954.00


This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/12/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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