Risk Adjustment Coder Jobs
Risk Adjustment Coder jobs are open across health plans, managed care organizations, physician groups, and hospital systems, at every level from entry-level to senior and lead, with specializations in HCC coding, prospective and retrospective chart review, and CMS-HCC model compliance. Find a role that fits below and apply directly.
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Certified Risk Adjustment Coder/Certified Professional Coder
Immediate opening for a Risk Adjustment Coder/ Certified Professional Coder. This is full-time position with the opportunity to go remote that offer competitive pay, medical, dental, vision, life insurance, paid time off, paid holidays and retirement plan. We are looking for a candidate who considers themselves to be a self-starter. Must be able to attend monthly meetings and training in office so local candidates are a must.
This position is responsible for reviewing and interpreting the medical record via EMR to verify the accuracy of the diagnosis and procedural codes, captures HCC’s and all quality indicators (Stars measures) and assures entire revenue cycle is completed for physician services in a primary care setting. This is a full capture position.
Work hours 8am-4:30pm / Full-time
Work Location can be at our any of our Bradenton, Largo, St Petersburg, Clearwater, FL offices - with the possibility to be remote for the right candidate.
Duties:
- Records reviewal to maximize the quality of the MRA/HCC coding
- Assure compliance with coding rules and regulations according to regulatory agencies such as Center for Medicare Services (CMS), Office of the Inspector General (OIG), AMA as well as company and applicable professional standards.
- Performs accurate and timely charge entries into billing software
- Stays up to date with coding changes
- Serve as a coding resource for internal departments
- Queries the provider when missing, ambiguous, or non-specific information is present in the health record
- Attend meetings as necessary to provide information relating to coding and compliance
- Informs management of trends identified through the review and validation process
- Ensure clean claim submissions
- Identify and troubleshoot billing, guarantor, insurance plan, and payer issues
Requirements:
- Active Certified Professional Coder (CPC), or Certified Risk Adjustment Coder (CRC) credential is required.
- Previous experience with Risk Adjustment coding is required.
- 3+ Years' experience with medical billing and CPT/ICD10 coding is required.
- Maintains coding certification and acquires ceu’s as required
- High School Diploma is required.
- Extensive knowledge in claim submission
- Working knowledge of Managed Care, Medicare, and Private Payers required
- Tech savviness and comfortable with technology
- Detail oriented with an organized mind-set
- Must be flexible, resourceful, and able to troubleshoot
- Must be able to handle multiple tasks simultaneously and set priorities
- A positive can-do attitude
- Must have excellent customer service and interpersonal skills
- Must be able to work as a member of a team in a team environment
- Must maintain the highest level of confidentiality and comply with HIPAA laws
- Experience with eClinicalWorks is a plus
Job Type: Full-time
Pay: From $25.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Ability to Commute:
- Bradenton, FL 34205 (Required)
Work Location: Hybrid remote in Bradenton, FL 34205
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Find Risk Adjustment Coder JobsRisk Adjustment Coder Job Market
Who's Hiring
What Employers Look For
The qualifications that appear most often in risk adjustment coder jobs.
- CRC (Certified Risk Adjustment Coder) or CPC credential required or strongly preferred
- Proficiency with CMS-HCC model and hierarchical condition category coding
- Experience with prospective or retrospective medical record review and chart abstraction
- Knowledge of ICD-10-CM coding guidelines as they apply to chronic condition documentation
- Familiarity with risk adjustment data validation (RADV) audit processes
- High school diploma or associate degree, with two or more years of coding experience
Tips for Your Risk Adjustment Coder Job Search
Tailor your resume to HCC specificity
Generic coding resumes don't land risk adjustment interviews. List your experience by model type, such as CMS-HCC, HHS-HCC, or RAPS, and call out your query encounter ratio and coding accuracy rate if you have them.
Lead with your certifications upfront
CRC, CPC, or CCS credentials belong in your resume header, not buried in a skills section. Hiring managers in this specialty filter by credential first, so placement above the fold increases your chances of making the shortlist.
Apply early to roles that fit
Migrate Mate lists risk adjustment coder openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Target your search by payer type
Risk adjustment work varies sharply between Medicare Advantage, Medicaid managed care, and ACA marketplace plans. Filter openings by payer type so your experience with a specific model, such as CMS-HCC for Medicare Advantage, aligns with what the employer actually needs.
Prepare for a live coding assessment
Many employers require a timed chart review or scenario-based HCC coding test before the final interview. Practice coding operative notes and complex chronic condition records under time pressure so the format isn't a surprise.
Negotiate scope before you accept an offer
Ask whether the role is prospective, retrospective, or both, and confirm the productivity standard before signing. Retrospective chart review and prospective encounter coding have very different daily volume expectations, and mismatched expectations are the most common source of early turnover.
Risk Adjustment Coder Jobs: Frequently Asked Questions
Which companies are hiring the most risk adjustment coders?
The companies hiring the most risk adjustment coders right now include Cano Health, CenCal Health, and Sentara, with the largest share of openings in Florida, California, and Colorado, based on current listings on Migrate Mate as of November 2026. Medicare Advantage health plans and large managed care organizations tend to post the most consistent volume throughout the year.
How many risk adjustment coder jobs are remote?
About 100% of risk adjustment coder openings are fully remote or hybrid as of November 2026, making it one of the more remote-accessible roles in health information management. Retrospective chart review and HCC coding audit positions are the most likely to be fully remote, while prospective encounter-based roles tied to clinic workflows are more often hybrid or on-site.
How do you become a risk adjustment coder?
Start by earning a foundational coding credential such as a CPC through AAPC, then gain experience in medical coding across chronic condition specialties like cardiology, endocrinology, or internal medicine. From there, pursue the CRC credential, which requires passing an exam focused on HCC coding and risk adjustment models. Many coders transition into risk adjustment from inpatient or outpatient coding roles once they have solid ICD-10-CM documentation experience.
Can you get a risk adjustment coder job with little experience?
Yes, entry-level risk adjustment coder roles do exist, but they typically require at least a foundational coding credential and some hands-on coding experience, even if that experience came from a practicum or part-time role. Employers hiring newer coders often prefer candidates who have coded for primary care or internal medicine practices, since chronic condition documentation is central to risk adjustment work. Completing AAPC's risk adjustment training modules before applying strengthens a junior candidate's profile.
What does the risk adjustment coder interview process look like?
The process usually starts with a recruiter or HR screen focused on credentials and experience with specific risk adjustment models. A hiring manager or clinical coding lead then conducts a technical interview covering HCC category logic, ICD-10-CM specificity, and documentation requirements. Many employers include a practical coding exercise or chart review scenario. Final rounds may involve a team interview with compliance or quality assurance staff, particularly at larger health plans with internal audit programs.
Where can I find and apply to risk adjustment coder jobs?
You can find and apply to risk adjustment coder jobs on Migrate Mate, which lists current openings from across the United States. Search the listings to find roles that match your credential, experience level, and preferred work arrangement, then apply directly to each listing that fits.
See All 16 Risk Adjustment Coder Jobs
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