Risk Adjustment Coding Jobs
Risk Adjustment Coding jobs are open across health plans, managed care organizations, and physician groups, at every level from entry-level coder to senior auditor and compliance lead, with specializations in HCC coding, CMS risk adjustment, and retrospective chart review. Scan the live roles below and apply to whichever ones fit.
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Showing 5 of 13+ Risk Adjustment Coding jobs
Open to candidates residing in any KP authorized state to include CA, OR, WA, CO, GA, VA, HI, MD & D.C.
Please Note: Salary ranges are geographically based, and the posted range reflects the Northern CA region. Lower salary ranges will apply for other labor markets outside of NCAL.
Support Health Plan Risk Adjustment operations through government audit readiness, compliance oversight, and internal quality assurance reviews. Perform coding validation, documentation review, and data-driven analysis to ensure accurate risk capture, regulatory compliance, and coding integrity. Partner with operational, clinical, and compliance teams to identify risks, improve coding quality, support audit activities, and drive continuous improvement across Risk Adjustment programs
In addition to the responsibilities listed below, the position is responsible for serving as a compliance subject matter expert related to coding functions within all settings of care, maintaining compliance with national coding policies and procedures, assisting with coding questions and related topics, and auditing all lines of business for coding. Additionally, this position is responsible for assisting with the development of audit result reports to regional staff and senior management and supporting compliance and the Principles of Responsibility (KPs code of conduct).
Essential Responsibilities:
- Practices self-development and promotes learning in others by proactively providing information, resources, advice, and expertise with coworkers and customers; building relationships with cross-functional stakeholders; influencing others through technical explanations and examples; adapting to competing demands and new responsibilities; listening and responding to, seeking, and addressing performance feedback; providing feedback to others; creating and executing plans to capitalize on strengths and develop weaknesses; supporting team collaboration; and adapting to and learning from change, difficulties, and feedback.
- Completes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks as appropriate; and recognizing and capitalizing on improvement opportunities.
- Conducts company compliance activities by collaborating with internal and external stakeholders; applying established regulations and standards to compliance efforts; providing insight and recommendations for the design, development, and execution of strategic compliance initiatives; and documenting compliance activities.
- Develops compliance reports by evaluating and summarizing compliance data, audit information, and potential risks and remedies; reporting to management on key compliance drivers, liabilities, and performance indicators (for example, adherence to standards, incorporation of new regulations); and developing draft presentations to convey key findings.
- Conducts compliance investigations by collecting and analyzing quantitative and qualitative data; conducting interviews as appropriate; researching key business issues; identifying potential action steps; and providing input for the creation of corrective action plans for substantiated allegations.
- Assists with and supports the management of projects or compliance components of larger cross-functional projects by coordinating stakeholder contacts; recommending team resources based on project needs and team member strengths; assisting in the development, analysis, and management of project plans; and coordinating project schedules and resource forecasts.
- Assists with ensuring regulatory compliance by monitoring regulatory changes; conducting analysis on regulatory impacts; and supporting the implementation of designated changes.
- Coordinates the implementation of compliance efforts by identifying compliance requirements; assessing the current state of compliance to identify gaps and corrective actions; creating or revising moderately complex compliance standards, policies and procedures, and training; and monitoring ongoing compliance adherence.
Minimum Qualifications:
- Minimum four (4) years medical coding experience.
- Bachelors degree in Health Care Administration, Clinical, Law, Public Health, Business or related field and Minimum six (6) years experience in health care compliance, health care operations (quality, risk, etc.), audit, finance, regulatory or public policy development, investigations, information security, or insurance/health plan governance or a directly related field. Additional equivalent work experience in a directly related field may be substituted for the degree requirement.
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Certified Risk Adjustment Coder from American Academy of Professional Coders OR Certified Coding Specialist from American Health Information Management Association OR Certified Professional Coder from American Academy of Professional Coders
- Four (4) years hospital coding experience.
- Four (4) years coding audit experience.
PrimaryLocation : California,Pasadena,Walnut Center - Regional Offices
HoursPerWeek : 40
Shift : Day
Workdays : Mon, Tue, Wed, Thu, Fri
WorkingHoursStart : 08:00 AM
WorkingHoursEnd : 05:00 PM
Job Schedule : Full-time
Job Type : Standard
Employee Status : Regular
Employee Group/Union Affiliation : NUE-PO-01|NUE|Non Union Employee
Job Level : Individual Contributor
Job Category : Compliance, Privacy & Regulatory
Department : Po/Ho Corp - 3YP Core - 0308
Travel : No
Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.
Open to candidates residing in any KP authorized state to include CA, OR, WA, CO, GA, VA, HI, MD & D.C.
Please Note: Salary ranges are geographically based, and the posted range reflects the Northern CA region. Lower salary ranges will apply for other labor markets outside of NCAL.
Support Health Plan Risk Adjustment operations through government audit readiness, compliance oversight, and internal quality assurance reviews. Perform coding validation, documentation review, and data-driven analysis to ensure accurate risk capture, regulatory compliance, and coding integrity. Partner with operational, clinical, and compliance teams to identify risks, improve coding quality, support audit activities, and drive continuous improvement across Risk Adjustment programs
In addition to the responsibilities listed below, the position is responsible for serving as a compliance subject matter expert related to coding functions within all settings of care, maintaining compliance with national coding policies and procedures, assisting with coding questions and related topics, and auditing all lines of business for coding. Additionally, this position is responsible for assisting with the development of audit result reports to regional staff and senior management and supporting compliance and the Principles of Responsibility (KPs code of conduct).
Essential Responsibilities:
- Practices self-development and promotes learning in others by proactively providing information, resources, advice, and expertise with coworkers and customers; building relationships with cross-functional stakeholders; influencing others through technical explanations and examples; adapting to competing demands and new responsibilities; listening and responding to, seeking, and addressing performance feedback; providing feedback to others; creating and executing plans to capitalize on strengths and develop weaknesses; supporting team collaboration; and adapting to and learning from change, difficulties, and feedback.
- Completes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks as appropriate; and recognizing and capitalizing on improvement opportunities.
- Conducts company compliance activities by collaborating with internal and external stakeholders; applying established regulations and standards to compliance efforts; providing insight and recommendations for the design, development, and execution of strategic compliance initiatives; and documenting compliance activities.
- Develops compliance reports by evaluating and summarizing compliance data, audit information, and potential risks and remedies; reporting to management on key compliance drivers, liabilities, and performance indicators (for example, adherence to standards, incorporation of new regulations); and developing draft presentations to convey key findings.
- Conducts compliance investigations by collecting and analyzing quantitative and qualitative data; conducting interviews as appropriate; researching key business issues; identifying potential action steps; and providing input for the creation of corrective action plans for substantiated allegations.
- Assists with and supports the management of projects or compliance components of larger cross-functional projects by coordinating stakeholder contacts; recommending team resources based on project needs and team member strengths; assisting in the development, analysis, and management of project plans; and coordinating project schedules and resource forecasts.
- Assists with ensuring regulatory compliance by monitoring regulatory changes; conducting analysis on regulatory impacts; and supporting the implementation of designated changes.
- Coordinates the implementation of compliance efforts by identifying compliance requirements; assessing the current state of compliance to identify gaps and corrective actions; creating or revising moderately complex compliance standards, policies and procedures, and training; and monitoring ongoing compliance adherence.
Minimum Qualifications:
- Minimum four (4) years medical coding experience.
- Bachelors degree in Health Care Administration, Clinical, Law, Public Health, Business or related field and Minimum six (6) years experience in health care compliance, health care operations (quality, risk, etc.), audit, finance, regulatory or public policy development, investigations, information security, or insurance/health plan governance or a directly related field. Additional equivalent work experience in a directly related field may be substituted for the degree requirement.
-
Certified Risk Adjustment Coder from American Academy of Professional Coders OR Certified Coding Specialist from American Health Information Management Association OR Certified Professional Coder from American Academy of Professional Coders
- Four (4) years hospital coding experience.
- Four (4) years coding audit experience.
PrimaryLocation : California,Pasadena,Walnut Center - Regional Offices
HoursPerWeek : 40
Shift : Day
Workdays : Mon, Tue, Wed, Thu, Fri
WorkingHoursStart : 08:00 AM
WorkingHoursEnd : 05:00 PM
Job Schedule : Full-time
Job Type : Standard
Employee Status : Regular
Employee Group/Union Affiliation : NUE-PO-01|NUE|Non Union Employee
Job Level : Individual Contributor
Job Category : Compliance, Privacy & Regulatory
Department : Po/Ho Corp - 3YP Core - 0308
Travel : No
Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.
See All 13 Risk Adjustment Coding Jobs
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Find Risk Adjustment Coding JobsRisk Adjustment Coding Job Market
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
What Employers Look For
The qualifications that appear most often in risk adjustment coding jobs.
- CRC, CPC, CCS, or equivalent medical coding certification from AAPC or AHIMA
- Proficiency in ICD-10-CM diagnosis coding and hierarchical condition category assignment
- Experience with CMS-HCC, HHS-HCC, or EDPS risk adjustment payment models
- Familiarity with electronic health record systems and coding software platforms
- Knowledge of Medicare Advantage or Medicaid managed care documentation guidelines
- High coding accuracy rate demonstrated through internal quality audits or chart reviews
Tips for Your Risk Adjustment Coding Job Search
Lead your resume with credentials front and center
Put your CPC, CRC, or CCS certification and your HCC coding experience in the top third of your resume. Hiring managers in risk adjustment scan for these signals first, and burying them below a summary paragraph costs you callbacks.
Quantify accuracy rates and audit volumes
Risk adjustment employers want evidence of precision. Replace vague phrases like 'coded medical records' with specific outputs: encounter volumes you processed, accuracy rates from internal audits, or RAF score improvement figures your team achieved.
Filter openings by model type before applying
HCC Version 28, EDPS, and HHS-HCC models each require different expertise. Read each posting carefully to match the risk adjustment model to your hands-on experience, then tailor your cover letter to that specific model so the match is obvious.
Apply early to roles that fit
Migrate Mate lists risk adjustment coding openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Prepare to demonstrate coding decisions in interviews
Many risk adjustment interviews include a live or take-home coding scenario using sample clinical documentation. Practice assigning HCC codes to complex, comorbid charts and be ready to explain your reasoning, including why you included or excluded borderline diagnoses.
Negotiate using compliance and audit scope, not just title
When discussing compensation, anchor your case to the scope of payer contracts you've coded for, the number of charts you audit weekly, and whether your role includes provider education. These details differentiate senior contributors from entry-level coders and support a stronger offer.
Risk Adjustment Coding Jobs: Frequently Asked Questions
Which companies are hiring the most risk adjustment codings?
The companies hiring the most risk adjustment codings right now include Millennium Physician, Global KTech, and CommunityCare, with the largest share of openings in California, Florida, and Ohio, based on current listings on Migrate Mate as of August 2026. Health plans and managed care organizations consistently drive the highest volume of postings in this specialty.
How many risk adjustment coding jobs are remote?
About 86% of risk adjustment coding openings are fully remote or hybrid as of August 2026, making it one of the more remote-accessible specialties in healthcare coding. Retrospective chart review and HCC validation roles tend to be the most frequently offered as fully remote positions, while provider education and on-site audit roles more often require in-person presence.
How do you become a risk adjustment coding?
Start by earning a foundational medical coding credential such as the CPC or CCS through AAPC or AHIMA, which requires passing a proctored exam and demonstrating proficiency in ICD-10-CM. From there, pursue the Certified Risk Adjustment Coder credential offered by AAPC. Build hands-on experience through inpatient or outpatient coding roles, then specialize by working with Medicare Advantage or Medicaid managed care documentation to develop fluency in HCC assignment and payer-specific guidelines.
Can you get a risk adjustment coding job with little or no experience?
Entry-level risk adjustment coding roles exist, but most require at least a foundational coding credential like the CPC or CCS before employers will consider you. Candidates with no prior coding work experience can strengthen their candidacy by completing HCC-specific training modules, volunteering for chart abstraction projects, or taking on internship work through coding programs. Demonstrating knowledge of ICD-10-CM and the CMS-HCC model in your cover letter helps compensate for a shorter work history.
What does the risk adjustment coding interview process look like?
Most risk adjustment coding interviews begin with a recruiter screening call focused on your credentials, coding volume, and familiarity with specific risk adjustment models. A technical interview or coding assessment follows, often involving real or simulated clinical documentation where you assign HCC codes and explain your rationale. Final rounds may include a meeting with a compliance lead or medical director who evaluates your understanding of documentation guidelines and your approach to ambiguous diagnoses.
Where can I find and apply to risk adjustment coding jobs?
You can find and apply to risk adjustment coding jobs on Migrate Mate, which lists current openings from across the United States. Search the listings to find roles that match your credentials and experience level, then apply directly to each one that fits your background.
See All 13 Risk Adjustment Coding Jobs
Find roles that match your experience and apply in just a few clicks.
Find Risk Adjustment Coding Jobs