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 19+ Risk Adjustment Coding jobs
Bluestone delivers great outcomes by bringing exceptional care to patients living with complex, chronic conditions and disabilities. Our unique, robust model of care goes beyond primary care services — our multidisciplinary care teams collaborate with patients, their families and other healthcare providers to deliver care that is preventative, proactive and tailored to their unique needs.
Using an evidence-based approach focused on quality care management and data-driven medical decisions, Bluestone care teams collaborate to manage patients' chronic conditions, address social determinants of health, manage transitions to and from inpatient settings, provide behavioral health support and more. Under our model of care, Bluestone patients experienced 21% fewer ER visits, 36% fewer hospitalizations and 41% fewer hospital readmissions compared to patients with similar conditions and complexities over the same time period.
Our care teams travel directly to patients who reside in Assisted Living, Memory Care and Group Home communities throughout Minnesota, Wisconsin and Florida and are supported by clinical operations and administrative colleagues who work remotely or at our corporate offices in Stillwater, Minnesota, and Tampa, Florida.
Our success is only possible through the hard work of our employees who bring our core values of Dedication, Excellence, Collaboration and Caring to life every day. Bluestone has been named to the Star Tribune's Top Workplace list for the 14th year in a row! Bluestone also achieved Top Workplace USA 2021-2026! In 2022, Bluestone Accountable Care Organization (ACO) was the best performing ACO in the country as measured by the overall savings per Medicare beneficiary.
We are seeking a highly motivated and detail-oriented individual to join our team as a Certified Risk Adjustment Coding Specialist. The primary responsibility of this role is to conduct thorough patient chart reviews to identify opportunities for providers to capture risk adjustment diagnostic codes accurately. The successful candidate will play a crucial role in ensuring proper documentation to support appropriate and accurate disease capture and documentation by Bluestone providers.
This position offers remote flexibility and the opportunity to make a meaningful impact on documentation accuracy and comprehensive disease capture for Bluestone providers. If you are passionate about improving coding practices and ensuring quality patient care, we encourage you to apply!
Schedule: Full-time, weekdays during regular business hours, no evenings, weekends or holidays.
Location: This remote role MUST be located in one of the Bluestone Markets (Minnesota, Wisconsin or Florida).
Salary: $60,000 – $75,000 annual salary. Salary will be commensurate with experience.
Responsibilities:
- Perform comprehensive reviews of patient charts to identify gaps in documentation and opportunities for risk adjustment coding improvement.
- Collaborate with Bluestone providers and other clinical staff to educate them on the importance of accurate documentation for risk adjustment purposes.
- Provide ongoing training and support to Bluestone providers to enhance their understanding of risk adjustment coding guidelines and documentation requirements.
- Offer guidance and feedback to providers to facilitate improved documentation practices and ensure compliance with coding standards.
- Act as a resource for clinical staff regarding coding inquiries and documentation best practices.
- Maintain accurate records of chart reviews, coding opportunities identified, and outcomes of provider education efforts.
- Stay current with updates and changes in risk adjustment coding guidelines and regulations.
- Assist in the development and implementation of CDI initiatives to optimize coding accuracy and capture disease burden among Bluestone's patient population
Qualifications:
Education/Certification/Experience
- Bachelor's degree in Health Information Management, Nursing, or related field.
- Certified Risk Adjustment Coder (CRC) certification, Risk Adjustment Coding (RAC) or related risk certification required
- Minimum of 2 years of experience in healthcare coding, with a focus on Hierarchical Condition Category (HCC) coding and risk adjustment.
Knowledge/Skills/Abilities
- Proficiency in reviewing and analyzing medical records for documentation deficiencies and coding opportunities.
- Strong understanding of ICD-10-CM coding guidelines, particularly as they relate to risk adjustment.
- Excellent communication skills with the ability to effectively interact with Bluestone providers and clinical staff.
- Demonstrated experience in providing education and training to Bluestone professionals.
- Detail-oriented with strong analytical and problem-solving skills.
- Ability to work independently and manage time effectively in a remote or part-time role.
- Knowledge of healthcare compliance regulations and privacy laws.
- Demonstrated compatibility with Bluestone's mission and operating philosophies
- Demonstrated ability to read, write, speak, and understand the English language
Bluestone Benefits:
- Health Insurance
- Dental Insurance
- Vision Materials Insurance
- Company paid Life Insurance
- Company paid Short and Long-term Disability
- Health Savings Account (with employer contribution)
- Flexible Spending Account (FSA)
- Retirement plan with 4% matching contributions
- Ten (10) paid holidays per year
- Three weeks (15 Days) Paid Time Off (PTO)
- Company sponsored laptop and computer accessories
- Regular business hours
Bluestone delivers great outcomes by bringing exceptional care to patients living with complex, chronic conditions and disabilities. Our unique, robust model of care goes beyond primary care services — our multidisciplinary care teams collaborate with patients, their families and other healthcare providers to deliver care that is preventative, proactive and tailored to their unique needs.
Using an evidence-based approach focused on quality care management and data-driven medical decisions, Bluestone care teams collaborate to manage patients' chronic conditions, address social determinants of health, manage transitions to and from inpatient settings, provide behavioral health support and more. Under our model of care, Bluestone patients experienced 21% fewer ER visits, 36% fewer hospitalizations and 41% fewer hospital readmissions compared to patients with similar conditions and complexities over the same time period.
Our care teams travel directly to patients who reside in Assisted Living, Memory Care and Group Home communities throughout Minnesota, Wisconsin and Florida and are supported by clinical operations and administrative colleagues who work remotely or at our corporate offices in Stillwater, Minnesota, and Tampa, Florida.
Our success is only possible through the hard work of our employees who bring our core values of Dedication, Excellence, Collaboration and Caring to life every day. Bluestone has been named to the Star Tribune's Top Workplace list for the 14th year in a row! Bluestone also achieved Top Workplace USA 2021-2026! In 2022, Bluestone Accountable Care Organization (ACO) was the best performing ACO in the country as measured by the overall savings per Medicare beneficiary.
We are seeking a highly motivated and detail-oriented individual to join our team as a Certified Risk Adjustment Coding Specialist. The primary responsibility of this role is to conduct thorough patient chart reviews to identify opportunities for providers to capture risk adjustment diagnostic codes accurately. The successful candidate will play a crucial role in ensuring proper documentation to support appropriate and accurate disease capture and documentation by Bluestone providers.
This position offers remote flexibility and the opportunity to make a meaningful impact on documentation accuracy and comprehensive disease capture for Bluestone providers. If you are passionate about improving coding practices and ensuring quality patient care, we encourage you to apply!
Schedule: Full-time, weekdays during regular business hours, no evenings, weekends or holidays.
Location: This remote role MUST be located in one of the Bluestone Markets (Minnesota, Wisconsin or Florida).
Salary: $60,000 – $75,000 annual salary. Salary will be commensurate with experience.
Responsibilities:
- Perform comprehensive reviews of patient charts to identify gaps in documentation and opportunities for risk adjustment coding improvement.
- Collaborate with Bluestone providers and other clinical staff to educate them on the importance of accurate documentation for risk adjustment purposes.
- Provide ongoing training and support to Bluestone providers to enhance their understanding of risk adjustment coding guidelines and documentation requirements.
- Offer guidance and feedback to providers to facilitate improved documentation practices and ensure compliance with coding standards.
- Act as a resource for clinical staff regarding coding inquiries and documentation best practices.
- Maintain accurate records of chart reviews, coding opportunities identified, and outcomes of provider education efforts.
- Stay current with updates and changes in risk adjustment coding guidelines and regulations.
- Assist in the development and implementation of CDI initiatives to optimize coding accuracy and capture disease burden among Bluestone's patient population
Qualifications:
Education/Certification/Experience
- Bachelor's degree in Health Information Management, Nursing, or related field.
- Certified Risk Adjustment Coder (CRC) certification, Risk Adjustment Coding (RAC) or related risk certification required
- Minimum of 2 years of experience in healthcare coding, with a focus on Hierarchical Condition Category (HCC) coding and risk adjustment.
Knowledge/Skills/Abilities
- Proficiency in reviewing and analyzing medical records for documentation deficiencies and coding opportunities.
- Strong understanding of ICD-10-CM coding guidelines, particularly as they relate to risk adjustment.
- Excellent communication skills with the ability to effectively interact with Bluestone providers and clinical staff.
- Demonstrated experience in providing education and training to Bluestone professionals.
- Detail-oriented with strong analytical and problem-solving skills.
- Ability to work independently and manage time effectively in a remote or part-time role.
- Knowledge of healthcare compliance regulations and privacy laws.
- Demonstrated compatibility with Bluestone's mission and operating philosophies
- Demonstrated ability to read, write, speak, and understand the English language
Bluestone Benefits:
- Health Insurance
- Dental Insurance
- Vision Materials Insurance
- Company paid Life Insurance
- Company paid Short and Long-term Disability
- Health Savings Account (with employer contribution)
- Flexible Spending Account (FSA)
- Retirement plan with 4% matching contributions
- Ten (10) paid holidays per year
- Three weeks (15 Days) Paid Time Off (PTO)
- Company sponsored laptop and computer accessories
- Regular business hours
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Find Risk Adjustment Coding JobsRisk Adjustment Coding Job Market
Who's Hiring
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 Astrana Health, Kaiser Permanente, and altais, with the largest share of openings in California, Minnesota, and Florida, based on current listings on Migrate Mate as of November 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 100% of risk adjustment coding openings are fully remote or hybrid as of November 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 19 Risk Adjustment Coding Jobs
Find roles that match your experience and apply in just a few clicks.
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