Risk Adjustment Coding Jobs
Risk Adjustment Coding jobs are open across health insurance, managed care, and hospital systems, from entry-level coders to senior risk adjustment specialists, with specializations in HCC coding, CDI, and Medicare Advantage. Find a role that fits from the openings below and apply directly.
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EMPLOYMENT TYPE:
Full time
SHIFT:
DESCRIPTION:
At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care. Saint Alphonsus is looking to hire a Risk Adjustment Coding Specialist II for our SAMG Population Health. This position is fully remote. It is full time, 40 hours a week, and is benefit eligible.
The Risk Adjustment Coding Specialist will be responsible for the creation and/or compilation of educational materials and conducting coding and documentation education with providers, the clinic care team and coding/billing staff. The Risk Adjustment Coding Specialist may also conduct medical record audits for risk adjustment and core quality measures and assist with other performance improvement initiatives that promote the success of Advanced Payment Model (APM) contracts. The position is responsible to work with all applicable payer partners for varying arrangements spanning across Medicare, Medicare Advantage, Commercial, QHP and Medicaid, and will leverage data and reports to maximize clinical condition documentation (CCD), and will become familiar with risk adjustment methodologies as applicable (HCC/RAF, HHS, MARA, Johns Hopkins, etc.). The Risk Adjustment Coding Specialist will provide insights and direct contributions to the development of analytics and reporting to enhance providers' ability to document and code to the highest level of specificity and improve coding and recapture rates as is clinically appropriate. The role will maintain strict confidentiality of all data and information. The Risk Adjustment Coding Specialist will develop and maintain collaborative relationships with internal and external partners to ensure effective, results-oriented project outcomes.
GENERAL REQUIREMENTS:
- Minimum of 2 years of experience working in risk adjustment coding in a medical practice, network or payer setting using electronic health records (EHR) required. Chart auditing experience preferred.
- Minimum of 4 years coding experience required.
Education:
- High school diploma or equivalent required. Associates/Bachelor's Degree or some college preferred.
LICENSE/CERTIFICATION:
- Certified Risk Adjustment Coder (CRC) required.
- AAPC or AHIMA coding credential required.
Colleagues of Saint Alphonsus Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout SAHS and Trinity Health.
Saint Alphonsus and Trinity Health are committed to promoting diversity in its workforce and to providing an inclusive work environment where everyone is treated with fairness, dignity and respect. We are committed to recruit and retain a diverse staff reflective of the communities we serve. Saint Alphonsus and Trinity Health are equal opportunity employers and prohibit discrimination against any individual with regard to race, color, religion, gender, marital status, national origin, age, disability, sexual orientation, or any other characteristic protected by law.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
EMPLOYMENT TYPE:
Full time
SHIFT:
DESCRIPTION:
At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care. Saint Alphonsus is looking to hire a Risk Adjustment Coding Specialist II for our SAMG Population Health. This position is fully remote. It is full time, 40 hours a week, and is benefit eligible.
The Risk Adjustment Coding Specialist will be responsible for the creation and/or compilation of educational materials and conducting coding and documentation education with providers, the clinic care team and coding/billing staff. The Risk Adjustment Coding Specialist may also conduct medical record audits for risk adjustment and core quality measures and assist with other performance improvement initiatives that promote the success of Advanced Payment Model (APM) contracts. The position is responsible to work with all applicable payer partners for varying arrangements spanning across Medicare, Medicare Advantage, Commercial, QHP and Medicaid, and will leverage data and reports to maximize clinical condition documentation (CCD), and will become familiar with risk adjustment methodologies as applicable (HCC/RAF, HHS, MARA, Johns Hopkins, etc.). The Risk Adjustment Coding Specialist will provide insights and direct contributions to the development of analytics and reporting to enhance providers' ability to document and code to the highest level of specificity and improve coding and recapture rates as is clinically appropriate. The role will maintain strict confidentiality of all data and information. The Risk Adjustment Coding Specialist will develop and maintain collaborative relationships with internal and external partners to ensure effective, results-oriented project outcomes.
GENERAL REQUIREMENTS:
- Minimum of 2 years of experience working in risk adjustment coding in a medical practice, network or payer setting using electronic health records (EHR) required. Chart auditing experience preferred.
- Minimum of 4 years coding experience required.
Education:
- High school diploma or equivalent required. Associates/Bachelor's Degree or some college preferred.
LICENSE/CERTIFICATION:
- Certified Risk Adjustment Coder (CRC) required.
- AAPC or AHIMA coding credential required.
Colleagues of Saint Alphonsus Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout SAHS and Trinity Health.
Saint Alphonsus and Trinity Health are committed to promoting diversity in its workforce and to providing an inclusive work environment where everyone is treated with fairness, dignity and respect. We are committed to recruit and retain a diverse staff reflective of the communities we serve. Saint Alphonsus and Trinity Health are equal opportunity employers and prohibit discrimination against any individual with regard to race, color, religion, gender, marital status, national origin, age, disability, sexual orientation, or any other characteristic protected by law.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
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Jump back to the full list of openings and apply to any risk adjustment coding role that fits.
Find Risk Adjustment Coding JobsRisk Adjustment Coding Job Market
A snapshot from current openings nationwide, updated as new roles post.
Who's Hiring
- Oscar Management Corporation4
- Complete Health1
- Mount Sinai Medical Center1
- Stanford Health Care1
- Trinity Health1
Top Industries Hiring
- Healthcare & Medical Services4
- Insurance4
What Employers Look For
The qualifications that appear most often in risk adjustment coding jobs.
- CPC, CRC, or equivalent AAPC/AHIMA coding certification required
- Proficiency in ICD-10-CM diagnosis coding and HCC mapping
- Experience with Medicare Advantage or Medicaid managed care risk adjustment
- Familiarity with coding software and electronic health record platforms
- Strong knowledge of clinical documentation and medical terminology
- Associate or bachelor's degree in health information management or a related field
Tips for Your Risk Adjustment Coding Job Search
List your HCC coding credentials prominently
Employers screening risk adjustment coding candidates filter first for credentials like CPC, CRC, or CDEO. Place yours directly under your name on your resume so they're visible before a recruiter reads a single bullet point about your experience.
Quantify audit accuracy and productivity rates
Risk adjustment hiring managers look for coded encounter volume and accuracy benchmarks. Replace vague phrases like 'reviewed medical records' with specifics: how many charts you coded per day and what accuracy rate you maintained on internal or external audits.
Target openings by payer type, not just title
Medicare Advantage, Medicaid managed care, and commercial risk adjustment use different coding guidelines and tools. Filter your search by payer type so your application speaks directly to the workflows that employer uses, rather than sending a generic resume.
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 for a live or take-home coding scenario
Many risk adjustment interviews include a practical coding exercise using real or simulated clinical documentation. Practice mapping diagnoses to HCC categories under timed conditions before your interview so the format doesn't catch you off guard.
Negotiate using payer market and role scope
Before accepting an offer, clarify whether the role covers prospective, concurrent, or retrospective reviews and which payer lines you'll support. Scope directly affects workload and career growth, so confirm it in writing before you sign.
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 Oscar Management Corporation, Complete Health, and Mount Sinai Medical Center, with the largest share of openings in Florida, Georgia, and Idaho, based on current listings on Migrate Mate as of June 2026. Health insurance payers and managed care organizations consistently drive the largest volume of open roles.
How many risk adjustment coding jobs are remote?
About 63% of risk adjustment coding openings are fully remote or hybrid as of June 2026, making it one of the more flexible roles in health information management. Retrospective chart review and Medicare Advantage coding positions are most commonly offered as fully remote, while prospective and concurrent review roles are more likely to require on-site or hybrid arrangements.
How do you become a risk adjustment coding?
Start by earning a foundational coding certification such as the CPC from AAPC or the CCS from AHIMA, which requires passing a proctored exam. From there, pursue the Certified Risk Adjustment Coder credential, which focuses specifically on HCC methodology and hierarchical condition categories. Build hands-on experience through health information management roles, outpatient coding positions, or CDI work before targeting dedicated risk adjustment openings.
How do you get hired in risk adjustment coding with little or no experience?
Start by passing your foundational coding certification, then pursue roles with titles like coding auditor trainee, outpatient coder, or HIM specialist to build chart review experience. Many payers hire entry-level candidates who hold a CRC or CPC and have completed a practicum or externship. Emphasize any exposure to ICD-10-CM diagnosis coding, medical record review, or clinical documentation on your resume, even if it came from coursework or a training program.
What does the risk adjustment coding interview process look like?
Most risk adjustment coding interviews include an initial screening call focused on your certifications and payer experience, followed by a technical round where you may be asked to code sample clinical scenarios or discuss HCC category logic. Some employers add a take-home coding assessment before a final interview with a team lead or compliance officer. Be ready to explain how you handle documentation gaps and how you stay current with annual ICD-10-CM updates.
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 available listings to find roles that match your credentials, experience level, and preferred work arrangement, then apply directly to each one that fits.
See All Risk Adjustment Coding Jobs
Jump back to the full list of openings and apply to any risk adjustment coding role that fits.
Find Risk Adjustment Coding Jobs