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Freelance Remote Risk Adjustment Coder Jobs in Hawaii

CenterWell

Data Engineer - Healthcare

Honolulu, HI · Remote

$113K - $136K/yr

... Risk Adjustment, and quality metrics (such as HEDIS). * Experience working with Snowflake Cloud ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

Cardinal Health

Software Engineer

Honolulu, HI · Remote

Application Development & Maintenance performs configuration or coding to develop, enhance and ... Build and manage relationships with our EIT Shared Services Teams, Enterprise Architecture, Risk ...

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Freelance Remote Risk Adjustment Coder information

What are Freelance Remote Risk Adjustment Coders?

Freelance Remote Risk Adjustment Coders are healthcare professionals who work independently from various locations to review medical records and assign codes that reflect patients’ health conditions and treatments, focusing on risk adjustment models. Their primary role is to ensure accuracy in coding so that healthcare organizations receive appropriate reimbursement and maintain compliance with regulatory standards. These coders typically work on a contract basis, using secure digital platforms to access records and submit their coding work. They must be highly knowledgeable in ICD-10-CM coding guidelines, risk adjustment methodologies (such as HCC), and HIPAA regulations.

What are the key skills and qualifications needed to thrive as a Freelance Remote Risk Adjustment Coder, and why are they important?

Thriving as a Freelance Remote Risk Adjustment Coder requires deep knowledge of medical coding (especially ICD-10-CM), risk adjustment models, and compliance standards, typically verified by certifications like CRC, CPC, or CCS. Proficiency with coding software, EHR systems, and secure remote work platforms is essential for accurate and efficient coding. Strong attention to detail, self-motivation, and reliable communication are vital soft skills for managing independent workloads and collaborating with clients remotely. These abilities ensure accurate risk score calculations, regulatory compliance, and successful client relationships in a virtual work environment.

How do Freelance Remote Risk Adjustment Coders typically manage communication and workflow with healthcare clients and team members?

Freelance Remote Risk Adjustment Coders commonly use secure online platforms and project management tools to receive assignments, submit coded charts, and communicate with healthcare providers or project managers. Maintaining clear and prompt communication via email or dedicated messaging systems is crucial to clarify documentation, resolve coding queries, and ensure deadlines are met. Coders must be proactive in scheduling regular check-ins and staying updated on client-specific guidelines, as workflows can be fast-paced and require strong organizational skills. Collaboration often involves working independently but also participating in virtual meetings or training sessions to stay aligned with team quality standards.
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Freelance Remote Risk Adjustment Coder jobs near you
Nurse Practitioner / APRN - Remote (Honolulu)

Nurse Practitioner / APRN - Remote (Honolulu)

PharmD Live

Honolulu, HI • Remote

Full-time

Posted 25 days ago

Job description

Location: 100%Remote

****FLEXIBLE HOURS (Set your schedule)

***ONLY HAWAII LICENSED & RESIDENTS


We are seeking an experienced and compassionateNurse Practitioner (NP)licensed in HAWAIIto conductvirtual Annual Wellness VisitsandAdvanced Care Planning sessionsfor Medicare patients. This fully remote position is ideal for a self-motivated NP who excels at patient engagement, clinical assessment, and proactive care planning in a telehealth environment.

Key Responsibilities:

  • Conduct comprehensiveAnnual Wellness Visits (AWVs)for Medicare beneficiaries via secure telehealth platform.
  • Facilitate structuredAdvanced Care Planning (ACP)discussions, ensuring patients' goals and preferences are clearly documented.
  • Review and assess patients' medical histories, medications, functional and cognitive status, and preventive care needs.
  • Identify and address gaps in care, providing guidance on screenings, vaccinations, and chronic disease management.
  • Collaborate with interdisciplinary care teams and primary care providers to support coordinated, patient-centered care.
  • Maintain accurate and timely documentation in the electronic health record (EHR).
  • Ensure compliance with CMS guidelines and clinical quality standards.

Qualifications:

  • Active and unrestricted
    Hawaii Nurse Practitioner license.
  • Minimum of3 years of experiencein clinical practice, includingAnnual Wellness VisitsandAdvanced Care Planning.
  • Strong knowledge of Medicare guidelines and preventive care protocols.
  • Comfort and proficiency with virtual care technology and EHR systems.
  • Excellent communication and interpersonal skills.
  • Bilingual inSpanishis aplus, but not required.
  • Ability to work independently and manage a flexible virtual schedule.

Preferred Skills:

  • Background in geriatrics, primary care, or internal medicine.
  • Familiarity with HCC coding and risk adjustment models.
  • Experience working in a value-based care or accountable care setting.

Why Join Us:

  • 100% remote work - flexible schedule and work-from-home convenience.
  • Opportunity to impact preventive and personalized care for underserved populations.
  • Supportive and innovative clinical team.
  • Competitive compensation structure.

Apply