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Freelance Remote Risk Adjustment Coder Jobs in Minnesota

Corvel

Indemnity Claims Specialist

Minneapolis, MN · Remote

$51K - $83K/yr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives claims, confirms ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Corvel

Senior Indemnity Claims Specialist

Minneapolis, MN · Remote

$59K - $96K/yr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives claim, confirms ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Ampact

Grants Accountant

Minneapolis, MN · On-site +1

$58K - $60K/yr

Monitor budget-to-actual performance for assigned grants and communicate needed adjustments to ... for proper coding, grant application, and allowability to reduce risk of disallowed costs.

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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
Senior Revenue Integrity Analyst - Charge Build/Foundation

Senior Revenue Integrity Analyst - Charge Build/Foundation

Essentia Health

Duluth, MN • On-site, Remote

$62K - $94K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 3 days ago

Essentia Health rating

7.0

Company rating: 7.0 out of 10

Based on 209 frontline employees who took The Breakroom Quiz

404th of 877 rated healthcare providers

Job description

Building Location:Business Service CenterDepartment:1006210 REVENUE INTEGRITY - EH SSJob Description:The Senior Revenue Integrity Analyst - Charge Build/Foundation serves as the enterprise subject matter expert for charge configuration, Epic build integrity, and chargemaster (CDM) governance. This role is responsible for ensuring the foundational accuracy of charge build within Epic, including CPT/HCPCS assignment, revenue code mapping, modifier logic, pricing alignment, and general ledger linkage. This position safeguards the structural integrity of the organization's revenue cycle by overseeing new charge build requests, maintaining CDM accuracy, supporting regulatory updates, and ensuring standardized charge configuration across all facilities and service lines. This role works proactively and cross-functionally with Finance, Coding, Compliance, Patient Access, Billing, Clinical Departments, Informatics, and IT to prevent downstream denials, revenue leakage, and compliance risk.Education Qualifications:

Key Responsibilities:

  • Lead EPIC (HB/PB) charge build, including CPT/HCPCS, revenue codes, modifiers, pricing, GL mapping, router rules, and testing for new or expanded services

  • Maintain and govern the chargemaster through regulatory updates, CDM standardization, defensible pricing, and price transparency accuracy

  • Partner with IT and Clinical Informatics to ensure compliant and optimized charge setup

  • Establish and monitor charge reconciliation controls, policies, education, variance investigation, and escalation of financial risk

  • Promote alignment with Epic Foundation principles and Epic Gold Standard workflows

  • Oversee charge capture performance, monitoring charge lag, work queues, and root causes of missed or incorrect charges

  • Implement systemic corrections to prevent recurring issues

  • Conduct denial root cause analysis, monitor payer edits, and implement build and workflow corrections in partnership with operational, IT, and Revenue Cycle leaders

  • Develop and maintain revenue integrity dashboards, KPIs, and reports to help inform and guide leadership actions

  • Serve as escalation point for complex issues and mentor Revenue Integrity team members while leading cross-functional optimization initiatives

Education Requirements:

  • Bachelor's degree in a related field.

  • Extensive relevant experience may be considered in lieu of formal education.

Required Qualifications:

  • Epic Resolute (HB and/or PB) experience

  • 5+ years in Revenue Integrity, CDM Build/Maintenance, Revenue Cycle, Coding, or healthcare finance

  • Advanced knowledge of CPT/HCPCS, revenue codes, CMS billing regulations, charge build workflows and CDM governance

  • Strong proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, Outlook), including advanced Excel skills for data analysis and reporting

Preferred Qualifications:

  • Epic HB or PB certification

  • CRCR, CHRI, CPC, CCS, RHIA, RHIT or similar certification

  • Experience leading charge standardization initiatives in an integrated health system

  • Knowledge of payer contracts and reimbursement methodologies

Licensure/CertificationQualifications:FTE:1

Possible Remote/Hybrid Option:

RemoteShift Rotation:Day Rotation (United States of America)Shift Start Time:DaysShift End Time:DaysWeekends:NOHolidays:NoCall Obligation:NoUnion:Union Posting Deadline:

Compensation Range:

$62,691.20 - $94,036.80Employee Benefits at Essentia Health: At Essentia Health, we're committed to supporting your well-being, growth, and work-life balance. Our comprehensive benefits include medical, dental, vision, life, and disability insurance, along with supplemental options to fit your needs. We offer a 401(k) plan with employer contributions to help you plan for the future, and we invest in your professional development through training, tuition reimbursement, and educational programs. To help you thrive both at work and at home, we provide flexible scheduling, generous time off, and wellness resources focused on your physical, mental, and emotional health. Please note that benefit eligibility may vary. For full details, refer to your benefit summary or contact our HR Service Center at (218) 576-0000.

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About Essentia Health

Sourced by ZipRecruiter

Headquartered in Duluth, Minnesota, Essentia Health combines the strengths and talents of 13,500 employees, including 3,500 registered nurses & licensed practical nurses, who serve our patients and communities through the mission of being called to make a healthy difference in people's lives. Essentia Health, which includes many Catholic facilities, is guided by the values of Quality, Hospitality, Respect, Joy, Justice, Stewardship and Teamwork. The organization lives out its mission by having a patient-centered focus at 14 hospitals, 70 clinics, six long-term care facilities, three assisted living facilities, three independent living facilities, five ambulance services and one research institute.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Duluth, MN, US

Year founded

2004

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