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Freelance Remote Risk Adjustment Coder Jobs in Ohio

Signet Jewelers Ltd.

Xstore Developer (Remote)

Akron, OH · On-site +1

$74K - $125K/yr

Dallas, TX or Akron, OH (Hybrid) Preferred Open to remote POSITION SUMMARY : The Developer is ... Participate in technical walkthroughs and code reviews. * Migrate complex, high-risk solutions into ...

Signet Jewelers Ltd.

Xstore Developer (Remote)

Akron, OH · On-site +1

$74K - $125K/yr

Dallas, TX or Akron, OH (Hybrid) Preferred Open to remote POSITION SUMMARY : The Developer is ... Participate in technical walkthroughs and code reviews. * Migrate complex, high-risk solutions into ...

TeamViewer Germany GmbH

Risk Identification & Mitigation · Monitor customer health trends and signals, identifying ... Open door policy and business casual dress code * We celebrate diversity as one of our core values.

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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.
What are the most commonly searched types of Remote Risk Adjustment Coder jobs in Ohio? The most popular types of Remote Risk Adjustment Coder jobs in Ohio are:
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Freelance Remote Risk Adjustment Coder jobs near you
Infographic showing various Freelance Remote Risk Adjustment Coder job openings in Ohio as of June 2026, with employment types broken down into 2% Internship, 6% As Needed, 65% Full Time, 4% Part Time, 2% Temporary, and 21% Contract. Highlights an 38% Physical, 3% Hybrid, and 59% Remote job distribution.
Orthopedic Coding Specialist- Spine/Trauma Focus- $2000 Sign-On-Bonus- In-State Remote

Orthopedic Coding Specialist- Spine/Trauma Focus- $2000 Sign-On-Bonus- In-State Remote

Orthopedic One

Westerville, OH • On-site, Remote

$18.25 - $23.25/hr

Other

Posted 22 hours ago

Orthopedic One rating

6.3

Company rating: 6.3 out of 10

Based on 14 frontline employees who took The Breakroom Quiz

Job description

Candidates must live in Ohio permanently. This position is eligible for a remote work arrangement after completion of an onboarding period (Generally 10-14 days).
Position Summary:Responsible for orthopedic coding and compliance for assigned Orthopedic One providers which may include Orthopedic Surgeons (spine and trauma), advanced practice providers, and PM&R specialists.
Responsibilities/Accountabilities:
Orthopedic Coding:
  • Review operative and/or progress notes to code claims for providers who have A/R support provided by staff not credentialed as CPC.
  • Review NCCI edits to code modifiers for surgeries and procedures based on operative and/or progress notes.
  • Ensure proper coding of hospital visits, surgeries, physician, physical therapy and occupational therapy visits for providers.
  • Review incomplete charge slips identified by other staff members for missing procedures or codes. Provides team members with information needed to complete charge entry.

Education, Experience, and Certification/Licensure Required:
  • High School Diploma or equivalent required. Minimum of 3 - 5 years of work experience coding orthopedic surgical cases, preferably including experience with Spine or Trauma subspecialities. Candidates must have current certification as a Certified Professional Coder, or equivalent, and additional certification specific Orthopedic Coding is preferred. Proficiency with software including practice management systems and Microsoft Excel is required.
    Knowledge, Skills, and Abilities:
    Current AAPC, Certified Professional Coder (CPC) required and/or additional coding as Certified Orthopedic Surgery Coder (COSC), Certified Evaluation and Management Coding (CEMC) desirable; Demonstrates general knowledge of medical terminology and human anatomy; Demonstrates knowledge of medical billing and coding, evidenced by designation of certified professional coder and relevant job experience; Demonstrates knowledge of insurance processes and reimbursement practices; Able to work with high volume of work while maintaining attention to detail and accuracy; Demonstrates excellent oral and written communication skills; Able to operate practice management system and other computer programs (i.e., use Windows operating system, conduct Internet searches, communicate by email, etc.); Able to operate a calculator to accurately perform basic math functions.
    Able to work cooperatively as a member of the billing department to meet the needs of internal and external customers; Able to troubleshoot and resolve problems reported by staff with the practice management system.
    Policies and Procedures:
  • Knows and complies with policies and procedures as enumerated in the Orthopedic One Employee Handbook and policies and procedures documents.
  • Provides assistance and support to leadership in implementing policies and procedures as necessary.
  • Actively participates in training, and conducting day to day work activity by adhering to all policies and procedures as enumerated in compliance and risk management programs.
  • Teamwork:
  • Works cooperatively with coworkers, providers, and management.
  • Shares knowledge and insights with co-workers in a constructive manner.
  • Willingly provides coverage to department, staying beyond scheduled ending time when clinic schedule demands it, volunteering to cover time off or unexpected absences, maintaining workflow in department without direct supervision.
  • Addresses conflicts with person directly before involving manager or uninvolved peers.
  • Is considerate of others with regard to taking breaks or meal periods, use of computer and telephone, and noise in department.
  • Customer Service and Communications:
  • Communicates with patients, insurance carriers and other outside entities in a professional manner. Identifies solutions and responds professionally to patient concerns, i.e., pleasant tone of voice, courteous language, etc. Uses appropriate grammar and demonstrates tact and diplomacy in patient interactions, by phone and in person.
  • Diffuses negative situations with patients and maintains a pleasant and professional tone during stressful circumstances and heavy workload.
  • Communicates with staff members in a professional, pleasant manner; Shares information relevant to work, no gossiping or disparaging remarks, accepts work without complaint or provides reasons why assignment is unmanageable, asks and answers questions related to improving department performance.
  • Shares Knowledge/Educates:
  • Assist leadership in educating billable providers with on proper use of modifiers and other remedial coding instruction.
  • Provide support to leadership with team coding audits.
  • Develops and coordinates with coding educator and leadership resources and guidelines for specialty coding.
  • Monitor team unbilled claims, open superbills, denial trends and coding errors monthly and implement guidelines, billing edits and resources to prevent the untimely billing of claims and denial of the claim.
  • Maintain the team code change log process to ensure second or third level review of code changes before sending to provider for validation and approval.
  • Reviews various billing sources for orthopedic specific updates and communicates information to the Patient Accounts Department on matters such as insurance guideline changes or precertification requirements.

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