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Freelance Remote Risk Adjustment Coder Jobs in Austin, TX

Curative HR LLC

Claims Resolution Specialist

Austin, TX · On-site +1

$25 - $29/hr

Process claim adjustments, reversals, reprocessing, and corrected claims. Balance Billing ... Maintain a secure remote work environment. * Perform additional duties and special projects as ...

ASSA ABLOY

Director, Supply Chain Security

Austin, TX · Remote

$180K - $204K/yr

Remote (US & Europe) Job ID: 47557 As part of the Product Security and Privacy team, you will own ... Establishing and enforcing standards for secure storage, accessing, and transferring of source code ...

Sageworks

Product Builder (UX)

Austin, TX · On-site +1

At Abrigo, we providemarket-leading compliance, credit risk and lending software solutionsthat ... Curiosity and fluency with modern AI tools, AI-assisted coding tools, design workflows, and ...

Hired Recruiters

Senior Product Designer

Austin, TX · On-site +1

US Remote * US Citizen & Green Card only * Salary: $150k - $220k * Funding: $19.5M * Tech-Stack ... Panther's platform allows security engineers to focus on what they know best, reducing risk ...

Natera

Corporate Compliance Director

Austin, TX · Remote

$160K - $210K/yr

Advanced data analysis, data mining, and medical coding experience preferred. * Certification in ... and risk analysis PHYSICAL DEMANDS & WORK ENVIRONMENT * Duties are performed in a remote home ...

Abrigo

Product Builder (UX)

Austin, TX · On-site +1

At Abrigo, we provide market-leading compliance, credit risk and lending software solutions that ... Curiosity and fluency with modern AI tools, AI-assisted coding tools, design workflows, and ...

Abrigo

Product Builder (UX)

Austin, TX · On-site +1

At Abrigo, we provide market-leading compliance, credit risk and lending software solutions that ... Curiosity and fluency with modern AI tools, AI-assisted coding tools, design workflows, and ...

Bicycle Health

Senior Analyst, People Systems

Austin, TX · Remote

$95K - $125K/yr

Remote Schedule: Full time (40 hrs) - Monday-Friday, 8am-5pm Target Pay Range: $95,000-125,000 ... adjustments. * Serve as escalation support for complex system issues within assigned domains.

Bicycle Health

Senior Analyst, People Systems

Austin, TX · Remote

$95K - $125K/yr

Remote Schedule: Full time (40 hrs) - Monday-Friday, 8am-5pm Target Pay Range: $95,000-125,000 ... adjustments. * Serve as escalation support for complex system issues within assigned domains.

Bicycle Health

Senior Analyst, People Systems

Austin, TX · Remote

$95K - $125K/yr

Remote Schedule: Full time (40 hrs) - Monday-Friday, 8am-5pm Target Pay Range: $95,000-125,000 ... adjustments. * Serve as escalation support for complex system issues within assigned domains.

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Freelance Remote Risk Adjustment Coder information

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How much do freelance remote risk adjustment coder jobs pay per hour?

As of Jun 11, 2026, the average hourly pay for freelance remote risk adjustment coder in Austin, TX is $22.23, according to ZipRecruiter salary data. Most workers in this role earn between $17.88 and $23.85 per hour, depending on experience, location, and employer.

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 Austin, TX? The most popular types of Remote Risk Adjustment Coder jobs in Austin, TX are:
What are popular job titles related to Freelance Remote Risk Adjustment Coder jobs in Austin, TX? For Freelance Remote Risk Adjustment Coder jobs in Austin, TX, the most frequently searched job titles are:
What job categories do people searching Freelance Remote Risk Adjustment Coder jobs in Austin, TX look for? The top searched job categories for Freelance Remote Risk Adjustment Coder jobs in Austin, TX are:
What cities near Austin, TX are hiring for Freelance Remote Risk Adjustment Coder jobs? Cities near Austin, TX with the most Freelance Remote Risk Adjustment Coder job openings:
Freelance Remote Risk Adjustment Coder jobs near you
Infographic showing various Freelance Remote Risk Adjustment Coder job openings in Austin, TX as of June 2026, with employment types broken down into 1% As Needed, 96% Full Time, 2% Part Time, and 1% Contract. Highlights an 62% Physical, 2% Hybrid, and 36% Remote job distribution, with an average salary of $46,228 per year, or $22.2 per hour.

Claims Resolution Specialist

Curative HR LLC

Austin, TX • On-site, Remote

$25 - $29/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 6 days ago

Job description

About Curative
Curative is building the future of health insurance with a first-of-its-kind employer-based plan designed to remove financial barriers and make care truly accessible: one monthly premium with $0 copays and $0 deductibles*. Backed by our recent $150M in Series B funding and valuation at $1.275B, Curative is scaling rapidly and investing in AI-powered service, deeper member engagement, and a smart network designed for today's workforce.
Our north star guides everything we do: healthcare only works when people can actually use it. That belief drives every decision we make: from how we design our plan, support our members, to how we collaborate as a team.
If you want to do meaningful work with a team that moves fast, experiments boldly, and cares deeply, Curative is the place to do it. We're growing fast and looking for teammates who want to help transform health insurance for the better.
Summary
The Claims Resolution Specialist is responsible for ensuring accurate, timely, and compliant resolution of medical claims, balance billing issues, and reimbursement requests. This role serves as a key liaison between members, providers, and internal teams to protect members from inappropriate financial liability, including compliance with the No Surprises Act (NSA) and applicable state balance billing laws. The position requires strong analytical skills, detailed claims review, provider and member communication, and a commitment to delivering exceptional member experience.
Essential Duties and Responsibilities
Claims Review, Adjudication & Resolution
  • Review, analyze, and adjudicate medical claims in accordance with plan benefits, internal policies, and regulatory requirements.
  • Confirm member eligibility, plan enrollment, coordination of benefits (COB), authorizations, and benefit limitations.
  • Validate accurate coding using ICD-10, CPT, HCPCS, and revenue codes.
  • Identify underpayments, overpayments, duplicate claims, and processing errors; calculate allowable amounts, contractual adjustments, and interest as required.
  • Process claim adjustments, reversals, reprocessing, and corrected claims.

Balance Billing & Regulatory Compliance
  • Investigate and resolve member balance billing disputes with providers and facilities.
  • Ensure compliance with the No Surprises Act (NSA) and applicable federal and state balance billing and consumer protection regulations.
  • Educate providers on appropriate billing practices, plan policies, and regulatory requirements.
  • Escalate recurring provider non-compliance or systemic billing issues to leadership.

Reimbursement & Payment Processing
  • Process member and provider reimbursement requests, including out-of-network and manual reimbursement submissions.
  • Review and validate required documentation, receipts, and clinical information.
  • Ensure reimbursements comply with benefit coverage, payment timelines, and regulatory standards.
  • Prepare and route reimbursement payments for approval with accurate documentation and coding.

Member, Provider & Internal Support
  • Communicate clearly and professionally with members and providers regarding claim determinations, benefits, and payment responsibilities.
  • Respond to internal and external claim inquiries, appeals, reconsiderations, and dispute requests.
  • Collaborate cross-functionally with Claims, Provider Relations, Member Services and Finance teams to resolve complex cases.
  • Handle sensitive or escalated interactions with empathy, professionalism, and discretion.

Documentation, Quality & Process Improvement
  • Document claim decisions, resolution steps, and communications accurately in claims and CRM systems.
  • Meet or exceed departmental productivity, quality, and timeliness standards.
  • Identify trends, system issues, or process gaps and provide recommendations for improvement.
  • Participate in training, meetings, and continuing education to maintain current knowledge of policies and regulations.
    .

Additional Responsibilities
  • Adhere to all HIPAA, confidentiality, and compliance requirements.
  • Maintain a secure remote work environment.
  • Perform additional duties and special projects as assigned by leadership.
Qualifications
Required:
  • 1+ year of experience in healthcare claims processing, billing, reimbursement, or claims resolution.
  • Working knowledge of PPO, EPO, and other health plan benefit structures.
  • Strong analytical and problem-solving skills with high attention to detail.
  • Excellent written and verbal communication skills with the ability to interact professionally with members and providers.
  • Proficiency in Google Workspace and/or Microsoft Office (Excel/Sheets required).
  • Ability to manage multiple priorities in a fast-paced, deadline-driven environment.

Preferred:
  • Knowledge of the No Surprises Act (NSA) and relevant state-level balance billing regulations.
  • Experience with medical coding (ICD-10, CPT, HCPCS) and claim adjudication rules preferred.
  • Familiarity with claims processing platforms and CRM systems (HealthEdge HealthRules Payer System a plus).
  • Prior experience handling provider disputes, underpayments, and reimbursement requests..
Skills & Competencies
  • Strong customer service and member advocacy mindset.
  • Effective negotiation and conflict resolution abilities.
  • Ability to work independently while collaborating within a team environment.
  • Maintains composure in escalated or high-volume situations.
  • Strong computer skills and ability to work at a computer for extended periods.
Education
  • High School Diploma or GED required.
  • Associate's or Bachelor's degree in Healthcare Administration, Business, or a related field preferred.
Work Environment / Telecommuting Requirements
  • Remote position requiring a secure, private workspace compliant with HIPAA standards.
  • Reliable high-speed internet connection required.
  • Minimal travel may be required for training or meetings (less than 5%).

Perks & Benefits
  • Curative Health Plan (100% employer-covered medical premiums for you and 50% coverage for dependents on the base plan.)
    • $0 copays and $0 deductibles (with completion of our Baseline Visit )
    • Preventive and primary care built in
    • Mental health support (Rula, Televero, Two Chairs, Recovery Unplugged)
    • One-on-one care navigation
    • Chronic condition programs (diabetes, weight, hypertension)
    • Maternity and family planning support
    • 24/7/365 Curative Telehealth
    • Pharmacy benefits
  • Comprehensive dental and vision coverage
  • Employer-provided life and disability coverage with additional supplemental options
  • Flexible spending accounts
  • Flexible work options: remote and in-person opportunities
  • Generous PTO policy plus 11 paid annual company holidays
  • 401K for full-time employees
  • Generous Up to 8-12 weeks paid parental leave, based on role eligibility.

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