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Freelance Remote Risk Adjustment Coder Jobs in Dayton, OH

CareSource

Applied AI Scientist III

Dayton, OH · On-site +1

... expertise and code reviews. Essential Functions: * Evaluate emerging technology in LLMs, NLP ... Work closely with interdisciplinary teams across IT, risk adjustment, program integrity, HEDIS ...

Premier Health

LEAD MEDICAL BILLING SPEC-REMOTE

Moraine, OH · On-site +1

$16.50 - $21/hr

... adjustment and other transactions. The Medical Billing Specialist performs daily, monthly and special system processing requirements (i.e. batch posting and balancing). 1) Coding/Charge Review a ...

Premier Health

LEAD MEDICAL BILLING SPEC-REMOTE

Moraine, OH · On-site +1

$16.50 - $21/hr

... adjustment and other transactions. The Medical Billing Specialist performs daily, monthly and special system processing requirements (i.e. batch posting and balancing). 1) Coding/Charge Review a ...

Premier Health

LEAD MEDICAL BILLING SPEC-REMOTE

Moraine, OH · On-site +1

$16.50 - $21/hr

... adjustment and other transactions. The Medical Billing Specialist performs daily, monthly and special system processing requirements (i.e. batch posting and balancing). 1) Coding/Charge Review a ...

Premier Health

LEAD MEDICAL BILLING SPEC-REMOTE

Moraine, OH · On-site +1

$16.50 - $21/hr

... adjustment and other transactions. The Medical Billing Specialist performs daily, monthly and special system processing requirements (i.e. batch posting and balancing). 1) Coding/Charge Review a ...

Booz Allen Hamilton, Inc.

Data Analyst

Dayton, OH · On-site +1

$61K - $141K/yr

Remote Work: No Job Number: R0241818 Location: Dayton,OH,US Share job via: Share Data Analyst The ... Support the sustainment of risk scoring tools and other data analysis implementations by ...

SIERTEK LTD

Web Developer* (26.27)

Dayton, OH · On-site +1

Write clean, efficient, maintainable, and well-documented code. * Participate in a structured ... Perform database maintenance and development through secure remote access (VPN) and on-site support ...

SciTec

Sr. Staff Software Engineer

Dayton, OH · On-site +1

$119K - $157K/yr

... remote sensing algorithms, tools, and techniques to deliver world-class data exploitation ... Identify technical risks and propose risk-reduction strategies to support program success

Booz Allen Hamilton

Data Analyst

Dayton, OH · On-site +1

$61K - $141K/yr

Support the sustainment of risk scoring tools and other data analysis implementations by ... Experience coding to support writing scripts with tools, such as Java and Python * Experience using ...

All JobsRisk Adjustment Coder JobsFreelance Remote Risk Adjustment Coder JobsFreelance Remote Risk Adjustment Coder Jobs in Dayton, OH

Freelance Remote Risk Adjustment Coder information

See Dayton, OH salary details

$15

$21

$33

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

As of Aug 6, 2026, the average hourly pay for freelance remote risk adjustment coder in Dayton, OH is $21.79, according to ZipRecruiter salary data. Most workers in this role earn between $17.50 and $23.37 per hour, depending on experience, location, and employer.

What is a freelance remote risk adjustment coder?

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?

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 Dayton, OH? The most popular types of Remote Risk Adjustment Coder jobs in Dayton, OH are:
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Freelance Remote Risk Adjustment Coder jobs near you
Infographic showing various Freelance Remote Risk Adjustment Coder job openings in Dayton, OH as of June 2026, with employment types broken down into 100% Full Time. Highlights an 14% In-person, and 86% Remote job distribution, with an average salary of $45,330 per year, or $21.8 per hour.

Applied AI Scientist III

CareSource

Dayton, OH • On-site, Remote

Full-time

Re-posted 9 days ago

CareSource rating

7.7

Company rating: 7.7 out of 10

Based on 28 frontline employees who took The Breakroom Quiz

200th of 301 rated insurance

Job description

Job Summary:
The Applied AI Scientist III is responsible for the development and application of cutting-edge advanced analytics solutions using emerging Artificial Intelligence (AI) technologies such as Agentic AI, Retrieval Augmented Generation (RAG), Large Language Models (LLMs), Natural Language Processing (NLP) and Generative AI solutions to enhance healthcare operations, patient care, and overall health plan performance and efficiency. This position requires a highly skilled AI expert capable of delivering complex data science projects independently while guiding other data scientists through technical expertise and code reviews.
Essential Functions:
  • Evaluate emerging technology in LLMs, NLP, Generative AI, and healthcare informatics, integrating these advancements into the projects to drive continuous innovation.
  • Utilize NLP algorithms and other deep learning techniques to process and analyze unstructured healthcare data, such as clinical notes, patient feedback, and medical literature, to extract meaningful insights.
  • Lead development from prototype through production in partnership with engineering/architecture.
  • Co-own operational readiness (evaluation, monitoring requirements, documentation, safeguards) and support post-release tuning of Generative AI solutions (such as prompt engineering and RAG).
  • Lead initiatives specializing in NLP and predictive analytics, ensuring the successful delivery of projects that align with organizational goals.
  • Work closely with interdisciplinary teams across IT, risk adjustment, program integrity, HEDIS, healthcare operations, finance, and clinical departments to identify and capitalize on opportunities for data-driven innovative solutions using cutting-edge emerging technologies.
  • Develop and implement predictive models, algorithms, and statistical techniques to extract insights from large and complex healthcare datasets.
  • Define and execute evaluation strategies for ML and LLM solutions, including quality metrics, bias and safety checks, and performance monitoring after deployment.
  • Utilize machine learning algorithms to identify patterns, trends, and opportunities for improving operational efficiency, cost containment, and patient care.
  • Conduct rigorous data analysis, including data cleansing, feature engineering, and exploratory data analysis, to derive meaningful insights and actionable recommendations.
  • Collaborate with stakeholders to define key performance indicators (KPIs), develop metrics, and create dashboards and reports that effectively communicate insights and support decision-making.
  • Provide strategic guidance and recommendations to senior leadership based on data analysis and predictive modeling results.
  • Ensure compliance with data privacy and security regulations, including HIPAA and PHI handling as applicable and maintain the highest standards of data integrity, model governance, and documentation.
  • Lead cross-functional projects with occasional light project management across teams to deliver results.
  • Represent the department in project meetings and other meetings that require subject matter knowledge and input.
  • Perform any other job related duties as requested.

Education and Experience:
  • Bachelor's degree in Data Science, Mathematics, Statistics, Engineering, Computer Science, or other related field required
  • Master's or PhD degree preferred
  • Equivalent years of relevant work experience may be accepted in lieu of required education
  • Five (5) years of experience in predictive analytics, data science, or a related field, preferably within the healthcare industry or managed care organizations required
  • One (1) year of experience in the healthcare industry required
  • One (1) year of experience with cloud services (such as Azure, AWS or GCP) and modern data stack (such as Databricks or Snowflake) required
  • One (1) year of experience in development and deployment of an NLP and Generative AI solution in the healthcare industry required

Competencies, Knowledge and Skills:
  • Familiarity with Agentic AI, LLM architecture, prompt engineering, RAG, and evaluation metrics
  • Familiarity with MLOps and LLMOps practices such as CI/CD, model registry, experiment tracking, automated evaluation, monitoring, and reproducible pipelines
  • Understanding of model risk management, AI governance, and responsible AI
  • Strong expertise in statistical modeling, machine learning techniques, and predictive analytics tools such as Python, or R
  • Expert in data manipulation, data visualization, and SQL for data extraction and analysis
  • Ability to perform advanced statistical analysis and modeling such as linear and non-linear regression, sampling, and Markov chains
  • Expertise in emerging technologies and tools such as large language models, natural language understanding, sentiment analysis, named entity recognition, topic modeling, and text classification
  • Expertise in Optical Character Recognition (OCR) technologies, including data extraction from scanned documents, forms, and invoices, and proficiency in OCR tools and libraries
  • Familiarity with web app and API development and deployment in production environment
  • Detailed knowledge of healthcare data, including medical and pharmacy claims, EMR data, HIE data, UM data, and demographic and population data
  • Knowledge of healthcare operations, payer and provider models, and industry trends
  • Proficient in feature engineering techniques and exploratory data analysis
  • Knowledge of optimization techniques and artificial intelligence methods
  • Excellent analytical, problem-solving, and critical-thinking skills, with the ability to translate complex data into actionable insights
  • Strong project management skills, with the ability to lead and prioritize multiple projects simultaneously in a fast-paced environment
  • Excellent written and verbal communication and presentation skills, with the ability to convey technical concepts to non-technical stakeholders
  • Comfortable reading academic research papers and applying them in the models

Licensure and Certification:
  • None

Working Conditions:
  • General office environment; may be required to sit or stand for extended periods of time
  • Up to 15% (occasional) travel to attend meetings, trainings, and conferences may be required

Compensation Range:
$94,100.00 - $164,800.00
CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
Salary
Organization Level Competencies
  • Fostering a Collaborative Workplace Culture
  • Cultivate Partnerships
  • Develop Self and Others
  • Drive Execution
  • Influence Others
  • Pursue Personal Excellence
  • Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
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