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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 ...

micro1 AI

Clinical Pharmacy Technicians

Dayton, OH · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... risk assessment methodology. * Hands-on experience with MedDRA coding, seriousness and causality ...

micro1 AI

Pharmacovigilance Expert

Dayton, OH · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... risk assessment methodology. * Hands-on experience with MedDRA coding, seriousness and causality ...

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 26, 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.

Director, Model Engineering & Operations

Dayton, OH • On-site, Remote

CareSource
Insurance Services • 1 - 5K employees

7.7

Company rating: 7.7 out of 10

Based on 28 frontline employees who took The Breakroom Quiz

206th of 312 rated insurance

Good employer

Good schedule notice

Paid breaks

Learn more about CareSourceexternal

Full-time

Posted 21 days ago

Job description

Job Summary:
The Director, Model Engineering & Operations is responsible for leading the strategy, development, implementation, and optimization of enterprise AI and machine learning solutions that support core health plan operations and business objectives. This role provides leadership for the design and delivery of scalable, secure, and compliant AI/ML platforms and production systems, while overseeing the end-to-end machine learning lifecycle. The Director leads a team of machine learning engineers and applied scientists and collaborates across business and technology functions to translate advanced analytics and artificial intelligence capabilities into reliable, cost-effective, and operationalized solutions that drive organizational performance and innovation.
Essential Functions:
  • Lead the design, development, and productionization of ML and AI models across risk adjustment (HCC/RAF), HEDIS/Stars quality measures, care management, utilization management, fraud/waste/abuse, and member/provider experience use cases.
  • Own the end-to-end MLOps lifecycle on Databricks: feature engineering and feature store design, model training and versioning (MLflow), CI/CD for ML pipelines, deployment patterns (batch, real-time, and streaming inference), and automated retraining.
  • Establish and enforce model monitoring practices - drift detection, performance degradation alerts, bias/fairness checks, and champion-challenger frameworks - to ensure production models remain accurate and compliant over time.
  • Guide the evaluation and responsible adoption of generative AI and LLM-based capabilities (e.g., Mosaic AI, Genie, retrieval-augmented generation) for internal analytics, member/provider-facing tools, and operational automation.
  • Define engineering standards, design patterns, and reusable components (feature libraries, model templates, deployment scaffolding) to accelerate delivery across the data science and ML engineering teams.
  • Partner with data governance and security teams to ensure all ML/AI systems comply with HIPAA, CMS, and NCQA requirements, including PHI handling, access controls, and audit trails within Unity Catalog.
  • Manage model risk documentation and validation processes suitable for regulatory review (e.g., RADV audits, Stars/HEDIS submissions) in partnership with compliance and quality teams.
  • Own the cost, performance, and reliability of the ML platform footprint on Databricks, including compute optimization, cluster/job design, and vendor/tooling evaluation (e.g., build vs. buy decisions for platform capabilities).
  • Collaborate with BI, data engineering, and data science teams to ensure ML features and pipelines align with the broader canonical data model and lakehouse architecture.
  • Translate business problems from clinical, quality, finance, and operations stakeholders into well-scoped ML engineering initiatives with clear success metrics and delivery timelines.
  • Communicate technical strategy, risk, and progress to senior leadership and non-technical stakeholders in clear, business-relevant terms.
  • Perform any other job related duties as requested.

Education and Experience:
  • Bachelor's degree in Computer Science, Data Science, Engineering, or a related field required
  • Master's degree in Computer Science, Data Science, Engineering preferred
  • Equivalent years of relevant work experience may be accepted in lieu of required education
  • Eight (8) years in software/ML engineering required
  • Five (5) years of leadership experience required
  • Experience productionizing ML models at scale, including MLOps practices (CI/CD, model versioning, monitoring, retraining pipelines) required
  • Experience operating within regulated, PHI-governed environments; working knowledge of HIPAA and healthcare data standards required
Competencies, Knowledge and Skills:
  • Familiarity in a health plan, payer, or healthcare provider environment, with exposure to HEDIS/Stars, HCC risk adjustment, claims (837/835), and clinical data standards (HL7, FHIR, CCDA)
  • Knowledgeable in cloud infrastructure (Azure preferred, given Databricks-on-Azure deployment) and Infrastructure-as-Code practices
  • Hands-on proficiency with Databricks (or comparable lakehouse platform), Delta Lake, MLflow, and Spark; strong Python and SQL skills
  • Solid understanding of ML fundamentals (supervised/unsupervised learning, model evaluation, feature engineering) and modern AI/LLM concepts (RAG, embeddings, prompt engineering, model evaluation for generative systems)
  • Ability to evaluate or implement knowledge graph, entity resolution, or Member 360-style initiatives
  • Strong communication skills with the ability to influence both technical teams and executive stakeholders
  • Ability to present model risk or AI governance documentation to regulators, auditors, or compliance committees
  • Strong service orientation and consulting skills
  • Ability to work collaboratively with all levels of management
  • Ability to juggle multiple complex priorities within a changing environment
  • Strong leadership and management skills with the ability to motivate in a team-orientated, collaborative environment
  • Strong knowledge of outsourcing and staff augmentation strategies supporting testing processes
  • Knowledge of the managed care industry is preferred
  • Exceptionally self-motivated and directed
Licensure and Certification:
  • None
Working Conditions:
  • General office environment; may be required to sit or stand for extended periods of time
  • Ability to travel as required by the needs of the business.

Compensation Range:
$135,600.00 - $237,400.00
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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