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Freelance Remote Risk Adjustment Coder Jobs in Miami, FL

Cyclops

Technical Support Engineer (Remote)

Miami, FL · Remote

... risk * Act as operational support during active incidents, performing manual workarounds when ... codes * Confident daily use of AI tools for investigation, drafting, and documentation work, with ...

Deloitte

Accounts Receivable Analyst

Miami, FL · Remote

$23 - $29.25/hr

... remote client service delivery. Recruiting for this role ends on 08/01/2026 Work you'll do As an ... Rebill corrected claims and route issues to coding, billing, credentialing, denials, and/or ...

Worth AI

Data Platform Engineer

Miami, FL · Remote

$117K - $140K/yr

CI/CD, containerization (Docker), orchestration (Kubernetes), and infrastructure-as-code (Terraform ... for risk detection ** All Remote Hires - will be required to travel to Orlando, Florida at least ...

Worth AI

Data Platform Engineer

Miami, FL · On-site +1

$109K - $131K/yr

CI/CD, containerization (Docker), orchestration (Kubernetes), and infrastructure-as-code (Terraform ... for risk detection ** All Remote Hires - will be required to travel to Orlando, Florida at least ...

Worth AI

Security Engineer

Miami, FL · Remote

Participate in secure code reviews and threat modeling for new features and services * Help ... Communicate risk, status, and trade-offs clearly to both technical and non-technical stakeholders ...

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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 Jul 25, 2026, the average hourly pay for freelance remote risk adjustment coder in Miami, FL is $21.45, according to ZipRecruiter salary data. Most workers in this role earn between $17.26 and $22.98 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 Miami, FL? The most popular types of Remote Risk Adjustment Coder jobs in Miami, FL are:
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Freelance Remote Risk Adjustment Coder jobs near you
Manager, Government Audit

Manager, Government Audit

Health Business Solutions LLC

Cooper City, FL • Remote

$95K - $125K/yr

Full-time

Posted 3 days ago

Job description

Position Summary:

HBiz is seeking an experienced and highly organized Manager of Audit to lead all audit-related operations across government, commercial, and post-payment audits. This fully remote role will report directly to the VP of Clinical Appeals and is responsible for overseeing end-to-end audit processes, ensuring regulatory compliance, and managing a team that includes offshore staff. The ideal candidate is a strong communicator, detail-oriented, and comfortable working flexible hours to support coordination across global teams and time zones.

Key Responsibilities:

  • Audit Oversight & Lifecycle Management
    • Lead the management and response process for a variety of audits including RAC, MAC, CERT, PERM, TPE, and commercial payer audits.
    • Oversee case intake, documentation collection, quality review, and timely submission.
    • Track and analyze audit trends, denials, and appeal outcomes to identify risks and recommend improvements.
  • Reporting & Tracking
    • Maintain detailed audit logs and status reports using audit tracking systems.
    • Develop and deliver regular audit performance dashboards and summaries to leadership.
    • Identify audit trends and provide insights for proactive risk mitigation.
  • Team Management & Workflow Coordination
    • Supervise and support a team of audit staff, including managing offshore resources.
    • Assign and coordinate cases with clinical, coding, technical, and documentation teams.
    • Ensure efficient workflows and balanced workloads across team members.
    • Work flexible hours when needed to support offshore operations and tight deadlines.
  • Collaboration Across Departments
    • Act as the liaison between clinical, coding, HIM, compliance, and IT teams for audit support.
    • Ensure audit responses include accurate, complete, and compliant documentation.
    • Facilitate escalation and resolution of complex audit issues.
  • Compliance & Quality Assurance
    • Ensure all audit activity complies with CMS, commercial payer, and regulatory requirements.
    • Support policy and process development to strengthen audit readiness and response.
    • Participate in internal audits and risk assessments as needed.

Qualifications:

  • Bachelor’s degree in Health Information Management, Healthcare Administration, Business, or related field (Master’s preferred).
  • Minimum 5 years of healthcare audit experience, including government and post-payment audits.
  • At least 2 years in a supervisory or leadership role, including managing remote/offshore staff.
  • In-depth understanding of audit regulations, payer requirements, and healthcare reimbursement.
  • Familiarity with medical coding (ICD-10, CPT, HCPCS), billing practices, and clinical documentation standards.
  • Excellent communication, organizational, and leadership skills.
  • Proficient with audit tracking software, EHRs, and Microsoft Office Suite.

The ideal candidate is articulate, organized, detail-oriented, and able to adjust their schedule as needed to engage with teams across a global network and multiple time zones.

Acts as a liaison between internal Hbiz clients, (i.e.: coding, HIM, compliance, and IT teams); as well as external clients we are supporting with our services.


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