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Freelance Remote Risk Adjustment Coder Jobs in Omaha, NE

Strata Information Group

Project Manager

Omaha, NE · Remote

$90K - $115K/yr

Work with the client to develop a risk management plan Required Qualifications * Five+ years of ... Remote work The listed salary range for this position is indicative and subject to adjustment based ...

micro1 AI

Clinical Pharmacy Technicians

Omaha, NE · 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

Omaha, NE · 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 ...

WoodmenLife

Claims Examiner I or II

Omaha, NE · On-site +1

$17 - $25/hr

Job Title : Claims Examiner I or II This position could be hybrid or possibly fully remote ... Enters and codes all new deaths or health claims into administrative systems * Mails claim ...

New

Mutual of Omaha

Actuarial Associate

Omaha, NE · Remote

Remote Categories: Actuarial As an Actuarial Associate (or Actuarial Assistant, depending on ... Review results to spot trends, recommend actions, and support risk management. This includes both ...

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Freelance Remote Risk Adjustment Coder information

See Omaha, NE salary details

$15

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$32

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

As of Aug 16, 2026, the average hourly pay for freelance remote risk adjustment coder in Omaha, NE 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 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 Omaha, NE?

The most popular types of Remote Risk Adjustment Coder jobs in Omaha, NE are:

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For Freelance Remote Risk Adjustment Coder jobs in Omaha, NE, the most frequently searched job titles are:

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The top searched job categories for Freelance Remote Risk Adjustment Coder jobs in Omaha, NE are:

Freelance Remote Risk Adjustment Coder jobs near you

Actuarial Svcs Trend & Network Mgr

Blue Cross and Blue Shield of Nebraska

Omaha, NE • On-site, Remote

Full-time

Posted 15 days ago

Blue Cross & Blue Shield Of Nebraska rating

7.7

Company rating: 7.7 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

204th of 308 rated insurance

Job description

At Blue Cross and Blue Shield of Nebraska, we are a mission-driven organization dedicated to championing the health and well-being of our members and the communities we serve.

Our team is the power behind that promise. And, as the industry rapidly evolves and we seek ways to optimize business processes and customer experiences, there's no greater time for forward-thinking professionals like you to join us in delivering on it! As a member of Team Blue, you'll find purpose, opportunities and the support you need to build a meaningful career and make a powerful impact in our community.

This role leads the development and oversight of key actuarial functions that support the organization's financial performance and strategic decision-making. This position is responsible for guiding actuarial analyses related to pricing trends, network and area factors, provider performance, Medicare Advantage, forecasting and other healthcare actuarial initiatives.

Candidates applying to this position may be hybrid or remote and can live in one of the following states: Florida, Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, and Texas.

What you'll do:

  • Manipulate and analyze data using SQL, Databrick and Excel.

  • Maintain and improve the Pricing Trend methodology, process, and documentation.

  • Maintain and improve the Network/Area factors methodology, and Provider entity performance analysis and documentation.

  • Oversee the monthly Medicare Advantage IBNR, Quarterly & Annual Statement, Risk Adjustment analysis and other related projects. Support the Bid process.

  • Support the corporate reinsurance program, such as renewal, monthly reporting, and filing for reimbursement.

  • Provide VBC Trend and support other VBC activities.

  • Manage the Actuarial Services department workflows.

  • Prepare and present reports to internal management.

  • Accountable to coach, motivate and provide leadership to direct reports.

  • Serve on cross functional teams to represent actuarial point of view.

To be considered for this position, you must have:

  • Bachelor's degree in actuarial science, Mathematics, Statistics, or related field.

  • Five years of experience in an actuarial role and three years of experience in the health care industry.

  • ASA Licensure/Certification.

An equivalent combination of education and experience may be substituted for this requirement. The ability to meet or exceed the attendance and timeliness requirements of their departments. The ability to work well in a team environment and be capable of building and maintaining positive relationships with other staff, departments, and customers.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned.

The strongest candidates for this position will also possess:

  • Three (3) years of leadership experience.

  • Experience leading healthcare actuarial analyses and developing actuarial methodologies.

  • Strong communication and presentation skills, including the ability to explain complex findings to business and executive leadership.

  • Experience improving actuarial processes through automation, artificial intelligence, or advanced analytics.

Learn more about what makes BCBSNE such an exceptional place to work by visiting NebraskaBlue.com/Careers.

We strongly believe that diversity of experience, perspective and background will lead to a better workplace for our employees and a better product for our customers and members.

What Blue Cross & Blue Shield Of Nebraska employees say

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