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Freelance Remote Risk Adjustment Coder Jobs in Richmond, VA

Ennoble Care

Actuary

Richmond, VA · Remote

$150/hr

Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health ... Thorough understanding of and hands-on experience with Medicare risk adjustment and CMS-HCC models

Corvel

Claims Specialist

Glen Allen, VA · Remote

$52K - $85K/yr

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Corvel

Medical Only Claims Specialist

Glen Allen, VA · Remote

$16.74 - $26.92/hr

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Corvel

Telehealth Coordinator Lead

Glen Allen, VA · On-site +1

$19.24 - $31.04/hr

This is a remote role but requires residency in Arizona or Virginia. The work schedule for this ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Corvel

Telehealth Coordinator Lead

Glen Allen, VA · Remote

$19.24 - $31.04/hr

This is a remote role but requires residency in Arizona or Virginia. The work schedule for this ... The level may impact the salary range and these adjustments would be clarified during the offer ...

micro1 AI

Clinical Pharmacy Technicians

Richmond, VA · 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

Richmond, VA · 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 ...

EMCOR Group Inc

Miller Electric Company

Jacksonville, FL

$30.25 - $40.55/hr

Model cable trays in accordance with code-required clearances, correct types/sizes, and submittals ... and document adjustments. * Participate in virtual construction coordination meetings to review ...

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Freelance Remote Risk Adjustment Coder information

See Richmond, VA salary details

$15

$22

$34

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

As of Aug 11, 2026, the average hourly pay for freelance remote risk adjustment coder in Richmond, VA is $22.19, according to ZipRecruiter salary data. Most workers in this role earn between $17.84 and $23.80 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.
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What job categories do people searching Freelance Remote Risk Adjustment Coder jobs in Richmond, VA look for? The top searched job categories for Freelance Remote Risk Adjustment Coder jobs in Richmond, VA are:
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Freelance Remote Risk Adjustment Coder jobs near you

Actuary

Ennoble Care

Richmond, VA • Remote

$150/hr

Full-time

Re-posted 25 days ago

Ennoble Care rating

4.2

Company rating: 4.2 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

Job description

About Us

Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania, Texas, Florida, and Georgia. Ennoble Care's clinicians go to the home of the patient, providing continuum of care for those with chronic conditions and limited mobility. Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health management, and chronic care management, to ensure that our patients receive the highest quality of care by a team they know and trust. We seek individuals who are driven to make a difference and embody our motto, "To Care is an Honor." Join Ennoble Care today!

Position Overview

We are seeking an experienced Actuary (5+ years of experience) for our value-based care (VBC) team. This role requires a seasoned professional in medical economics, actuarial, or equivalent data analytics experience who can navigate the complex landscape of Medicare risk models, value-based care arrangements, and population health analytics. The ideal candidate will play a critical role in optimizing our organization's performance under CMS total cost of care models while ensuring sustainable financial outcomes. Candidates will ideally have their ASA certification or have passed at least the first three exams.

This role is currently scoped as an individual contributor, with a growth trajectory toward leadership over time.

Key ResponsibilitiesData Management & Medicare Analytics
  • Analyze VBC performance under various CMS and CMMI total cost-of-care models.
  • Monitor and forecast financial performance across assigned patient populations.
  • Conduct comprehensive claims analysis using CCLF (Claims and Claims Line Feed) and BCDA (Beneficiary Claims Data API) datasets.
  • Refine key reporting and projection methodologies, including IBNR and Risk Score projections.
  • Process and analyze large healthcare datasets, combining multiple data sources including EHR systems and Medicare claims data.
  • Ensure data quality and integrity across all analytical processes.
  • Develop and maintain SQL-based data structures to support population experience studies and VBC program analytics.
Business Intelligence & Reporting
  • Create fit-for-purpose analytical reports that translate complex actuarial findings into actionable business insights.
  • Develop executive dashboards and performance metrics aligned with organizational strategic goals.
  • Present findings and recommendations to leadership teams and clinical stakeholders.
  • Support budget planning and financial forecasting processes.
Regulatory Compliance & Process Improvement
  • Stay current with evolving CMS and CMMI program requirements and quality measures.
Required QualificationsEducation & Certification
  • Bachelor's degree in Actuarial Science, Statistics, Mathematics, Data Science, or related quantitative field
  • ASA credentials preferred for Actuarial candidates
Experience Requirements
  • Strong healthcare data analytics experience in Medicare-focused or Medicare Advantage environments (5+ years of experience)
  • Thorough understanding of and hands-on experience with Medicare risk adjustment and CMS-HCC models
  • Experience working with CMS and CMMI total cost of care (ACO) programs
  • Proven track record spearheading claims analytics using Medicare claims data
  • In-depth knowledge of healthcare billing processes from both provider and CMS perspectives
Technical Proficiency
  • Advanced proficiency in Microsoft Excel and model building
  • Strong SQL skills with the ability to write complex queries
  • Experience with the Microsoft Azure cloud platform and related analytics tools preferred
  • Experience with integrating data across multiple large, nuanced data sources (e.g., integration of EHR data with claims datasets)
  • Experience developing/integrating AI-forward workflows into analytics
Core Competencies
  • Exceptional analytical and problem-solving capabilities
  • Strong business acumen with the ability to translate technical findings into strategic recommendations
  • Excellent written and verbal communication skills for both technical and non-technical audiences
  • Proven team player with a collaborative approach to cross-functional projects
  • Demonstrated capability to understand and respond to evolving business needs
Compensation
  • The salary range is $150- 170k with a $30- 40k bonus range

Full-time employees qualify for the following benefits:

  • Medical, Dental, Vision and supplementary benefits such as Life Insurance, Short Term and Long Term Disability, Flexible Spending Accounts for Medical and Dependent Care, Accident, Critical Illness, and Hospital Indemnity.
  • Paid Time Off
  • Paid Office Holidays

All employees qualify for these benefits:

  • Paid Sick Time
  • 401(k) with up to 3% company match
  • Referral Program
  • Payactiv: pay-on-demand. Cash out earned money when and where you need it!

Candidates must disclose any current or future need for employment-based immigration sponsorship (including, but not limited to, OPT, STEM OPT, or visa sponsorship) before an offer of employment is extended.

Ennoble Care is an Equal Opportunity Employer, committed to hiring the best team possible, and does not discriminate against protected characteristics including but not limited to - race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status.

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