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Freelance Remote Risk Adjustment Coder Jobs (NOW HIRING)

Coding accuracy and audit outcome What You'll Need: Skills & Competencies: Cross-Functional ... Work Environment: * 100% Remote Our mission is to reinvent healthcare to help patients live their ...

$20.75 - $28.50/hr

Work From Home Work From Home Work From Home, Indiana 46544 The Certified Risk Adjustment Coder (CRC) within Franciscan is a position responsible for the auditing and reviewing of specific visit ...

Manage projects to enable complete and accurate coding, including those that require vendor ... Technical Requirements (for remote workers only, not applicable for onsite/in office work): In ...

$20.75 - $28.50/hr

CMS HCC Risk Adjustment * HEDIS * Medical Record Reviews (Accreditation) * And more These are remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by ...

Manage projects to enable complete and accurate coding, including those that require vendor ... Technical Requirements (for remote workers only, not applicable for onsite/in office work): In ...

The Medicare Risk Adjustment Coding Specialist is responsible for conducting coding audits prior to payment release. Additionally, this position will perform post-payment coding reviews with ...

Sr. Director, Risk Adjustment (0778)

Washington, DC · Remote

$146.74K - $183.44K/yr

Certified Risk Adjustment Coder (CRC) or similar credential is a plus. Technical Skills: * Deep expertise in CMS-HCC, HHS-HCC, and CDPS risk adjustment models. * Advanced proficiency in Python and/or ...

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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 May 28, 2026, the average hourly pay for freelance remote risk adjustment coder in the United States is $22.42, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $24.04 per hour, depending on experience, location, and employer.

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 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.
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Infographic showing various Freelance Remote Risk Adjustment Coder job openings in the United States as of May 2026, with employment types broken down into 1% Internship, 9% As Needed, 54% Full Time, 10% Part Time, 1% Temporary, and 25% Contract. Highlights an 67% Physical, and 33% Hybrid job distribution, with an average salary of $46,638 per year, or $22.4 per hour.
Director, Risk Adjustment

Full-time

Posted 10 days ago


Job description

Interwell Health is a kidney care management company that partners with physicians on its mission to reimagine healthcare-with the expertise, scale, compassion, and vision to set the standard for the industry and help patients live their best lives. We are on a mission to help people and we know the work we do changes their lives. If there is a better way, we will create it. So, if our mission speaks to you, join us!
What You'll Do
The Director of Risk Adjustment is a strategic operational leader responsible for driving risk adjustment performance across Interwell Health's payer and government programs. The Director will serve as a central leader in advancing Interwell' s risk adjustment capabilities, with accountability for both execution and measurable results in a highly regulated environment. The Director will translate organizational strategy into scalable programs and support cross-functional teams across clinical, coding, analytics, and provider engagement.
As the Director of Risk Adjustment, you will provide operational support, driving day-to-day operations, implementing new pilots, and running existing programs. In this role, you will play a critical part in assessing the opportunity for performance improvement, devising the approach for implementation of new strategies, and managing deployment of performance related initiatives for Nephrology providers.
Essential Functions:
Enterprise Strategy & Organizational Leadership
  • Lead the development and execution of enterprise-wide risk adjustment strategy aligned to clinical, operational, and financial priorities
  • Translate organizational goals (e.g., RAF improvement, recapture performance, coding accuracy) into actionable, scalable programs
  • Partner with executive leadership to align risk adjustment priorities across Medicare Advantage, CKCC, and commercial populations
  • Drive innovation and continuous improvement through advanced analytics, AI/NLP, and point-of-care enablement

Three-Pronged Risk Adjustment Approach
This role is accountable for designing and executing a comprehensive risk adjustment strategy anchored in three core pillars:
  • Patient-Level Tracking: Build and operationalize longitudinal tracking of all suspected and recaptured conditions at the patient level-creating enterprise visibility comparable to medical cost tracking and enabling proactive management of coding gaps
  • Data Enrichment: Leverage analytics, predictive modeling, and external vendor partnerships to enhance suspecting logic, improve data completeness, and increase targeting precision
  • Execution Beyond Nephrology: Expand risk adjustment execution beyond nephrology by developing scalable processes to engage primary care providers (PCPs), health plans, and in-home programs to ensure comprehensive gap closure across the full continuum of care

Performance Ownership & Outcomes
  • Establish KPIs, dashboards, and reporting cadences to ensure transparency and accountability
  • Translate performance into financial impact (e.g., PMPM, revenue lift) for executive and board-level communication
  • Identify risks to performance and implement mitigation strategies.
  • Own and drive performance against key risk adjustment metrics, including:
    • RAF accuracy and trend performance
    • Recapture rates and gap closure
    • Coding accuracy and audit outcome

What You'll Need:
Skills & Competencies:
Cross-Functional Leadership
  • Serve as a central leader across clinical operations, analytics, product, compliance, and finance
  • Partner with analytics teams to refine suspecting models and performance measurement
  • Collaborate with clinical and provider-facing teams to embed risk adjustment into workflows at the point of care
  • Influence product and technology roadmaps (e.g., Epic integration, documentation tools)

Team Leadership & Development
  • Lead and develop a high-performing team responsible for risk adjustment operations and delivery
  • Establish clear goals, accountability, and performance expectations aligned with enterprise priorities
  • Foster a culture of ownership, continuous improvement, and compliance

Compliance & Audit Readiness
  • Ensure all risk adjustment activities meet CMS, payer, and regulatory requirements
  • Partner with compliance to mitigate risk and maintain coding integrity
  • Promote a culture of accurate, ethical, and defensible documentation

Education and Experience:
Required
  • 8-12+ years of experience in risk adjustment, healthcare operations, or related field
  • Deep expertise in Medicare Advantage risk adjustment, HCC coding, and RAF methodology
  • Experience leading enterprise or multi-market risk adjustment programs (MA, CKCC, Commercial preferred)
  • Proven ability to translate strategy into execution and measurable outcomes
  • Strong financial acumen with ability to connect RAF performance to revenue impact
  • Demonstrated success leading cross-functional initiatives in complex healthcare environments
  • Experience building and leading high-performing teams

Preferred
  • Bachelor's degree in related field of study

Travel Requirements:
  • Up to 25% travel required.

Work Environment:
  • 100% Remote

Our mission is to reinvent healthcare to help patients live their best lives, and we proudly live our mission-driven values:
  • We care deeply about the people we serve.
  • We are better when we work together.
  • Humility is a source of our strength.
  • We bring joy to our work.
  • We deliver on our promises.

We are committed to diversity, equity, and inclusion throughout our recruiting practices. Everyone is welcome and included. We value our differences and learn from each other. Our team members come in all shapes, colors, and sizes. No matter how you identify your lifestyle, creed, or fandom, we value everyone's unique journey.
Oh, and one more thing ... a recent study shows that men apply for a job or promotion when they meet only 60% of the qualifications, but women and other marginalized groups apply only if they meet 100% of them. So, if you think you'd be a great fit, but don't necessarily meet every single requirement on one of our job openings, please still apply. We'd love to consider your application!
Come join us and help our patients live their best lives. Learn more at www.interwellhealth.com.
It has come to our attention that some individuals or organizations are reaching out to job seekers and posing as potential employers presenting enticing employment offers. We want to emphasize that these offers are not associated with our company and may be fraudulent in nature. Please note that our organization will not extend a job offer without prior communication with our recruiting team, hiring managers and a formal interview process.