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 ...
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 ...
$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 ...
National Director, Risk Adjustment
$130K - $160K/yr
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 ...
National Director, Risk Adjustment
$130K - $160K/yr
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 ...
$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 ...
National Director, Risk Adjustment
$130K - $160K/yr
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 ...
National Director, Risk Adjustment
$130K - $160K/yr
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 ...
Coding Analyst
Lubbock, TX · Remote
Certified Risk Adjustment Coder (CRC) preferred
Coding Analyst
Lubbock, TX · Remote
Certified Risk Adjustment Coder (CRC) preferred
Coder Certified - HCC Physician Practice (1.0 D)
$23 - $31.50/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 ...
Coder Certified - HCC Physician Practice (1.0 D)
$23 - $31.50/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 ...
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 ...
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 ...
Remote Senior Risk Adjustment Coder - HCC/RADV Expert
Chicago, IL · Remote
$85K - $200K/yr
A consulting company is searching for a Sr. Associate with expertise in coding, revenue cycle, and clinical operations. This role focuses on complex investigations, compliance evaluation, and project ...
Remote Senior Risk Adjustment Coder - HCC/RADV Expert
Chicago, IL · Remote
$85K - $200K/yr
A consulting company is searching for a Sr. Associate with expertise in coding, revenue cycle, and clinical operations. This role focuses on complex investigations, compliance evaluation, and project ...
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 ...
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 ...
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 ...
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 ...
REMOTE - Medical Risk Adjustment Vendor Manager
Manhattan, NY · Remote
$61.50K - $98.40K/yr
REMOTE - Medical Risk Adjustment Vendor Manager - R9405 Join to apply for the REMOTE - Medical Risk ... record coding to segment and identify areas of risk and opportunity Identify and implement ...
REMOTE - Medical Risk Adjustment Vendor Manager
Manhattan, NY · Remote
$61.50K - $98.40K/yr
REMOTE - Medical Risk Adjustment Vendor Manager - R9405 Join to apply for the REMOTE - Medical Risk ... record coding to segment and identify areas of risk and opportunity Identify and implement ...
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 ...
Quick apply
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 ...
Remote CDI Specialist: Elevate Medical Documentation
Stillwater, MN · On-site +1
$60K - $75K/yr
This position offers remote flexibility and the opportunity to make a meaningful impact on ... Certified Risk Adjustment Coder (CRC) certification , Risk Adjustment Coding (RAC) or related risk ...
Remote CDI Specialist: Elevate Medical Documentation
Stillwater, MN · On-site +1
$60K - $75K/yr
This position offers remote flexibility and the opportunity to make a meaningful impact on ... Certified Risk Adjustment Coder (CRC) certification , Risk Adjustment Coding (RAC) or related risk ...
Informatics Risk Adjustment Consultant
Saint Paul, MN · On-site +1
$63.77 - $95.65/hr
The consultant serves as a bridge between the data/technology teams and risk adjustment operations, clinical/provider stakeholders, coding and chart review teams, and compliance/audit partners. The ...
Informatics Risk Adjustment Consultant
Saint Paul, MN · On-site +1
$63.77 - $95.65/hr
The consultant serves as a bridge between the data/technology teams and risk adjustment operations, clinical/provider stakeholders, coding and chart review teams, and compliance/audit partners. The ...
Risk Adjustment Director
Mariposa, CA · On-site +1
Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations
Risk Adjustment Director
Mariposa, CA · On-site +1
Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations
Risk Adjustment Director
Scotts Valley, CA · On-site +1
Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations
Risk Adjustment Director
Scotts Valley, CA · On-site +1
Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations
However, remote candidates will also be considered. Job title and compensation to be determined ... coder education trainings. * Other job responsibilities include: * Serves as a subject matter ...
However, remote candidates will also be considered. Job title and compensation to be determined ... coder education trainings. * Other job responsibilities include: * Serves as a subject matter ...
Risk Adjustment Director
Salinas, CA · On-site +1
Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations
Risk Adjustment Director
Salinas, CA · On-site +1
Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations
Risk Adjustment Director
Hollister, CA · On-site +1
Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations
Risk Adjustment Director
Hollister, CA · On-site +1
Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations
Freelance Remote Risk Adjustment Coder information
See salary details
$15.87 - $17.55
6% of jobs
$18.74 is the 25th percentile. Wages below this are outliers.
$17.55 - $19.23
26% of jobs
The median wage is $20.19 / hr.
$19.23 - $20.91
31% of jobs
$20.91 - $22.60
7% of jobs
$23.31 is the 75th percentile. Wages above this are outliers.
$22.60 - $24.28
11% of jobs
$24.28 - $25.96
6% of jobs
$25.96 - $27.64
5% of jobs
$27.64 - $29.33
3% of jobs
$29.33 - $31.01
2% of jobs
$31.01 - $32.69
1% of jobs
$32.69 - $34.38
1% of jobs
$15
$22
$34
How much do freelance remote risk adjustment coder jobs pay per hour?
What are the key skills and qualifications needed to thrive as a Freelance Remote Risk Adjustment Coder, and why are they important?
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What are Freelance Remote Risk Adjustment Coders?

Job description
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.
About InterWell Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1 - 10 Employees
Headquarters location
Waltham, MA, US
Year founded
2019