ZipRecruiter

Log In

1

From Home Hcc Risk Adjustment Coder Jobs in Atlanta, GA

Oscar Health

Auditor, Risk Adjustment

Atlanta, GA · Remote

$82K - $108K/yr

While your daily work will be completed from your home office, occasional travel may be required ... Review the performance of the Risk Adjustment Coding team and report audit trends to Leadership in ...

Humana

Medical Coder Educator

Marietta, GA · On-site +1

$17.75 - $23.75/hr

Become a part of our caring community The Medical Coder / Coding Educator 2 identifies ... Medicare Risk Adjustment knowledge Additional Information Work at home - with travel (up to 5%) to ...

Humana

Medical Coder Educator

Lithonia, GA · On-site +1

$17 - $22.75/hr

Become a part of our caring community The Medical Coder / Coding Educator 2 identifies ... Medicare Risk Adjustment knowledge Additional Information Work at home - with travel (up to 5%) to ...

Humana

Medical Coder Educator

Marietta, GA · On-site +1

$17.75 - $23.75/hr

Become a part of our caring community The Medical Coder / Coding Educator 2 identifies ... Medicare Risk Adjustment knowledge Additional Information Work at home - with travel (up to 5%) to ...

Humana

Medical Coder Educator

Lawrenceville, GA · On-site +1

$17.25 - $23/hr

Become a part of our caring community The Medical Coder / Coding Educator 2 identifies ... Medicare Risk Adjustment knowledge Additional Information Work at home - with travel (up to 5%) to ...

Humana

Medical Coder Educator

Lawrenceville, GA · On-site +1

$17.25 - $23/hr

Become a part of our caring community The Medical Coder / Coding Educator 2 identifies ... Medicare Risk Adjustment knowledge Additional Information Work at home - with travel (up to 5%) to ...

Humana

Medical Coder Educator

Marietta, GA · On-site +1

$17.75 - $23.75/hr

Become a part of our caring community The Medical Coder / Coding Educator 2 identifies ... Medicare Risk Adjustment knowledge Additional Information Work at home - with travel (up to 5%) to ...

Humana

Medical Coder Educator

Lithonia, GA · On-site +1

$17 - $22.75/hr

Become a part of our caring community The Medical Coder / Coding Educator 2 identifies ... Medicare Risk Adjustment knowledge Additional Information Work at home - with travel (up to 5%) to ...

Humana

Medical Coder Educator

Lawrenceville, GA · On-site +1

$17.25 - $23/hr

Become a part of our caring community The Medical Coder / Coding Educator 2 identifies ... Medicare Risk Adjustment knowledge Additional Information Work at home - with travel (up to 5%) to ...

Humana

Medical Coder Educator

Lithonia, GA · On-site +1

$17 - $22.75/hr

Become a part of our caring community The Medical Coder / Coding Educator 2 identifies ... Medicare Risk Adjustment knowledge Additional Information Work at home - with travel (up to 5%) to ...

Emory Healthcare

CDCE Data Analyst

Atlanta, GA · On-site

Risk adjustment trends * Patient Safety Indicators (PSI) and Hospital-Acquired Conditions (HAC ... Partner with CDI specialists, coders, and clinical teams to translate data insights into actionable ...

next page

Showing results 1-20

All JobsHcc Risk Adjustment Coder JobsFrom Home Hcc Risk Adjustment Coder JobsFrom Home Hcc Risk Adjustment Coder Jobs in Atlanta, GA

From Home Hcc Risk Adjustment Coder information

See Atlanta, GA salary details

$15

$26

$41

How much do from home hcc risk adjustment coder jobs pay per hour?

As of Jul 15, 2026, the average hourly pay for from home hcc risk adjustment coder in Atlanta, GA is $26.44, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $33.27 per hour, depending on experience, location, and employer.

What are From Home HCC Risk Adjustment Coders?

From Home HCC Risk Adjustment Coders are health information professionals who work remotely to review medical records and assign appropriate codes based on Hierarchical Condition Categories (HCC) for risk adjustment purposes. Their work ensures that healthcare providers receive accurate reimbursement from insurance companies, particularly Medicare Advantage plans. These coders must have a strong understanding of ICD-10-CM coding guidelines, clinical documentation, and risk adjustment models. Working from home allows for flexibility, but still requires strict attention to detail and adherence to privacy regulations.

Is HCC coding a good career?

HCC coding is a growing field within healthcare revenue cycle management, focusing on risk adjustment for insurance purposes. It requires attention to detail, knowledge of medical coding, and often involves remote work with certification in medical coding or risk adjustment. Many find it to be a stable and in-demand career option with opportunities for advancement.

What are some common challenges faced by From Home HCC Risk Adjustment Coders, and how can they be managed?

From Home HCC Risk Adjustment Coders often face challenges such as interpreting complex medical records, staying updated with evolving coding guidelines, and managing productivity without in-person supervision. To overcome these, coders should prioritize ongoing education, use reliable coding resources, and maintain clear communication with their remote team. Setting a structured daily routine and participating in virtual team check-ins can also help maintain focus and ensure consistent quality in code assignments.

How much does a certified risk adjustment coder make?

A certified risk adjustment coder typically earns between $50,000 and $80,000 annually, depending on experience, certification level, and geographic location. Experienced coders with advanced certifications and strong knowledge of coding and medical records can earn higher salaries, especially in healthcare settings with complex risk adjustment programs.

How much do risk adjustment coders make?

Risk adjustment coders typically earn between $50,000 and $75,000 annually, depending on experience, certifications, and location. In Texas, salaries generally align with this range, with some positions offering higher pay for specialized skills or remote work opportunities.

How much do HCC coders make in the US?

HCC (Hierarchical Condition Category) risk adjustment coders in the US typically earn between $50,000 and $80,000 annually, depending on experience, certification, and location. Experienced coders with certifications like CPC or CCS and strong knowledge of medical coding and risk adjustment principles can earn higher salaries, especially in healthcare hubs or remote work environments.

What are the key skills and qualifications needed to thrive as a From Home HCC Risk Adjustment Coder, and why are they important?

To thrive as a From Home HCC Risk Adjustment Coder, you need a thorough understanding of ICD-10-CM coding, risk adjustment models, and medical terminology, usually backed by a coding certification such as CPC, CRC, or CCS. Familiarity with electronic health record (EHR) systems, coding software, and secure remote work platforms is essential. Strong attention to detail, time management, and self-motivation are vital soft skills for ensuring accuracy and productivity while working independently. These skills are crucial for maintaining compliance, optimizing reimbursement, and ensuring data integrity in a remote environment.
What are the most commonly searched types of Hcc Risk Adjustment Coder jobs in Atlanta, GA? The most popular types of Hcc Risk Adjustment Coder jobs in Atlanta, GA are:
What are popular job titles related to From Home Hcc Risk Adjustment Coder jobs in Atlanta, GA? For From Home Hcc Risk Adjustment Coder jobs in Atlanta, GA, the most frequently searched job titles are:
What job categories do people searching From Home Hcc Risk Adjustment Coder jobs in Atlanta, GA look for? The top searched job categories for From Home Hcc Risk Adjustment Coder jobs in Atlanta, GA are:
What cities near Atlanta, GA are hiring for From Home Hcc Risk Adjustment Coder jobs? Cities near Atlanta, GA with the most From Home Hcc Risk Adjustment Coder job openings:
From Home Hcc Risk Adjustment Coder jobs near you
Auditor, Risk Adjustment

Auditor, Risk Adjustment

Oscar Health

Atlanta, GA • Remote

$82K - $108K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 days ago

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

239th of 281 rated insurance

Job description

Hi, we're Oscar. We're hiring a Associate, Risk Adjustment Auditor to join our Risk Adjustment team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

The Associate, Risk Adjustment Auditor conducts internal and external quality audits. Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and identified clinical documentation improvement opportunities. You will work with management to implement benchmarks, establish acceptable thresholds, and quality assurance programs.

You will report into the Manager, Risk Adjustment.

Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency: The base pay for this role is: $82,717 - $108,566 per year You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

  • Responsible for daily operations pertaining to Risk Adjustment including but not limited to: medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential Centers of Medicare & Medicaid Services (CMS), Health and Human Services (HHS) audits and medical record retrieval efforts.
  • Mitigate risk by validating Encounter Data Gathering Environment Server (EDGE) data is supported within provider encounter documentation
  • Review the performance of the Risk Adjustment Coding team and report audit trends to Leadership in a timely, consistent and effective manner to ensure the appropriate changes and education are implemented.
  • Maintain compliance with national standards and coding practices set by the ICD-10-CM coding guidelines for accuracy, as well as compliance with Risk adjustment production standards.
  • Conduct CMS audits of Risk Adjustment activities, including but not limited to Risk Adjustment Data Validation audits.
  • Develop relationships with key individuals to foster an increased understanding of the Risk Adjustment process.
  • Identify and execute on the creation of clinical document improvement resources for provider education in both MA and ACA line of business.
  • Manage the implementation process improvements that will maximize risk adjustment factor increases.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • Bachelor's degree in a relevant field of study or commensurate work experience.
  • Certified professional coder (CPC)
  • 3+ year(s) retrospective risk adjustment coding experience.
  • 1+ year(s) experience Quality Auditing and/or Risk Adjustment Data Validation Audit (RADV) experience

Bonus points:

  • Certified Risk Adjustment Coder (CRC) or similar certification
  • Experience coding in a variety of different Electronic Medical Record (EMR) systems.

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

What Oscar Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom