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How much do from home optum health coding risk adjustment jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for from home optum health coding risk adjustment in the United States is $21.50, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $22.84 per hour, depending on experience, location, and employer.

What is the difference between From Home Optum Health Coding Risk Adjustment vs From Home Optum Health Medical Coding?

AspectFrom Home Optum Health Coding Risk AdjustmentFrom Home Optum Health Medical Coding
CertificationsCCS, CPC, or RHIT/RHIACCS, CPC, or RHIT/RHIA
Work EnvironmentRemote, home-basedRemote, home-based
Industry UsageHealth insurance, risk adjustment programsHealthcare providers, hospital coding
Job FocusRisk adjustment coding for insurance accuracyClinical coding for medical records

While both roles involve medical coding from home, From Home Optum Health Coding Risk Adjustment focuses on coding for insurance risk adjustment programs, requiring specific risk adjustment knowledge. In contrast, From Home Optum Health Medical Coding emphasizes clinical coding for medical records, often in hospital or provider settings. Both roles require similar certifications and offer remote work, but their primary focus and industry applications differ.

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From Home Optum Health Coding Risk Adjustment jobs near you
Infographic showing various From Home Optum Health Coding Risk Adjustment job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 17% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $44,724 per year, or $21.5 per hour.

Risk Adjustment Coding Specialist II

Millennium Physician Group

Concord, NC • On-site

$22 - $33/hr

Full-time

Posted 15 days ago

Millennium Physician Group rating

6.3

Company rating: 6.3 out of 10

Based on 63 frontline employees who took The Breakroom Quiz

671st of 887 rated healthcare providers

Job description

Job Description Summary

Under the direction of Burden of Illness department leadership, the Risk Adjustment Coding Specialist is responsible for various aspects of decision-making and coding reviews to facilitate, obtain, validate, and reconcile appropriate provider documentation for clinical conditions that accurately reflect the severity of illness and complexity of patient care.

How will you make an impact & Requirements

Responsibilities

  • Perform prospective medical record reviews forclinical indicators supportive of an underlying diagnosis to be presented to a clinician for review during a subsequent face-to-face encounter.
  • Review the encounter level patient medical record and provider selected ICD-10-CM diagnosis codes in real time prior to claim submission to validate completeness and accuracy of provider selected ICD-10-CM codes.
  • Collaborate with healthcare providers and other stakeholders to clarify documentation and ensure accurate coding and reporting of diagnoses.
  • Stay updated on changes to Medicare guidelines, coding regulations, and reimbursement methodologies to ensure compliance and accuracy in coding practices.
  • Participate in coding education and training initiatives for staff to promote consistent and accurate coding practices across the organization.
  • Stays current on applicable coding and documentation guideline changes and rules.
  • This role is expected to maintain a consistent accuracy rate of 95% or higher and able to meet productivity standards established by leadership.
  • Abstract and assign ICD-10-CM diagnosis codes supported in the encounter documentation not initially assigned to the encounter claim following ICD-10-CM Official Guidelines for Coding and Reporting.
  • Conduct retrospective audits of medical recordsto validate the accuracy and completeness of diagnosis coding and claim submission, identifying and resolving any discrepancies or areas for improvement.
  • Perform comprehensive reviews of provider actions within the Value Based Alert Tool (VBAT) to identify outliers and areas of opportunity.
  • Analyze MRA data to identify patterns andwhen requestedassist in the development of interventions at the provider andregionlevel.
  • Keeps department leadership appraised of project activities through regular written and oral status reports. Proactively identifies risks that may hinder project success.

Compensation:

$22.00

to

$33.00

What Millennium Physician Group employees say

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