3

Full Time Remote Risk Adjustment Coder Jobs in Ohio

Medical Director

Delaware, OH · Remote

$152K - $283K/yr

... seen in underwriting risk assessment * Participation in the continuing education of the JH ... Referenced Salary Location USA, Massachusetts - Full Time Remote Working Arrangement Remote Salary ...

Medical Director

New Hampshire, OH · Remote

$152K - $283K/yr

... seen in underwriting risk assessment * Participation in the continuing education of the JH ... Referenced Salary Location USA, Massachusetts - Full Time Remote Working Arrangement Remote Salary ...

ETL Developer

Bowling Green, OH · On-site +1

$47.75 - $62.50/hr

Main Campus (BG), OH Job Type: Full-Time Remote Employment: Flexible/Hybrid Job Number: BGSU01604 ... Knowledge of SQL coding for relational databases * Knowledge of dimensional data models and Ralph ...

Xstore Developer (Remote)

Akron, OH · On-site +1

$74K - $125K/yr

Dallas, TX or Akron, OH (Hybrid) Preferred Open to remote POSITION SUMMARY : The Developer is ... Participate in technical walkthroughs and code reviews. * Migrate complex, high-risk solutions into ...

Xstore Developer (Remote)

Akron, OH · On-site +1

$74K - $125K/yr

Dallas, TX or Akron, OH (Hybrid) Preferred Open to remote POSITION SUMMARY : The Developer is ... Participate in technical walkthroughs and code reviews. * Migrate complex, high-risk solutions into ...

$113K - $155K/yr

The Dayton division has added over 70 full-time employees in just three years and are making plans ... Whether you're passionate about writing clean, maintainable code across the frontend and backend ...

Risk Identification & Mitigation · Monitor customer health trends and signals, identifying ... Open door policy and business casual dress code * We celebrate diversity as one of our core values.

$67 - $90/hr

The Dayton division has added over 70 full-time employees in just three years and are making plans ... Whether you're passionate about writing clean, maintainable code across the frontend and backend ...

$142K - $188K/yr

The Dayton division has added over 70 full-time employees in just three years and are making plans ... Whether you're passionate about writing clean, maintainable code across the frontend and backend ...

next page

Showing results 1-20

Full Time Remote Risk Adjustment Coder information

What is the difference between Full Time Remote Risk Adjustment Coder vs Full Time Remote Medical Coder?

AspectFull Time Remote Risk Adjustment CoderFull Time Remote Medical Coder
CertificationsRHIT, RHIA, CCS, CPCCPC, CCS, RHIT
Work EnvironmentRemote, healthcare insurance companies, risk adjustment teamsRemote, hospitals, clinics, healthcare facilities
Industry UsageHealth insurance, risk adjustment programsHospitals, clinics, healthcare providers
Job FocusAnalyzing diagnoses for risk scores, coding for risk adjustmentMedical record coding, billing, and documentation

The main difference is that Full Time Remote Risk Adjustment Coders focus on analyzing diagnoses to support risk scores for insurance reimbursement, often requiring specific certifications like RHIT or CCS. Full Time Remote Medical Coders handle general medical coding for billing and documentation, with certifications like CPC or CCS. Both roles are remote but serve different purposes within the healthcare industry.

What are popular job titles related to Full Time Remote Risk Adjustment Coder jobs in Ohio? For Full Time Remote Risk Adjustment Coder jobs in Ohio, the most frequently searched job titles are:
What cities in Ohio are hiring for Full Time Remote Risk Adjustment Coder jobs? Cities in Ohio with the most Full Time Remote Risk Adjustment Coder job openings:
Quality Auditor Specialist (Remote)

Quality Auditor Specialist (Remote)

GridHawk LLC

Maumee, OH • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 days ago


GridHawk rating

7.1

Company rating: 7.1 out of 10

Based on 19 frontline employees who took The Breakroom Quiz


Job description

Job Title: Quality Auditor Specialist (Remote)
Job Description:
Job Summary: We are seeking a highly detail-oriented Ticket Quality Auditor Specialist to support our operations team in a fully remote environment. This role is responsible for reviewing 811 locate tickets to ensure accurate status coding, proper documentation, correct application of Clear/No Conflict, and alignment with billing requirements. The ideal candidate will have experience in utility locating, ticket management, or damage prevention, along with a strong focus on quality assurance and accuracy.
Key Responsibilities
· Review tickets for accuracy, completeness, and compliance with company and industry standards
· Verify correct status code usage, ensuring alignment with field activity and applicable guidelines
· Ensure proper and consistent use of Clear / No Conflict coding
· Audit tickets for complete and accurate documentation, including notes, timestamps, and supporting details
· Confirm tickets are assigned the correct billing status based on work performed and contractual requirements
· Identify discrepancies or errors in status codes, documentation, or billing classifications and initiate corrective action
· Provide clear feedback to field locators and operations personnel to drive continuous improvement
· Maintain detailed records of audits, findings, and corrections
· Track trends and recurring issues impacting quality, compliance, or billing accuracy
· Collaborate with operations, billing, and quality teams to improve processes and reduce errors
---
Qualifications
· High school diploma or equivalent required (college degree preferred)
· Experience with 811 ticketing systems, utility locating, or damage prevention strongly preferred
· Working knowledge of ticket lifecycle, status codes, and locate processes
· Familiarity with Clear/No Conflict procedures and documentation standards
· Understanding of how ticket status impacts billing accuracy and revenue recognition
· Strong attention to detail and ability to spot inconsistencies
· Proficiency in Microsoft Office (especially Excel) and ticket management platforms
· Excellent written and verbal communication skills
· Ability to work independently and manage workload in a remote environment
---
Preferred Skills
· Background in quality assurance, auditing, or compliance
· Knowledge of underground utility systems and mapping
· Strong analytical and problem-solving abilities
· Experience working with billing validation or invoice reconciliation processes
· Ability to manage high volumes of tickets efficiently
---
Key Performance Indicators (KPIs)
· Accuracy of ticket status coding
· Compliance with 811 and internal quality standards
· Reduction in documentation errors and inconsistencies
· Billing accuracy and alignment with approved status codes
· Timeliness of ticket reviews and audits
---
Work Environment
· Fully remote position
· Standard business hours (with flexibility based on operational needs)
· Must have reliable internet access and a dedicated workspace
---
Why Join Us
· Play a critical role in damage prevention, compliance, and revenue accuracy
· Work remotely with a collaborative and supportive team
· Opportunity for growth in operations, quality, or billing functions
· Help drive operational excellence and continuous improvement
***In order to obtain employment with GridHawk LLC, candidates MUST complete a background check. Company policy requires no violations within the last 5 years.
Candidates MUST take and pass a DOT drug test. Continued Employment is subject to Randomized drug testing.***
All employees of GridHawk LLC, are assigned proper technology to perform all work-related duties.
Tools Provided:
· Company-issued laptop and smartphone
Job Type: Full-time ● Hourly ● ***Pay varies based on experience***
Employee Benefits (Full-Time):
· Health, dental, vision, and term life insurance
· Short- and long-term disability coverage
· Flexible benefits plan
· 401(k) with company match
· Paid holidays and PTO
· Benefits effective the first of the month following 60 days of employment
Join a team that values safety, precision, and professional development. Apply today to help shape the next generation of utility locating professionals.

What GridHawk employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom