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Full Time Remote Risk Adjustment Coder Jobs in Dallas, TX

CDI Audit Educator RN

Dallas, TX · On-site +1

$34.50 - $46.25/hr

The Coding and CDI Audit/Educator is identified as the highest-level coding subject matter expert ... CDI audits specific to PDx, POA, query compliance, risk adjustments variables, clinical substance ...

CDI Audit Educator RN

Dallas, TX · On-site +1

$34.50 - $46.25/hr

The Coding and CDI Audit/Educator is identified as the highest-level coding subject matter expert ... CDI audits specific to PDx, POA, query compliance, risk adjustments variables, clinical substance ...

Portfolio/Risk Specialist

Dallas, TX · On-site +1

$97K/yr

Remote roles will also have the opportunity to come together in our offices for moments that matter ... Applicants must be currently authorized to work in the United States on a full-time basis.

Portfolio/Risk Specialist

Dallas, TX · On-site +1

$92K/yr

Remote roles will also have the opportunity to come together in our offices for moments that matter ... Applicants must be currently authorized to work in the United States on a full-time basis.

Segment Risk Specialist Sr

Dallas, TX · On-site +1

$57K - $113K/yr

Remote roles will also have the opportunity to come together in our offices for moments that matter ... Applicants must be currently authorized to work in the United States on a full-time basis.

Segment Risk Specialist Sr

Dallas, TX · On-site +1

$57K - $113K/yr

Remote roles will also have the opportunity to come together in our offices for moments that matter ... Applicants must be currently authorized to work in the United States on a full-time basis.

Post Closing Specialist

Dallas, TX · Remote

$95K - $105K/yr

... risk management. The role operates fully post-close, with decision-making authority once loans are ... This is a full-time remote role. Key Responsibilities * Own end-to-end delivery of funded loans ...

Staff Engineering Manager (Remote - US)

TX · On-site +1

$225K - $300K/yr

This is a full-time remote position. Employees may work from anywhere within the contiguous 48 ... Ensure secure coding practices and platform reliability. Own architecture for large-scale systems ...

... and implement effective risk mitigation strategies. * Implement and maintain effective ... Candidate can work Full Time remote if working 50+ miles away from nearest office. No Visa ...

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Full Time Remote Risk Adjustment Coder information

See Dallas, TX salary details

$17

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$23

How much do full time remote risk adjustment coder jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for full time remote risk adjustment coder in Dallas, TX is $21.27, according to ZipRecruiter salary data. Most workers in this role earn between $17.84 and $22.60 per hour, depending on experience, location, and employer.

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 the most commonly searched types of Remote Risk Adjustment Coder jobs in Dallas, TX? The most popular types of Remote Risk Adjustment Coder jobs in Dallas, TX are:
What are popular job titles related to Full Time Remote Risk Adjustment Coder jobs in Dallas, TX? For Full Time Remote Risk Adjustment Coder jobs in Dallas, TX, the most frequently searched job titles are:
What job categories do people searching Full Time Remote Risk Adjustment Coder jobs in Dallas, TX look for? The top searched job categories for Full Time Remote Risk Adjustment Coder jobs in Dallas, TX are:
What cities near Dallas, TX are hiring for Full Time Remote Risk Adjustment Coder jobs? Cities near Dallas, TX with the most Full Time Remote Risk Adjustment Coder job openings:
Healthcare Statistical Data Scientist

Healthcare Statistical Data Scientist

SmartLight Analytics

Plano, TX • On-site, Remote

Full-time

Posted 26 days ago


Job description

Overview
We're seeking a Machine Learning Data Scientist with deep expertise in healthcare claims data to design, build, and deploy advanced analytics and machine learning modeling solutions. In this role, you'll transform complex administrative and clinical datasets into actionable insights that improve cost efficiency, care quality, and operational performance across the healthcare ecosystem.
You'll collaborate with data engineers, clinicians, and product teams to develop predictive models, optimize workflows, and support strategic decision-making. This position is ideal for someone who thrives at the intersection of data science, healthcare operations, and modern machine learning.
Key Responsibilities
Machine Learning & Advanced Analytics
  • Develop, train, and deploy ML models for use cases such as:
  • Claims cost prediction and utilization forecasting
  • Fraud, waste, and abuse detection
  • Risk adjustment and member stratification
  • Provider performance and network optimization
  • Apply modern ML techniques including gradient boosting, deep learning, NLP, and probabilistic modeling.
  • Capable of applying advanced predictive analytics to correlate disparate datasets and events and derive business value.
  • Build scalable pipelines for feature engineering, model training, validation, and monitoring.

Healthcare Claims Expertise
  • Analyze and interpret medical, pharmacy, and dental claims (CPT/HCPCS, ICD-10, DRG, NDC).
  • Translate domain knowledge into meaningful features and model strategies.

Cross-Functional Collaboration
  • Partner with clinicians, product managers, and business stakeholders to define problems and measure outcomes.
  • Communicate complex analytical findings in clear, actionable terms.

Required Qualifications
  • Strong proficiency in Python and ML libraries (scikit-learn, XGBoost, TensorFlow/PyTorch).
  • Hands-on experience with healthcare claims datasets and coding systems.
  • Solid understanding of statistical modeling, machine learning algorithms, and data mining techniques.
  • Strong knowledge and expertise working with SQL.
  • Ability to translate business needs into analytical solutions.
  • Must have demonstrated the ability to solve complex problems with minimal direction.

Preferred Qualifications
  • Experience with NLP applied to clinical notes or unstructured healthcare data.
  • Familiarity with actuarial concepts, risk scoring, or value-based care models.
  • Familiarity deploying models into production (MLOps, CI/CD).
  • Background in health economics, epidemiology, or biostatistics.
  • Prior work with FHIR, HL7, or interoperability standards.

SmartLight Analytics was formed by a group of industry insiders who wanted to make a meaningful impact on the rising cost of healthcare. With this end in mind, SmartLight combats fraud, waste, and abuse in healthcare through our proprietary data analysis and model development. Requiring the bare minimum in employer involvement, our process works behind the scenes to save money without interrupting employee benefits or requiring employee behavior changes.