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Full Time Remote Risk Adjustment Coder Jobs in Spartanburg, SC

Bush Design-Build

Be Seen First

Construction Accountant

Greenville, SC · Remote

$65K - $85K/yr

This position is remote and may be structured as either part-time or full-time depending on the ... coding preferred. * Experience coordinating with CPAs for monthly close and year-end close.

DPR Construction

HR Technology Leader

Greenville, SC · On-site +1

This role is remote and open to candidates in the continental United States. This role requires ... Coordinate with Risk Management to review contracts and their terms & conditions and service level ...

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Full Time Remote Risk Adjustment Coder information

See Spartanburg, SC salary details

$16

$21

$23

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

As of Jul 29, 2026, the average hourly pay for full time remote risk adjustment coder in Spartanburg, SC is $21.01, according to ZipRecruiter salary data. Most workers in this role earn between $17.60 and $22.31 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 Spartanburg, SC? The most popular types of Remote Risk Adjustment Coder jobs in Spartanburg, SC are:
What are popular job titles related to Full Time Remote Risk Adjustment Coder jobs in Spartanburg, SC? For Full Time Remote Risk Adjustment Coder jobs in Spartanburg, SC, the most frequently searched job titles are:
What job categories do people searching Full Time Remote Risk Adjustment Coder jobs in Spartanburg, SC look for? The top searched job categories for Full Time Remote Risk Adjustment Coder jobs in Spartanburg, SC are:
What cities near Spartanburg, SC are hiring for Full Time Remote Risk Adjustment Coder jobs? Cities near Spartanburg, SC with the most Full Time Remote Risk Adjustment Coder job openings:
Full Time Remote Risk Adjustment Coder jobs near you

Risk Adjustment Coder Professional Billing II, FT, Days, - Remote

Prisma Health

Greenville, SC • On-site, Remote

Full-time

Posted 14 days ago

Prisma Health rating

7.1

Company rating: 7.1 out of 10

Based on 347 frontline employees who took The Breakroom Quiz

375th of 890 rated healthcare providers

Job description

Inspire health. Serve with compassion. Be the difference.
Job Summary
Conducts prospective review to abstract Hierarchical Condition Categories (HCC's) codes to report for the calendar year. Communicates (via Epic and in person) with providers on any outstanding HCC capture opportunities. Conducts retrospective reviews to ensure that documentation supports reporting the Hierarchical Condition Category code prior to payor submission.
Essential Functions
  • All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
  • Conducts prospective review of charts to identify HCC opportunity.
  • Conducts retrospective review of charts to confirm documentation supports reporting.
  • Utilizes payor specific software to assist in capturing HCCs.
  • Communicates with providers about HCC opportunities for improvement.
  • Identifies suspect conditions that would potentially support reporting an HCC.
  • Participates in education offerings
  • Participates in monthly meetings
  • Performs other duties as assigned.

Supervisory/Management Responsibilities
  • This is a non-management job that will report to a supervisor, manager, director or executive.

Minimum Requirements
  • Education - High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree preferred
  • Experience - Five (5) years professional fee coding experience

In Lieu Of
  • NA

Required Certifications, Registrations, Licenses
  • Certified Professional Coder (CPC), and
  • Certified Risk Adjustment Coder (CRC)

Knowledge, Skills and Abilities
  • Knowledge of office equipment (fax/copier)
  • Proficient computer skills including word processing, spreadsheets, database
  • Data entry skills
  • Mathematical skills

Work Shift
Day (United States of America)
Location
Patewood Memorial Hospital
Facility
7002 Value-Based Care and Network Services
Department
70028459 HCC Coding Services
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

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