POSITION SUMMARY/RESPONSIBILITIES The Risk Adjustment Data Validation (RADV) Auditor is responsible for auditing medical records to validate ICD-10-CM coding accuracy and ensure compliance with ...
POSITION SUMMARY/RESPONSIBILITIES The Risk Adjustment Data Validation (RADV) Auditor is responsible for auditing medical records to validate ICD-10-CM coding accuracy and ensure compliance with ...
Auditor, Risk Adjustment Data Validation
San Antonio, TX · Remote
$22.10 - $38.25/hr
POSITION SUMMARY/RESPONSIBILITIES The Risk Adjustment Data Validation (RADV) Auditor is responsible for auditing medical records to validate ICD-10-CM coding accuracy and ensure compliance with ...
New
Auditor, Risk Adjustment Data Validation
San Antonio, TX · Remote
$22.10 - $38.25/hr
POSITION SUMMARY/RESPONSIBILITIES The Risk Adjustment Data Validation (RADV) Auditor is responsible for auditing medical records to validate ICD-10-CM coding accuracy and ensure compliance with ...
New
Auditor, Risk Adjustment Data Validation
San Antonio, TX · Remote
$22.10 - $38.25/hr
POSITION SUMMARY/RESPONSIBILITIES The Risk Adjustment Data Validation (RADV) Auditor is responsible for auditing medical records to validate ICD-10-CM coding accuracy and ensure compliance with ...
New
Auditor, Risk Adjustment Data Validation
San Antonio, TX · Remote
$22.10 - $38.25/hr
POSITION SUMMARY/RESPONSIBILITIES The Risk Adjustment Data Validation (RADV) Auditor is responsible for auditing medical records to validate ICD-10-CM coding accuracy and ensure compliance with ...
New
Certified Professional Coder (CPC) required; Certified Risk Adjustment Coder (CRC) Required ... Technical Requirements (for remote workers only, not applicable for onsite/in office work): In ...
Certified Professional Coder (CPC) required; Certified Risk Adjustment Coder (CRC) Required ... Technical Requirements (for remote workers only, not applicable for onsite/in office work): In ...
Generous paid time-off program and paid holidays for full time staff * TeleDoc 24/7/365 access to ... The Medicare Risk Adjustment Coding Specialist is responsible for conducting coding audits prior to ...
Generous paid time-off program and paid holidays for full time staff * TeleDoc 24/7/365 access to ... The Medicare Risk Adjustment Coding Specialist is responsible for conducting coding audits prior to ...
Generous paid time-off program and paid holidays for full time staff * TeleDoc 24/7/365 access to ... The Medicare Risk Adjustment Coding Specialist is responsible for conducting coding audits prior to ...
Generous paid time-off program and paid holidays for full time staff * TeleDoc 24/7/365 access to ... The Medicare Risk Adjustment Coding Specialist is responsible for conducting coding audits prior to ...
Certified Professional Coder (CPC) required; Certified Risk Adjustment Coder (CRC) Required ... Technical Requirements (for remote workers only, not applicable for onsite/in office work): In ...
Certified Professional Coder (CPC) required; Certified Risk Adjustment Coder (CRC) Required ... Technical Requirements (for remote workers only, not applicable for onsite/in office work): In ...
Required Qualifications At least 3 years of coding, medical record chart review, and risk adjustment data validation experience, or equivalent combination of relevant education and experience.
New
Required Qualifications At least 3 years of coding, medical record chart review, and risk adjustment data validation experience, or equivalent combination of relevant education and experience.
New
Sr. Director, Risk Adjustment (0778)
Washington, DC · Remote
$146K - $183K/yr
Certified Risk Adjustment Coder (CRC) or similar credential is a plus. Technical Skills: * Deep expertise in CMS-HCC, HHS-HCC, and CDPS risk adjustment models. * Advanced proficiency in Python and/or ...
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Sr. Director, Risk Adjustment (0778)
Washington, DC · Remote
$146K - $183K/yr
Certified Risk Adjustment Coder (CRC) or similar credential is a plus. Technical Skills: * Deep expertise in CMS-HCC, HHS-HCC, and CDPS risk adjustment models. * Advanced proficiency in Python and/or ...
Auditor, Risk Adjustment (Remote)
Long Beach, CA · On-site +1
$49K - $107K/yr
Required Qualifications • At least 3 years of coding, medical record chart review, and risk adjustment data validation experience, or equivalent combination of relevant education and experience ...
Auditor, Risk Adjustment (Remote)
Long Beach, CA · On-site +1
$49K - $107K/yr
Required Qualifications • At least 3 years of coding, medical record chart review, and risk adjustment data validation experience, or equivalent combination of relevant education and experience ...
Coder I - Facility
Cape Coral, FL · Remote
$20 - $25.45/hr
Remote - Florida Department: Coding Work Type: Full Time Shift: Shift 1/8:00:00AM to 4:30:00PM ... Risk Adjustment Coder) required -or- CIC (Certified Inpatient Coder) required -or- RHIT (Registered ...
Coder I - Facility
Cape Coral, FL · Remote
$20 - $25.45/hr
Remote - Florida Department: Coding Work Type: Full Time Shift: Shift 1/8:00:00AM to 4:30:00PM ... Risk Adjustment Coder) required -or- CIC (Certified Inpatient Coder) required -or- RHIT (Registered ...
Coder I - Facility
Cape Coral, FL · On-site +1
$20 - $25.45/hr
Remote - Florida Department: Coding Work Type: Full Time Shift: Shift 1/8:00:00 AM to 4:30:00 PM ... Risk Adjustment Coder) required -or- CIC (Certified Inpatient Coder) required -or- RHIT (Registered ...
Coder I - Facility
Cape Coral, FL · On-site +1
$20 - $25.45/hr
Remote - Florida Department: Coding Work Type: Full Time Shift: Shift 1/8:00:00 AM to 4:30:00 PM ... Risk Adjustment Coder) required -or- CIC (Certified Inpatient Coder) required -or- RHIT (Registered ...
Medical Coder - Remote (temporary, full-time)
$19.25 - $24.25/hr
Stay current with updates to CPT, ICD-10, HCPCS, and CMS risk adjustment guidelines. * Maintain ... a remote setting while staying connected to a collaborative, purpose-driven team. * You see coding ...
Medical Coder - Remote (temporary, full-time)
$19.25 - $24.25/hr
Stay current with updates to CPT, ICD-10, HCPCS, and CMS risk adjustment guidelines. * Maintain ... a remote setting while staying connected to a collaborative, purpose-driven team. * You see coding ...
However, remote candidates will also be considered. Job title and compensation to be determined ... coder education trainings. * Other job responsibilities include: * Serves as a subject matter ...
However, remote candidates will also be considered. Job title and compensation to be determined ... coder education trainings. * Other job responsibilities include: * Serves as a subject matter ...
Informatics Risk Adjustment Consultant
Saint Paul, MN · On-site +1
$63.77 - $95.65/hr
The consultant serves as a bridge between the data/technology teams and risk adjustment operations, clinical/provider stakeholders, coding and chart review teams, and compliance/audit partners. The ...
Informatics Risk Adjustment Consultant
Saint Paul, MN · On-site +1
$63.77 - $95.65/hr
The consultant serves as a bridge between the data/technology teams and risk adjustment operations, clinical/provider stakeholders, coding and chart review teams, and compliance/audit partners. The ...
Sr. Risk Adjustment Auditor
$82K - $101K/yr
Identify coding inaccuracies, unsupported diagnoses, missed HCC opportunities, and documentation ... Ability to work independently in a remote environment * Willingness to travel up to 25% for ...
Sr. Risk Adjustment Auditor
$82K - $101K/yr
Identify coding inaccuracies, unsupported diagnoses, missed HCC opportunities, and documentation ... Ability to work independently in a remote environment * Willingness to travel up to 25% for ...
Work with various departments, including revenue management, coding, and compliance, to align ... Remote - US Travel required for client sessions, workshops, and internal collaboration. HealthEdge ...
Work with various departments, including revenue management, coding, and compliance, to align ... Remote - US Travel required for client sessions, workshops, and internal collaboration. HealthEdge ...
Coder I - E/M
Cape Coral, FL · Remote
$20 - $25.45/hr
Remote - Florida Department: Coding Work Type: Full Time Shift: Shift 1/8:00:00AM to 4:30:00PM ... Risk Adjustment Coder) required -or- CIC (Certified Inpatient Coder) required -or- RHIT (Registered ...
Coder I - E/M
Cape Coral, FL · Remote
$20 - $25.45/hr
Remote - Florida Department: Coding Work Type: Full Time Shift: Shift 1/8:00:00AM to 4:30:00PM ... Risk Adjustment Coder) required -or- CIC (Certified Inpatient Coder) required -or- RHIT (Registered ...
Medical Coder Educator
Alexandria, VA · On-site +1
$20 - $26.75/hr
Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Medical Coder Educator
Alexandria, VA · On-site +1
$20 - $26.75/hr
Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Medical Coder Educator
Holly Springs, NC · On-site +1
$16.25 - $21.75/hr
Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Medical Coder Educator
Holly Springs, NC · On-site +1
$16.25 - $21.75/hr
Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Full Time Remote Risk Adjustment Coder information
See salary details
$17.31 - $17.90
7% of jobs
$18.46 is the 25th percentile. Wages below this are outliers.
$17.90 - $18.49
19% of jobs
$18.49 - $19.08
5% of jobs
$19.08 - $19.67
3% of jobs
$19.67 - $20.26
14% of jobs
The median wage is $20.41 / hr.
$20.26 - $20.85
6% of jobs
$20.85 - $21.44
0% of jobs
$21.44 - $22.03
0% of jobs
$22.03 - $22.62
0% of jobs
$23.08 is the 75th percentile. Wages above this are outliers.
$22.62 - $23.21
26% of jobs
$23.21 - $23.80
20% of jobs
$17
$21
$23
How much do full time remote risk adjustment coder jobs pay per hour?
What is the difference between Full Time Remote Risk Adjustment Coder vs Full Time Remote Medical Coder?
| Aspect | Full Time Remote Risk Adjustment Coder | Full Time Remote Medical Coder |
|---|---|---|
| Certifications | RHIT, RHIA, CCS, CPC | CPC, CCS, RHIT |
| Work Environment | Remote, healthcare insurance companies, risk adjustment teams | Remote, hospitals, clinics, healthcare facilities |
| Industry Usage | Health insurance, risk adjustment programs | Hospitals, clinics, healthcare providers |
| Job Focus | Analyzing diagnoses for risk scores, coding for risk adjustment | Medical 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.

Full-time
Posted 4 days ago
Job description
POSITION SUMMARY/RESPONSIBILITIES
The Risk Adjustment Data Validation (RADV) Auditor is responsible for auditing medical records to validate ICD-10-CM coding accuracy and ensure compliance with Centers for Medicare and Medicaid (CMS) and RADV guidelines. This role focuses on performing detailed audits, analyzing data, and collaborating with providers and internal teams to support Hierarchical Condition Categories (HCC) ratio goals and risk adjustment improvement initiatives. The auditor prepares customized reports based on data analysis and provides actionable recommendations to enhance operational and clinical performance. Additionally, the position assists in managing data collection processes and develops procedures for monitoring, validating, and reconciling data for accuracy. Working closely with cross-functional teams, the auditor supports compliance, quality assurance, and risk mitigation strategies while contributing to the development of tools and processes to improve coding accuracy and audit efficiency.
EDUCATION/EXPERIENCE
Bachelor’s degree required. Coding certification (such as CPC, CRC, or CCS) is preferred, or candidates must demonstrate a willingness to obtain certification within 6–12 months of hire. Applicants should have 1–2 years of healthcare experience; prior coding experience is preferred. Strong analytical and problem-solving skills, coupled with attention to detail, are essential. Candidates must possess the ability to learn and apply ICD-10-CM coding principles, exhibit excellent communication and organizational skills. Proficiency in health information systems, electronic health records (EHRs), HEDIS, RADV, and claims data analysis is a plus.
LICENSURE/CERTIFICATION
Coding certification within 2 years of employment (e.g., Certified Professional Coder - CPC, Certified Risk Adjustment Coder-CRC)