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Full Time Remote Risk Adjustment Coder Jobs (NOW HIRING)

Lee Health

Coder II - ProFee Surgery

Cape Coral, FL · On-site +1

$20.50 - $27.85/hr

Remote - FL Department: Coding Work Type: Full Time Shift: Shift 1/8:00:00 AM to 4:30:00 PM Minimum ... Risk Adjustment Coder) • CIC (Certified Inpatient Coder) • CCS (Certified Coding Specialist ...

Lee Health

Coder II - ProFee Surgery

Cape Coral, FL · Remote

$20.50 - $27.85/hr

Remote - FL Department: Coding Work Type: Full Time Shift: Shift 1/8:00:00AM to 4:30:00PM Minimum ... Risk Adjustment Coder) CIC (Certified Inpatient Coder) CCS (Certified Coding Specialist) RHIT ...

Honest Health

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 ...

HealthEdge

Director, Risk Adjustment Products

Work with various departments, including revenue management, coding, and compliance, to align ... Remote - US Travel required for client sessions, workshops, and internal collaboration. HealthEdge ...

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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 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 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.

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Full Time Remote Risk Adjustment Coder jobs near you
Infographic showing various Full Time Remote Risk Adjustment Coder job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 77% Full Time, 14% Part Time, and 8% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution, with an average salary of $44,724 per year, or $21.5 per hour.

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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