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Internship Remote Risk Adjustment Coder Jobs in Michigan

Novoco

2027 Staff Accountant Intern

Detroit, MI · On-site +1

$27/hr

Our trendsetting interns learn hands-on what it takes to be a staff accountant for a growing ... Some positions at Novogradac may be open to remote or hybrid work arrangements depending on ...

M&Y CARE LLC

Occupational Therapist

West Bloomfield, MI · Remote

$3.0K - $6.0K/mo

Remote Therapeutic Monitoring (RTM): * Utilize RTM technology to monitor and manage patient progress remotely. * Ensure compliance with RTM CPT codes and Medicare billing requirements. Outpatient ...

Gambyt

Software Engineer - Entry Level

Ann Arbor, MI · Remote

Remote (US Only) - Eastern Time Zone About Us Gambyt's mission is to make real-money gaming ... Participate actively in code reviews, incorporating feedback and learning to make pragmatic ...

Gambyt

Software Engineer - Entry Level

Ann Arbor, MI · Remote

Remote (US Only) - Eastern Time Zone About Us Gambyt's mission is to make real-money gaming ... Participate actively in code reviews, incorporating feedback and learning to make pragmatic ...

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Internship Remote Risk Adjustment Coder information

What are some typical challenges faced by remote risk adjustment coding interns, and how can they effectively overcome them?

Remote risk adjustment coding interns often face challenges such as limited direct supervision, adapting to coding software, and maintaining accuracy while working independently. To overcome these, it's important to proactively seek feedback from mentors, participate in virtual team meetings, and utilize available training resources. Keeping organized notes and establishing a consistent work routine also help interns manage their workload and ensure coding quality. Engaging with the team through regular check-ins fosters a sense of connection and support, which is vital for professional development in a remote environment.

What is the difference between Internship Remote Risk Adjustment Coder vs Remote Risk Adjustment Coder?

AspectInternship Remote Risk Adjustment CoderRemote Risk Adjustment Coder
CredentialsTypically in training, may have basic coding certificationsUsually certified, such as CPC or CCS
Work EnvironmentRemote, internship setting, supervised learningRemote, full-time professional role
Employer UsageTraining programs, entry-level positionsEstablished companies, healthcare organizations
Search IntentLearning, entry-level opportunitiesProfessional coding, risk adjustment tasks

The Internship Remote Risk Adjustment Coder is an entry-level, supervised role designed for training and gaining experience in risk adjustment coding. In contrast, the Remote Risk Adjustment Coder is a full-fledged professional responsible for accurate coding and risk adjustment tasks independently. The internship offers a stepping stone into the industry, while the full role requires certification and experience.

What is an Internship Remote Risk Adjustment Coder?

An Internship Remote Risk Adjustment Coder is a trainee position where individuals learn to review and code medical records from a remote location to support risk adjustment programs. These coders assign diagnosis codes to patient records to ensure accurate documentation for health plans, which impacts reimbursement and compliance. Interns typically gain hands-on experience with coding guidelines, electronic health records, and industry software while working under the supervision of experienced coders. The remote aspect allows flexibility and access to positions regardless of geographic location.

What are the key skills and qualifications needed to thrive as an Internship Remote Risk Adjustment Coder, and why are they important?

To thrive as an Internship Remote Risk Adjustment Coder, you need a solid understanding of medical coding, anatomy, and healthcare documentation, usually supported by coursework in medical coding or a related certification such as CPC or CRC. Familiarity with coding software, electronic health records (EHRs), and risk adjustment systems is commonly required. Attention to detail, strong analytical skills, and effective communication are essential soft skills for interpreting complex records and collaborating remotely. These competencies ensure accurate coding, regulatory compliance, and effective risk adjustment processes critical to healthcare reimbursement.
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What job categories do people searching Internship Remote Risk Adjustment Coder jobs in Michigan look for? The top searched job categories for Internship Remote Risk Adjustment Coder jobs in Michigan are:
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Internship Remote Risk Adjustment Coder jobs near you
Risk Adjustment Compliance Coder

Risk Adjustment Compliance Coder

Upper Peninsula Health Plan

Marquette, MI • Remote

$28.86/hr

Full-time

Posted 11 days ago

Job description

DATE: June 4, 2026POSITION:  Risk Adjustment Compliance CoderDEPARTMENT:  Finance-Risk AdjustmentRATE: $28.86 per hour, with potential for additional compensation based on qualifications. POSITION SUMMARY: 
The Risk Adjustment Compliance Coder is responsible for enhancing the accuracy, quality, and integrity of coding data that supports Medicare and Medicaid reimbursement. This role conducts risk adjustment coding audits, performs compliance research, responds to coding inquiries, and serves as a subject matter expert in risk adjustment coding and compliance. The position supports Medicare and Medicaid risk adjustment programs through the development, implementation, and ongoing evaluation of program initiatives. Highly collaborative and operational in nature, this role partners closely with providers and internal stakeholders and requires strong communication, education, and relationship-management skills. This is not a traditional production-focused coding position. 
ESSENTIAL DUTIES AND RESPONSIBILITIES:
1. Follows established Upper Peninsula Health Plan (UPHP) policies and procedures, objectives, safety standards, and sensitivity to confidential information.
 
2. Collaborates with Risk Adjustment Analyst to develop, implement, and continually refine internal prospective and retrospective chart review programs and related risk adjustment initiatives.
 
3. Follows International Classification of Diseases (ICD)-10 guidelines for Coding and Reporting, Centers for Medicare & Medicaid Services (CMS) risk adjustment guidelines, and demonstrates knowledge of Current Procedural Terminology (CPT) coding. Understands the impact of ICD-10 coding on the CMS Hierarchical Condition Categories (HCC) risk adjustment model, and serves as the subject matter expert for risk adjustment activities.
 
4. Supports risk adjustment compliance and program integrity activities, including RADV preparedness, high-risk diagnosis review and validation, audit support, and identification and escalation of potential coding or documentation compliance concerns.
 
5. Assists with extraction of charts via remote Electronic Medical Record (EMR) access or faxed medical record request for risk adjustment initiatives.
 
6. Performs comprehensive medical record review, verifying and ensuring accuracy, completeness, specificity, and appropriateness of diagnoses codes in accordance with ICD-10 guidelines based on medical record documentation. Documents trends, observations, and potential coding or documentation improvement opportunities identified during the review process.
 
7. Maintains a comprehensive tracking and management tool to track all coding activities; generates and maintains accurate weekly, monthly, and quarterly reports of activities.
 
8. Assists with chart review encounter data submissions to CMS based on chart review findings.
 
9. Provides support during the annual retrospective chart review performed by an external party.
 
10. Identifies, develops, and delivers general and specific educational guidance to providers and clinic staff through webinars, newsletters, presentations, and other educational forums based on risk adjustment audit findings, CMS guidelines, regulatory requirements, and industry best practices.
 
11. Collaborates with internal departments, as appropriate, to carry out risk adjustment program activities to ensure integrity of diagnoses attributed to members submitted to the Michigan Department of Health and Human Services (MDHHS) and CMS by UPHP.
 
12. Collaborates with healthcare leaders, physicians, and provider office personnel to improve the accuracy and completeness of diagnosis code capture. Facilitates provider education, documentation clarification, and coding-related discussions in a professional, consultative manner to support risk adjustment and compliance objectives. 
 
13. Maintains confidentiality of client data.
 
14. Performs other related duties as assigned or requested.
POSITION QUALIFICATIONS:Education:Minimum:
High School Diploma
 Preferred:
Associate degree in business, health information processing, or related field 
 Certification:Minimum:
Must possess and maintain an American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) certification—Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Professional Coder (CPC), or Certified Risk Adjustment Coder (CRC)
 Preferred:
Certified Coding Specialist (CCS-P, CCS, CPC) and Certified Risk Adjustment Coder (CRC)
 
Experience:Minimum:
Two (2) years of experience in medical chart coding
 Preferred:
Five (5) years of experience in medical chart coding, including inpatient and outpatient settings; working knowledge of managed care and health plan standards on Risk Adjustment Coding
 
Other Qualifications:
Knowledge and understanding of medical terminology, disease process, and anatomy and physiology
Advanced knowledge and understanding of CPT coding across a wide variety of provider specialties
 Required Skills:
Excellent organizational abilities with attention to detail
Ability to effectively communicate with, and educate, clinic staff (provider, care managers, clinic quality leads, etc.)
Working knowledge of Microsoft Office (Word, Excel, Outlook)
Keyboarding proficiency
Research and analytical skills
 Preferred Skills:
Knowledge of MS PowerPoint
Oriented to managed care
 
The qualifications listed above are intended to represent the minimum skills and experience levels associated with performing the duties and responsibilities contained in this job description. The qualifications should not be viewed as expressing absolute employment or promotional standards, but as general guidelines that should be considered along with other job-related selection or promotional criteria.
 
Physical Requirements: 
[This job requires the ability to perform the essential functions contained in the description. These include, but are not limited to, the following requirements. Reasonable accommodations may be made for otherwise qualified applicants unable to fulfill one or more of these requirements]:
 
Ability to enter and access information from a computer
Occasionally lifts supplies/equipment
Prolonged periods of sitting
Manual dexterity 
 
Working Conditions:
Position available onsite (in Marquette, Michigan), fully remote, or hybrid with a remote work option up to three (3) days per week 
Works in office conditions, but occasional travel is required
Exposure to situations requiring exceptional interpersonal skills or high productivity
Occasionally subjected to irregular hours
Subject to many interruptions
 Remote Work Requirements:
Remote candidates must reside in the state of Michigan
For fully remote team members, initial on-site/in-person onboarding and training for a minimum of ten (10) consecutive business days at UPHP’s headquarters in Marquette, Michigan (stipend provided) 
Periodic travel to UPHP’s headquarters for regular training including all staff meetings
Private home office required; computer and phone hardware provided
Personal vehicle required for periodic travel; mileage reimbursement provided at GSA rate
Employment Type: FULL_TIME

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