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Internship Remote Risk Adjustment Coder Jobs in Houston, TX

PharMerica

Remote Hospital Pharmacist

Houston, TX · On-site +1

$55.75 - $66.75/hr

Renal dosing adjustments * High-risk medications (anticoagulants, opioids, insulin, vancomycin AUC) * Communicate directly with providers and nursing staff 3) Remote Oversight of Medication Use

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

As of Jul 13, 2026, the average hourly pay for internship remote risk adjustment coder in Houston, TX is $20.53, according to ZipRecruiter salary data. Most workers in this role earn between $17.21 and $21.83 per hour, depending on experience, location, and employer.

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.
What are the most commonly searched types of Remote Risk Adjustment Coder jobs in Houston, TX? The most popular types of Remote Risk Adjustment Coder jobs in Houston, TX are:
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Internship Remote Risk Adjustment Coder jobs near you
Remote Hospital Pharmacist

Remote Hospital Pharmacist

PharMerica

Houston, TX • On-site, Remote

$55.75 - $66.75/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 7 days ago

PharMerica rating

6.5

Company rating: 6.5 out of 10

Based on 102 frontline employees who took The Breakroom Quiz

58th of 104 rated pharmacies

Job description

Our Company
PharMerica
Overview
PharMerica is hiring a {position type} Pharmacist in {City, State}!
Join our closed-door pharmacy team where you'll work in a non-retail environment, dedicated to meeting the pharmaceutical needs of long-term care and senior living clients. If you're passionate about delivering exceptional service and high-quality care, we want to hear from you. Apply today and become part of a team committed to making a difference!
Schedule:
Days/Hours/Shift
Weekend/Holiday Rotation
Additional Information To Highlight:
*Shift Differential
*required/preferred experience
*required/preferred licensure/certification
*Sign On/Relocation Bonus
Benefits and perks for you!
  • Medical, Dental, Vision insurance
  • Health Savings & Flexible Spending Accounts (up to $5,000 for childcare)
  • Tuition discounts & reimbursement
  • 401(k)
  • Company Paid Time Off
  • Shift Differential
  • DailyPay
  • Pet Insurance
  • Employee wellness and discount programs

*Benefits may vary by employment status
Responsibilities
How YOU will benefit:
  • Supportive team with room to work independently
  • Ongoing training and career growth
  • Advancement opportunities in a growing company
  • Referral bonuses

As a Pharmacist you will:
  • Evaluate physician medication orders for drug appropriateness, correct dosage, potential drug interactions, and proper route of administration.
  • Provide clinical recommendations to physicians and healthcare staff regarding medication therapy changes and optimizations.
  • Maintain up-to-date patient/resident profiles, including medical history, lab results, and current medications (prescription, OTC, and home remedies).
  • Ensure laboratory tests required for monitoring high-risk medications are appropriately ordered, reviewed, and communicated to the healthcare team.
  • Collaborate with physicians, nurses, and other healthcare professionals to provide clinical and technical support.
  • Document all communications and clinical interventions in the patient's medical record, including interactions with families and caregivers.
  • Implement and enforce policies and procedures for the safe handling, dispensing, and clinical oversight/management of medications.
  • Ensure compliance with all state and federal regulatory requirements related to pharmacy practice and medication management.
  • Report medication-related errors and adverse drug events to the Pharmacy Manager as required.
  • Educate and support clinical team and healthcare agency staff on safe and effective medication handling procedures.
  • Perform other pharmacy-related tasks and responsibilities as assigned.

Qualifications
Qualifications
Required:
  • Bachelor's Degree in Pharmacy, Pharm D preferred
  • One year experience in long term care desired
  • License/Certification(s): current and valid pharmacist license in the state of practice
  • Knowledge of drug therapy guidelines, medication safety practices, and regulatory standards (CMS, DEA, FDA).
  • Proficiency in electronic medical records and pharmacy information systems
  • Strong clinical judgement, and effective written and verbal communication

*Position will be posted for a minimum of 7 business day
About our Line of Business
PharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals. We also cater to individuals with behavioral needs, infusion therapy needs, seniors receiving in-home care, and patients with cancer. Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the personal touch of a neighborhood pharmacy with the resources of a national network. Our comprehensive solutions, backed by industry-leading technology and regulatory expertise, ensure accurate medication access, cost control, and compliance with best-in-class clinical standards. We are committed to enhancing resident health, reducing staff burdens, and supporting our clients' success. For more information, visit www.pharmerica.com. Follow us on Facebook, Twitter, and LinkedIn.
Additional Job Information
Key Facts
  • Schedule: 7 days on / 7 days off (evenings or nights preferred based on coverage needs)
  • Location: Fully Remote
  • Setting: Critical Access Hospitals (CAH) + Behavioral Health
  • Licensure Required:
    • Active Pharmacist License - Texas (required)
    • Active Pharmacist License - New Mexico (required)
    • Willingness to obtain additional state licenses (required)
  • Experience Preferred: Inpatient hospital pharmacy, remote verification, or clinical pharmacist role

Core Responsibilities (Operational Workflow)
1) Order Verification (Primary Function)
  • Review and verify medication orders in real-time
  • Ensure:
    • Appropriate indication
    • Correct dose, route, frequency
    • Renal/hepatic adjustments
    • Allergy and interaction screening
  • Release verified orders to ADCs (Omnicell/Pyxis) for nursing access

2) Clinical Review & Intervention
  • Perform prospective and retrospective clinical order review
  • Provide recommendations for:
    • Antibiotic stewardship (IDSA-aligned)
    • Renal dosing adjustments
    • High-risk medications (anticoagulants, opioids, insulin, vancomycin AUC)
  • Communicate directly with providers and nursing staff

3) Remote Oversight of Medication Use
  • Monitor medication administration trends and discrepancies
  • Support nursing workflow:
    • Timing of doses
    • Missing medication resolution
  • Provide guidance on IV compatibility, infusion rates, and administration safety

4) Controlled Substance & Compliance Oversight
  • Review narcotic usage patterns and discrepancies
  • Support diversion monitoring efforts (DEA expectations)
  • Ensure:
    • Valid order present for all controlled substance dispensing
    • Documentation aligns with administration records

5) Regulatory & Survey Readiness
  • Maintain compliance with:
    • CMS Conditions of Participation (CoPs)
    • Joint Commission Medication Management (MM standards)
    • Texas State Board of Pharmacy (TSBP)
  • Support documentation and audit readiness (72-hour retrieval standard)

Regulatory Requirements vs Best Practice
Regulatory (Must Do)
  • Active licensure in all practicing states (TSBP, NM Board)
  • Prospective drug utilization review (DUR) prior to dispensing (CMS CoPs)
  • Controlled substance oversight (DEA compliance)
  • Timely documentation and retrievability of pharmacy actions

Best Practice
  • Antibiotic stewardship interventions (IDSA guidance)
  • AUC-based vancomycin monitoring when appropriate
  • Standardized remote verification workflows
  • Clear communication loops with nursing and providers

Operational Recommendations
  • Experience with:
    • Remote access platforms (VPN/Parallels)
    • ADC systems (Omnicell, Pyxis)
    • Meditech, Cerner, CPSI / TruBridge or similar EHRs
  • Ability to work independently with strong clinical judgment
  • High attention to detail under low supervision environments

High-Risk Areas (Patient Safety + Compliance)
  • Anticoagulants (heparin, DOACs) → bleeding risk, dosing errors
  • Opioids (Schedule II) → diversion + respiratory depression
  • Insulin → hypoglycemia risk
  • Electrolytes (K, Mg, Na) → cardiac/neurologic complications
  • Vancomycin / Aminoglycosides → nephrotoxicity

Required Qualifications
  • PharmD or BS Pharmacy degree
  • Active licenses:
    • Texas (required)
    • New Mexico (required)
  • Willingness to obtain additional state licenses
  • Minimum 2+ years inpatient hospital experience preferred
  • Strong clinical knowledge and independent decision-making ability

Preferred Qualifications
  • Experience in remote pharmacy services
  • Familiarity with critical access hospitals (CAH)
  • Experience with:
    • Antibiotic stewardship programs
    • Pharmacokinetics (vancomycin AUC dosing)
    • Remote technician oversight

Compensation & Benefits
  • Competitive hourly rate (based on experience)
  • Additional compensation for multi-state licensure
  • PTO structure based on 7/7 schedule model
  • Opportunity to grow with expanding hospital network

Why This Role Matters
This position plays a critical role in:
  • Ensuring safe medication use across multiple hospitals
  • Supporting limited onsite staffing environments
  • Maintaining regulatory compliance and survey readiness
  • Enhancing clinical outcomes through remote expertise

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