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Remote Entry Level Risk Adjustment Coder Jobs (NOW HIRING)

Vertek Staffing

HCC Risk Adjustment Coder

Franklin, TN · Remote

$18 - $24/hr

HCC / Risk Adjustment Coder - Remote Risk Adjustment / HCC Coding Experience Required Required Education * High School Diploma required with submission Required Certifications Online certification ...

AAPC

PACE Risk Adjustment Coder

Salt Lake City, UT · On-site +1

This is a remote contract position. Job Duties: * Code medical records to validate ICD-10-CM codes for PACE Risk Adjustment * Meet department production and quality standards * Research regulatory ...

AAPC

PACE Risk Adjustment Coder

Salt Lake City, UT · Remote

This is a remote contract position. Job Duties: * Code medical records to validate ICD-10-CM codes for PACE Risk Adjustment * Meet department production and quality standards * Research regulatory ...

Oscar Health

Auditor, Risk Adjustment

Tempe, AZ · Remote

$82K - $108K/yr

Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas.

Oscar Health

Auditor, Risk Adjustment

Miami, FL · Remote

$82K - $108K/yr

Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas.

Oscar Health

Auditor, Risk Adjustment

Atlanta, GA · Remote

$82K - $108K/yr

Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas.

Oscar Health

Auditor, Risk Adjustment

Dallas, TX · Remote

$82K - $108K/yr

Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas.

Intus, Inc

Coding Associate

$55/hr

Qualifications Required Certifications • CPC, CCS, RHIT, or CRC (Certified Risk Adjustment Coder ... This is a fully remote role based in the United States. Sponsorship: This position is not eligible ...

Altegra Health

Remote Certified Coder

$23 - $31.50/hr

CMS HCC Risk Adjustment * HEDIS * Medical Record Reviews (Accreditation) * And more These are remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by ...

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Remote Entry Level Risk Adjustment Coder information

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

As of Jul 10, 2026, the average hourly pay for remote entry level risk adjustment coder in the United States is $27.49, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $34.62 per hour, depending on experience, location, and employer.

What are remote entry level risk adjustment coders?

Remote entry level risk adjustment coders are professionals who review medical records and assign diagnostic codes from their home or another remote location. Their main responsibility is to ensure accurate coding of patient diagnoses so that healthcare organizations receive appropriate risk adjustment payments from insurance providers, such as Medicare Advantage plans. Entry level positions typically require knowledge of medical terminology and coding systems (like ICD-10-CM), but may offer training for new coders. Working remotely allows these coders to perform their duties outside of a traditional office setting, providing flexibility and access to jobs across different locations.

What are some common challenges faced by remote entry-level risk adjustment coders, and how can they be addressed?

Remote entry-level risk adjustment coders often face challenges such as interpreting complex medical records without direct supervision, managing time efficiently across multiple assignments, and staying updated with evolving coding guidelines. To address these, it's helpful to establish a structured daily routine, actively participate in virtual team meetings, and utilize online resources or mentorship programs provided by the employer. Building strong communication skills is also essential for clarifying documentation with providers and collaborating with team members remotely.

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

To thrive as a Remote Entry Level Risk Adjustment Coder, you need foundational knowledge of medical coding (especially ICD-10-CM), healthcare documentation, and an understanding of risk adjustment principles, typically supported by a coding certification such as CPC or CRC. Familiarity with electronic health record (EHR) systems, coding software, and secure data transfer platforms is commonly required. Attention to detail, time management, and strong written communication are vital soft skills for accurately reviewing and coding patient records remotely. These abilities ensure accurate risk capture, regulatory compliance, and efficient remote workflow, which are critical for supporting healthcare reimbursement and quality reporting.

What is the difference between Remote Entry Level Risk Adjustment Coder vs Remote Entry Level Medical Biller?

AspectRemote Entry Level Risk Adjustment CoderRemote Entry Level Medical Biller
CertificationsCPR, RAC-GA, or similar risk adjustment certifications often preferredCPR, Certified Medical Billing Specialist (CMBS), or similar billing certifications
Work EnvironmentRemote, healthcare insurance companies, or risk adjustment departmentsRemote, healthcare providers, or billing service companies
Job FocusAnalyzing patient data for risk adjustment codingProcessing and submitting medical claims for reimbursement
Industry UsageHealth insurance, risk adjustment programsHospitals, clinics, insurance companies

The main difference is that Remote Entry Level Risk Adjustment Coders focus on analyzing patient data to ensure accurate risk scores for insurance purposes, while Remote Entry Level Medical Billers handle the billing process for healthcare services. Both roles are remote and require healthcare-related certifications, but their core responsibilities and industry applications differ.

What cities are hiring for Remote Entry Level Risk Adjustment Coder jobs? Cities with the most Remote Entry Level Risk Adjustment Coder job openings:
What are the most commonly searched types of Remote Risk Adjustment Coder jobs? The most popular types of Remote Risk Adjustment Coder jobs are:
Remote Entry Level Risk Adjustment Coder jobs near you
Infographic showing various Remote Entry Level Risk Adjustment Coder job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 78% Full Time, 14% Part Time, and 7% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $57,182 per year, or $27.5 per hour.
HCC Risk Adjustment Coder

HCC Risk Adjustment Coder

Vertek Staffing

Franklin, TN • Remote

$18 - $24/hr

Contractor

Posted 16 days ago

Job description

HCC / Risk Adjustment Coder - Remote

Risk Adjustment / HCC Coding Experience Required

Required Education
  • High School Diploma required with submission
Required Certifications

Online certification verification required with submission.

Candidates must possess one of the following certifications:

  • Certified Professional Coder (CPC) - AAPC
  • Certified Risk Adjustment Coder (CRC) - AAPC
  • Certified Coding Specialist (CCS) - AHIMA
  • Registered Health Information Technician (RHIT) - AHIMA
  • Registered Health Information Administrator (RHIA) - AHIMA

CRC Certification is highly preferred.

Schedule
  • Monday - Friday
  • Occasional weekend coverage may be required based on client needs
Position Summary

The HCC / Risk Adjustment Coder is responsible for reviewing medical records and clinical documentation to accurately identify, validate, and code chronic and acute conditions impacting patient risk scores and reimbursement.

The coder will ensure accurate assignment of ICD-10-CM diagnosis codes in accordance with CMS Risk Adjustment guidelines, Official ICD-10-CM Coding Guidelines, and client-specific requirements. This role supports Risk Adjustment initiatives through retrospective chart reviews, prospective reviews, coding validation, provider education support, and quality assurance activities.

The HCC Coder will collaborate with providers, CDI professionals, quality teams, population health departments, and coding leadership to ensure complete and accurate capture of chronic conditions and disease burden.

Key Responsibilities
  • Review medical records to identify and code HCC-eligible diagnoses.
  • Assign ICD-10-CM diagnosis codes in accordance with CMS and Risk Adjustment guidelines.
  • Validate chronic conditions and ensure documentation supports code assignment.
  • Perform retrospective and prospective chart reviews.
  • Identify missed HCC opportunities and documentation gaps.
  • Assist with coding validation and quality assurance audits.
  • Support provider education initiatives regarding Risk Adjustment documentation requirements.
  • Maintain productivity and quality standards established by the client.
  • Participate in internal and external audit activities.
  • Stay current on CMS Risk Adjustment regulations, coding updates, and industry best practices.
  • Assist leadership with special projects and additional duties as assigned.
Required Experience
  • Risk Adjustment / HCC coding experience required
  • Strong understanding of ICD-10-CM coding guidelines
  • Experience reviewing outpatient and provider documentation
  • Knowledge of CMS-HCC Risk Adjustment methodologies
  • Experience validating chronic conditions and disease burden
  • Strong attention to detail and coding accuracy
Preferred Experience
  • CRC certification
  • Experience with Medicare Advantage populations
  • Experience with value-based care programs
  • Experience performing coding audits and quality reviews
  • Experience with Epic, Cerner, Athena, eClinicalWorks, NextGen, or other EMR systems
  • Experience educating providers on Risk Adjustment documentation
 
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About Vertek Solutions

Sourced by ZipRecruiter

Vertek Solutions is a boutique staffing firm that specializes in recruiting top level IT talent who can enhance our clients’ teams. Our team works every day to foster relationships with both our consultants and clients to understand their needs and ensure that we are providing a solution that is mutually beneficial.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Franklin, TN, US

Year founded

2006

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