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Remote Flexible Risk Adjustment Coder Jobs in Omaha, NE

Nexora Talent

Remote- Customer Experience Service

Omaha, NE · Remote

$15.25 - $20.75/hr

... with updates, scheduling adjustments, and general service questions. • Provide accurate ... Benefits • Remote position with flexible scheduling options. • Structured onboarding and ...

Strata Information Group

Project Manager

Omaha, NE · Remote

$90K - $115K/yr

Work with the client to develop a risk management plan Required Qualifications * Five+ years of ... Remote work The listed salary range for this position is indicative and subject to adjustment based ...

micro1 AI

Clinical Pharmacy Technicians

Omaha, NE · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... risk assessment methodology. * Hands-on experience with MedDRA coding, seriousness and causality ...

micro1 AI

Pharmacovigilance Expert

Omaha, NE · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... risk assessment methodology. * Hands-on experience with MedDRA coding, seriousness and causality ...

WoodmenLife

Claims Examiner I or II

Omaha, NE · On-site +1

$17 - $25/hr

Job Title : Claims Examiner I or II This position could be hybrid or possibly fully remote ... Enters and codes all new deaths or health claims into administrative systems * Mails claim ...

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All JobsRisk Adjustment Coder JobsRemote Flexible Risk Adjustment Coder JobsRemote Flexible Risk Adjustment Coder Jobs in Omaha, NE

Remote Flexible Risk Adjustment Coder information

See Omaha, NE salary details

$15

$26

$41

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

As of Aug 21, 2026, the average hourly pay for remote flexible risk adjustment coder in Omaha, NE is $26.30, according to ZipRecruiter salary data. Most workers in this role earn between $18.17 and $33.12 per hour, depending on experience, location, and employer.

What is a remote flexible risk adjustment coder?

A Remote Flexible Risk Adjustment Coder is a healthcare professional who reviews and assigns diagnostic codes to patient records from a remote location, often with flexible hours. Their main role is to ensure that medical diagnoses are accurately captured for risk adjustment purposes, which helps healthcare organizations receive appropriate reimbursement from insurers. They typically analyze electronic health records, identify relevant conditions, and code them based on established guidelines. This job requires knowledge of medical terminology, coding systems like ICD-10, and a strong attention to detail. Working remotely allows for a flexible schedule, making it a popular option for experienced coders.

What skills and qualifications are needed to be a remote flexible risk adjustment coder?

To thrive as a Remote Flexible Risk Adjustment Coder, you need a strong grasp of medical coding standards (ICD-10-CM), risk adjustment models, and a certification such as CPC, CRC, or CCS. Proficiency with coding software, EHR systems, and secure remote communication tools is typically required. Attention to detail, time management, and strong analytical and communication skills help ensure accuracy and effective remote collaboration. These skills are vital for precise coding, regulatory compliance, and supporting accurate healthcare reimbursements in a remote work environment.

How does a remote flexible risk adjustment coder collaborate with healthcare providers and other coding professionals?

As a Remote Flexible Risk Adjustment Coder, collaboration often occurs through secure digital platforms, regular virtual meetings, and shared documentation tools. You may work closely with healthcare providers to clarify medical records and ensure coding accuracy, as well as coordinate with other coders to maintain consistency and compliance. Strong communication skills and responsiveness are essential, as much of the interaction is asynchronous and relies on clear documentation. This teamwork helps ensure accurate risk adjustment coding, supporting healthcare organizations in meeting regulatory and reimbursement standards.

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

AspectRemote Flexible Risk Adjustment CoderRemote Risk Adjustment Coder
CertificationsAHIMA or AAPC certifications, CPC or CCSSame certifications as flexible role
Work EnvironmentFlexible hours, remote workPrimarily remote, with some flexibility
Employer UsageHealth plans, insurance companies, healthcare providersSimilar employer types, often overlapping
Search IntentFlexible scheduling, remote work optionsGeneral risk adjustment coding roles

The Remote Flexible Risk Adjustment Coder offers more scheduling flexibility compared to the standard Remote Risk Adjustment Coder, while both roles require similar credentials and are used in comparable healthcare settings. The flexible role is ideal for those seeking adaptable hours within the same industry.

Remote Flexible Risk Adjustment Coder jobs near you
Infographic showing various Remote Flexible Risk Adjustment Coder job openings in Omaha, NE as of August 2026, with employment types broken down into 83% Full Time, and 17% Part Time. Highlights an 100% Remote job distribution, with an average salary of $54,702 per year, or $26.3 per hour.

Actuarial Svcs Trend & Network Mgr

Blue Cross and Blue Shield of Nebraska

Omaha, NE • On-site, Remote

Full-time

Posted 21 days ago

Blue Cross & Blue Shield Of Nebraska rating

7.7

Company rating: 7.7 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

206th of 311 rated insurance

Job description

At Blue Cross and Blue Shield of Nebraska, we are a mission-driven organization dedicated to championing the health and well-being of our members and the communities we serve.

Our team is the power behind that promise. And, as the industry rapidly evolves and we seek ways to optimize business processes and customer experiences, there's no greater time for forward-thinking professionals like you to join us in delivering on it! As a member of Team Blue, you'll find purpose, opportunities and the support you need to build a meaningful career and make a powerful impact in our community.

This role leads the development and oversight of key actuarial functions that support the organization's financial performance and strategic decision-making. This position is responsible for guiding actuarial analyses related to pricing trends, network and area factors, provider performance, Medicare Advantage, forecasting and other healthcare actuarial initiatives.

Candidates applying to this position may be hybrid or remote and can live in one of the following states: Florida, Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, and Texas.

What you'll do:

  • Manipulate and analyze data using SQL, Databrick and Excel.

  • Maintain and improve the Pricing Trend methodology, process, and documentation.

  • Maintain and improve the Network/Area factors methodology, and Provider entity performance analysis and documentation.

  • Oversee the monthly Medicare Advantage IBNR, Quarterly & Annual Statement, Risk Adjustment analysis and other related projects. Support the Bid process.

  • Support the corporate reinsurance program, such as renewal, monthly reporting, and filing for reimbursement.

  • Provide VBC Trend and support other VBC activities.

  • Manage the Actuarial Services department workflows.

  • Prepare and present reports to internal management.

  • Accountable to coach, motivate and provide leadership to direct reports.

  • Serve on cross functional teams to represent actuarial point of view.

To be considered for this position, you must have:

  • Bachelor's degree in actuarial science, Mathematics, Statistics, or related field.

  • Five years of experience in an actuarial role and three years of experience in the health care industry.

  • ASA Licensure/Certification.

An equivalent combination of education and experience may be substituted for this requirement. The ability to meet or exceed the attendance and timeliness requirements of their departments. The ability to work well in a team environment and be capable of building and maintaining positive relationships with other staff, departments, and customers.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned.

The strongest candidates for this position will also possess:

  • Three (3) years of leadership experience.

  • Experience leading healthcare actuarial analyses and developing actuarial methodologies.

  • Strong communication and presentation skills, including the ability to explain complex findings to business and executive leadership.

  • Experience improving actuarial processes through automation, artificial intelligence, or advanced analytics.

Learn more about what makes BCBSNE such an exceptional place to work by visiting NebraskaBlue.com/Careers.

We strongly believe that diversity of experience, perspective and background will lead to a better workplace for our employees and a better product for our customers and members.

What Blue Cross & Blue Shield Of Nebraska employees say

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