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Remote Hcc Risk Adjustment Coder Jobs in Nebraska

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

Clinical Pharmacy Technicians

Lincoln, 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

Lincoln, 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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Remote Hcc Risk Adjustment Coder information

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$13

$19

$30

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

As of Aug 16, 2026, the average hourly pay for remote hcc risk adjustment coder in Nebraska is $19.10, according to ZipRecruiter salary data. Most workers in this role earn between $15.48 and $20.34 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a remote HCC risk adjustment coder?

To thrive as a Remote HCC Risk Adjustment Coder, you need a solid understanding of ICD-10-CM coding guidelines, risk adjustment models, and extensive experience in medical record review, typically supported by a relevant coding certification such as CPC or CRC. Proficiency with electronic health record (EHR) systems, coding software, and risk adjustment platforms is essential. Exceptional attention to detail, analytical thinking, and strong communication skills help coders excel in remote settings and ensure coding accuracy. These skills and qualifications are vital for optimizing risk scores, ensuring compliance, and supporting accurate reimbursement in healthcare organizations.

What is a Remote HCC Risk Adjustment Coder?

A Remote HCC Risk Adjustment Coder is a medical coding professional who works from home or another remote location, reviewing patient medical records to assign Hierarchical Condition Category (HCC) codes. These codes are used by healthcare organizations to accurately reflect the severity of patient illnesses for risk adjustment and reimbursement purposes, especially in Medicare Advantage programs. The coder analyzes clinical documentation to ensure that diagnoses are coded correctly and in compliance with regulatory guidelines. Their work is essential for ensuring healthcare providers receive appropriate compensation and for maintaining accurate patient risk profiles.

What are some common challenges faced by remote HCC risk adjustment coders and how can they be managed?

Remote HCC Risk Adjustment Coders often encounter challenges such as interpreting incomplete or ambiguous medical documentation, staying updated with evolving coding guidelines, and managing communication across dispersed teams. To address these challenges, it's important to proactively seek clarification from providers, participate in ongoing training, and utilize collaboration tools to stay connected with peers and supervisors. Establishing a structured daily workflow and leveraging available resources can also help maintain coding accuracy and productivity in a remote setting.

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For Remote Hcc Risk Adjustment Coder jobs in Nebraska, the most frequently searched job titles are:

What job categories do people searching Remote Hcc Risk Adjustment Coder jobs in Nebraska look for?

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Remote Hcc Risk Adjustment Coder jobs near you
Infographic showing various Remote Hcc Risk Adjustment Coder job openings in Nebraska as of June 2026, with employment types broken down into 90% Full Time, 7% Part Time, and 3% Contract. Highlights an 35% Physical, 3% Hybrid, and 62% Remote job distribution, with an average salary of $39,723 per year, or $19.1 per hour.

Actuarial Svcs Trend & Network Mgr

Blue Cross and Blue Shield of Nebraska

Omaha, NE • On-site, Remote

Full-time

Posted 15 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

204th of 308 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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