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Remote Hcc Risk Adjustment Coder Jobs (NOW HIRING)

UWHealth

Supervisor - Inpatient Coding

Middleton, WI · On-site +1

$22.25 - $27/hr

Approved Remote Work States Listing Be part of something remarkable Bring your leadership ... HCC-specific Supv: Certified Risk Adjustment Coder (CRC) Upon Hire Required or * Registered Health ...

UW Health

Supervisor - Inpatient Coding

Middleton, WI · On-site +1

$22.25 - $27/hr

Approved Remote Work States Listing Be part of something remarkable Bring your leadership ... HCC-specific Supv: Certified Risk Adjustment Coder (CRC) Upon Hire Required or * Registered Health ...

INTUS INC

$55/hr

... CMS-HCC and risk adjustment standards. Key Responsibilities Risk Adjustment Coding • Review ... This is a fully remote role based in the United States.

Intus, Inc

Coding Associate

$55/hr

... CMS-HCC and risk adjustment standards. Key Responsibilities Risk Adjustment Coding • Review ... This is a fully remote role based in the United States. Sponsorship: This position is not eligible ...

Privia Health

National Director, Risk Adjustment

$130K - $160K/yr

Manage projects to enable complete and accurate coding, including those that require vendor ... Serve as the internal subject matter expert on the current Hierarchical Condition Category (HCC ...

Privia Health

National Director, Risk Adjustment

$130K - $160K/yr

Manage projects to enable complete and accurate coding, including those that require vendor ... Serve as the internal subject matter expert on the current Hierarchical Condition Category (HCC ...

CINQCARE

Sr. Analyst, Risk Adjustment (0779)

Washington, DC · Remote

$81.39K - $101.73K/yr

Conduct in-depth analysis of claims, encounter, and clinical data to identify HCC coding gaps ... Certified Risk Adjustment Coder (CRC) or Certified Professional Coder (CPC) is a plus. Technical ...

US Tech Solutions

Medical Billing Coder

Wellesley, MA · Remote

$20.50 - $27.50/hr

... on-site, remote and/or in-house) in support of the Medicare risk adjustment retrospective ... for HCC risk adjustment related activities including Medicare Advantage and Commercial Risk ...

CINQCARE

Sr. Director, Risk Adjustment (0778)

Washington, DC · Remote

$146.74K - $183.44K/yr

Certified Risk Adjustment Coder (CRC) or similar credential is a plus. Technical Skills: * Deep expertise in CMS-HCC, HHS-HCC, and CDPS risk adjustment models. * Advanced proficiency in Python and/or ...

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

As of Jun 1, 2026, the average hourly pay for remote hcc risk adjustment coder in the United States is $22.42, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $24.04 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, and why are they important?

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 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.

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.
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Remote Hcc Risk Adjustment Coder jobs near you
Infographic showing various Remote Hcc Risk Adjustment Coder job openings in the United States as of May 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $46,638 per year, or $22.4 per hour.
Certified Coder (Risk Adjustment Experience Required) - REMOTE

Certified Coder (Risk Adjustment Experience Required) - REMOTE

Molina Healthcare

Long Beach, CA • On-site, Remote

$19.84 - $38.69/hr

Full-time

Posted 3 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 191 frontline employees who took The Breakroom Quiz

144th of 259 rated insurance

Job description

Job Description
JOB DESCRIPTION Job SummaryProvides support for medical coding activities, including ensuring that ICD-10 and CPT codes are reported accurately to maintain compliance, and minimize risk and denials. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
• Performs on-going member medical chart reviews. Abstracts and reports ICD-10 and CPT diagnosis codes accurately and in compliance with established coding and billing principles - minimizing risk and denials.
• Demonstrates understanding of current provider office billing practices - ensuring that diagnosis and CPT codes are submitted accurately.
• Documents results/findings from chart reviews and provides feedback to leadership, providers and office staff.
• Provides training and education to provider network regarding risk adjustment and coding updates related to risk adjustment.
• Builds positive relationships between providers and the business by providing coding assistance as needed.
• Facilitates administrative duties such as planning, chart reviews scheduling, medical records procurement, provider training and education.
• Assists in coordination of management activities with other departments including finance, revenue analytics, claims, encounters and enterprise/plan medical directors.
• Maintains professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks and participating in professional societies related to medical coding in the managed care industry.
Required Qualifications• At least 2 years medical coding experience, or equivalent combination of relevant education and experience.
• Certified Professional Coder (CPC).
• Certified Coding Specialist (CCS).
• Latest Centers for Medicare and Medicaid Services (CMS) and American Hospital Association (AHA) clinic coding knowledge.
• Ability to maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
• Ability to effectively interface with staff, clinicians, and management.
• Excellent verbal and written communication skills.
• Ability to establish and maintain positive and effective work relationships with coworkers, members, providers and all other customers.
• Strong verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
• Certified Risk Adjustment Coder (CRC).
• Certified Professional Payer - Payer (CPC-P).
• Certified Coding Specialist - Physician Based (CCS-P).
• Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model.
• Background in supporting risk adjustment management activities and clinical informatics.
• Experience with risk adjustment data validation.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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