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Remote Hcc Risk Adjustment Coding Jobs in Plano, TX

SmartIPlace

REQ :: Actuary

Dallas, TX · Remote

$60 - $65/hr

Fully remote, working Eastern hours. * More experience preferred, healthcare benefits experience ... risk, risk adjustment risk, Member risk/selection risk) at the market segment level. This study ...

U2803

Coding Specialist III - Inpatient

Dallas, TX · Remote

Experience working in a remote environment required for PRN Coders. An equivalent combination of ... and Risk of Mortality. * Accurately abstracts required data elements including, discharge ...

UnitedHealth Group

Senior Coding Educator

Dallas, TX · Remote

$27 - $30.75/hr

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within ... improving risk management, quality and revenue growth. Ready to help us deliver results that ...

Pediatric Associates

Medical Scribe

Dallas, TX · On-site +1

$14.50 - $19.50/hr

... risk adjustment and coding. * Accurately document all provider-stated diagnoses during patient ... May be full time remote/telework OR Hybrid * USA, Texas based PERFORMANCE REQUIREMENTS Adhere to ...

Tmhcc

Senior Contract Bond Underwriter

Plano, TX · On-site +1

$94K - $111K/yr

TokioMarine HCC - Surety Group, a member of theTokioMarine Group of Companies, has an opportunity ... Prepare bond execution and Financial Adjustment Notices (FAN) reports. * Approve within given ...

USAA

Credit Risk Analytics Manager I

Plano, TX · On-site +1

$103K - $197K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Experience with data, code, or reporting tools. * Experience communicating complex analytical ...

USAA

Credit Risk Analytics Manager I

Plano, TX · On-site +1

$103K - $197K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Experience with data, code, or reporting tools. * Experience communicating complex analytical ...

2845

Supervisor, Coding - Revenue Cycle

Dallas, TX · Remote

... adjustments can be made with little workflow disruption and coding coverage can be appropriately ... Adheres to all UTSW and departmental policies and procedures to include the Remote Coding Agreement ...

Lancesoft

Risk and Compliance Program Manager

Coppell, TX · On-site +1

$65 - $70.65/hr

REMOTE - slight preference for PST time zone Summary : The Junior Compliance Automation Engineer ... Experience using AI tools like Claude, Copilot, or similar LLMs to write code, troubleshoot, or ...

USAA

Senior Audit Manager - Model Risk/AI

Plano, TX · On-site +1

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Code of Ethics. We offer a flexible work environment that requires an individual to be in the ...

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Remote Hcc Risk Adjustment Coding information

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

As of Jul 13, 2026, the average hourly pay for remote hcc risk adjustment coding in Plano, TX is $20.58, according to ZipRecruiter salary data. Most workers in this role earn between $17.26 and $21.88 per hour, depending on experience, location, and employer.

What is the difference between Remote Hcc Risk Adjustment Coding vs Remote Hcc Risk Adjustment Coding?

AspectRemote Hcc Risk Adjustment Coding

Since the comparison is with itself, the roles are identical. Both involve coding for HCC risk adjustment, require similar credentials like coding certifications, and are performed remotely within healthcare insurance environments. The primary difference lies in specific employer requirements or specialization, but generally, these roles are the same in scope and industry usage.

What are some common challenges faced by remote HCC Risk Adjustment Coders, and how can they be addressed?

Remote HCC Risk Adjustment Coders often encounter challenges such as interpreting complex medical records without direct access to providers for clarification, staying updated on frequent coding guideline changes, and managing productivity expectations in a home-based environment. To address these, coders benefit from strong communication skills to clarify documentation through digital channels, participating in ongoing education and training, and utilizing coding software or company-provided resources efficiently. Employers typically support coders with regular team meetings, access to compliance specialists, and robust knowledge-sharing platforms to help overcome these hurdles.

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 in-depth knowledge of ICD-10-CM coding guidelines, HCC risk adjustment models, and a coding certification such as CPC, CRC, or CCS. Familiarity with electronic health record (EHR) systems, coding software, and secure remote work platforms is essential. Attention to detail, analytical thinking, and strong organizational skills help coders ensure accuracy and compliance. These skills are vital for precise diagnosis coding, optimizing risk scores, and supporting reimbursement and quality initiatives in healthcare organizations.

What is remote HCC risk adjustment coding?

Remote HCC risk adjustment coding involves reviewing patient medical records from a remote location to identify and assign Hierarchical Condition Category (HCC) codes. These codes help determine the risk score of patients, which affects healthcare reimbursements for organizations. HCC coders must have a strong understanding of medical terminology, coding guidelines, and compliance regulations. They typically work from home, using secure software to ensure patient data privacy and accuracy in coding.
What are popular job titles related to Remote Hcc Risk Adjustment Coding jobs in Plano, TX? For Remote Hcc Risk Adjustment Coding jobs in Plano, TX, the most frequently searched job titles are:
What job categories do people searching Remote Hcc Risk Adjustment Coding jobs in Plano, TX look for? The top searched job categories for Remote Hcc Risk Adjustment Coding jobs in Plano, TX are:
What cities near Plano, TX are hiring for Remote Hcc Risk Adjustment Coding jobs? Cities near Plano, TX with the most Remote Hcc Risk Adjustment Coding job openings:
Remote Hcc Risk Adjustment Coding jobs near you
REQ :: Actuary

REQ :: Actuary

SmartIPlace

Dallas, TX • Remote

$60 - $65/hr

Contractor

Posted 23 days ago

Job description

Actuary - Temp

  • Primary responsibilities will include modeling for the commercial segment, financial projection development, and risk projection development. See below for more details. No specific tools, systems, or industries.
  • Seeking a contract Actuary resource to cover for leave (expected Aug through EOY). Looking to hire and train ASAP.
  • The candidate should have an Actuarial certification (ASA) or FSA
  • Fully remote, working Eastern hours.
  • More experience preferred, healthcare benefits experience highly preferred

Notes on the responsibilities:


There will be 2 areas of project-based work that would take place between August and September and some other areas of support:

    • Gathering forecast inputs from various sources; developing financial projections from those inputs; consolidating forecast results; understanding and communicating variances to prior forecast; developing exhibits and/or slides to support forecast communication to senior leadership and the Board.
    • Develop model to support market segment based financial projections for Commercial Insured business.  Our forecasting infrastructure for Commercial insured business only supports aggregate Commercial insured financial projections.  As a result, after a forecast is complete, we have to perform a retrospective allocation back to our Commercial insured market segments. 
      • We would like to develop a forecast model that allows for prospective financial projections at the Commercial market segment level (Merged Market vs. Large Group Commercial vs. Large Group Municipal/Labor).
    • Conduct a Total Risk Analysis (TRA).  Healthcare cost trend has become increasingly more difficult to predict, causing actual financial results to vary significantly from initial projections. 
      • We would like to conduct a TRA to quantify risk across various risk sources (Insurance risk, Healthcare cost trend risk, risk adjustment risk, Member risk/selection risk) at the market segment level.  This study will help us answer questions around “how much margin would we need to add to rates in order to be X% confident the rates are adequate” as well as “how much explicit margin would we need to add to our best estimate financial forecast in order to be X% confident that we will achieve that forecast”.  This analysis will be based on a recent SOA study on TRA (we will provide an analyst to help pull appropriate data).
    • Lastly, we would need some support for our 2026 Financial Planning process (October – November). 
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About Smart-iPlace

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SMART-iPLACE provides innovative staffing and consulting solutions that help our clients achieve their business objectives. We can understand and support all areas of your IT systems from back-end infrastructure to front-end personal productivity. Our goal is create innovative IT solutions that enable your business to be more agile and competitive.

Industry

It services

Company size

51 - 200 Employees

Headquarters location

Irving, TX, US

Year founded

2021

Social media

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