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Remote Medicare Risk Adjustment Jobs in Raleigh, NC

Duke Health

COMPLIANCE SPECIALIST-Remote

Durham, NC · On-site +1

... with Center of Medicare and Medicaid (CMS) guidelines and to provide ongoing feedback and ... Certified Risk Coder (CRC), Certified Professional Medical Auditor (CPMA)- Added bonus credentials ...

Duke Health

COMPLIANCE SPECIALIST-Remote

Durham, NC · Remote

... with Center of Medicare and Medicaid (CMS) guidelines and to provide ongoing feedback and ... Certified Risk Coder (CRC), Certified Professional Medical Auditor (CPMA)- Added bonus credentials ...

Duke University

COMPLIANCE SPECIALIST-Remote

Durham, NC · On-site +1

... with Center of Medicare and Medicaid (CMS) guidelines and to provide ongoing feedback and ... Certified Risk Coder (CRC), Certified Professional Medical Auditor (CPMA)- Added bonus credentials ...

Vialto Partners

US Immigration Attorney

Raleigh, NC · On-site +1

$120K - $157K/yr

... and adjustment of status applications Develop tailored immigration strategies that align with ... Hybrid and remote opportunities available for flexibility and work-life balance. Additional ...

Strata Information Group

Project Manager

Raleigh, NC · 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 ...

Hireblazer

Senior SAS Project Manager

Raleigh, NC · Remote

The job is 100% remote; the duration is 6 months with a possibility of extension. Background ... Monitor profitability and budget burn, flagging overruns or margin risk to PMO leadership with a ...

Infojini Inc

Project Manager

Raleigh, NC · Remote

Manage the day to day SAS project scope, schedule, data, resources, quality, delivery, risk ... Proposes recommendations and adjustments. Perform analysis of business and user needs, documenting ...

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All JobsMedicare Risk Adjustment JobsRemote Medicare Risk Adjustment JobsRemote Medicare Risk Adjustment Jobs in Raleigh, NC

Remote Medicare Risk Adjustment information

See Raleigh, NC salary details

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How much do remote medicare risk adjustment jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for remote medicare risk adjustment in Raleigh, NC is $20.90, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $22.21 per hour, depending on experience, location, and employer.

What is the difference between Remote Medicare Risk Adjustment vs Remote Medical Coding Specialist?

AspectRemote Medicare Risk AdjustmentRemote Medical Coding Specialist
CertificationsCPR, CPC, or RAC certifications often preferredCPC, CCS, or CCS-P certifications
Work EnvironmentHealthcare insurance companies, Medicare plansHospitals, clinics, insurance companies
Industry UsagePrimarily in Medicare risk adjustment programsMedical billing and coding across various healthcare settings

Remote Medicare Risk Adjustment and Remote Medical Coding Specialist roles share certifications and healthcare industry usage but differ in focus. Medicare Risk Adjustment involves analyzing patient data to optimize Medicare plan reimbursements, while Medical Coding Specialists translate medical records into billing codes. Both roles require healthcare knowledge but serve distinct functions within the healthcare revenue cycle.

What are the most commonly searched types of Medicare Risk Adjustment jobs in Raleigh, NC?

The most popular types of Medicare Risk Adjustment jobs in Raleigh, NC are:

What are popular job titles related to Remote Medicare Risk Adjustment jobs in Raleigh, NC?

For Remote Medicare Risk Adjustment jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Remote Medicare Risk Adjustment jobs in Raleigh, NC look for?

The top searched job categories for Remote Medicare Risk Adjustment jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Remote Medicare Risk Adjustment jobs?

Cities near Raleigh, NC with the most Remote Medicare Risk Adjustment job openings:

Remote Medicare Risk Adjustment jobs near you
Infographic showing various Remote Medicare Risk Adjustment job openings in Raleigh, NC as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $43,475 per year, or $20.9 per hour.

Coding Quality Assurance (QA) Manager, Remote

Durham, NC • Remote

Aledade PBC
See more jobs at Aledade PBCexternal

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 6 days ago

Job description

As a Coding Quality Assurance (QA) Manager, you will lead a high-performing team of QA Specialists at the intersection of clinical precision and operational excellence. You'll drive coding accuracy, build robust Standard Operating Procedures (SOPs), and ensure full audit readiness by evaluating documentation from both our internal CDI team and external partners. If you bring deep expertise in Risk Adjustment and Hierarchical Condition Categories (HCC) alongside a passion for mentoring talent and elevating compliance standards, this role offers a direct platform to shape our quality operations and make a measurable impact.
 
Candidates should be comfortable working remotely from anywhere within the US, across all US time zones.
Primary Duties
  • Team Leadership & Oversight: Lead, mentor, and manage a team of  QA Specialists. Establish team goals, monitor productivity, conduct regular performance reviews, and foster a culture of continuous learning.
  • Quality Audits: Oversee and perform comprehensive quality assurance reviews for coding completed by internal CDI staff and external vendor partners, ensuring compliance with official ICD-10-CM guidelines and risk adjustment models.
  • SOP & Guideline Development: Design, implement, and maintain standard operating procedures, audit workflows, scoring methodologies, and coding quality guidelines across the organization.
  • Payer Audit Support: Act as a key subject matter expert (SME) during external payer audits (e.g., RADV, Medicare, Commercial). Assist with chart selection, review, dispute documentation, and appeal responses.
  • Vendor Management: Evaluate third-party coding vendor accuracy rates against established SLAs. Deliver constructive feedback, identify trend errors, and drive corrective action plans when necessary.
  • Education & Feedback Loops: Translate QA audit findings into actionable insights. Provide structured feedback and target educational resources to internal CDI specialists and vendors to prevent recurring errors.
  • Other duties as assigned
Minimum Qualifications:
  • Bachelor’s Degree in health care management, nursing or related field or an Associate Degree with relevant experience in CDI, coding, coding management, or HCC Risk Adjustment required.
  • Minimum of 4 years of HCC coding experience with 2 years specifically focused on coding quality assurance, auditing, or compliance monitoring.
  • Active professional credentials from AAPC and/or AHIMA required (such as CRC, CCS, CPC, or CPMA).
  • Deep mastery of ICD-10-CM coding, CMS Risk Adjustment guidelines, RADV audit rules, and clinical documentation requirements.
Preferred KSA's:
  • CRC (Certified Risk Adjustment Coder)
  • Experience working within Value-Based Care (VBC) models, ACOs, or Advantage plans.
  • Prior experience managing small teams or leading vendor oversight programs.
  • Exceptional leadership, communication, and organizational skills.
  • Proficiency with EHR systems and encoder software
Who We Are:
Aledade PBC, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.
 
What Does This Mean for You?
At Aledade PBC, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.
 
In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:
 
Flexible work schedules and the ability to work remotely are available for many roles
Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners
Robust time-off plan (21 days of PTO in your first year)
Two paid volunteer days and 11 paid holidays
12 weeks paid parental leave for all new parents
Six weeks paid sabbatical after six years of service
Educational Assistant Program and Clinical Employee Reimbursement Program
401(k) with up to 4% match
Stock options
And much more!
 
At Aledade PBC, we don’t just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.
 
 

We may use automated tools, including artificial intelligence (AI), to help organize and evaluate application materials. These tools support our recruiters and hiring managers by helping manage large applicant pools. Human judgment plays an essential role in our hiring process, including in the oversight and use of any automated tools. If you would like more information about our screening and hiring process, please contact us.Our Commitment to Authenticity. We use Endorsed, a fraud detection tool, to validate the authenticity of applications and protect against identity fraud. This ensures we are connecting with real people and allows us to prioritize genuine candidates.When you apply to a job on this site, the personal data contained in your application will be collected by Aledade PBC using Lever, a cloud services provider located in the United States. Lever is engaged by Aledade PBC to help manage its recruitment and hiring processes. For more information about how your personal data will be processed by Aledade PBC and any rights you may have, please review Aledade PBC’s Candidate Privacy Notice. By applying for this job, you agree to Aledade's Applicant Privacy Policy available at https://www.aledade.com/privacy-policy-applicantsIf you have any questions about our privacy practices, please contact privacy@aledade.com.