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Remote Medicare Risk Adjustment Jobs (NOW HIRING)

AAPC

PACE Risk Adjustment Coder

Salt Lake City, UT · On-site +1

This is a remote contract position. Job Duties: * Code medical records to validate ICD-10-CM codes for PACE Risk Adjustment * Meet department production and quality standards * Research regulatory ...

AAPC

PACE Risk Adjustment Coder

Salt Lake City, UT · Remote

This is a remote contract position. Job Duties: * Code medical records to validate ICD-10-CM codes for PACE Risk Adjustment * Meet department production and quality standards * Research regulatory ...

Guidehouse

Remote Risk Adjustment Medical Coder

$44K - $74K/yr

The Remote Risk Adjustment Coder must be proficient in ICD10CM Risk Adjustment coding as well as Evaluation & Management & Annual Wellness Visit Coding. Will review clinical documentation and ...

Humana

Medical Coder

South Hill, VA · On-site +1

$18 - $24/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

Humana

Medical Coder

Colonial Beach, VA · On-site +1

$19 - $25.25/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

Humana

Medical Coder

Chase City, VA · On-site +1

$18 - $24/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

Humana

Medical Coder

Gatesville, NC · On-site +1

$17 - $22.75/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

Humana

Medical Coder

Springfield, VA · On-site +1

$19.50 - $26/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

Humana

Medical Coder

Huntersville, NC · On-site +1

$17.50 - $23.50/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

Humana

Medical Coder

Powhatan, VA · On-site +1

$17.50 - $23.25/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

Humana

Medical Coder

Jonesville, VA · On-site +1

$19 - $25.25/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

Humana

Medical Coder

Lenoir City, TN · On-site +1

$16.75 - $22.25/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

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Remote Medicare Risk Adjustment information

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

As of Jun 25, 2026, the average hourly pay for remote medicare risk adjustment in the United States is $21.50, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $22.84 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.

More about Remote Medicare Risk Adjustment jobs
What cities are hiring for Remote Medicare Risk Adjustment jobs? Cities with the most Remote Medicare Risk Adjustment job openings:
What are the most commonly searched types of Medicare Risk Adjustment jobs? The most popular types of Medicare Risk Adjustment jobs are:
What states have the most Remote Medicare Risk Adjustment jobs? States with the most job openings for Remote Medicare Risk Adjustment jobs include:
What job categories do people searching Remote Medicare Risk Adjustment jobs look for? The top searched job categories for Remote Medicare Risk Adjustment jobs are:
Remote Medicare Risk Adjustment jobs near you
Infographic showing various Remote Medicare Risk Adjustment job openings in the United States as of June 2026, with employment types broken down into 1% Internship, 2% As Needed, 42% Full Time, 45% Part Time, and 10% Contract. Highlights an 37% Physical, 3% Hybrid, and 60% Remote job distribution, with an average salary of $44,724 per year, or $21.5 per hour.
Certified Coder (Risk Adjustment Experience Required) - REMOTE

Certified Coder (Risk Adjustment Experience Required) - REMOTE

Molina Healthcare

Gilbert, AZ • 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 192 frontline employees who took The Breakroom Quiz

144th of 261 rated insurance

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

Pay Range: $19.84 - $38.69 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

What Molina Healthcare employees say

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Hours and flexibility

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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

Social media

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