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Remote Risk Adjustment Coder Jobs in Florida (NOW HIRING)

Oscar Health

Auditor, Risk Adjustment

Miami, FL · Remote

$82K - $108K/yr

Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas.

Lee Health

Coder II - ProFee Surgery

Cape Coral, FL · Remote

$20.50 - $27.85/hr

Remote - FL Department: Coding Work Type: Full Time Shift: Shift 1/8:00:00 AM to 4:30:00 PM Minimum ... Risk Adjustment Coder) required -or- CIC (Certified Inpatient Coder) required -or- RHIT (Registered ...

Lee Health

Coder II - ProFee Surgery

Cape Coral, FL · On-site +1

$20.50 - $27.85/hr

Remote - FL Department: Coding Work Type: Full Time Shift: Shift 1/8:00:00 AM to 4:30:00 PM Minimum ... Risk Adjustment Coder) required -or- CIC (Certified Inpatient Coder) required -or- RHIT (Registered ...

Lee Health

HCC Coding Educator

Fort Myers, FL · On-site +1

$27.57 - $35.84/hr

Shift 1/ to Minimum to Midpoint Pay Rate: $27.57 - $35.84 / hour Summary The HCC Coding Educator is responsible for improving the accuracy, completeness, and compliance of risk-adjustment ...

Lee Health

HCC Coding Educator

Fort Myers, FL · Remote

$27.57 - $35.84/hr

Shift 1/ to Minimum to Midpoint Pay Rate: $27.57 - $35.84 / hour Summary The HCC Coding Educator is responsible for improving the accuracy, completeness, and compliance of risk-adjustment ...

Nemours Children's Health

Inpatient Coder

Orlando, FL · Remote

$19 - $23/hr

This position is remote. Applicants must reside in one of the following states: Alabama, Colorado ... risk adjustment factors (RAF). * Demonstrates an excellent working knowledge of hospital ...

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

As of Jun 8, 2026, the average hourly pay for remote risk adjustment coder in Florida is $20.54, according to ZipRecruiter salary data. Most workers in this role earn between $14.18 and $25.87 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Remote Risk Adjustment Coder, and why are they important?

To thrive as a Remote Risk Adjustment Coder, you need a solid understanding of ICD-10-CM coding, medical terminology, and risk adjustment models, often supported by a coding certification such as CPC, CRC, or CCS. Proficiency with electronic health record (EHR) systems, coding software, and data management tools is essential. Attention to detail, strong analytical skills, and effective communication are crucial soft skills for accurate code assignment and collaboration with healthcare teams. These skills ensure compliance, maximize reimbursement, and support quality healthcare outcomes in a remote environment.

What is a Remote Risk Adjustment Coder?

A Remote Risk Adjustment Coder is a healthcare professional who reviews patient medical records and assigns diagnostic codes from a remote location, typically from home. Their primary goal is to ensure accurate coding for risk adjustment purposes, which helps health plans predict patient healthcare costs and receive appropriate funding. These coders work with electronic health records and must be knowledgeable about coding standards like ICD-10-CM. They play a key role in supporting compliance and maximizing revenue for healthcare organizations. Attention to detail, confidentiality, and proficiency with coding software are essential skills for this remote position.

What is the difference between Remote Risk Adjustment Coder vs Remote Medical Coder?

AspectRemote Risk Adjustment CoderRemote Medical Coder
CertificationsAHIMA or AAPC Risk Adjustment certificationsAAPC CPC, CCS, or RHIT certifications
Work EnvironmentHealthcare insurance, payer organizations, risk adjustment teamsHospitals, clinics, physician offices, insurance companies
Industry UsagePrimarily in health insurance and risk adjustment programsBroad healthcare settings including hospitals and outpatient clinics

Remote Risk Adjustment Coders focus on analyzing patient data for insurance risk models, requiring specific risk adjustment certifications. Remote Medical Coders handle a wider range of medical records coding across various healthcare settings. While both roles involve medical coding, their industries, certifications, and primary tasks differ significantly.

What are the common challenges faced by Remote Risk Adjustment Coders and how can they be managed?

Remote Risk Adjustment Coders often encounter challenges such as interpreting complex medical records, ensuring coding accuracy under tight deadlines, and staying updated with evolving coding guidelines. Managing these challenges typically involves strong attention to detail, proactive communication with team members, and participating in ongoing training sessions or webinars. Utilizing supportive resources and adhering to standardized coding protocols can help coders maintain accuracy and efficiency in a remote setting.

What Does a Remote Risk Adjustment Coder Do?

As a remote risk adjustment coder, your duties and responsibilities involve performing medical coding and reviewing medical codes for adherence to risk adjustment models. Employers may also expect you to audit medical record data to ensure accuracy. In this role, you work from home to apply codes and make assessments according to regulations and your employer’s operational policies. You also report the results of an audit to the relevant supervisor or coding service provider. It’s your job to ensure compliance with rules related to patient privacy and electronic medical record keeping.

More about Remote Risk Adjustment Coder jobs
What are the most commonly searched types of Risk Adjustment Coder jobs in Florida? The most popular types of Risk Adjustment Coder jobs in Florida are:
What are popular job titles related to Remote Risk Adjustment Coder jobs in Florida? For Remote Risk Adjustment Coder jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coder jobs in Florida look for? The top searched job categories for Remote Risk Adjustment Coder jobs in Florida are:
What cities in Florida are hiring for Remote Risk Adjustment Coder jobs? Cities in Florida with the most Remote Risk Adjustment Coder job openings:
Remote Risk Adjustment Coder jobs near you
Infographic showing various Remote Risk Adjustment Coder job openings in Florida as of May 2026, with employment types broken down into 62% Full Time, 13% Part Time, and 25% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $42,732 per year, or $20.5 per hour.

Certified Medical Coder - Risk Adjustment (HCC)

Porter Cares, Inc.

Pompano Beach, FL • Remote

$50K - $54K/yr

Full-time

Posted 29 days ago

Job description

Porter is hiring a Risk Adjustment Coder to join our Team!
 
Porter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. We deliver understanding, compassion, information, and peace of mind for your members. Driven by robust AI analytics, Porter's Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member's specific needs, and directs Porter's team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience. 
 
Position Overview
We are seeking a certified coder with expertise in risk adjustment coding and a specialization in in-home health assessments. The ideal candidate will have a strong understanding of CMS risk adjustment and quality initiatives, exceptional attention to coding quality, and experience managing the provider query process. This role also requires the ability to handle multiple clients, each with unique coding requirements, while ensuring accuracy and compliance. Proficiency in utilizing coding clinics for provider education and feedback is essential. This role will be instrumental in ensuring the accuracy of coding and improving the efficiency of our assessment workflows. A key expectation is that the Risk Adjustment Coder will maintain 98% coding accuracy.
 
Schedule: Monday - Friday (some weekends and overtime)
Start: 8am-8:30am ET
On-site: Pompano Beach, FL
*This is not a lead or manager position
 
Key Responsibilities
Assign accurate ICD-10, CPT, and CPT II codes based on documentation from in-home assessments, ensuring  compliance with CMS risk adjustment and quality guidelines.
Manage the provider query process to clarify documentation and ensure the completeness and accuracy of patient diagnoses, particularly related to chronic conditions.
Handle multiple clients with varying coding requirements, maintaining high standards of accuracy and adapting to specific client guidelines.
Utilize coding clinics and other reference materials to provide providers with targeted feedback and education on improving documentation and coding accuracy.
Maintain a minimum of 98% coding accuracy to meet performance expectations and ensure compliance.
Stay current with coding standards, risk adjustment methodologies, and CMS regulatory changes to ensure ongoing compliance and optimal coding practices.
Collaborate with clinical teams to review documentation and provide insights on areas for improvement in coding and documentation.
Support coding education initiatives by creating and delivering training materials to providers, particularly focused on improving documentation practices.
Maintain confidentiality and ensure full compliance with HIPAA regulations.
 
 
$50,000 - $54,000 a year
This is not a leadership or senior position.
Qualifications
- Certification Required - CPC or CSS
- Minimum 5 years of experience in risk adjustment coding, with specific experience in in-home assessments.
- Expertise in managing provider queries and improving provider documentation through coding feedback.
- Proficiency in using coding clinics and reference tools for accurate coding and provider education.
- Strong knowledge of CMS risk adjustment and quality initiatives, including Hierarchical Condition Categories (HCCs).
- Experience with electronic medical records (EMR) and coding tools.
- Excellent communication skills, with the ability to collaborate with providers and clinical teams to drive coding improvements.
- Strong attention to detail, prioritizing coding quality and compliance.
 
Preferred Qualifications
Experience in coding audits and providing actionable feedback to providers.
Knowledge of healthcare reimbursement models and regulations impacting risk adjustment coding.
Prior experience in telehealth or in-home care settings.
 
Benefits
Competitive wage and benefits package.
Opportunities for professional growth and continuing education.
A supportive, collaborative work environment.
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
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