ZipRecruiter

Log In

2

Remote Risk Adjustment Coder Jobs in Florida (NOW HIRING)

BayCare Health System

Specialty Coder II (REMOTE)

Tampa, FL · On-site +1

$17.75 - $23.50/hr

Monday through Friday This Specialty Coder II opportunity is a full-time remote position. This team member must reside in the state of Florida, George, North Carolina, or South Carolina. Sign on ...

Baptist Health Care

Coder I- Remote/CPC

Pensacola, FL · On-site +1

$20 - $26.50/hr

The Coder is responsible for ensuring that claims reflect accurate diagnosis as ordered by the health care provider. This position validates that the coding methodology correctly reflects how the ...

Baptist Health Care

Coder I- Remote/CPC

Pensacola, FL · Remote

$20 - $26.50/hr

The Coder is responsible for ensuring that claims reflect accurate diagnosis as ordered by the health care provider. This position validates that the coding methodology correctly reflects how the ...

Baptist Health Care

Coder I- Remote/CPC

Pensacola, FL · Remote

$21.50 - $28.50/hr

The Coder is responsible for ensuring that claims reflect accurate diagnosis as ordered by the health care provider. This position validates that the coding methodology correctly reflects how the ...

Baptist Health Care

Coder I- Remote/CPC

Pensacola, FL · Remote

$21.50 - $28.50/hr

The Coder is responsible for ensuring that claims reflect accurate diagnosis as ordered by the health care provider. This position validates that the coding methodology correctly reflects how the ...

next page

Showing results 1-20

People also search for

All JobsRemote Risk Adjustment Coder JobsRemote Risk Adjustment Coder Jobs in Florida

Remote Risk Adjustment Coder information

See Florida salary details

$11

$20

$32

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.
Risk & Quality Performance Manager (Remote)

Risk & Quality Performance Manager (Remote)

Molina Healthcare

Jacksonville, FL • Remote

$66K - $129K/yr

Full-time

Posted 25 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 192 frontline employees who took The Breakroom Quiz

145th of 260 rated insurance

Job description

Job Description


Job Summary

The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position collaborates with various departments and stakeholders within Molina to plan, coordinate, and manage resources and execute performance improvement initiatives in alignment with RQS's strategic objectives.

Job Duties

 Collaborate with Health Plan Risk and Quality leaders to improve outcomes by managing Risk/Quality data collection strategy, analytics, and reporting, including but not limited to: Risk/Quality rate trending and forecasting; provider Risk/Quality measure performance, CAHPS and survey analytics, health equity and SDOH, and engaging external vendors. 
 Monitor projects from inception through successful delivery.
 Oversee Risk/Quality data ingestion activities and strategies to optimize completeness and accuracy of EHR/HIE and supplemental data.
 Meet customer expectations and requirements, establish, and maintain effective relationships and gain their trust and respect.
 Draw actionable conclusions, and make decisions as needed while collaborating with other teams.
 Ensure compliance with all regulatory audit guidelines by adhering to roadmap of deliverables and timelines and implementing solutions to maximize national HEDIS audit success.
 Partner with other teams to ensure data quality through sequential transformations and identify opportunities to close quality and risk care gaps.
 Proactively communicate risks and issues to stakeholders and leadership.
 Create, review, and approve program documentation, including plans, reports, and records.
 Ensure documentation is updated and accessible to relevant parties.
 Proactively communicate regular status reports to stakeholders, highlighting progress, risks, and issues.

Job Qualifications

REQUIRED EDUCATION:

Bachelor's degree or equivalent combination of education and experience

REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:

2+ years of program and/or project management experience in risk adjustment and/or quality
 2+ years of experience supporting HEDIS engine activity, risk adjustment targeting and reporting systems
 2+ years of data analysis experience utilizing technical skillsets and resources to answer nuanced Risk and Quality questions posed from internal and external partners
 Familiarity with running queries in Microsoft Azure or SQL server
 Healthcare experience and functional risk adjustment and/or quality knowledge
 Mastery of Microsoft Office Suite including Excel and Project
 Experience partnering with various levels of leadership across complex organizations
 Strong quantitative aptitude and problem solving skills
 Intellectual agility and ability to simplify and clearly communicate complex concepts
 Excellent verbal, written and presentation capabilities
 Energetic and collaborative

PREFERRED EDUCATION:

Graduate degree or equivalent combination of education and experience

PREFERRED EXPERIENCE:

 Knowledge of, and familiarity with, NCQA, CMS, and State regulatory submission requirements
 Experience working in a cross-functional, highly matrixed organization
 SQL proficiency
 Knowledge of healthcare claim elements: CPT, CPTII, LOINC, SNOMED, HCPS, NDC, CVX, NPIs, TINs, etc.
PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:

PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification, and/or comparable coursework desired

#PJCorp

#LI-AC1

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $66,456 - $129,590 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Employment Type: Full Time

What Molina Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Molina Healthcare logo

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

FacebookTwitter

View All Molina Healthcare Jobs

Apply