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Remote Risk Adjustment Coder Jobs in Louisiana (NOW HIRING)

Complete HCC risk adjustment documentation * Close HEDIS care gaps during patient visits * Document ... Fully remote - no commute or travel * Consistent visit flow and structured workflows Schedule ...

Utilizes appropriate coding guidelines to assign ICD and CPT codes and conforms to applicable ... The risk level of exposure may increase depending on the essential job duties of the role. Are you ...

New

Physician Coder: Oncology Surgery

Mandeville, LA · On-site +1

$14.25 - $19/hr

Position Location: 100% Remote This is a full-time, remote position that offers a flexible schedule. Description: Physician Coder: Oncology Surgery is responsible for reviewing and accurately coding ...

Lead Inpatient DRG Coder - Remote

New Orleans, LA · On-site +1

$20.75 - $25.25/hr

Codes complex outpatient or inpatient utilizing encoder software, Computers Assisted Coding (CAC), and reference, in the assignment of ICD-10-CM/PCS, CPT/HCPCS codes, MS-DRG, APR-DRG, POA, SOI, ROM ...

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Remote Risk Adjustment Coder information

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$13

$23

$37

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

As of Jul 4, 2026, the average hourly pay for remote risk adjustment coder in Louisiana is $23.51, according to ZipRecruiter salary data. Most workers in this role earn between $16.25 and $29.62 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.

What are the most commonly searched types of Risk Adjustment Coder jobs in Louisiana? The most popular types of Risk Adjustment Coder jobs in Louisiana are:
What are popular job titles related to Remote Risk Adjustment Coder jobs in Louisiana? For Remote Risk Adjustment Coder jobs in Louisiana, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coder jobs in Louisiana look for? The top searched job categories for Remote Risk Adjustment Coder jobs in Louisiana are:
What cities in Louisiana are hiring for Remote Risk Adjustment Coder jobs? Cities in Louisiana with the most Remote Risk Adjustment Coder job openings:
Infographic showing various Remote Risk Adjustment Coder job openings in Louisiana as of June 2026, with employment types broken down into 94% Full Time, and 6% Part Time. Highlights an 100% Remote job distribution, with an average salary of $48,898 per year, or $23.5 per hour.
CDI, Quality & Risk Manager

CDI, Quality & Risk Manager

St. Tammany Health System

Covington, LA • On-site, Remote

Full-time

Posted 13 days ago


St. Tammany Health System rating

5.9

Company rating: 5.9 out of 10

Based on 23 frontline employees who took The Breakroom Quiz


Job description

At St. Tammany Health System, delivering world-class healthcare close to home is our goal. That means we are committed to attracting and retaining the very best professionals for every position in our health system.
We believe the pristine beauty of St. Tammany Parish adds to our attractive compensation package. The health system is nestled in the heart of Covington on the north shore of Lake Pontchartrain. It is a peaceful, scenic, community-oriented area with an abundance of amenities to suit every taste.
JOB DESCRIPTION AND POSITION REQUIREMENTS
Scheduled Weekly Hours: 40
JOB SUMMARY:
The Clinical Documentation Integrity, Quality, and Risk Adjustment Manager (CDQR) provides strategic and operational leadership for clinical documentation programs that ensure accurate, complete, and compliant medical record documentation. This role supports quality reporting, severity of illness and risk of mortality (SOI/ROM), value-based reimbursement, and risk-adjusted outcomes through strong oversight of CDI/CDE operations, auditing, education, and performance improvement.
Oversees CDI/CDE staff, conducts and validates documentation audits, and ensures compliance with regulatory and risk-based reimbursement requirements. Using audit findings, second-level reviews, and performance metrics, the role identifies documentation gaps and trends, drives continuous improvement initiatives, and maintains alignment with evolving regulatory standards. In close partnership with Health Information Management (HIM), coding, quality, and physician leadership, this position promotes consistent productivity, operational efficiency, and documentation excellence across the organization.
Collaborates closely with physicians, advanced practice providers, residents, coding teams, and CDI/CDE advisors to enhance documentation quality and specificity. The role also leads risk adjustment initiatives to ensure documentation accurately reflects patient complexity and care provided, supports reimbursement and quality outcomes, and meets payer requirements. Additionally, the manager develops and delivers targeted education on documentation best practices, coding and reimbursement implications, and quality performance concepts, while serving as a key liaison across documentation, coding, quality, and compliance functions.
MINIMUM QUALIFICATIONS:
  • Graduate of an accredited School of Nursing
  • 5 years of clinical experience in an acute or ambulatory care setting
  • 3-5 years of leading/managing a clinical documentation team
  • Current State Registered Nurse License
  • Excellent written, verbal, and interpersonal communication skills, with the ability to build professional relationships and effectively collaborate with physicians, nursing staff, administration, and interdisciplinary teams.
  • Demonstrated leadership and team-building abilities, including experience supporting and engaging both remote or hybrid teams, with an initiative-taking approach to problem solving and continuous improvement.
  • Strong analytical and critical-thinking skills, with the ability to interpret clinical documentation excellence (CDE/CDI) metrics, identify trends, and develop actionable recommendations.
  • In-depth knowledge of clinical documentation requirements, ICD-10-CM coding guidelines, and risk-adjustment methodologies, including familiarity with Medicare, Medicaid, and other risk-based reimbursement programs.
  • Ability to maintain current knowledge of regulatory requirements, industry trends, and emerging risk-adjustment and documentation programs, and to adapt processes accordingly.
  • Experience managing departmental operations, including productivity monitoring, audits, staff performance evaluation, and quality assurance activities.
  • Demonstrated financial acumen, including experience working within a budget and interpreting financial and operational data to support decision-making.
  • Strong organizational, planning, and time-management skills, with the ability to work independently, set priorities, and manage multiple initiatives with minimal supervision.
  • Exhibits exemplary professionalism and discretion, with the ability to maintain confidentiality and manage sensitive information appropriately.
  • Availability to be on-site for required meetings and organizational need.
  • Proficiency with Microsoft Office applications (Word, Excel, PowerPoint) and experience using clinical documentation and coding tools, including 3M software and encoder systems.
  • Demonstrated broad clinical knowledge and understanding of complex disease processes, with experience supporting documentation improvement in inpatient/outpatient settings.
  • Ability to work independently with minimum supervision, set priorities, meet deadlines, multi-task, and problem solving. Collaborate and promote teamwork using strong interpersonal skills

Preferred Qualifications:
  • Bachelor of Science degree in Nursing
  • Experience with Medicare risk adjustment, Hierarchical Condition Categories, coding, billing, quality measures and auditing
  • RN with Current Certified Clinical Documentation Specialist (CCDS) through Association for Clinical Document Improvement Specialists (ACDIS)
  • Vizient Risk-Adjustment methodology knowledge and experience

PHYSICAL DEMANDS:
Must possess good physical health. Some requirements include but are not limited to standing, sitting or walking for long periods of time. Lifting at least 20 pounds is required. Must be able to work with a moderate level of noise.
Physical Effort required:
Constant (67%-100%) - seeing
Frequently (34%-66%) - handling/feeling, talking, hearing
Occasionally (1%-33%) - lifting, carrying, pushing/pulling, balancing, stooping, crouching, reaching
EMPLOYMENT
Each St. Tammany Health System staff member is expected to conduct himself or herself according to our mission, vision and values. Please take time to review those expectations, which can be found by clicking here, before applying for employment. If you feel you are unable to demonstrate those characteristics, we respectfully request that you do not proceed with the application process.
EQUAL OPPORTUNITY EMPLOYER
St. Tammany Health System is an Equal Opportunity Employer. St. Tammany Health System is committed to equal employment opportunity for all employees and applicants without regard to race, color, religion, sex, age, national origin or ancestry, citizenship, sexual orientation, gender identity, veteran status, disability status, genetic information or any other protected characteristic under applicable law.

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