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Remote Risk Adjustment Coder Jobs in South Carolina

TEKsystems

Epic Healthy Planet Analyst

Charleston, SC · Remote

$80 - $90/hr

Knowledge of HEDIS, CMS quality measures, and risk-adjustment programs. * Experience in large ... remote position. Application Deadline This position is anticipated to close on Aug 21, 2026. About ...

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Corvel

Account Executive II

Columbia, SC · Remote

$70K - $116K/yr

This is a remote role. Candidate must live in the North Carolina or South Carolina Territory ... The level may impact the salary range and these adjustments would be clarified during the offer ...

micro1 AI

Pharmacovigilance Expert

Charleston, SC · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... risk assessment methodology. * Hands-on experience with MedDRA coding, seriousness and causality ...

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Remote Risk Adjustment Coder information

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

As of Aug 20, 2026, the average hourly pay for remote risk adjustment coder in South Carolina is $25.51, according to ZipRecruiter salary data. Most workers in this role earn between $17.64 and $32.12 per hour, depending on experience, location, and employer.

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 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 key skills and qualifications needed to thrive as a remote risk adjustment coder?

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 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 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.

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What are the most commonly searched types of Risk Adjustment Coder jobs in South Carolina?

The most popular types of Risk Adjustment Coder jobs in South Carolina are:

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The top searched job categories for Remote Risk Adjustment Coder jobs in South Carolina are:

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Remote Risk Adjustment Coder jobs near you
Infographic showing various Remote Risk Adjustment Coder job openings in South Carolina as of August 2026, with employment types broken down into 97% Full Time, and 3% Contract. Highlights an 100% Remote job distribution, with an average salary of $53,062 per year, or $25.5 per hour.

Professional Medical Coder II

Lexington Medical Center

West Columbia, SC • Remote

$17.25 - $23.25/hr

Full-time

Medical, Dental, Life, Retirement

Re-posted 18 days ago

Lexington Medical Center rating

6.9

Company rating: 6.9 out of 10

Based on 104 frontline employees who took The Breakroom Quiz

550th of 1,060 rated hospitals

Job description

LH Careers - Coding
Full Time 
Day Shift 
8:00am - 5:00pm


Sign-On Bonus: $5,000 

**Remote Position - MUST reside in South Carolina**

Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcare and was first in the state to achieve Magnet with Distinction status for excellence in nursing care. Consistently ranked as best in the Columbia Metro area by U.S. News & World Report, Lexington Health delivers more than 4,000 babies each year, performs more than 34,000 surgeries annually and is the region's third largest employer.

Lexington Health also includes an accredited Cancer Center of Excellence, the state's first HeartCARE Center, the largest skilled nursing facility in the Carolinas, and an Alzheimer's care center. Its postgraduate medical education programs include family medicine and transitional year residencies, as well as an informatics fellowship.

Job Summary

Assigns appropriate ICD and CPT codes for reimbursement and statistical purposes. Follows ICD, CPT, CMS, and other regulatory coding guidelines. Abstracts clinical information from medical records for complete and accurate statistical documentation.

Minimum Qualifications

Minimum Education: High School Diploma or Equivalent
Minimum Years of Experience: 3 Years of Professional Coding Experience Covering Multiple Clinical and/or Surgical Specialties (Combination of Surgical, E/M, or other coding experience as approved by Director), which they Successfully Met Quality and Productivity Standards
Substitutable Education & Experience (Optional): None.
Required Certifications/Licensure: Active AAPC or AHIMA Coding Credential
Required Training: Experience working with CPT, ICD diagnosis coding;
Experience with CCI edits;
Experience with Medicare LCDs and NCDs;
Understanding of state and federal regulations as well as payor billing requirements;
Must be computer literate and have experience with Microsoft applications (i.e., Word, Excel, Outlook);
Experience with electronic health records software;
E/M Documentation Guideline (1995/1997/2021) experience.

Essential Functions
  • Reviews and interprets medical documentation to accurately assign ICD and CPT codes for facility or professional reimbursement and statistical purposes.
  • Abstracts information into computer for reimbursement and statistical purposes.
  • Researches and stays current with trends in healthcare coding and compliance.
  • Keeps department manager up to date with any coding or documentation issues.
  • Must work independently and collaboratively to support the achievement of department People, Quality, Finance, and Service goals as well as organizational goals.
Duties & Responsibilities
  • Works as a team with physicians, coding staff and other hospital personnel to ensure proper and accurate code assignment and continuous quality improvement.
  • Responsible for assisting with coding claim edits and reviewing claim denials for correction.
  • Reports to work in a timely manner and adheres to attendance policies. Conscientious of scheduling time off in advance so as not to interfere dramatically with coding turnaround times.
  • Performs all Other duties as assigned.

We are committed to offering quality, cost-effective benefits choices for our employees and their families:

  • Day ONE medical, dental and life insurance benefits 
  • Health care and dependent care flexible spending accounts (FSAs)
  • Employees are eligible for enrollment into the 403(b) match plan day one.  LHI matches dollar for dollar up to 6%.
  • Employer paid life insurance - equal to 1x salary
  • Employee may elect supplemental life insurance with low cost premiums up to 3x salary 
  • Adoption assistance
  • LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment
  • Tuition reimbursement
  • Student loan forgiveness

Equal Opportunity Employer
It is the policy of Lexington Health to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. Lexington Health strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. Lexington Health endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee's desires and abilities and the hospital's needs.

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