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Remote Risk Adjustment Coder Jobs in South Carolina

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

Clinical Pharmacy Technicians

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 ...

micro1 AI

Clinical Pharmacy Technicians

Columbia, 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 ...

micro1 AI

Pharmacovigilance Expert

Columbia, 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 ...

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 ...

micro1 AI

Pharmacovigilance Expert

North 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 ...

Naval Medical Command

INDUSTRIAL HYGIENIST

Charleston, SC · On-site +1

$40K - $116K/yr

You will assess work practices to identify the population at risk and to detect violations of ... S. Code of Federal Regulations, DoD and DoN directives). * You will present oral briefs, if ...

World Wide Technology

$130K - $135K/yr

The ability to balance security principles with business realities as part of a risk-managed ... LI-MP1 LI-REMOTE

World Wide Technology

$130K - $135K/yr

The ability to balance security principles with business realities as part of a risk-managed ... LI-MP1 LI-REMOTE

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All JobsRisk Adjustment Coder JobsRemote Risk Adjustment Coder JobsRemote Risk Adjustment Coder Jobs in South Carolina

Remote Risk Adjustment Coder information

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

As of Aug 8, 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 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 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 South Carolina? The most popular types of Risk Adjustment Coder jobs in South Carolina are:
What are popular job titles related to Remote Risk Adjustment Coder jobs in South Carolina? For Remote Risk Adjustment Coder jobs in South Carolina, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coder jobs in South Carolina look for? The top searched job categories for Remote Risk Adjustment Coder jobs in South Carolina are:
What cities in South Carolina are hiring for Remote Risk Adjustment Coder jobs? Cities in South Carolina 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 South Carolina as of August 2026, with employment types broken down into 96% Full Time, and 4% Contract. Highlights an 100% Remote job distribution, with an average salary of $53,062 per year, or $25.5 per hour.

Clinical Analyst & Coding Specialist - Contract - Columbia, SC

SUNSHINE ENTERPRISE USA LLC

Columbia, SC • Remote

Contractor

Posted 17 days ago

Job description

Clinical Analyst & Coding Specialist Location: Columbia, SC Hybrid (80% remote, onsite for required trainings and meetings). Interview Process: 1 round, Virtual/Online Duration: 12 Months Employment Type: Contract Experience Required: 10+ Years Candidate location: Candidate MUST be a SC resident. No relocation allowed.

Project Scope: Seeking an experienced Business Analyst (Clinical Analyst & Coding Specialist) to support ongoing Medicaid operations and healthcare system initiatives. The consultant will serve as a Subject Matter Expert (SME) for medical coding, Medicaid policy, and business analysis while collaborating with business and technical teams to support coding updates, policy implementation, and business process improvements. Key Responsibilities: Coordinate annual and quarterly ICD-10, CPT, and HCPCS code updates.

Review and analyze coding changes to determine business and operational impacts. Prepare code change documentation for stakeholder review. Collaborate with business users, stakeholders, and technical teams to implement coding and policy updates.

Participate in meetings related to healthcare systems modernization initiatives. Serve as a Subject Matter Expert (SME) for medical coding methodologies and Medicaid-related processes. Research business rules, requirements, and workflows to develop recommendations.

Maintain business rules, process documentation, and requirements repositories. Support process documentation, knowledge transfer, and training activities. Review medical records against established criteria to determine medical necessity when required.

Assist with additional healthcare and project-related initiatives. Required Skills & Experience: 10+ years of experience in healthcare insurance, medical review, program integrity, or appeals. 5+ years working with IT developers/programmers in a payer environment.

5+ years of medical coding experience in a payer environment. 3+ years of clinical experience in a healthcare environment. Strong knowledge of ICD-10, CPT, and HCPCS coding methodologies.

Strong knowledge of anatomy, physiology, pharmacology, and medical terminology. Experience gathering business requirements and documenting business processes. Excellent analytical, communication, and stakeholder management skills.

Preferred Skills: Experience with healthcare policy remediation. Claims processing systems experience. Microsoft Office Suite proficiency.

Experience with Optum Encoder or other medical coding software. Medicaid and healthcare payer systems experience. Experience supporting healthcare system modernization initiatives.

Education Bachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN). Certification: Active, unrestricted Registered Nurse (RN) license. Current CPC (Certified Professional Coder) or CCS (Certified Coding Specialist) certification.

ICD-10 proficiency certification or ability to obtain certification within one year.

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