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Remote Risk Adjustment Coder Jobs in Texas (NOW HIRING)

U.S. Renal Care

VBC Risk Adjustment Scheduler

Plano, TX · Remote

$15.50 - $18.50/hr

The ideal candidate will have excellent communication skills, a strong attention to detail, and the ability to work independently in a remote environment. Essential Duties and Responsibilities ...

Oscar Health

Senior Actuarial Analyst

Dallas, TX · Remote

$91K - $120K/yr

This role will own the maintenance and review of actuarial models used to develop risk adjustment ... This is a remote position, open to candidates who reside in: Dallas, TX. You will be fully remote ...

Oscar Health

Senior Actuarial Analyst

Dallas, TX · Remote

$91K - $120K/yr

This role will own the maintenance and review of actuarial models used to develop risk adjustment ... This is a remote position, open to candidates who reside in: Dallas, TX. You will be fully remote ...

Datavant

Payer Coding Ops Hourly

Dallas, TX · Remote

$25 - $26.70/hr

... coder you will review medical records to identify and code diagnoses using a standardized system ... for risk adjustment and reimbursement purposes. You will play a critical role in translating ...

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

As of Jun 21, 2026, the average hourly pay for remote risk adjustment coder in Texas is $25.61, according to ZipRecruiter salary data. Most workers in this role earn between $17.69 and $32.26 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 Texas? The most popular types of Risk Adjustment Coder jobs in Texas are:
What are popular job titles related to Remote Risk Adjustment Coder jobs in Texas? For Remote Risk Adjustment Coder jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coder jobs in Texas look for? The top searched job categories for Remote Risk Adjustment Coder jobs in Texas are:
What cities in Texas are hiring for Remote Risk Adjustment Coder jobs? Cities in Texas 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 Texas as of June 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $53,274 per year, or $25.6 per hour.

Provider Relations - Market Performance Lead

Astrana Health

Houston, TX • Remote

Full-time

Posted 7 days ago

Job description

We are currently seeking a highly motivated Provider Relations Market Performance Lead in the Beaumont area who will serves as a strategic, field-based partner to physician practices, supporting improvements in clinical quality, risk adjustment, operational efficiency, and financial performance. This role works directly with primary care and specialty practices to analyze performance, identify root causes of gaps, and lead practice transformation efforts through provider education, workflow redesign, and data-driven interventions. While clinical licensure is not required, the role demands a strong working knowledge of clinical workflows, quality measures, and managed care operations to effectively engage providers and drive sustainable improvement. 
  • Provider Relationship & Performance Management 
    • Serve as the primary business and operational liaison for approximately 50-60 assigned primary care and specialty physician practices, representing the organization in matters requiring professional judgment. 
    • Establish and maintain strong, ongoing advisory relationships with physicians, clinicians, and practice staff through routine on-site and remote engagement.
    • Conduct regular provider visits to assess performance, identify barriers, and support improvement initiatives.
    • Document provider interactions, action plans, follow-ups, and outcomes to support continuous improvement and executive decision making
  • Clinical Quality, Risk, and Performance Improvement 
    • Analyze, interpret, and present provider performance reports including HEDIS, risk adjustment, pay-for-performance, medical cost ratio (MCR), and other value-based performance metrics.
    • Provide subject-matter guidance and education to providers on clinical quality measures, documentation standards, risk adjustment, coding accuracy, and gap closure strategies. 
    • Coach providers on managing patients with multiple chronic conditions and appropriate inpatient utilization.
    • Identify trends, variances, and root causes of underperformance and develop targeted, data-driven improvement plans. 
  • Practice Operations & Transformation 
    • Lead and influence workflow design and redesign initiatives, including EHR optimization, clinical documentation improvement, and care team workflow efficiency. 
    • Provide billing, claims, and encounter resolution support and partner with practices to improve submission accuracy and timeliness. 
    • Determine and implement corrective actions to address financial, operational, and quality performance gaps. 
    • Oversee provider onboarding, orientation, and ongoing education to ensure compliance with state, federal, and organizational standards, applying professional judgment in interpretation and execution. 
  • Cross-Functional Collaboration 
    • Act as a key partner with internal teams including Quality Improvement, Risk Adjustment, Operations, and Provider Services to resolve provider issues and improve outcomes. 
    • Lead or contribute to cross-functional and regional initiatives impacting provider, market, and organizational performance. 
    • Communicate complex performance expectations and improvement strategies clearly to executive leadership, internal stakeholders, and physician groups. 
  • Retention, Growth & Reporting 
    • Develop and drive improvement strategies for provider retention, engagement, and growth strategies within the assigned territory. 
    • Identify opportunities for operational improvement, market growth, and practice optimization. 
    • Maintain accurate and timely reporting of provider activity, performance trends, and improvement outcomes to inform leadership decisions. 
    • Perform other duties assigned by leadership in support of organizational objectives.
  • Bachelor's degree in Healthcare, Nursing, Public Health, Health Administration, Business, or a related field or equivalent combination of education and progressively responsible healthcare experience. 
  • Master's degree (MHA, MPH, or related) preferred.  
  • 5+ years of experience in provider relations, practice performance management, managed care operations, healthcare operations, quality improvement, risk adjustment, or related healthcare roles. 
  • Demonstrated experience working directly with physician practices to improve quality, risk, and operational performance.
  • Strong background in managed care and value-based care environments. 
  • Experience with billing, claims, encounters, and practice workflow improvement strongly preferred. 
  • License/Certifications (if applicable): Clinical or coding credentials such as RN, LVN, LPN, CPC, or CCS preferred but not required. 
  • Professional certifications such as CPHQ, MHA, MPH, PMP, or Lean/Six Sigma preferred. 
  • Strong understanding of provider practice operations, managed care, and value-based care models. 
  • Knowledge of clinical quality measures including HEDIS, risk adjustment, and performance-based reimbursement. 
  • Ability to analyze complex performance data and translate findings into actionable improvement strategies. 
  • High credibility in clinical and operational conversations with physicians and practice leadership. 
  • Excellent written, verbal, and presentation communication skills. 
  • Strong relationship-building, coaching, and problem-solving abilities. 
  • Proficiency with Microsoft Office (Excel, Word, PowerPoint, Outlook). 
  • Experience with EHRs, practice management systems, and provider performance dashboards. 
  • This is a field-based role in the Beaumont area requiring frequent travel (up to 80-90%) within the assigned territory to provider practices and offices. Work is performed in physician offices, clinical settings, and professional office environments. 
  • The role combines in-person practice engagement with remote work and requires reliable transportation, the ability to sit, stand, walk, and use standard office and computer equipment.
  • The national target pay range for this role is: $80,000 - $90,000. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided based on qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation. 
Additional Information: The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change. 

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