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Remote Risk Adjustment Coder Jobs in Utah (NOW HIRING)

AAPC

Professional Coder

Salt Lake City, UT · Remote

$18.25 - $24.25/hr

This remote position requires a candidate with at least 5 years of coding experience for physician practices across surgical specialties and E/M. The role demands resourcefulness, organization, and ...

AAPC

Professional Coder

Salt Lake City, UT · Remote

$18.25 - $24.25/hr

This remote position requires a candidate with at least 5 years of coding experience for physician practices across surgical specialties and E/M. The role demands resourcefulness, organization, and ...

APR

Commercial Lines Account Manager | Remote

UT · Remote

$70K - $85K/yr

... adjustments and coverage options. You will work closely with agency producers and carrier ... Proven ability to consult on risk management and provide expert advice to management. * Strong ...

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Remote Risk Adjustment Coder information

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$14

$25

$39

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

As of Aug 19, 2026, the average hourly pay for remote risk adjustment coder in Utah is $25.03, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $31.49 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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Remote Risk Adjustment Coder jobs near you
Infographic showing various Remote Risk Adjustment Coder job openings in Utah as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 16% Part Time, and 2% Contract. Highlights an 87% Physical, 5% Hybrid, and 8% Remote job distribution, with an average salary of $52,057 per year, or $25 per hour.

Quality Assurance Risk Adjustment Auditor I/II

Cambia Health Solutions

Salt Lake City, UT • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 22 days ago

Cambia Health Solutions rating

8.4

Company rating: 8.4 out of 10

Based on 32 frontline employees who took The Breakroom Quiz

120th of 310 rated insurance

Job description

Risk Adjustment Auditor I or II

Hybrid role(3days/weekin office)atourPortland, Medford, Boise, Lewiston or Salt Lake Cityoffices. Candidates must reside within commutable distance of that location.

Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.

Who We Are Looking For:

Every day, Cambia's dedicated team of Risk Adjustment Auditor is living our mission to make health care easier and lives better. As a member of the Risk Adjustment team, our The Risk Adjustment Auditor performs Retrospective/Prospective chart review utilizing various types of records to ensure accurate risk adjustment reporting. Responsible for assisting in second level reviews of all new HCCs identified through the first pass chart review process. Identifies trends in provider coding/documentation and vendor risk adjustment reporting and makes those trends known to leadership as well as coding team manager and training lead to develop intervention strategies - all in service of creating a person-focused health care experience.

Do you thrive as part of a collaborative, caring team? Then this role may be the perfect fit.

What You Bring to Cambia:

Qualifications:

Risk Adjustment Auditor I would have an Associate degree in Healthcare or related field and one year of experience in clinical coding or auditing or equivalent combination of education and experience. Risk Adjustment, HCC or Inpatient coding experience required.

Risk Adjustment Auditor II would have an Associate degree in Healthcare or related field and three years of experience in clinical coding or auditing or equivalent combination of education and experience. Risk Adjustment, HCC or Inpatient coding experience required.

Required Licenses, Certifications, Registration, Etc.

CPC and CRC coding certification required

Skills and Attributes:

Demonstrated ability to perform accurate and complete chart reviews for risk adjustment.

Demonstrated ability to perform quality audits of internal and vendor coding.

Knowledge of and adherence to Official ICD-9-CM/ICD-10 Coding Guidelines.

Demonstrated analytical ability to identify problems, develop solutions, and implement actions in a timely manner.

Demonstrated ability to identify and communicate trends in provider and vendor coding and documentation.

Demonstrated proficient PC skills and familiarity with corporate software, such as Word, Excel and Outlook.

Effective verbal and written communication skills.

Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired

Additional Skills and Attributes for Risk Adj Auditor II

Knowledge of health systems operations, including an understanding of reimbursement methodologies and coding conventions for governmental and commercial products.

Advanced knowledge and understanding of risk adjustment, coding and documentation requirements.

Demonstrated ability to provide proactive and creative solutions to business problems.

What You Will Do at Cambia:

Performs Retrospective and Prospective chart reviews to ensure accurate risk adjustment reporting.

Performs quality reviews of vendor coding in support of the risk adjustment process

Verifies and ensures the accuracy, completeness, specificity and appropriateness of provider-reported diagnosis codes based on medical record documentation.

Reviews medical record information to identify complete and accurate diagnosis code capture based on CMS HCC and HHS HCC categories.

Identifies trends in provider and vendor coding and documentation and partners with coding team manager and training lead to develop intervention strategies.

Supports and actively participates in process and quality improvement initiatives.

Maintains knowledge of relevant regulatory mandates and ensures activities are in compliance with requirements.

Consistently meets departmental performance and attendance requirements.

Additional Duties for Risk Adj Auditor II

Serves as a mentor to Risk Adjustment Auditor I staff.

Assists with special projects such as risk mitigation reviews.

Serves as subject matter resource regarding the risk adjustment process and diagnosis coding for risk adjustment.

Monitors and interprets regulatory changes that may impact administration of the Risk Adjustment Program. Assists with implementation activities as a result of regulatory changes to the Program.

Work Environment

Work primarily performed in office or remote environment.

Travel may be required, locally or out of state.

May be required to work overtime.

May be required to work outside normal hours.

Risk Adjustment Auditor I:

Oregon, Utah, and Idaho:The expected hiring range is$57,800.00 - $78,200.00, the full salary range is54,000.00 - $89,000.00and the bonus target is5%.

Risk Adjustment Auditor II:

Oregon, Utah, and Idaho:The expected hiring range is$69,700.00 - $94,300.00, the full salary range is$65,000.00 - $107,000.00and the bonus target is10%.

About Cambia


Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.


Why Join the Cambia Team?


At Cambia, you can:

  • Work alongside diverse teams building cutting-edge solutions to transform health care.
  • Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
  • Grow your career with a company committed to helping you succeed.
  • Give back to your community by participating in Cambia-supported outreach programs.
  • Connect with colleagues who share similar interests and backgrounds through our employee resource groups.

We believe a career at Cambia is more than just a paycheck - and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.


In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:


  • Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
  • Annual employer contribution to a health savings account.
  • Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
  • Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
  • Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
  • Award-winning wellness programs that reward you for participation.
  • Employee Assistance Fund for those in need.
  • Commute and parking benefits.

Learn more about our benefits.


We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.


As part of our security requirements, new hires will need access to a personal mobile device to set up Multi-Factor Authentication (MFA) upon joining the company. MFA is an important layer of protection for accessing Cambia systems and is required for all employees.

We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.

If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.

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