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Remote Risk Adjustment Coder Jobs in Utah (NOW HIRING)

Zanskar

Senior Machine Learning Scientist

Salt Lake City, UT · On-site +1

$88K - $121K/yr

Salt Lake City, UT, Hybrid (3 days in office, 2 days can be remote) Benefits Eligible: Yes Manager ... Decision-minded: you care about end-to-end outcomes (value, risk, time-to-decision), not just model ...

Zanskar

Senior Machine Learning Scientist

Salt Lake City, UT · On-site +1

$88K - $121K/yr

Salt Lake City, UT, Hybrid (3 days in office, 2 days can be remote) Benefits Eligible: Yes Manager ... Decision-minded: you care about end-to-end outcomes (value, risk, time-to-decision), not just model ...

ENFRA LLC

Energy Engineer PE II

Salt Lake City, UT · On-site +1

Develop energy consumption baselines and adjustments through regression analysis and other ... Remote Monitoring * Collect and evaluate energy, weather, and building automation data on some ...

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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 Jun 18, 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 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 popular job titles related to Remote Risk Adjustment Coder jobs in Utah? For Remote Risk Adjustment Coder jobs in Utah, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coder jobs in Utah look for? The top searched job categories for Remote Risk Adjustment Coder jobs in Utah are:
What cities in Utah are hiring for Remote Risk Adjustment Coder jobs? Cities in Utah 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 Utah as of June 2026, with employment types broken down into 82% Full Time, and 18% Contract. Highlights an 100% Remote job distribution, with an average salary of $52,057 per year, or $25 per hour.
Healthcare Revenue Cycle Management

Healthcare Revenue Cycle Management

University of Utah

Salt Lake City, UT • Remote

Full-time

Medical, Retirement, PTO

Posted 16 days ago

University Of Utah rating

7.2

Company rating: 7.2 out of 10

Based on 157 frontline employees who took The Breakroom Quiz

334th of 537 rated colleges and universities

Job description

Details
Open Date 06/02/2026 Requisition Number PRN45238B Job Title Healthcare Revenue Cycle Management Working Title Director, Medical Coding Operations Career Progression Track M00 Track Level M6 - Director FLSA Code Administrative Patient Sensitive Job Code? No Standard Hours per Week 40 Full Time or Part Time? Full Time Shift Day Work Schedule Summary
UMB Office Hours; M-F 8:00am to 5:00pm Mountain Time
VP Area U of U Health - Academics Department 00209 - Univ Medical Billing - Oper Location Other City Other Type of Recruitment External Posting Pay Rate Range $140,000 to $175,000 per year Close Date 08/02/2026 Priority Review Date (Note - Posting may close at any time) 06/16/2026 Job Summary
University Medical Billing (UMB) is a fully remote department that is viewed as the premier billing office for the University of Utah School of Medicine, serving over 1,800 providers and 30 different specialties across Utah and surrounding states. We strive to be a great place to work while providing the best service to our customers. Our leaders and employees value collaboration, innovation, and accountability, and believe a successful candidate will exemplify these attributes too.
Job Summary
We are looking for an experienced Medical Coding Operations Director to join our leadership team. As the Medical Coding Operations Director, you will be responsible for directing the revenue cycle operations for an organization that provides healthcare patient services. Working with senior leadership to develop revenue cycle strategies that maximize process efficiency and reimbursement. Leading process improvement across the functional teams that contribute to the revenue cycle, such as claims, billing, and payment posting. Monitoring the effectiveness of activities contributing to the revenue cycle to identifying and reducing missed revenue opportunities. Remaining knowledgeable of insurance policy and governmental regulations affecting billing practices to ensure organizational compliance.
First-level director. Assists executives and/or senior directors in defining organizational goals and strategic plans. Extensive business knowledge with comprehensive understanding of the organization and functional area.
Employment is contingent on the successful completion of a background check and the adherence to departmental policies, including UMB's Telecommuting Agreement which requires a distraction-free and HIPAA compliant workplace, cameras on for all virtual calls/meetings, and the ability to work during office hours or assigned shift (M-F, approximately 8am to 5pm Mountain Time) regardless of what time zone you live in. Additionally, new hires are required to provide their own monitors (two) and reliable internet service.

Compensation & Benefits
The starting salary for this position is $140,000 to $175,000 per year, depending on experience. Members of UMB are eligible for a bonus based on department performance. All team members are eligible for the University's comprehensive benefit package that includes 90% employer-paid medical insurance, a generous 14.2% retirement contribution, reduced tuition, PTO and holiday pay, and more!
Responsibilities
Essential Functions
  1. Direct Strategy
    • This role is critical to advancing organizational financial stewardship and compliance by ensuring coding excellence, operational efficiency, and continuous innovation across the revenue cycle.
      • Operational leadership and Strategy
        • Lead and oversee medical coding operations, ensuring accuracy, compliance, and efficiency.
        • Develop and execute coding strategies aligned with organizational and revenue objectives.
        • Partner with revenue cycle, clinical, and compliance leadership to ensure alignment and integration.
      • Coding Integrity & Compliance
        • Establish and maintain coding policies and procedures in accordance with regulatory and industry standards.
        • Ensure compliance with ICD-10-CM, CPT, and HCPCS level II coding guidelines. Monitor regulatory updates and proactively adjust coding practices as required.
        • Lead coding integrity initiatives to maintain high standards of compliance and documentation accuracy.
      • Revenue optimization & performance improvement
        • Improve revenue cycle outcomes through accurate and compliant coding practices.
        • Identify and address the root causes of coding-related denials and revenue leakage.
        • Implement strategies to improve first-pass resolution rates and reduce rework.
        • Collaborate and partner with clinical and billing teams to enhance documentation accuracy and coding alignment.
        • Process improvement and technology integration strategies: identify opportunities to improve coding processes, implement innovative practices, and integrate technology solutions to enhance workflow and documentation accuracy.
      • Audit, Quality & Risk Management
        • Develop and maintain a structured audit and review program to assess coding accuracy and compliance.
        • Establish routine audit cadence (e.g., monthly and quarterly reviews).
        • Analyze audit results, identify trends, and implement corrective and preventive actions. Develop strategies to address current concerns and avoid future errors.
          • If risk is identified or determined, work collaboratively with quality and compliance.
        • Mitigate compliance risk through proactive monitoring and education.
      • Performance Management & Reporting
        • Define and monitor key performance indicators (KPIs) for coding operations, including accuracy, productivity, turnaround time, and denial rates.
        • Develop and deliver regular performance reports and insights to leadership.
        • Create quarterly strategic dashboards summarizing performance, financial impact, compliance trends, and operational initiatives.
        • Use data to drive accountability and continuous improvement.
      • Financial Management
        • Manage coding operations budget, including salary and wage expenses.
        • Forecast staffing and operational costs based on volume and strategic priorities.
        • Oversee budgeting for training, professional development, travel, technology, and special projects.
        • Ensure cost-effective operations while maintaining high quality and compliance standards.
  2. Represent UMB
    • Value transparency & stakeholder engagement
      • Develop structured processes and reporting to clearly articulate the value of professional coding services.
      • Communicate coding performance, risks, and opportunities to executive leadership and key stakeholders.
      • Partner across functions to support enterprise initiatives and performance goals.
    • Partner with revenue cycle, clinical, and compliance leadership to ensure alignment and integrity.
      • Cross- Functional collaborate to ensure effective coordination and communication of coding processes and changes.
      • Establish regular cadence of check-ins with external partners to audit and revise strategies and processes to ensure accuracy of work.
    • Stay informed and collaborate on coding at the national, state-wide, and society levels (e.g.; AAPC. EPIC Core). Ensure UMB is proactive with related best practices.
    • Partner with revenue cycle, billing, and compliance teams to align coding with charge capture, claim edits, and payer requirements.
      • Build relationships to ensure cohesive collaboration and execution of coding changes
    • Oversee and/or direct special interdisciplinary projects impacting the department's overall operation and strategic direction, including developing strategies consistent with the University's continuous quality improvement program.
    • Ensure customer and patient satisfaction through process efficiency and quality service.
  3. Lead Culture - Ensure Organization Satisfaction
    • Workforce Planning & Organizational Leadership
      • Design and maintain an effective organizational structure to meet business needs.
      • Lead staffing strategy, including recruitment, retention, and development of coding professionals. Manage and mentor the team, fostering a culture of excellence, collaboration, and professional development. Set clear performance expectations and provide regular feedback and support.
      • Manage onshore and offshore team models to optimize performance and cost efficiency.
      • Foster a high-performance culture focused on quality, accountability, and continuous improvement.
    • Guide the team through organizational changes and process improvements, ensuring a smooth transition and maintaining high levels of productivity and morale. Participate in defining policies that increase organizational effectiveness.
  4. Other duties as assigned.
This job description is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to the job.
Minimum Qualifications
EQUIVALENCY STATEMENT: 1 year of higher education can be substituted for 1 year of directly related work experience (Example: bachelor's degree = 4 years of directly related work experience).

Director, Healthcare Revenue Cycle: Requires a bachelor's (or equivalency) + 12 years or a master's (or equivalency) + 10 years of directly related work experience.

Preferences
An especially qualified candidate will also possess the following:
  • Master's degree in health information management, healthcare administration, or work-related equivalent preferred.
  • 10 years' experience in a leadership role with progressively challenging experiences.
  • AAPC or AHIMA certification required.
  • Required 12 years' experience in coding, clinical or billing, with advanced proficiency in documentation related to regulatory reimbursement rules, regulations, reimbursement systems (federal, state and payer specific), and health insurance processing.
  • Proficiency in software applications (EPIC, iCentra, etc.)

Applicants must demonstrate the potential ability to perform the essential functions of the job as outlined in the position description.
Disclaimer
This job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to the job
Type Benefited Staff Special Instructions Summary
While UMB is a remote department and this role will be performed remotely, interested applicants should note the following:
  • This role is expected to work during UMB office hours which are Monday through Friday, 8am to 5pm Mountain Time.
  • The University of Utah is committed to providing jobs to individuals located in Utah, and sees remote roles like this as an opportunity to provide amazing employment opportunities to those living in remote areas of the state. As such, Utah-based applicants may be prioritized in the screening process.
  • At this time, the University of Utah is unable to employ individuals living in California, Colorado, New York, Oregon, or Washington.
Additional Information
The University is a participating employer with Utah Retirement Systems ("URS"). Eligible new hires with prior URS service, may elect to enroll in URS if they make the election before they become eligible for retirement (usually the first day of work). Contact Human Resources at (801) 581-7447 for information. Individuals who previously retired and are receiving monthly retirement benefits from URS are subject to URS' post-retirement rules and restrictions. Please contact Utah Retirement Systems at (801) 366-7770 or (800) 695-4877 or University Human Resource Management at (801) 581-7447 if you have questions regarding the post-retirement rules.
This position may require the successful completion of a criminal background check and/or drug screen.
The University of Utah values candidates who have experience working in settings with students and possess a strong commitment to improving access to higher education.
Veterans' preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities.
...

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About University of Utah

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The University of Utah is the state’s flagship institution of higher education, with 18 schools and colleges, more than 100 undergraduate majors and graduate programs, and an enrollment of more than 38,000 students. It is a member of the Association of American Universities—an invitation-only, prestigious group of 71 leading research institutions. The U is advancing a new national model for higher education that delivers societal impact through education, research, health care, and community service, while making social, economic, and cultural contributions that improve lives across Utah and around the world.

Industry

Colleges, universities, and professional schools

Company size

10,000+ Employees

Headquarters location

Salt Lake City, UT, US

Year founded

1850

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