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Remote Risk Adjustment Coder Jobs in Utah (NOW HIRING)

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Application Security Engineer

Salt Lake City, UT · On-site +1

$56.75 - $76/hr

Conduct threat modeling, code reviews, and vulnerability assessments for web, cloud, and OT ... Strong background conducting security assessments, risk analyses, and security testing for ...

Avetta, LLC

Billing Specialist

Lehi, UT · Remote

$23.50 - $24.50/hr

Those outside of commutable distance may be considered on a remote basis. SUMMARY Avetta is ... Process, review and issue a high volume of invoices and credit adjustments ensuring accuracy ...

BambooHR

Principal Software Architect

Draper, UT · Remote

This is a remote position available in the state listed on this job. Additionally, employment with ... Although writing code is part of this role, it goes beyond just that. You will have many additional ...

Mission Lane

Compliance Manager

Salt Lake City, UT · On-site +1

$129K - $140K/yr

... risk areas * Solid working knowledge of FCRA/Reg V, FDCPA/Reg F, ECOA/Reg B, UDAAP, SCRA, and Bankruptcy Code automatic stay provisions * Demonstrated ability to synthesize complex regulatory ...

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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 Jul 8, 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 July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $52,057 per year, or $25 per hour.
Information Systems Auditors

Information Systems Auditors

University of Utah

Salt Lake City, UT • Remote

Full-time

Medical, Retirement, PTO

Re-posted 3 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

338th of 546 rated colleges and universities

Job description

Details
Open Date 06/05/2026 Requisition Number PRN45273B Job Title Information Systems Auditors Working Title EPIC Quality Auditor Career Progression Track P00 Track Level P3 - Career, P2 - Developing FLSA Code Computer Employee 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 $75,000 to $85,000 per year Close Date 08/02/2026 Priority Review Date (Note - Posting may close at any time) 06/19/2026 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 EPIC Quality Auditor to join our team. As the EPIC Quality Auditor, you will be responsible for examining and analyzing information systems operations to identify opportunities for improvement and assess risks. Participating in audit planning and execution. Evaluating policies and procedures to ensure appropriate internal controls surrounding information systems are maintained. Developing strategies and provide recommendations on strengthening controls, mitigating risk, and implementing corrective actions. Documenting and reporting audit findings to management. May require Certified Information Systems Auditor (CISA) designation. May assist with financial and operational audits and ensure compliance with existing regulations as they relate to information systems.
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 $75,000 to $85,000 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. Review, analyze, and validate professional fee billing accuracy within Epic Resolute PB, including charge entry, charge routing, claim edits, denials, and related billing workflows, to identify opportunities for improvement and assess risk.
  2. Participate in audit planning and execution by performing audits of system automations, system updates, new business workflows, charge capture processes, coding workflows, and claims to confirm they are functioning as intended and meeting coding, billing, payer, data policy, and government regulatory requirements.
  3. Evaluate policies, procedures, workflows, and system processes to ensure appropriate internal controls are maintained and audit activities support compliance with coding, billing, payer requirements, data policies, and government regulations.
  4. Conduct 30-, 60-, and 90-day post-finalization reviews of implemented system or workflow changes to validate intended outcomes, identify gaps, assess risk, and confirm sustained performance.
  5. Audit team-completed operational tasks, such as charge reconciliation and charge capture review, against approved procedures to confirm accuracy, completeness, appropriate controls, and expected billing outcomes.
  6. Analyze claims, charge data, denials, payment trends, coding patterns, and report details to identify revenue loss, coding errors, workflow failures, system issues, control gaps, or opportunities for improvement.
  7. Document and report audit findings to management and stakeholders, including recommendations to strengthen controls, mitigate risk, support corrective actions, and improve coding, billing, and system workflow performance.
  8. 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).

Department may hire employee at one of the following job levels:

Information Systems Auditor, II: Requires a bachelor's (or equivalency) + 4 years or a master's (or equivalency) + 2 years of directly related work experience.

Information Systems Auditor, III: Requires a bachelor's (or equivalency) + 6 years or a master's (or equivalency) + 4 years of directly related work experience.
Preferences
An especially qualified candidate will also possess the following:

  • Foundational knowledge of healthcare delivery and billing processes.
  • Experience working in EPIC implementation or system support, claims data, spreadsheets, and reporting tools.
  • Minimum 2 years of coding experience in multiple specialties, AHIMA or AAPC Certification required.
  • Strong knowledge of CPT, HCPCS, ICD-10-CM, modifiers, medical necessity, payer policy requirements, and professional billing workflows.
  • Experience auditing claims, charges, coding, documentation, denials, edits, or billing system processes.
  • Proficiency with electronic health records and billing systems, claims data, spreadsheets, and reporting tools.
  • Ability to interpret regulatory guidance, payer policies, coding guidelines, and operational procedures.
  • Experience working effectively in a remote environment

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.
Consistent with state and federal law, the University of Utah does not discriminate based upon race, ethnicity, color, religion, national origin, age, disability, sex, sexual orientation, gender, gender identity, gender expression, pregnancy, pregnancy-related conditions, genetic information, or protected veteran's status. The University does not discriminate on the basis of sex in the education program or activity that it operates, as required by Title IX and 34 CFR part 106. The requirement not to discriminate in education programs or activities extends to admission and employment. Inquiries about the application of Title IX and its regulations may be referred to the Title IX Coordinator, to the Department of Education, Office for Civil Rights, or both.
To request a reasonable accommodation for a disability or if you or someone you know has experienced discrimination or sexual misconduct including sexual harassment, you may contact the Director/Title IX Coordinator in the Office of Equal Opportunity and Title IX (OEO). More information, including the Director/Title IX Coordinator's office address, electronic mail address, and telephone number can be located at the: University of Utah NonDiscrimination page.
Online reports may be submitted at https://oeo.utah.edu

https://publicsafety.utah.edu/safetyreport/ This report includes statistics about criminal offenses, hate crimes, arrests and referrals for disciplinary action, and Violence Against Women Act offenses. They also provide information about safety and security-related services offered by the University of Utah. A paper copy can be obtained by request at the Department of Public Safety located at 1658 East 500 South.
As per University of Utah policy 5-108: Transfer of Benefits Eligible Staff Members, a new hire to the University of Utah who is still serving a 12 month probationary period will not be hired into another University of Utah job (a transfer) until the successful completion of the probationary period.

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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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