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Remote Risk Adjustment Coder Jobs in Virginia (NOW HIRING)

Riverside Health System

Coder RMG

Newport News, VA · On-site +1

$23 - $29.90/hr

... remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC ... Assigns diagnostic and procedure codes to simple record types up to highly complex record types.

Riverside

Coder RMG

Newport, VA · Remote

$23 - $29.90/hr

... remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC ... Assigns diagnostic and procedure codes to simple record types up to highly complex record types.

Riverside

Certified Coder RMG

Newport, VA · Remote

$23 - $29.90/hr

... remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC ... Assigns diagnostic and procedure codes to simple record types up to highly complex record types.

Maximus

Risk, Quality and Performance Analyst

VA · On-site +1

Maximus TCS (Technology and Consulting Services) Internal Job Profile Code: TCS015, P3, Band 6 Job ... remote Minimum Requirements TCS015, P3, Band 6 #TSTECH EEO Statement Maximus is an equal ...

Sentara Healthcare

Benefits Coding Analyst

Richmond, VA · On-site +1

This position is remote however, candidates must be able to commute to our Richmond location. The Benefits Coding Analyst - Certified Professional Coder maintains the integrity of the plan benefits ...

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Remote Risk Adjustment Coder information

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$15

$27

$43

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

As of Aug 20, 2026, the average hourly pay for remote risk adjustment coder in Virginia is $27.26, according to ZipRecruiter salary data. Most workers in this role earn between $18.85 and $34.33 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 Virginia 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 $56,691 per year, or $27.3 per hour.

Coder RMG

Riverside Health System

Newport News, VA • On-site, Remote

$23 - $29.90/hr

Full-time

Re-posted 15 days ago

Job description

Newport News, Virginia
Hiring Range
$23.00 - $29.90/HourlyActual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs.
FOR APPLICATION REVIEW - PROVIDE YOUR AAPC CERTIFICATION NUMBER ON YOUR APPLICATION OR RESUME
This position is remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC, OK, SC, SD, TN, VA.
Overview
Ensures high quality documentation that is thorough, accurate and complete to ensure correct reimbursement capture. Assigns diagnostic and procedure codes to simple record types up to highly complex record types. Contributes to the proper management of health information through consistent and accurate code assignment processes adhering to all regulatory coding principles, rules and regulations.
What you will do
  • Organizes and prioritizes assigned work to ensure that work is completed within the assigned time frame. Reviews charts and entire medical records, assigning ICD and CPT code combinations to each data element. Audits for documentation opportunities and queries clinical staff to fill in any gaps to clarify confusing, incomplete or conflicting information and obtain any needed additional documentation. Contacts and works with physicians as needed for clarification of details to ensure correct coding.
  • Accurately utilizes the ICD-10-CM classification system and CPT classification system in assigning diagnostic, procedural and complication codes to all claims while meeting billing requirements of various payers. Coding accuracy must be maintained at 90% or better.
  • Meets productivity per standards set by nationally recognized organization and specialty specific levels.
  • Complies with standardized coding standards, conventions and regulations, corporate compliance standards, and reimbursement policies. Participates in specialty specific coding training.
  • Maintains positive provider (physician, physician assistant, and nurse practitioner) relationships as observed from provider comments, informal observation of problem-solving with providers and feedback from Administration. Works closely with VP/ Medical Director of RMG. Assists patient financial services with questions on coding and billing edits. Mentors and assists in training of other coders within the department. Participates in the development of coding policies and procedures as identified. Coordinates/mentors the work of designated coding employees to ensure quality and quantity of work performed through regular audits.

Qualifications
Education
  • High School Diploma or GED, Minimum (Required)

Experience
  • 1 year ICD1 Coding (Medical Practice) (Preferred)

Licenses and Certifications
  • Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) Upon Hire (Required) or
  • Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC) Upon Hire (Required)

To learn more about being a team member with Riverside Health System visit us at https://www.riversideonline.com/careers.

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