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Remote Risk Adjustment Coder Jobs in Bell Buckle, TN

Vertek Staffing

HCC Risk Adjustment Coder

Franklin, TN · Remote

$18 - $24/hr

HCC / Risk Adjustment Coder - Remote Risk Adjustment / HCC Coding Experience Required Required Education * High School Diploma required with submission Required Certifications Online certification ...

Humana

Medical Coder

Fayetteville, TN · On-site +1

$16.75 - $22.25/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

Humana

Medical Coder

Brentwood, TN · On-site +1

$17.75 - $23.75/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

Humana

Medical Coder

Smyrna, TN · On-site +1

$17.50 - $23.25/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

Humana

Medical Coder

Smyrna, TN · On-site +1

$17.50 - $23.25/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

Humana

Medical Coder

Woodbury, TN · On-site +1

$15.50 - $20.75/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

Humana

Medical Coder

Woodbury, TN · On-site +1

$15.50 - $20.75/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

Humana

Medical Coder

Shelbyville, TN · On-site +1

$16 - $21.25/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

Humana

Medical Coder

Columbia, TN · On-site +1

$17 - $22.75/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

Humana

Medical Coder

Murfreesboro, TN · On-site +1

$16.50 - $22/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

Humana

Medical Coder

Tullahoma, TN · On-site +1

$16.25 - $21.50/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

Humana

Medical Coder

Manchester, TN · On-site +1

$16 - $21.50/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

Humana

Medical Coder

Manchester, TN · On-site +1

$16 - $21.50/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

Humana

Medical Coder

Fayetteville, TN · On-site +1

$16.75 - $22.25/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

Humana

Medical Coder

Shelbyville, TN · On-site +1

$16 - $21.25/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

Humana

Medical Coder

Tullahoma, TN · On-site +1

$16.25 - $21.50/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

Humana

Medical Coder

Brentwood, TN · On-site +1

$17.75 - $23.75/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

Humana

Medical Coder

Murfreesboro, TN · On-site +1

$16.50 - $22/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

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All JobsRemote Risk Adjustment Coder JobsRemote Risk Adjustment Coder Jobs in Bell Buckle, TN

Remote Risk Adjustment Coder information

See Bell Buckle, TN salary details

$13

$23

$37

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

As of Jun 28, 2026, the average hourly pay for remote risk adjustment coder in Bell Buckle, TN is $23.69, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $29.86 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 Bell Buckle, TN? For Remote Risk Adjustment Coder jobs in Bell Buckle, TN, the most frequently searched job titles are:
What cities near Bell Buckle, TN are hiring for Remote Risk Adjustment Coder jobs? Cities near Bell Buckle, TN 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 Bell Buckle, TN as of June 2026, with employment types broken down into 87% Full Time, 11% Part Time, and 2% Contract. Highlights an 38% Physical, 3% Hybrid, and 59% Remote job distribution, with an average salary of $49,283 per year, or $23.7 per hour.
HCC Risk Adjustment Coder

HCC Risk Adjustment Coder

Vertek Staffing

Franklin, TN • Remote

$18 - $24/hr

Contractor

Posted 4 days ago

Job description

HCC / Risk Adjustment Coder - Remote

Risk Adjustment / HCC Coding Experience Required

Required Education
  • High School Diploma required with submission
Required Certifications

Online certification verification required with submission.

Candidates must possess one of the following certifications:

  • Certified Professional Coder (CPC) - AAPC
  • Certified Risk Adjustment Coder (CRC) - AAPC
  • Certified Coding Specialist (CCS) - AHIMA
  • Registered Health Information Technician (RHIT) - AHIMA
  • Registered Health Information Administrator (RHIA) - AHIMA

CRC Certification is highly preferred.

Schedule
  • Monday - Friday
  • Occasional weekend coverage may be required based on client needs
Position Summary

The HCC / Risk Adjustment Coder is responsible for reviewing medical records and clinical documentation to accurately identify, validate, and code chronic and acute conditions impacting patient risk scores and reimbursement.

The coder will ensure accurate assignment of ICD-10-CM diagnosis codes in accordance with CMS Risk Adjustment guidelines, Official ICD-10-CM Coding Guidelines, and client-specific requirements. This role supports Risk Adjustment initiatives through retrospective chart reviews, prospective reviews, coding validation, provider education support, and quality assurance activities.

The HCC Coder will collaborate with providers, CDI professionals, quality teams, population health departments, and coding leadership to ensure complete and accurate capture of chronic conditions and disease burden.

Key Responsibilities
  • Review medical records to identify and code HCC-eligible diagnoses.
  • Assign ICD-10-CM diagnosis codes in accordance with CMS and Risk Adjustment guidelines.
  • Validate chronic conditions and ensure documentation supports code assignment.
  • Perform retrospective and prospective chart reviews.
  • Identify missed HCC opportunities and documentation gaps.
  • Assist with coding validation and quality assurance audits.
  • Support provider education initiatives regarding Risk Adjustment documentation requirements.
  • Maintain productivity and quality standards established by the client.
  • Participate in internal and external audit activities.
  • Stay current on CMS Risk Adjustment regulations, coding updates, and industry best practices.
  • Assist leadership with special projects and additional duties as assigned.
Required Experience
  • Risk Adjustment / HCC coding experience required
  • Strong understanding of ICD-10-CM coding guidelines
  • Experience reviewing outpatient and provider documentation
  • Knowledge of CMS-HCC Risk Adjustment methodologies
  • Experience validating chronic conditions and disease burden
  • Strong attention to detail and coding accuracy
Preferred Experience
  • CRC certification
  • Experience with Medicare Advantage populations
  • Experience with value-based care programs
  • Experience performing coding audits and quality reviews
  • Experience with Epic, Cerner, Athena, eClinicalWorks, NextGen, or other EMR systems
  • Experience educating providers on Risk Adjustment documentation
 
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About Vertek Solutions

Sourced by ZipRecruiter

Vertek Solutions is a boutique staffing firm that specializes in recruiting top level IT talent who can enhance our clients’ teams. Our team works every day to foster relationships with both our consultants and clients to understand their needs and ensure that we are providing a solution that is mutually beneficial.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Franklin, TN, US

Year founded

2006

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