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Remote Risk Adjustment Coder Jobs in Bowie, MD (NOW HIRING)

RELI Group

Medical Coder

Baltimore, MD · On-site +1

$45K - $60K/yr

We are seeking a detail-oriented and experienced Medical Coder to support Risk Adjustment and Medicare Part C audits by accurately coding inpatient, outpatient, and physician office medical records.

RELI Group Inc.

Senior Medical Coder

Baltimore, MD · On-site +1

$60K - $80K/yr

We are seeking an experienced and detail-oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong ...

RELI Group

Senior Medical Coder

Baltimore, MD · On-site +1

$60K - $80K/yr

We are seeking an experienced and detail-oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong ...

VENESCO, LLC

Medical Coder

Falls Church, VA · On-site +1

$20 - $26.75/hr

Remote/Hybrid Job Type: Full-Time Position Overview: Venesco is seeking a detail-oriented Medical Coder to support clinical trials through accurate coding and reconciliation of medical data.

Hire Talent

Certified Medical Coder

Mclean, VA · Remote

$23 - $31.50/hr

Remote Additional Informations: This job is for new sourcing The purpose of this position is to ... Key Responsibilities/ Accountabilities: • Review medical record documentation and accurately code ...

iMedX, Inc.

Inpatient Facility Coder

Edgewater, MD · On-site +1

$21 - $25.25/hr

This is a remote (work-from-home) position. Purpose: The Medical Coding Specialist abstracts clinical information from health records and assigns accurate and complete codes in accordance with ...

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

As of May 30, 2026, the average hourly pay for remote risk adjustment coder in Bowie, MD is $26.54, according to ZipRecruiter salary data. Most workers in this role earn between $18.32 and $33.41 per hour, depending on experience, location, and employer.

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, 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 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 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.

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Remote Risk Adjustment Coder jobs near you
Medical Coder

Medical Coder

RELI Group

Baltimore, MD • On-site, Remote

$45K - $60K/yr

Full-time

Posted 5 days ago

Job description

At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact-whether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs.
We are seeking a detail-oriented and experienced Medical Coder to support Risk Adjustment and Medicare Part C audits by accurately coding inpatient, outpatient, and physician office medical records. The ideal candidate has a strong understanding of ICD-9-CM/ICD-10-CM coding guidelines and consistently demonstrates high accuracy and productivity.
Responsibilities:
  • Perform diagnosis coding of inpatient, outpatient, and physician office medical records per Risk Adjustment/Medicare Part C guidelines.
  • Perform intake validity checks on each medical record submitted to ensure the submitted medical record documentation is from an acceptable physician specialty type, relevant dates of service for the specific Part C audit, include an acceptable physician/practitioner signature, and review submitted Attestation, is submitted. Record all process information in system in accordance with contract and organizational guidelines and processes.
  • Review feedback from Senior Coders to improve accuracy and quality of work.
  • Accurately enter data into encoder, system, and other as required software using a personal computer, keyboard and/or mouse.
  • Follow all established processes and procedures.
  • Report problems to Project Lead, Project Manager, or Project Director with regard to unique record or process issues.
  • Maintain security and confidentiality of medical records and Protected Health Information (PHI).
  • Consistently meet or exceed productivity and accuracy standards of 95% minimum IRR established by the customer and/or the company.
  • Consistently meet attendance standards established by the company.
  • Interact appropriately with peers, co-workers, other Contractors, and the customer, when necessary. Contribute to building a positive team spirit.
  • Perform other duties and projects assigned.

  • A minimum of two (2) years of experience in coding general acute hospital (inpatient and outpatient) and/or multi-specialty physician office medical records by applying ICD-9-CM/ICD-10-CM coding guidelines.
  • Must be a certified coder who is credentialed by a recognized credentialing institution (AAPC, AHIMA). Acceptable certifications: CPC, CCS, RHIA, RHIT
  • CRC certification is a plus
  • Experience in abstracting and ICD-9/ICD-10 coding preferred.
  • Experience in Risk Adjustment Data Validation or CMS-HCC audits preferred
  • Experience in performing medical record coding audits including complex medical record abstraction.
  • Ability to work independently and maintain an elevated level of concentration.
  • Capable of consistency, speed, and accuracy of task.
  • Ability to read, analyze, and interpret physician documentation.
  • Ability to communicate clearly and professionally with all levels of the organization, both written and verbal.
  • Ability to work well in a team environment, to collaborate with others, and interface with team members internal and external to the organization.
  • Must be proficient in Microsoft Office Suite.
  • Flexibility and ability to plan, prioritize, and execute multiple tasks in a fast-paced environment.
  • Ability to maintain a high level of confidentiality and integrity.

EEO Employer:
RELI Group is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.
HUBZone:
We encourage all candidates who live in a HUBZone to apply. You can check to see if your address is located in a HUBZone by accessing the SBA HUBZone Map.
The annual salary range for this position is $45,000.00 to $60,000.00. Actual compensation will depend on a range of factors, including but not limited to the individual's skills, experience, qualifications, certifications, location, other business and organizational needs, and applicable employment laws. The estimate displayed represents the typical salary range for this position and is just one component of the total compensation package for employees. RELI Group provides a variety of additional benefits to its employees. For additional details on the benefits that RELI Group offers click here

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