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Remote Risk Adjustment Coder Jobs in Bristol, RI

Primary Health Solutions

Certified Coder

RI · On-site +1

$23.75 - $31.50/hr

Analyze coding related claim issues, process gaps and denials to trend feedback for providers by ... and risk of radiation. The noise level in the work environment is usually moderate. Affirmative ...

Highmark Health

Coder - Inpatient

Providence, RI · Remote

$37.14/hr

Certified Coding Specialist (CCS) OR Certified In-patient Professional Coder (CIC) * Familiarity with medical terminology * Strong data entry skills * An understanding of computer applications

Brownhealth

Supervisor Coding Validation

Providence, RI · Remote

$71.14K - $117.35K/yr

SUMMARY:Reports to PFS Manager of Coding Policy and Education. Assists Manager in providing ... This position is Remote in Providence, RI.INDEPENDENT ACTION: 72159627 class=has-tooltipPerforms ...

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$45

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

As of May 31, 2026, the average hourly pay for remote risk adjustment coder in Bristol, RI is $28.70, according to ZipRecruiter salary data. Most workers in this role earn between $19.81 and $36.15 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.

More about Remote Risk Adjustment Coder jobs
Remote Risk Adjustment Coder jobs near you
Coder Abstractor, Inpatient I (RHIA, RHIT, or CCS Required) - Remote

Coder Abstractor, Inpatient I (RHIA, RHIT, or CCS Required) - Remote

Sturdy Memorial Hospital

Attleboro, MA • Remote

$26.69 - $40.86/hr

Full-time

Medical, Dental, Vision, Retirement

Posted 22 days ago

Job description

Scheduled Weekly Hours: 40

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Eligible for 100% remote work from MA, RI, CT, GA, WY, NM
Sign on bonus: $10,000
Responsible for collecting, coding and recording accurate and complete patient care data from inpatient discharges to assure optimum and timely financial reimbursement and statistical reporting. Applies knowledge of specialized information specific to coding and medical terminology commensurate with coding guidelines.

Education/Training:

  • Associates required with Bachelor's Degree preferred. Approved Coding Course completion

Licenses/Certification:

RHIA (Registered Health Information Administrator) or RHIT (Registered Health Information Technician) or CCS (Certified Coding Specialist) required

Required Qualifications and Skills:

  • Self-starter with a strong sense of ownership and the ability to work independently on assigned tasks as warranted and appropriate
  • Proficiency in technology usage, including 3M encoder.
  • Knowledge of anatomy, physiology, and pathology of disease processes and medical terminology.
  • Knowledge of ICD-10CM and ICD-10-PCS coding systems, guidelines, and conventions. Familiarity with UHDDS definitions and Coding Clinic.
  • Organized, flexible, highly motivated, capable of keeping abreast of constantly changing regulations and guidelines, insurance billing requirements, annual coding updates and internal data needs; general knowledge of medical record department functions, organization of the medical record as a clinical, legal and financial document; ability to interact with co-workers and physicians to resolve MS-DRG, APR-DRG, ICD-10-CM and ICD-10-PCS coding, documentation and work-flow issues.
  • Responsible for safeguarding patient records and ensuring compliance with HIPAA standards.

Preferred Qualifications and Skills:

  • Experience with Cerner a plus
  • Minimum 2 years coding experience, preferably in an acute care hospital setting

Other duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

AGE AND DIVERSITY RELATED CRITERIA: Consistently treats patients, colleagues and visitors with the dignity and respect, while being sensitive to the differing needs of all age groups, backgrounds, characteristics and cultures.

ABILITY TO FULFILL JOB EXPECTATIONS: Must have the ability to the perform essential functions of the position, including required work hours, locations and physical demands, without posing a direct threat to the health and safety of themselves or other individuals in the work place, and with or without reasonable accommodation.

PHYSICAL DEMANDS:

Prolonged periods of sitting at a desk and working on a computer.

Must be able to lift up to 15 pounds at times.

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Salary Range: $26.69-$40.86

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Salary Range Details

The pay range displayed on each job posting reflects the anticipated range for new hires. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set, and education. This is not inclusive of the value Sturdy Health's benefits package (if applicable), which includes among other benefits, healthcare/dental/vision and retirement. For annual salaries this is based on full-time employment.

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Sturdy Memorial Hospital is an equal employment opportunity employer. There is no discrimination because of race, color, creed, age, gender, sexual orientation, national origin, veteran status or disability.

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