ZipRecruiter

Log In

2

Remote Risk Adjustment Coder Jobs in Bulverde, TX

USAA

Credit Risk Analytics Manager I

San Antonio, TX · On-site +1

$103K - $197K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Experience with data, code, or reporting tools. * Experience communicating complex analytical ...

University Health

Coding Educator/Auditor

San Antonio, TX · Remote

$24.50 - $28/hr

... remote quality assurance reviews/audits with appropriate compliance with governmental and payer regulations. * Provides and monitors instructions/education provided to Providers, Coding, Risk, CDI ...

TaskUs

CPC-A Certified Coder Representative

San Antonio, TX · On-site +1

$20.25 - $27.75/hr

If you are a detail-obsessed medical coder or clinical documentation specialist who loves the intersection of healthcare and technology, this is your sandbox. What You'll Do * Detect & Correct: Audit ...

USAA

Tax Analyst Senior

San Antonio, TX · On-site +1

$93K - $179K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... adjustments, and completing required forms and schedules. * Leads high-risk tax audit issues in ...

Berkley

Stop Loss Claims Auditor

San Antonio, TX · Remote

$70K - $80K/yr

Berkley Accident and Health is a risk management company that designs innovative solutions to ... This position can either be fully remote (if not within commutable distance to the office) or based ...

Berkley

Stop Loss Claims Auditor

San Antonio, TX · Remote

$70K - $80K/yr

Company Details Berkley Accident and Health is a risk management company that designs innovative ... This position can either be fully remote (if not within commutable distance to the office) or based ...

next page

Showing results 1-20

All JobsRemote Risk Adjustment Coder JobsRemote Risk Adjustment Coder Jobs in Bulverde, TX

Remote Risk Adjustment Coder information

See Bulverde, TX salary details

$14

$24

$39

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

As of Jul 4, 2026, the average hourly pay for remote risk adjustment coder in Bulverde, TX is $24.73, according to ZipRecruiter salary data. Most workers in this role earn between $17.07 and $31.15 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 Bulverde, TX? For Remote Risk Adjustment Coder jobs in Bulverde, TX, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coder jobs in Bulverde, TX look for? The top searched job categories for Remote Risk Adjustment Coder jobs in Bulverde, TX are:
What cities near Bulverde, TX are hiring for Remote Risk Adjustment Coder jobs? Cities near Bulverde, TX with the most Remote Risk Adjustment Coder job openings:
Remote Risk Adjustment Coder jobs near you
Certified Outpatient Medical Coder

Certified Outpatient Medical Coder

LOUi Consulting Group, Inc

San Antonio, TX • Remote

$20.25 - $27.75/hr

Full-time

Posted 23 days ago

Job description

Certified Outpatient Medical Coder - Remote/Contingent Opportunity

Adams1and1 Consulting Services, LLC is immediately seeking resumes from qualified, credentialed medical coding professionals for inclusion in a federal healthcare proposal supporting outpatient medical coding services for the Department of Veterans Affairs.

This is a remote, contingent position. Selection and employment are subject to contract award, Government approval, background investigation, system-access requirements, and final staffing needs.

Position Title - Certified Outpatient Medical Coder

Work Location Remote - United States

All services must be physically performed within the United States. Personnel providing direct coding services must be U.S. citizens.

Minimum Qualifications

Candidates must possess:

  • A current and active coding credential from either:
    • American Health Information Management Association (AHIMA), or
    • American Academy of Professional Coders (AAPC)
  • A minimum of two years of relevant medical coding experience
  • Experience assigning and validating:
    • ICD-10-CM diagnosis codes
    • Current Procedural Terminology, or CPT, codes
    • Healthcare Common Procedure Coding System, or HCPCS Level II, codes
  • Experience reviewing outpatient medical-record documentation
  • Knowledge of official coding guidelines, National Correct Coding Initiative edits, modifiers, medical terminology, anatomy and physiology, disease processes, and reimbursement methodologies
  • Ability to work independently in a secure remote environment
  • Strong written communication, attention to detail, productivity, and quality-control skills
  • Ability to maintain at least a 95% coding accuracy rate
  • Ability to complete assigned coding within established turnaround times

The solicitation identifies acceptable credentials including AHIMA's RHIA, RHIT, CCS, and CCS-P, and AAPC's CPC and COC/CPC-H-type hospital or outpatient coding credentials, as applicable. Candidates must maintain all continuing-education and ICD-10 proficiency requirements associated with their credential.

Preferred Qualifications

Preference may be given to candidates with:

  • Department of Veterans Affairs or Veterans Health Administration coding experience
  • Experience using a national encoder or electronic health record system
  • Outpatient professional-fee, ancillary, radiology, laboratory, surgical, or specialty-care coding experience
  • Knowledge of 1995, 1997, 2021, and 2023 Evaluation and Management guidelines
  • Experience coding Medicare, federal healthcare, or large hospital-system encounters
  • Experience responding to billing edits, coding denials, audits, and retrospective reviews
  • Prior federal background investigation or suitability determination
  • Experience meeting production deadlines in a high-volume remote coding environment

Principal Responsibilities

The selected candidate may be responsible for:

  • Reviewing electronic health-record documentation
  • Assigning accurate ICD-10-CM, CPT, and HCPCS Level II codes
  • Applying appropriate modifiers and coding-sequencing rules
  • Identifying unsupported, incomplete, duplicate, or non-billable encounters
  • Applying official coding, VHA, CMS, CPT, and NCCI guidance
  • Entering or validating required information in an encoder or EHR
  • Responding to coding questions, billing edits, audit findings, and correction requests
  • Maintaining required productivity, accuracy, confidentiality, and security standards
  • Completing mandatory VA privacy, cybersecurity, and system-access training
  • Supporting quality reviews and corrective actions when required

Requirement

  • A criminal background check will be performed.

Apply