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Remote Risk Adjustment Coder Jobs in Chester, VA

Highmark Health

Coder - Inpatient

Richmond, VA · 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

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 ...

Sentara

Benefits Coding Analyst

Richmond, VA · Remote

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 ...

Sentara

Benefits Coding Analyst

Richmond, VA · Remote

$10K/mo

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 ...

Corvel

Data Verification Specialist

Glen Allen, VA · Remote

$13.38 - $23.42/hr

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Validate incoming data to the Bill ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Corvel

Claims Specialist

Glen Allen, VA · Remote

$53K - $85.47K/yr

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Corvel

Telehealth Coordinator I

Glen Allen, VA · Remote

$13.38 - $20.36/hr

This is a remote role. The work shift for this role is Monday to Friday: 3:00 PM - 11:00 PM EST ... The level may impact the salary range and these adjustments would be clarified during the offer ...

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Remote Risk Adjustment Coder information

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$14

$25

$40

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 Chester, VA is $25.30, according to ZipRecruiter salary data. Most workers in this role earn between $17.45 and $31.88 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
What are popular job titles related to Remote Risk Adjustment Coder jobs in Chester, VA? For Remote Risk Adjustment Coder jobs in Chester, VA, the most frequently searched job titles are:
What cities near Chester, VA are hiring for Remote Risk Adjustment Coder jobs? Cities near Chester, VA 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 Chester, VA as of May 2026, with employment types broken down into 74% Full Time, 13% Part Time, and 13% Contract. Highlights an 8% Physical, and 92% Remote job distribution, with an average salary of $52,620 per year, or $25.3 per hour.
Coder - Inpatient

Coder - Inpatient

Highmark Health

Richmond, VA • Remote

$37.14/hr

Full-time

Posted 9 days ago

Highmark Health rating

7.8

Company rating: 7.8 out of 10

Based on 28 frontline employees who took The Breakroom Quiz

Job description

Company :

Allegheny Health Network

Job Description :

GENERAL OVERVIEW:

This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days.

ESSENTIAL RESPONSIBILITIES

  • Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%)
  • Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%)
  • Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%)
  • Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. (5%)
  • Performs other duties as assigned or required. (5%)

QUALIFICATIONS:

Minimum

  • High School / GED
  • 1 year in Hospital coding
  • Successful completion of coding courses in anatomy, physiology and medical terminology
  • Certified Coding Specialist (CCS) OR Certified In-patient Professional Coder (CIC)
  • Familiarity with medical terminology
  • Strong data entry skills
  • An understanding of computer applications
  • Ability to work with members of the health care team

Preferred

  • Associate's degree in Health Information Management or Related Field

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

$23.03

Pay Range Maximum:

$37.14

Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Req ID: J272373

What Highmark Health employees say

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About Highmark Health

Sourced by ZipRecruiter

A national blended health organization, Highmark Health and our leading businesses support millions of customers with products, services and solutions closely aligned to our mission of creating remarkable health experiences, freeing people to be their best. Headquartered in Pittsburgh, we're regionally focused in Pennsylvania, Delaware, West Virginia, and eastern and northwestern New York with customers in 50 states and the District of Columbia. We passionately serve individual consumers and fellow businesses alike. And our companies cover a diversified spectrum of essential health-related needs including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative, technology solutions. Our financial position reflects strength and stability, with our year-end 2022 consolidated revenues totaling $26 billion. And we're proud to carry forth an important legacy of compassionate care and philanthropy that began more than 170 years ago. This tradition of giving back, reinvesting and ensuring that our communities remain strong and healthy is deeply embedded in our culture, informing our decisions every day.

Industry

Health care and social assistance and insurance services

Company size

10,000+ Employees

Headquarters location

Pittsburgh, PA, US

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