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Remote Risk Adjustment Coder Jobs in Columbia, TN

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

CRC -Certified Risk Adjustment Coder * Experience working with healthcare providers * Strong ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

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

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Remote Risk Adjustment Coder information

See Columbia, TN salary details

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$39

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 Columbia, TN is $24.99, according to ZipRecruiter salary data. Most workers in this role earn between $17.26 and $31.49 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.

What are popular job titles related to Remote Risk Adjustment Coder jobs in Columbia, TN? For Remote Risk Adjustment Coder jobs in Columbia, TN, the most frequently searched job titles are:
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What cities near Columbia, TN are hiring for Remote Risk Adjustment Coder jobs? Cities near Columbia, TN with the most Remote Risk Adjustment Coder job openings:

Remote Medicare Risk Adjustment Coding Expert

American Health Plans Inc.

Franklin, TN • Remote

$18.50 - $24.75/hr

Full-time

Posted 9 days ago


Job description

American Health Plans is seeking a Medicare Risk Adjustment Coding Specialist to conduct coding audits and perform post-payment coding reviews to ensure compliance with CMS regulations. This remote role requires strong knowledge of ICD-9 and ICD-10 coding, experience with Medicare and Medicaid claims, and excellent communication skills. Ideal candidates will be certified in coding (CPC or CRC) and possess at least two years of relevant experience in claims processing or coding auditing.

A collaborative mindset and the ability to work independently are essential for success in this role. #J-18808-Ljbffr