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Remote Risk Adjustment Coder Jobs in Columbia, TN

OneOncology

QA Coding Specialist

Nashville, TN · Remote

Conduct pre-bill, performance improvement, and established coder quality reviews and provide ... Collaborate and partner with leadership, compliance, and risk management teams to ensure compliance ...

CorVel

RTW Coordinator

Nashville, TN · Remote

$19.24 - $31.04/hr

This is a remote role. Candidates must reside in Tennessee. ESSENTIAL FUNCTIONS & RESPONSIBILITIES ... Accurate RTW screen coding and documentation of RTW efforts and outcomes * Identify trends and ...

Corvel

Indemnity Claims Specialist

Franklin, TN · Remote

$53K - $85.47K/yr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives claims, confirms ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Corvel

Indemnity Claims Specialist

Franklin, TN · Remote

$53K - $85.47K/yr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives claims, confirms ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Corvel

Indemnity Claims Specialist

Franklin, TN · Remote

$53K - $85.47K/yr

This is a temporary remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives auto and ... The level may impact the salary range and these adjustments would be clarified during the offer ...

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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 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.

More about Remote Risk Adjustment Coder jobs
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Remote Risk Adjustment Coder jobs near you

Coding Quality Review Specialist

Cooperidge Consulting Firm

Nashville, TN • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 25 days ago

Job description

Cooperidge Consulting Firm is seeking a Coding Quality Review Specialist for a top healthcare client based in Nashville, TN (remote position).

The CQR Specialist performs internal quality assessments of coding accuracy and compliance across inpatient and outpatient records. This role ensures adherence to national coding standards, HSC policies, and company procedures to maintain optimal data integrity, accurate reimbursement, and compliance with federal regulations.

Job Responsibilities

  • Perform internal quality reviews for inpatient and outpatient coding across multiple Health Information Management Service Centers (HSCs).
  • Audit medical records to ensure coding accuracy, completeness, and compliance with MS-DRG and national standards.
  • Provide feedback, coaching, and documentation support to coders to improve performance and maintain consistency.
  • Participate in special review projects and policy-driven audit initiatives.
  • Maintain productivity and accuracy rates of at least 95%.
  • Keep coding knowledge current by reviewing official data quality standards, coding guidelines, and policy updates.
  • Support adherence to internal and external compliance requirements for data and reimbursement accuracy.

Requirements

Education

  • Associate’s or Bachelor’s Degree in Health Information Management (HIM) or Health Information Technology (HIT) preferred

Experience

  • Minimum of 10 years of medical coding experience and at least 3 years of inpatient MS-DRG auditing in a hospital setting
  • Prior experience with quality review and coding compliance required

Certifications/Licenses

  • RHIA and/or RHIT certification required
  • IP Coding Auditor certification for MS-DRG required

Skills or Competencies

  • Expert knowledge of medical coding practices and standards
  • Strong analytical and auditing skills
  • Excellent written communication and attention to detail
  • Proficiency with coding systems, data management tools, and remote audit platforms

Benefits

  • Competitive pay with opportunities for overtime and weekend shifts.
  • Comprehensive medical, dental, and vision insurance.
  • Life insurance and disability coverage.
  • 401(k) retirement plan with employer match.
  • Paid time off — vacation, sick leave, and holidays.
  • Continuing education and professional development opportunities.
  • Supportive, team-oriented work environment.