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Remote Risk Adjustment Coder Jobs in Columbus, OH

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Ohio | Primarily Remote Job Type: Full-Time | 40 hours/week Salary: $135,000/year Benefits: Health ... Support HCC coding and risk-adjustment initiatives * Address quality gaps and support STAR and ...

Be Seen First

Ohio | Primarily Remote Job Type: Full-Time | 40 hours/week Salary: $135,000/year Benefits: Health ... Support HCC coding and risk-adjustment initiatives * Address quality gaps and support STAR and ...

Remote Inpatient Medical Coder Remote Inpatient Medical Coder • Review emergency department medical records to assign accurate ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and applicable ...

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Remote Risk Adjustment Coder information

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

As of Sep 7, 2026, the average hourly pay for remote risk adjustment coder in Columbus, OH is $25.69, according to ZipRecruiter salary data. Most workers in this role earn between $17.74 and $32.36 per hour, depending on experience, location, and employer.

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 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?

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 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 Columbus, OH?

For Remote Risk Adjustment Coder jobs in Columbus, OH, the most frequently searched job titles are:

What job categories do people searching Remote Risk Adjustment Coder jobs in Columbus, OH look for?

The top searched job categories for Remote Risk Adjustment Coder jobs in Columbus, OH are:

What cities near Columbus, OH are hiring for Remote Risk Adjustment Coder jobs?

Cities near Columbus, OH with the most Remote Risk Adjustment Coder job openings:

Infographic showing various Remote Risk Adjustment Coder job openings in Columbus, OH as of August 2026, with employment types broken down into 83% Full Time, 11% Part Time, and 6% Temporary. Highlights an 100% Remote job distribution, with an average salary of $53,428 per year, or $25.7 per hour.

Nurse Practitioner Telehealth (OHIO)

Mathis Consultants

Columbus, OH • Remote

$135K/yr

Full-time

Medical, Dental, Vision, Life, PTO

This job post has expired today. Applications are no longer accepted.


Job description

Telehealth Nurse Practitioner (FNP/AGNP) – Complex Care

Location: Ohio | Primarily Remote
Job Type: Full-Time | 40 hours/week
Salary: $135,000/year
Benefits: Health Insurance


Position Overview

We are seeking an experienced Nurse Practitioner (FNP or AGNP) to join a growing healthcare organization expanding its innovative value-based care model into Ohio.


This is a primarily virtual position focused on managing medically complex adult and geriatric patients through telehealth, remote patient management, proactive clinical intervention, and interdisciplinary care coordination.


Rather than focusing on patient volume, the care model emphasizes identifying patient needs early, preventing avoidable hospitalizations, closing quality gaps, and helping vulnerable patients remain safely and independently at home.


What You'll Do

  • Provide ongoing clinical care through telehealth and remote-care technologies
  • Assess and manage medically complex adult and geriatric patients
  • Manage Medicaid and Dual-Eligible patient populations
  • Develop individualized care plans in collaboration with physicians and interdisciplinary team members
  • Coordinate with patients, caregivers, PCPs, specialists, and health plans
  • Identify clinical changes and intervene before conditions result in unnecessary ED visits or hospitalizations
  • Manage transitions of care following hospitalization or other acute-care episodes
  • Participate in advance-care planning and goals-of-care discussions
  • Participate in shared clinical triage and support
  • Maintain accurate and comprehensive clinical documentation
  • Support HCC coding and risk-adjustment initiatives
  • Address quality gaps and support STAR and HEDIS performance
  • Help develop clinical best practices as the organization's Ohio operations expand


Required Qualifications

  • Master's degree or higher
  • 3+ years of Primary Care experience
  • Active Family Nurse Practitioner (FNP) or Adult-Gerontology Nurse Practitioner (AGNP) certification
  • Active Ohio NP license or ability to obtain Ohio licensure
  • Appropriate prescriptive authority
  • Experience independently managing adult and/or geriatric patients
  • Strong clinical decision-making skills
  • Strong communication and interdisciplinary collaboration abilities


Highly Desired Experience

Candidates with experience in one or more of the following areas are strongly encouraged to apply:

  • Telehealth/Virtual Care
  • Complex Care Management
  • Value-Based Care
  • Population Health
  • Managed Medicaid
  • Medicare/Dual-Eligible populations
  • Home-Based Primary Care
  • Geriatrics
  • HCC Coding/Risk Adjustment
  • STAR/HEDIS Quality Measures
  • Advance-Care Planning
  • Home Health
  • Skilled Nursing
  • Rehabilitation/Neuro-Rehabilitation
  • Emergency Medicine/Triage


Work Environment


The position is primarily virtual. As the organization's Ohio presence expands, a collaborative office presence is expected to be established in one of Ohio's major metropolitan areas.


Candidates should therefore be comfortable working remotely while remaining flexible as the organization's Ohio clinical infrastructure develops.

Company Description

Designed integrated care plans and delivers 24/7 support — improving qualify of life, outcomes, and efficiency for members and families.

Our members — including those with physical disabilities, frail elderly, intellectual or developmental disabilities, traumatic brain injuries, or technology dependence — must navigate care through a fragmented network of ancillary service providers. Today this care is largely delivered fee-for-service, with no unified oversight or real-time coordination. Client exists to change that — bringing integration, coordination, and support to those who need it most.

PROVIDERS
For ancillary providers, streamlines referrals and documentation, eases administrative load, and strengthens care coordination across nursing, therapy, DME, and PCS — while offering performance-based incentives tied to quality outcomes

A value-based care company that operates as a fully capitated, full-risk provider. The company partners with managed Medicaid health plans and Dual-Eligible Special Needs Plans (D-SNPs) to manage the care of members in waiver programs. These programs serve extremely complex individuals, including those with physical disabilities, traumatic brain injury (TBI), intellectual and developmental disabilities (IDD), and the frail elderly.