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Remote Risk Adjustment Coder Jobs in Concord, CA

YO AI Labs

Medical Coder - Remote

San Francisco, CA · Remote

$50 - $80/hr

Medical Coder Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Coders to contribute their healthcare coding expertise to an innovative project focused on ...

New

Sprinter Health

Data Scientist, Actuarial

San Francisco, CA · Remote

$160K - $200K/yr

... risk adjustment. * Experience producing analysis that a customer or partner built into their own pricing or reserving. * Fluency with AI coding assistants (e.g., Claude Code, Cursor) in your day-to ...

Ennoble Care

Actuary

San Francisco, CA · Remote

$150/hr

Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health ... Thorough understanding of and hands-on experience with Medicare risk adjustment and CMS-HCC models

Mercor

Fraud Engineer - AI Specialist

San Francisco, CA · Remote

$80/hr

Remote Role Responsibilities * Use frontier AI coding agents to complete and evaluate complex fraud and risk engineering tasks. * Review model-generated implementations involving fraud detection ...

Swish Analytics

Trading Analyst

San Francisco, CA · On-site +1

$65K/yr

... 100% Remote Duties: * Manage client risk, ensuring the highest margins on Swish products through +EV decisions * Manage and oversee depth chart accuracy, making time-sensitive adjustments in both ...

Swish Analytics

Trading Analyst

San Francisco, CA · On-site +1

$65K/yr

... 100% Remote Duties: * Manage client risk, ensuring the highest margins on Swish products through +EV decisions * Manage and oversee depth chart accuracy, making time-sensitive adjustments in both ...

Baba

Virtual Nurse Practitioner

San Francisco, CA · Remote

Telehealth Nurse Practitioner | Remote 1099 | Structured Intake & Care Navigation About Baba Baba ... SDOH Z-codes, diagnoses, and risk factors. * Validate care plans. Develop and approve ...

Baba

Virtual Physician

San Francisco, CA · Remote

Telehealth Physician - Remote 1099 | Structured Intake & Care Navigation About Baba Baba is ... SDOH Z-codes, diagnoses, and risk factors. * Validate care plans. Develop and approve ...

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All JobsRisk Adjustment Coder JobsRemote Risk Adjustment Coder JobsRemote Risk Adjustment Coder Jobs in Concord, CA

Remote Risk Adjustment Coder information

See Concord, CA salary details

$17

$30

$47

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

As of Aug 13, 2026, the average hourly pay for remote risk adjustment coder in Concord, CA is $30.17, according to ZipRecruiter salary data. Most workers in this role earn between $20.82 and $37.98 per hour, depending on experience, location, and employer.

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 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 Concord, CA? For Remote Risk Adjustment Coder jobs in Concord, CA, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coder jobs in Concord, CA look for? The top searched job categories for Remote Risk Adjustment Coder jobs in Concord, CA are:
What cities near Concord, CA are hiring for Remote Risk Adjustment Coder jobs? Cities near Concord, CA with the most Remote Risk Adjustment Coder job openings:
Remote Risk Adjustment Coder jobs near you

CDI Manager - Fully Remote | Upto $84/hr

Mercor

San Francisco, CA • Remote

$84/hr

Full-time

Re-posted 12 days ago

Job description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.

Position: Clinical Documentation Integrity (CDI) Leader
Type: Contract
Compensation: $84/hour
Location: Remote

Role Responsibilities

  • Lead clinical documentation integrity programs for inpatient and outpatient settings. Oversee concurrent and retrospective review workflows.
  • Evaluate AI-generated clinical documentation improvement suggestions, physician queries, and coding recommendations. Ensure clinical accuracy and compliance.
  • Conduct and review clinical documentation. Ensure accurate capture of diagnoses, procedures, severity of illness, and risk of mortality.
  • Develop and manage physician query processes. Align with AHIMA and ACDIS guidelines.
  • Monitor CDI program KPIs including query response rates, CC/MCC capture rates, case mix index, and DRG accuracy.
  • Collaborate with coding, compliance, and clinical teams. Address documentation gaps and improve query processes.

Qualifications

Must-Have

  • 5+ years of experience in clinical documentation integrity or improvement. At least 2 years in a manager or leadership role.
  • Deep knowledge of MS-DRG methodology, CC/MCC hierarchies, and ICD-10-CM/PCS coding guidelines.
  • Expertise in physician query management per AHIMA and ACDIS compliant query standards.
  • Strong clinical background. Ability to interpret medical records and clinical documentation.
  • Proficiency with CDI software platforms (3M, Nuance, Optum360, or equivalent) and EHR systems.
  • Exceptional written and verbal English communication skills.
  • High attention to detail. Ability to critically evaluate clinical documentation and AI-generated outputs.
  • Comfortable working independently in a fully remote environment.

Preferred

  • CCDS (Certified Clinical Documentation Specialist) or CDIP (Clinical Documentation Improvement Practitioner) credential.
  • Experience with HCC risk adjustment and outpatient CDI programs.
  • Background in RN, RHIA, CCS, or similar clinical or coding credential.
  • Familiarity with AI-assisted CDI tools (e.g., Nuance DAX, 3M M*Modal) and comfort evaluating AI-generated clinical content.
  • Experience presenting CDI performance metrics to clinical and executive leadership.

Application Process (Takes 20–30 mins to complete)

  • Upload resume
  • AI interview based on your resume
  • Submit form

Resources & Support

  • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
  • For any help or support, reach out to: support@mercor.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.