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Remote Risk Adjustment Coder Jobs in Conroe, TX (NOW HIRING)

Astrana Health

Business Analyst

Houston, TX · On-site +1

... risk adjustment, and value-based care outcomes. * Analyze provider and market data to identify ... This position may operate in a hybrid environment with a combination of office and remote work ...

UnitedHealth Group

Coding Analyst - Remote

Houston, TX · Remote

... improving risk management, quality and revenue growth. Ready to help us deliver results that ... 35 coding staff members, both internal and contract as well as remote and/or domestic and global ...

UnitedHealth Group

Coding Analyst - Remote

Houston, TX · On-site +1

... improving risk management, quality and revenue growth. Ready to help us deliver results that ... 35 coding staff members, both internal and contract as well as remote and/or domestic and global ...

YO AI Labs

Pharmacovigilance Expert - Remote

Houston, TX · Remote

$70 - $80/hr

Remote Job Overview We are seeking experienced Pharmacovigilance Experts to contribute their drug ... Benefit-Risk Assessment * MedDRA Coding * Seriousness & Causality Assessment * Expectedness ...

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All JobsRisk Adjustment Coder JobsRemote Risk Adjustment Coder JobsRemote Risk Adjustment Coder Jobs in Conroe, TX

Remote Risk Adjustment Coder information

See Conroe, TX salary details

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$37

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 Conroe, TX is $23.54, according to ZipRecruiter salary data. Most workers in this role earn between $16.25 and $29.62 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.

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Remote Risk Adjustment Coder jobs near you
Infographic showing various Remote Risk Adjustment Coder job openings in Conroe, TX as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 9% Part Time, and 7% Contract. Highlights an 87% Physical, 5% Hybrid, and 8% Remote job distribution, with an average salary of $48,955 per year, or $23.5 per hour.

Business Analyst

Astrana Health

Houston, TX • On-site, Remote

Full-time

Re-posted 25 days ago

Job description

About the Role
We are currently seeking a highly motivated Business Analyst, Market Provider Relations to support our Texas Market Provider Relations team. This role reports to the Texas Market Provider Relations Leader and will provide analytical, reporting, operational, and project support across multiple provider networks, IPAs, ACOs, and delegated health plan arrangements throughout the Texas market.

The ideal candidate is highly analytical, detail-oriented, and organized, with the ability to translate complex healthcare data into actionable insights. This role will play a key part in supporting provider satisfaction, operational excellence, health plan delegation readiness, and value-based care initiatives while helping leadership manage provider-related priorities and market performance.
Our Values:
  • Put Patients First
  • Empower Entrepreneurial Provider and Care Teams
  • Operate with Integrity & Excellence
  • Be Innovative
  • Work As One Team
  • Support Texas Market Provider Relations leadership by tracking provider issues, health plan escalations, operational initiatives, and market priorities.
  • Develop and maintain reports, dashboards, and analytics related to provider performance, membership, claims, authorizations, quality, utilization, risk adjustment, and value-based care outcomes.
  • Analyze provider and market data to identify trends, risks, gaps, and opportunities, and present actionable recommendations to leadership.
  • Support health plan delegation activities, including provider roster validation, provider loading, configuration issues, claims and authorization routing concerns, and escalation management.
  • Assist with ACO recruitment tracking, provider participation, performance reporting, and value-based care initiatives.
  • Coordinate cross-functional projects, including market transitions, health plan implementations, provider engagement initiatives, delegation readiness activities, and operational improvement efforts.
  • Prepare materials, reports, and summaries for provider meetings, Joint Operating Committees (JOCs), leadership meetings, board meetings, and executive presentations.
  • Track project timelines, action items, deliverables, and follow-up activities to support successful market execution.
  • Bachelor's degree in Business, Healthcare Administration, Finance, Data Analytics, Public Health, or a related field preferred.
  • Minimum of 3 years of experience in healthcare operations, provider relations, managed care, business analysis, data reporting, or project coordination.
  • Strong proficiency in Microsoft Excel, including pivot tables, VLOOKUP/XLOOKUP, formulas, filtering, and data validation.
  • Strong analytical, organizational, and problem-solving skills with exceptional attention to detail.
  • Excellent written and verbal communication skills.
  • Ability to manage multiple priorities, deadlines, and stakeholders in a fast-paced environment.
  • Ability to work independently while collaborating across cross-functional teams.
Preferred Qualifications
  • Experience working with provider networks, IPAs, ACOs, MSOs, health plans, or value-based care organizations.
  • Experience with EZCap, Monday.com, Clarity, Power BI, health plan portals, provider rosters, claims reporting, or healthcare analytics tools.
  • Knowledge of Medicare Advantage, Medicaid, MSSP ACO, ACO REACH, delegated claims, delegated authorizations, credentialing, and provider configuration processes.
  • Experience supporting executive reporting, provider issue management, market operations, or healthcare project initiatives.
You're Great for This Role If You
  • Enjoy working with data and turning insights into actionable business decisions.
  • Have strong attention to detail and can identify discrepancies across multiple reports and systems.
  • Thrive in a fast-paced environment while managing competing priorities and deadlines.
  • Are highly organized with strong follow-through and accountability.
  • Build strong relationships and communicate effectively with stakeholders across all levels of the organization.
  • Have a provider-focused mindset and a passion for improving healthcare operations.
  • Continuously seek opportunities to improve processes, reporting, and operational efficiency.
  • This position may operate in a hybrid environment with a combination of office and remote work based on business needs.
  • Frequent use of computers, reporting systems, spreadsheets, and healthcare operating platforms.
  • Ability to attend provider meetings, leadership meetings, and other business-related events as required.
  • May require occasional travel within the Texas market.

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