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Remote Risk Adjustment Coder Jobs in Des Moines, IA

Associate Actuary

Des Moines, IA · On-site +1

$127K - $191K/yr

Coordinate quarterly forecasts that support financial planning, risk management, and enterprise ... Nonimmigrant Workers and Green Card for Employment-Based Immigrants Investment Code of Ethics For ...

Associate Actuary

Des Moines, IA · On-site +1

$127K - $191K/yr

Coordinate quarterly forecasts that support financial planning, risk management, and enterprise ... Nonimmigrant Workers and Green Card for Employment-Based Immigrants Investment Code of Ethics For ...

... code quality Collaborate with upstream and downstream teams to ensure data is well-modeled ... risk mitigation during development Create and maintain documentation for pipelines, data models ...

Showing results 21-26

Remote Risk Adjustment Coder information

See Des Moines, IA salary details

$15

$26

$42

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

As of Sep 5, 2026, the average hourly pay for remote risk adjustment coder in Des Moines, IA is $26.83, according to ZipRecruiter salary data. Most workers in this role earn between $18.51 and $33.80 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 the most commonly searched types of Risk Adjustment Coder jobs in Des Moines, IA?

The most popular types of Risk Adjustment Coder jobs in Des Moines, IA are:

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For Remote Risk Adjustment Coder jobs in Des Moines, IA, the most frequently searched job titles are:

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The top searched job categories for Remote Risk Adjustment Coder jobs in Des Moines, IA are:

What cities near Des Moines, IA are hiring for Remote Risk Adjustment Coder jobs?

Cities near Des Moines, IA with the most Remote Risk Adjustment Coder job openings:

Infographic showing various Remote Risk Adjustment Coder job openings in Des Moines, IA as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 11% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $55,805 per year, or $26.8 per hour.

Associate Actuary

Principal Financial Group

Des Moines, IA • On-site, Remote

$127K - $191K/yr

Full-time

Posted 16 days ago


Job description

What You'll Do

We’re looking for an Associate Actuary to join our Variable Annuity team leading Financial Reporting.  The Associate Actuary is responsible for directing and providing analytical leadership for GAAP and Statutory reporting functions across a growing block of traditional variable annuity and RILA business.  You’ll promote effective use of actuarial techniques, tools, and methodologies, as well as lead and conduct research related to what-if analysis, forecasting, and financial problem solving.

Responsibilities:

  • Lead and direct a small team in preparation and communication of monthly GAAP and Statutory financial results for traditional variable annuity and RILA products. Research and stay apprised of changes in pertinent regulations to ensure compliance.
  • Apply actuarial analysis in the development and maintenance of sound, efficient, and accurate systems and models to support calculations and recommendations.
  • Perform annual VM21 regulatory reporting and reserve requirements, including the VM31 report and audit correspondence.
  • Coordinate quarterly forecasts that support financial planning, risk management, and enterprise decision-making.
  • Develop strong partnerships across stakeholders and business partners, including actuarial, accounting, financial planning & analysis, audit, and more.
  • Partner with actuarial leaders to ensure modeling processes meet product needs.
  • Lead or participate in business unit or cross company projects. Provide research-based consultation to achieve cost effective and strategic solutions.
  • Cultivate talent, provide technical collaboration, and promote a highly engaged team.
  • Influence across the organization to drive improved actuarial processes.

Operating at the intersection of financial services and technology, Principal builds financial tools that help our customers live better lives.  We take pride in being a purpose-led firm, motivated by our mission to make financial security accessible to all.  Our mission, integrity, and customer focus have made us a trusted leader for more than 140 years!


Who You Are
  • Knowledge of pertinent laws, regulations, the Actuarial Standards of Practice promulgated by the Actuarial Standards Board, and the Code of Professional Conduct of the AAA and the SoA is required.
  • A Fellow of the Society of Actuaries, or global equivalent, or Enrolled Actuary required.
  • Basic knowledge of traditional variable annuities or RILAs, GAAP, and Statutory financial reporting.

Salary Range Information
Salary ranges below reflect targeted base salaries. Non-sales positions have the opportunity to participate in a bonus program. Sales positions are eligible for sales incentives, and in some instances a bonus plan, whereby total compensation may far exceed base salary depending on individual performance. Actual compensation for all roles will be based upon geographic location, work experience, education, licensure requirements and/or skill level and will be finalized at the time of offer.
Salary Range (Non-Exempt expressed as hourly; Exempt expressed as yearly)
$127000 - $191000 / year
Time Off Program
Flexible Time Off (FTO) is provided to salaried (exempt) employees and provides the opportunity to take time away from the office with pay for vacation, personal or short-term illness. Employees don't accrue a bank of time off under FTO and there is no set number of days provided.
Pension Eligible
Yes

Work Environments

This role offers in-office, hybrid (blending at least three office days in a typical workweek), and remote work arrangements (only if residing more than 30 miles from Des Moines, IA, Raleigh, NC or Charlotte, NC.). Strong preference for Des Moines, IA based candidates. You’ll work with your leader to figure out which option may align best based on several factors. 

Job Level

We’ll consider talent at the next level with the right experiences and skills. 

Work Authorization/Sponsorship

At this time, we're not considering applicants that need any type of immigration sponsorship (additional work authorization or permanent work authorization) now or in the future to work in the United States. This includes, but IS NOT LIMITED TO: F1-OPT, F1-CPT, H-1B, TN, L-1, J-1, etc. For additional information around work authorization needs, please use the following links.

Nonimmigrant Workers and Green Card for Employment-Based Immigrants

Investment Code of Ethics

For Principal Asset Management positions, you’ll need to follow an Investment Code of Ethics related to personal and business conduct as well as personal trading activities for you and members of your household. These same requirements may also apply to other positions across the organization.

Experience Principal

At Principal, we value connecting on both a personal and professional level. Together, we’re imagining a more purpose-led future for financial services – and that starts with you. Our success depends on the unique experiences, backgrounds, and talents of our employees. And we support our employees the same way we support our customers: with comprehensive, competitive benefit offerings crafted to protect their physical, financial, and social well-being. Check out our careers site to learn more about our purpose, values and benefits.

Principal is an Equal Opportunity Employer

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.


Posting Window
We will accept applications for 3 full days following the Original Posting Date, after which the posting may remain open or be removed based upon applications received. If we choose to post the job again, we will accept additional applications for at least 1 full day following the Most Recently Posted Date. Please submit applications in a timely manner as there is no guarantee the posting will be available beyond the applicable deadline.
Original Posting Date
8/19/2026
Most Recently Posted Date
8/19/2026
 

Principal uses artificial intelligence tools to assist in reviewing and evaluating job applications, fraud prevention, and candidate matching and comparisons. These AI tools support our human recruiters in the initial review process but do not make final hiring decisions without human involvement. By submitting your application, you acknowledge this use of AI in our recruitment process. Please review our Workforce (U.S.) Privacy Notice for more details on our practices and your data privacy rights.


LinkedIn Remote Hashtag


#LI-Remote

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#LI-MT1Qualifications:
  • Knowledge of pertinent laws, regulations, the Actuarial Standards of Practice promulgated by the Actuarial Standards Board, and the Code of Professional Conduct of the AAA and the SoA is required.
  • A Fellow of the Society of Actuaries, or global equivalent, or Enrolled Actuary required.
  • Basic knowledge of traditional variable annuities or RILAs, GAAP, and Statutory financial reporting.
Education:UNAVAILABLEEmployment Type: FULL_TIME