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Remote Risk Adjustment Coder Jobs in Dublin, CA (NOW HIRING)

Turing

Remote Finance Analyst

San Francisco, CA · On-site +1

$100 - $200/hr

... in coding, reasoning, STEM, multilinguality, multimodality, and agents; and second, by applying ... risk management, etc.) based on your domain of expertise. * Excellent English written communication.

Swish Analytics

Trading Analyst

San Francisco, CA · On-site +1

$70K/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

$80K/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 ...

Control Risks

Minor Safety Senior Analyst

San Francisco, CA · On-site +1

$80K - $100K/yr

... risk landscape. This role will cover Tuesday-Saturday 9:00 am-5:00 pm local time. * Review abuse ... If you require any reasonable adjustments to be made in order to participate fully in the interview ...

Element Science

Accounts Receivable Specialist

Redwood City, CA · Remote

$24.75 - $32.75/hr

Our mission is to improve outcomes for patients at risk of life-threatening cardiac events through ... This is a fully remote position , with a preference for candidates located in the Central Time Zone ...

Baba

Virtual Physician (MD/DO)

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 ...

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 ...

Figma

Security Engineer

San Francisco, CA · Remote

This is a remote first role. You will partner closely with teams across the company and focus on ... Perform technical security assessments, code audits, and design reviews for new AI infrastructure ...

Mondo

Enforcement Operations Specialist

San Francisco, CA · On-site +1

$110 - $120/hr

Remote or Hybrid Start Date Is: ASAP Duration: 6 Months Contract (potential to extend) Compensation ... Review customer signals, user interactions, and code to identify potential policy violations

WorkOS

Product Security Engineer

San Francisco, CA · On-site +1

We are comfortable in code and collaborate often with engineering to create products that are ... Risk-focused and pragmatic. You excel at identifying and reasoning about security risk in real ...

Canals

Senior Software Engineer - USA

San Francisco, CA · Remote

$125K - $165K/yr

About Canals Canals is a fully remote, profitable startup transforming the industrial supply chain ... Balance hands-on coding with guiding the team's technical direction. * Help shape the future of ...

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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 Jun 9, 2026, the average hourly pay for remote risk adjustment coder in Dublin, CA is $30.96, according to ZipRecruiter salary data. Most workers in this role earn between $21.39 and $38.99 per hour, depending on experience, location, and employer.

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 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 Dublin, CA? For Remote Risk Adjustment Coder jobs in Dublin, CA, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coder jobs in Dublin, CA look for? The top searched job categories for Remote Risk Adjustment Coder jobs in Dublin, CA are:
What cities near Dublin, CA are hiring for Remote Risk Adjustment Coder jobs? Cities near Dublin, CA with the most Remote Risk Adjustment Coder job openings:
Remote Risk Adjustment Coder jobs near you
Infographic showing various Remote Risk Adjustment Coder job openings in Dublin, CA as of May 2026, with employment types broken down into 64% Full Time, 29% Part Time, and 7% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $64,398 per year, or $31 per hour.

Clinical Cost Forecasting Analyst - Remote

Paradigm

Walnut Creek, CA • On-site, Remote

$68K - $92K/yr

Full-time

Medical, Life, Retirement, PTO

Posted 23 days ago

Job description

Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm's business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.
We're proud to be recognized-again! For the fourth year in a row, we've been certified by Great Place to Work®, and for the third consecutive year, we've earned a spot on Fortune's Best Workplaces in Health Care™ list. These honors reflect our unwavering commitment to fostering a positive, inclusive, and employee-centric culture where people thrive.
Watch this short video for a brief introduction to Paradigm.
We are seeking a full-time, remote Clinical Cost Forecasting Analyst. This position is responsible for the accuracy of subsequent financial forecasts for risk-based contracts. This will be accomplished by working in collaboration with multiple teams including Clinical Operations, Clinical Budget Specialist Team, Pricing Team, Provider Relations Team, Bill Review, Analytics, and senior management.
RESPONSIBILITIES:
  • Complete detailed review of clinical progress reports for key significant financial events and/or clinical confinements as well as a comprehensive review of paid claims. Update each forecast with findings/changes to include; update and confirmation of known/future service dates and expense using reference data and/or direct contract with the providers, true-up of forecast for completed services to paid claims, adjust for future services based on changes in the clinical course of treatment.
  • Partner with Director Clinical Solutions to manage the forecast of all risk-based contract budgets, including participation in clinical conferences as appropriate.
  • Collaborate with the clinical team including the Director of Clinical Solutions to determine the current and future medical/financial course and its impact to the financial forecast.
  • Update and create new Rate Estimation requests to include accurate documentation of known or estimated financial liability in the system.
  • Research and resolve issues related to billing discrepancies, pricing accuracy, and outstanding incurred but not reported (IBNR) bills.
  • Work with the Provider Relations Team to request negotiations on interim services and escalate issues related to outstanding confinement bill variations in paid claims estimates.
  • Maintain current knowledge of regulatory, industry and contractual factors to ensure the accurate estimation of Paradigm's liability on each Contract.
  • Collaborate with other internal departments (Provider Relations, Bill Review, Accounting) to address and resolve specific patient / provider issues.
  • Collaborate with the PMT to manage the budget expenditures in order to keep the Contract on track financially.
  • Work with the Risk Analytics Team to determine trends and identify improvements that can be made to enhance the accuracy and ease of budget development and/or forecasting.
  • Communicate with providers, including preferred provider organizations (PPOs), hospitals and specialty providers, ancillary services providers, and physicians as required.
  • Assist Clinical Budget Specialist Team with obtaining billed charge information.
  • Participate as required in Paradigm internal staff development programs.

QUALIFICATIONS:
  • Education - bachelor's degree in health care administration, business, finance or a related field from an accredited college or university or equivalent experience and education which demonstrates the ability to perform the functions of the position.
  • Experience - A minimum or combination of five years of experience with demonstrated success in health care or related field.
  • Medical coding certification preferred.
  • Medical billing in workers compensation industry preferred
  • Prior experience reviewing medical documentation and assigning CPT codes to determine workers' compensation fee schedule reimbursement.
  • Must maintain current understanding of state regulations and their impact on medical care and reimbursement in the workers' compensation care market.
  • Strong medical background to include comprehensive understanding of medical terminology and health care principles and practices.
  • Demonstrated ability to multi-task in a fast-paced work environment, assess importance of activities, and adjust priorities when appropriate.
  • Experience with various computer applications including Microsoft Office, Outlook, Word and Excel.
  • Language Skills - Excellent oral and written communication skills; able to make presentations to audiences of varying levels, size, nature and backgrounds.
  • Reasoning Ability - Demonstrated ability to analyze difficult situations, problems and data and develop feasible and effective solutions. Demonstrated ability to implement and monitor project responsibilities.
  • Any combination of education, experience and knowledge that demonstrate the ability to perform the functions of the position will be accepted.

Paradigm Benefits:
  • Health and wellness- We want our people to be and stay healthy, so we offer PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only).
  • Financial incentives - Paradigm's financial benefits help prepare you for the future: competitive salaries, 401(k) matching contributions, employer-paid life and disability insurance, flexible spending and commuter accounts, and employer-matched HSA contributions.
  • Vacation - We believe strongly that work-life balance is good for you and for our company. Our paid time off and personal holiday programs give you the flexibility you need to live your life to the fullest.
  • Volunteer time- We want our employees to engage with and give back to their communities in meaningful ways. Full and part-time employees receive one paid day per calendar year.
  • Learning and development: One of Paradigm's core values is expertise, so we encourage our employees to continually learn and grow. We support this in a variety of ways, including our new Learning Excellence at Paradigm (LEAP) program.

Paradigm believes that fostering a diverse and inclusive workplace is central to our mission of helping more people and transforming lives. We're striving to build a culture that better reflects the society we live in and empowers our team to deliver the highest levels of compassion and care to those we serve. For us, achieving this goal requires a workforce that respectfully embraces differences and commits to positive change, creating an environment where everyone is able to bring their whole self to work.
Paradigm complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Leave Management at leave.management@paradigmcorp.com.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
As a contractor with the State of Wisconsin, Paradigm complies with Wisconsin Contract Compliance Law (§16.765). Poster link: Contract Compliance Law Poster
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