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Remote Risk Adjustment Coder Jobs in Eastpointe, MI

Spectrum Health

Coder Sr.

Southfield, MI · Remote

Use of an electronic medical record and encoder in a remote work environment. * Codes outpatient or inpatient records according to coding guidelines and conventions. Assigns diagnoses and procedures ...

Trinityhealth

IP Coding Coordinator, Remote

Livonia, MI · Remote

Develops coder education based on results of coding quality reviews, audit results, and regulatory ... Maintains current knowledge of the MS-DRG system, CCs/MCCs, impact onquality, risk of mortality ...

Trinity Health

IP Coding Coordinator, Remote

Livonia, MI · On-site +1

Develops coder education based on results of coding quality reviews, audit results, and regulatory ... Maintains current knowledge of the MS-DRG system, CCs/MCCs, impact on quality, risk of mortality ...

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All JobsRisk Adjustment Coder JobsRemote Risk Adjustment Coder JobsRemote Risk Adjustment Coder Jobs in Eastpointe, MI

Remote Risk Adjustment Coder information

See Eastpointe, MI salary details

$14

$24

$39

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

As of Jul 30, 2026, the average hourly pay for remote risk adjustment coder in Eastpointe, MI is $24.66, according to ZipRecruiter salary data. Most workers in this role earn between $17.02 and $31.06 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 Eastpointe, MI? For Remote Risk Adjustment Coder jobs in Eastpointe, MI, the most frequently searched job titles are:
What cities near Eastpointe, MI are hiring for Remote Risk Adjustment Coder jobs? Cities near Eastpointe, MI with the most Remote Risk Adjustment Coder job openings:
Remote Risk Adjustment Coder jobs near you

*Inpatient Complex Coder/Full Time/Remote

Henry Ford Health System

Troy, MI • On-site, Remote

$20.50 - $25/hr

Full-time

Re-posted 12 days ago

Henry Ford Health rating

7.0

Company rating: 7.0 out of 10

Based on 561 frontline employees who took The Breakroom Quiz

416th of 890 rated healthcare providers

Job description

GENERAL SUMMARY:
Using established coding principles and procedures reviews, analyzes and codes diagnostic and/or procedural information from the patient's medical record for reimbursement/billing purposes. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines.
PRINCIPLE DUTIES AND RESPONSIBILITIES:
1. Identifies all diagnostic and operative procedures and other pertinent patient stay data for Henry Ford Health System databases by thoroughly reviewing entire patient medical records, including histories physicals, operative reports, pathology reports, therapy notes nursing notes and discharge summary, etc. Verifies and/or requests documentation to support compliance.
2. Assigns diagnostic and procedural codes in accordance with coding principles and established guidelines utilizing encoder software.
3. Identifies appropriate principal diagnosis and sequences all secondary diagnoses and procedures according to guidelines of the MS-DRG reimbursement system (applicable to all patients). Applies knowledge of optimization in MS-DRG assignment.
4. Verifies completeness of medical record within electronic medical record, reporting any discrepancies to supervisor.
5. Completes the discharge abstract by gathering pertinent patient stay data from record in addition to coded diagnostic and procedural data.
6. Performs other related duties as required.
7. If participating in the remote coding program, required to adhere to the Remote Coding Program Policy
8. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, the Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
EDUCATION/EXPERIENCE:
  • Degree in Medical Record Sciences preferred but not required or successful completion of a certification program with certification as a Registered Health Information Technician (RHIT), Registered Health Administrator (RHIA), CCS Certified Coding Specialist or CCA Certified Coding Associate. If RHIT, RHIA certification eligibility certification must be obtained within six (6) months of employment and a signed statement attesting to this agreement must be obtained upon hire. Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems.
  • Prior coding experience preferred but not required

CERTIFICATIONS/LICENSURES REQUIRED:
  • RHIA, RHIT, CCS or CCA certification

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About Henry Ford Health

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Henry Ford Health provides a full continuum of services from Primary and Preventative care, to Complex and Cpecialty care, Health Insurance, a full suite of home health offerings, Virtual care, Pharmacy, Eye care and other Healthcare retail. It is one of the Nation’s leading Academic Medical Centers, recognized for Clinical excellence in Cancer care, Cardiology and Cardiovascular Surgery, Neurology and Neurosurgery, Orthopedics and Sports medicine, and Multi organ transplants. Consistently ranked among the top five NIH funded institutions in Michigan, Henry Ford Health engages in more than 2,000 research projects annually. Equally committed to educating the next generation of Health Professionals, Henry Ford Health trains more than 4,000 Medical students, Residents and fellows every year across 50+ accredited programs. With more than 33,000 valued team members, Henry Ford Health is also among Michigan’s largest and most Diverse employers, including nearly 6,000 physicians and researchers from the Henry Ford Medical Group, Henry Ford Physician Network and Jackson Health Network.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Detroit, MI, US

Year founded

1915

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