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Remote Risk Adjustment Coder Jobs in Eastpointe, MI

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Remote Risk Adjustment Coder information

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$14

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$39

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

As of Jul 10, 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 job categories do people searching Remote Risk Adjustment Coder jobs in Eastpointe, MI look for? The top searched job categories for Remote Risk Adjustment Coder jobs in Eastpointe, MI 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

Clinical Documentation Specialist Audit Coordinator (Remote)

Trinityhealth

Livonia, MI • Remote

$41.43 - $62.15/hr

Full-time

Re-posted 10 hours ago

Job description

Employment Type:Full timeShift:Day ShiftDescription:POSITION PURPOSE

Work Remote Position

(Pay Range: $41.4306-$62.1459)

Provides onsite and remote clinical documentation integrity (CDI) support to the Health Ministry (HM) CDI programs as part of the System Office CDI Float Pool. Utilizes advanced coding and/or clinical expertise to direct efforts toward the improvement and integrity of clinical documentation.

Responsible for reviewing and/or auditing medical record clinical documentation to support the medical necessity, severity of illness, risk of mortality, accurate coding, clinical evidence, resources consumed, and level of services rendered to all patients. Audits HM CDSs for query compliance, workflow and missed documentation opportunities. Trains end users in the use of CDI system software, standards, and workflow.

ESSENTIAL FUNCTIONS

Knows, understands, incorporates, and demonstrates Trinity Health's Mission, Vision, and Values in behaviors, practices, and decisions.

Demonstrates understanding of and facilitates appropriate clinical documentation, to ensure that the medical necessity, severity of illness, risk of mortality, accurate coding, clinical evidence, resources consumed, and level of services provided are accurately reflected in the health record.

Conducts clinical documentation chart reviews and queries providers as appropriate to support RHMs staffing needs. Reviews may be conducted on site or remotely.

Follows HM CDI Program workflow and processes and communicates with local CDI Team to support local operations.

Communicates with physicians and other members of the healthcare team at the HM regarding clinical documentation as part of local CDI Team assignment.

Audits medical records, queries, CDS and coder assigned codes, CDI software entries, etc., as requested to provide feedback to the HMs for improvement opportunities.

Trains end users in the use of CDI system software, standards, and workflow.

Provides documentation education to providers and members of healthcare team at the RHM as part of CDI Team assignment or as requested.

Demonstrates ability to quickly learn and master the various CDI technology applications, systems and workflows in place across the enterprise.

Provides expertise in problem-solving skills based on theoretical knowledge, clinical experience and sound judgment and serves as a professional role model by demonstrating desirable practice behaviors.

Assists the System Office Clinical Documentation Manager with all aspects of the CDI program across the system including data collection and maintenance of the CDI Dashboard.

May develop educational content for providers and CDSs on CDI workflow and processes, CDI and Physician software systems, and documentation and coding guidelines as requested.

Performs other duties as assigned by leadership.

Maintains a working knowledge of applicable Federal, State and local laws and regulations, accrediting agencies, Trinity Health's Organizational Integrity Program, Standards of Conduct, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.

MINIMUM QUALIFICATIONS

Must possess a minimum of one of the below:

  • Current Registered Nurse License,
  • Registered Health Information Administrator (RHIA),
  • Registered Health Information Technician (RHIT),
  • Certified Coding Specialist (CCS)


Certification as a Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Professional (CDIP) preferred.

Experience in Clinical Documentation Integrity.

Excellent communication (verbal and written), interpersonal, collaboration and relationship-building skills. Strong critical thinking skills and ability to integrate knowledge. Prioritization and organizational skills required. Ability to educate all members of the healthcare team related to clinical documentation.

Experience with databases, spreadsheet software and presentation software preferred.

Must be comfortable operating independently in a collaborative, shared leadership environment.

Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.

PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS

Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles.

Must possess the ability to comply with Trinity Health policies and procedures.

Must be able to spend majority of work time utilizing a computer, monitor, and keyboard.

Must be able to perform some lifting and/or pushing/pulling up to 20 pounds.

Must be able to work with interruptions and perform detailed tasks.

Must be able to work on different projects simultaneously and coordinate work to meet deadlines.

Requires the ability to concentrate and read for long periods of time.

Involves a wide array of physical activities, primarily walking, standing, balancing, sitting, squatting, and reading. Must be able to sit for long periods of time.

The above statements are intended to describe the general nature and level of work being performed by persons assigned to this classification. They are not to be construed as an exhaustive list of duties so assigned.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are 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, veteran status, or any other status protected by federal, state, or local law.

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