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Remote Risk Adjustment Coder Jobs in Eastpointe, MI

Exiger

Solutions Architect, Commercial

Detroit, MI · Remote

$62.25 - $82.25/hr

Remote Role Summary: We are looking for a Solutions Architect to partner closely with our ... Instead, it's about helping shape deals, guiding customers through complex risk challenges, and ...

Strata Information Group

Project Manager

Detroit, MI · Remote

$90K - $115K/yr

Work with the client to develop a risk management plan Required Qualifications * Five+ years of ... Remote work The listed salary range for this position is indicative and subject to adjustment based ...

Trinityhealth

Manager Strategic Sourcing - Remote

Livonia, MI · Remote

$120K - $156K/yr

Conducts competitive sourcing and negotiation process on initiatives with moderate risk and value ... Comply with applicable Code of Conduct, policies, procedures & guidelines. Continuous * Ability to ...

Trinity Health

Manager Strategic Sourcing - Remote

Livonia, MI · Remote

$120K - $156K/yr

Conducts competitive sourcing and negotiation process on initiatives with moderate risk and value ... Comply with applicable Code of Conduct, policies, procedures & guidelines. Continuous * Ability to ...

Trinity Health

Manager Strategic Sourcing - Remote

Livonia, MI · On-site +1

$120K - $156K/yr

Conducts competitive sourcing and negotiation process on initiatives with moderate risk and value ... Comply with applicable Code of Conduct, policies, procedures & guidelines. Continuous * Ability to ...

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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 13, 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 - Full Time - CDI HIM (Remote)

Clinical Documentation Specialist - Full Time - CDI HIM (Remote)

Trinity Health

Pontiac, MI • On-site, Remote

$34.50 - $46.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago

Trinity Health rating

6.5

Company rating: 6.5 out of 10

Based on 353 frontline employees who took The Breakroom Quiz

600th of 882 rated healthcare providers

Job description

Employment Type:
Full timeShift:
Day Shift
Description:
POSITION PURPOSE
  • Trinity Health Oakland is seeking an experienced Clinical Documentation Specialist (CDS) with a strong clinical background improving documentation integrity across inpatient care settings.
  • The Clinical Documentation Specialist utilizes advanced clinical and coding expertise to direct efforts toward the integrity of clinical documentation through the roles of reviewer, educator and consultant. Facilitates the overall quality, completeness, accuracy and integrity of medical record documentation through extensive record review.
  • Fully remote position with flexible scheduling options.
  • Full-Time benefited position. Scheduled 40 hours per week (1.0 FTE).

MINIUMUM QUALIFICATIONS
  • Must possess an Associate/Diploma Degree in Nursing, or Health Information Technology (HIT) OR Advanced degree in nursing or medical field such as NP/APN or PA.
  • Must possess one of the following:
    • Current Registered Nurse License in the State of practice,
    • Registered Health Information Administrator (RHIA),
    • Registered Health Information Technician (RHIT),
    • Certified Coding Specialist (CCS) required,
    • Licensure as a physician assistant (PA) or Nurse Practitioner/Advanced Practice Nurse (NP/APN) or completion of medical school.

  • Preferred:
    • Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Professional (CDIP) preferred.
    • Two (2) years' experience in Critical Care, Medical or Surgical Inpatient Care Nursing, as an RN, physician assistant (PA), nurse practitioner/advanced practice nurse (NP/APN), medical school graduate or as an inpatient coder preferred.

WHAT YOU WILL DO
  • Through extensive interaction with physicians, nursing staff, and other patient caregivers, it achieves appropriate clinical documentation to support the medical necessity and level of services rendered to all patients.
  • Demonstrates understanding of appropriate clinical documentation, to ensure that the severity of illness, risk of mortality and level of services provided are accurately reflected in the health record. Assists in overall quality, timeliness and completeness of the health record to ensure appropriate data, provider communication and quality outcomes. Serves as a resource for appropriate clinical documentation.
  • Communicates with and educates physicians and all other members of the healthcare team regarding clinical documentation and monitors provider engagement. Identifies learning opportunities for healthcare providers.
  • Conducts concurrent reviews of selected patient health records to address legibility, clarity, completeness, consistency and precision of clinical documentation.
  • Formulates compliant clarifications/queries following Trinity Health's documentation integrity procedures.
  • Interacts with physicians, nurses and ancillary staff regarding compliant documentation requirements, clarification/query requests and educational opportunities.
  • Accurately codes all relevant, appropriate and compliant working diagnoses codes, establishing a working principal diagnosis and working DRG (MS or APR).
  • Collaborates with coding staff to ensure documentation of discharge diagnoses and co-morbidities are a complete reflection of the patient's clinical status and care. Resolves all discrepancies in a courteous manner.

POSITION BENEFITS AND HIGHLIGHTS
  • Competitive compensation.
  • Full benefits package including Medical, Dental, Vision, PTO, Life Insurance, Short and Long-term Disability.
  • Benefits effective Day One! No waiting periods.
  • Retirement savings plan with employer match.
  • Opportunity for growth and advancement throughout Trinity Health
  • Tuition Reimbursement

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.

What Trinity Health employees say

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About Trinity Health

Sourced by ZipRecruiter

Trinity Health Ann Arbor is a 537 -bed teaching hospital located on 340 acre campus. Recognized by IBM Watson as a Top 100 Hospital and #1 Teaching Hospital, Trinity Health Ann Arbor has been a leading health care provider for more than 100 years. Trinity Health has received numerous local and national awards in recognition of our leadership, quality outcomes, and clinical excellence.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Livonia, MI, US

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