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Remote Risk Adjustment Coder Jobs in Eden Prairie, MN

UnitedHealth Group

Coding Supervisor

Eden Prairie, MN · Remote

$60K - $107K/yr

Assists the manager or director in supervising a remote team of edit coders that supports multiple Optum clients * Monitor, assess, and assist with the performance and day to day activities of up to ...

Archgroup

AVP, Construction

Saint Paul, MN · On-site +1

$150K - $190K/yr

The team is open to discussing hybrid or remote options in Minneapolis, Chicago, and St. Louis ... Assesses insurance and related financial risk and structures appropriate loss sensitive program to ...

Archgroup

AVP, Construction

Saint Paul, MN · On-site +1

$150K - $190K/yr

The team is open to discussing hybrid or remote options in Minneapolis, Chicago, and St. Louis ... Assesses insurance and related financial risk and structures appropriate loss sensitive program to ...

Corvel

Indemnity Claims Specialist

Minneapolis, MN · Remote

$51K - $83K/yr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives claims, confirms ... The level may impact the salary range and these adjustments would be clarified during the offer ...

UnitedHealth Group

Coding Supervisor

Eden Prairie, MN · Remote

Professional CPC coder certification with credentialing from AHIMA and/or AAPC to be maintained annually * 3 years of medical coding experience in pro-fee coding * 1 years in supervisory or lead ...

micro1 AI

Pharmacovigilance Expert

Saint Paul, MN · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... risk assessment methodology. * Hands-on experience with MedDRA coding, seriousness and causality ...

micro1 AI

Clinical Pharmacy Technicians

Saint Paul, MN · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... risk assessment methodology. * Hands-on experience with MedDRA coding, seriousness and causality ...

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All JobsRisk Adjustment Coder JobsRemote Risk Adjustment Coder JobsRemote Risk Adjustment Coder Jobs in Eden Prairie, MN

Remote Risk Adjustment Coder information

See Eden Prairie, MN salary details

$16

$28

$44

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

As of Aug 16, 2026, the average hourly pay for remote risk adjustment coder in Eden Prairie, MN is $28.03, according to ZipRecruiter salary data. Most workers in this role earn between $19.38 and $35.29 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.

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Remote Risk Adjustment Coder jobs near you
Infographic showing various Remote Risk Adjustment Coder job openings in Eden Prairie, MN as of August 2026, with employment types broken down into 77% Full Time, 15% Part Time, and 8% Contract. Highlights an 100% Remote job distribution, with an average salary of $58,300 per year, or $28 per hour.

Revenue Cycle Billing & Denials Specialist

ACCRA Management Group LLC

Minnetonka, MN • Remote

$24 - $29/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 8 days ago

Job description

Description

At Accra, our mission is to improve lives by providing individualized homecare services and support to people living at home. We foster an environment where every employee is respected, celebrated, and encouraged to bring their whole self to work.

Why Work at Accra?

Accra offers a comprehensive benefits package designed to support your personal well-being, professional growth, and financial future:

  • Work/Life Balance: Schedules designed to help you thrive.
  • Generous PTO: Including an additional paid day dedicated to self-care and a separate paid day for community volunteering.
  • Mental Health Support: Free wellbeing programs.
  • Smart Financial Options: HSA & FSA plans to help you plan ahead.
  • Secure Your Future: 401(k) retirement plan to invest in tomorrow.
  • Comprehensive Benefits: Medical, dental, and vision coverage for full-time employees.
  • Professional Development: Training and growth opportunities to advance your career.


About This Role:

The Billing & Denials Specialist is responsible for the middle to end of revenue cycle functions including claims billing, claims review, denial management, reconciliations, appeals, issue resolution, adjustments and write offs. The ideal candidate will have familiarity with the prior authorization process and experience in claims review with Minnesota Medical Assistance (MA) Electronic Remittances and have a working knowledge of the Minnesota Prepaid Medical Assistance Program (PMAP), Minnesota Senior Health Options (MSHO) program, and the various payers associated with them. This role is essential to maintaining healthy cash flow, regulatory compliance, and operational excellence for our FMS revenue cycle division including claims associated with the State of Minnesota Budget Model, Community First Services and Supports (CFSS), and Elderly Waiver Programs.


What You Will Do:

  • Review claims to prepare for billing to both MA and various PMAP/MSHO payers to ensure all billed services are supported by authorizations.
  • Monitor claim status and follow up on rejections, denials and unpaid claims.
  • Perform claim audit reviews via assigned workbooks for assigned MA and PMAP/MSHO plans on all accounts outstanding over 30 days.
  • Review remittances for accuracy, denials, adjustments, write offs and spend downs.
  • Ensure proper authorization and billing for employer-related goods and services, including billing and reimbursement of invoiced services associated with Consumer Support Grant (CSG) and Consumer Directed Community Supports (CDCS).
  • Correct billing errors and resubmit or send replacement claims as necessary.
  • Review unbilled reports for MA and PMAP/MSHO plans.
  • Apply appropriate adjustments and write offs as required.
  • Answer billing queue calls as pertains to assigned payers.
  • Communicate with MNITS, payers, clearinghouse, and internal stakeholders regarding billing and denial issues.
  • Maintain compliance with Minnesota DHS billing compliance regulations regarding timely filing, accurate documentation, proper use of taxonomy and NPI codes, and avoiding fraud, waste and abuse as outlined by state and federal agencies.
  • Understand and comply with FMS, CFSS, and Medicaid Elderly Waiver requirements.
  • Maintain strict confidentiality and full HIPAA compliance.
  • Meet/Exceed stated goals and metrics associated with the assigned workflow.
  • Identify and escalate issues regarding tracking worksheets, at-risk accounts, incorrect database errors, communication, and payers to direct supervisor.
  • Additional Revenue Cycle projects and job duties as needed.

Requirements

  • Associate's degree and at least 2 years of relevant experience or similar education and experience required.
  • Experience in home care, SNF, or behavioral health billing preferred.
  • Proven experience with MNITS, Availity, and clearinghouse usage.
  • Proven Revenue Cycle or Practice Management software knowledge and experience required.
  • Proficient with Microsoft Office including Word and Excel.
  • Proficient in Microsoft Outlook and Teams.
  • Strong knowledge of third-party payers, as well as laws, regulations, and guidelines both state and federal as they pertain to healthcare providers.
  • Understanding of CPT and ICD-10 coding principles and guidelines as related to claims processing.
  • Understanding of authorizations, and appropriate application of service units and modifiers.
  • Excellent interpersonal and communication skills and strong ability to collaborate effectively.
  • Strong analytical and problem-solving skills.
  • Excellent organization, communication and follow up abilities.
  • Ability to work in a fast-paced, virtual business environment.
  • Ability to meet metrics and key performance indicators as applicable to general RCM benchmarks.
  • Previous remote work experience preferred.
  • Ability to work independently at times with little supervision.


Apply