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Remote Risk Adjustment Coder Jobs in Fairfax, VA

LexisNexis Risk Solutions is a trusted partner in risk assessment. Within our Insurance and Health ... S. location preferred; this is a remote position. * Ability to travel up to 30% as needed. Primary ...

Data Scientist

Mclean, VA · Remote

$142K - $228K/yr

... risk signals into a transparent, defensible score. This role also prepares the scoring approach and ... This position is fully remote however travel in the DMV area will be expected. Responsibilities

New

... providing sample code for common integration patterns, reusable libraries or middleware ... Accurately document all triage findings, integration configurations, risk items, engagement ...

... providing sample code for common integration patterns, reusable libraries or middleware ... Accurately document all triage findings, integration configurations, risk items, engagement ...

JOB SUMMARY A Claims Adjuster II is responsible for the timely, good faith adjustment and ... Associate in Claims (AIC) or Associate in Risk Management (ARM) preferred. * Two or four year ...

JOB SUMMARY A Claims Adjuster II is responsible for the timely, good faith adjustment and ... Associate in Claims (AIC) or Associate in Risk Management (ARM) preferred. * Two or four year ...

Showing results 41-60

Remote Risk Adjustment Coder information

See Fairfax, VA salary details

$16

$28

$44

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

As of Aug 14, 2026, the average hourly pay for remote risk adjustment coder in Fairfax, VA is $28.10, according to ZipRecruiter salary data. Most workers in this role earn between $19.42 and $35.38 per hour, depending on experience, location, and employer.

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 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.

What are the most commonly searched types of Risk Adjustment Coder jobs in Fairfax, VA?

The most popular types of Risk Adjustment Coder jobs in Fairfax, VA are:

What are popular job titles related to Remote Risk Adjustment Coder jobs in Fairfax, VA?

For Remote Risk Adjustment Coder jobs in Fairfax, VA, the most frequently searched job titles are:

What cities near Fairfax, VA are hiring for Remote Risk Adjustment Coder jobs?

Cities near Fairfax, VA with the most Remote Risk Adjustment Coder job openings:

Project Manager (Fully Remote)

FYI For Your Information Inc

Silver Spring, MD • Remote

Full-time

Retirement

Re-posted 29 days ago


Job description

FYI - For Your Information, Inc. is an SBA certified, Woman-Owned Small Business and GSA schedule holder that is a premier provider of Human Capital, Training, and Information Technology services. We have won awards for being a Great Place to Work and continue to make ground-breaking advancements. For four years in a row, we have been on Inc. Magazine's 5000 list and were recently named one of Inc.'s 2024 Mid-Atlantic Fastest Growing companies.Position is contingent upon contract award.Summary:We are seeking an experienced Project Manager with at least eight years of federal HR operations project management experience to serve as the single point of contact overseeing all aspects of contract performance, staffing, and service delivery. The ideal candidate manages milestones, budgets, risk, and quality assurance while coordinating closely with Government CORs and program leadership to ensure compliance with federal regulations, contract requirements, and performance expectations across all workstreams. Responsibilities:Provide comprehensive contract reporting, including status reports, performance metrics, risk updates, and staffing summaries to the Government on a recurring basis.Address Government concerns promptly, ensuring all questions, issues, and requests for information are acknowledged, analyzed, and resolved in a timely, professional manner.Manage milestones and deadlines across all workstreams to ensure timely delivery of contract requirements and fulfillment of all performance obligations.Serve as the single point of contact (POC) for communicating staffing changes, onboarding timelines, and impacts to service delivery or operational efficiency.Oversee budget management, tracking expenditures, forecasting future resource needs, and ensuring alignment with contract funding and limitations.Develop and maintain the project management plan, documenting scope, schedule, risks, quality controls, and communication strategies that guide daily operations.Coordinate closely with Government CORs and program leadership, ensuring alignment on priorities, expectations, and interpretation of contract requirements.Monitor vendor staff performance, validating qualifications, ensuring coverage for all functional areas, and addressing performance issues that may affect service quality.Implement risk management practices, identifying potential risks to delivery, maintaining a risk register, and proactively proposing mitigation strategies.Ensure compliance with federal regulations, HR policy requirements, agency-specific procedures, and contract terms throughout all service areas.Facilitate issue resolution across systems and processes, partnering with Government stakeholders and vendor technical experts to troubleshoot and resolve operational challenges.Oversee quality assurance and quality control, ensuring all work products meet required standards, performance measures, and service level expectations.Manage change control processes, documenting, assessing, and coordinating Government approval for scope changes, staffing adjustments, or revised workflows.Lead regular status meetings, prepare agendas, track action items, and ensure effective communication between vendor teams and Government personnel.Support transition planning, including transition-in and transition-out activities, ensuring continuity of operations and documenting institutional knowledge as required.Required:Three to five years of experience providing independent HR support and services in any HR functional area (e.g. staffing, classification, employee benefits, employee relations, information systems, policy development); experience serving as a project lead, collaborating with others to effectively implement the project objectives.Minimum of eight (8) years of experience in managing projects directly relating to Federal Human Resources Operations. Minimum of Five (5) years of supervisory experience, in a lead or management role, with a demonstrated success in the ability to staff and lead/manage technically oriented projects and personnel. Experience in formulating work standards, assigning contractor schedules and resources, reviewing performance, cost, and budget information; supervising contractor personnel; and communicating policies, purposes, and goals of the organization to subordinates.FYI's Benefits/Incentives: What is in it for you?Opportunity to work a hybrid work scheduleA knowledgeable, high-achieving, diverse, experienced, and fun team.The chance to be part of a rapidly growing company and the next success story.A competitive base salary with a loaded benefits package plus 401K.Tuition/education assistance, personal computer allowance, pet insurance.