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Remote Risk Adjustment Coder Jobs in Franklin, TN

Vertek Staffing

CDI Specialist

Franklin, TN · Remote

$33.50 - $45/hr

CDI Specialist - Remote Acute Care Hospital Experience Required Required Education * High School ... risk of mortality, and present-on-admission indicators. * Collaborate with Coding, HIM, Case ...

Acadia Healthcare

Compliance Investigator

Franklin, TN · On-site +1

... high-risk situations. This role will be located in the corporate office, with remote work ... Billing and coding concerns * Fraud, waste, and abuse risks * HIPAA privacy and security matters

Amsurg

Collector, CBO

Nashville, TN · Remote

$16.50 - $22/hr

COLLECTOR, CBO REMOTE Company Overview: AMSURG is an independent leader in ambulatory surgery ... Reads and abides by the company's code of conduct, ethics statements, employee handbook(s ...

AMSURG

Collector, CBO

Nashville, TN · Remote

$16.50 - $22/hr

COLLECTOR, CBO REMOTE Company Overview: AMSURG is an independent leader in ambulatory surgery ... Reads and abides by the company's code of conduct, ethics statements, employee handbook(s ...

micro1 AI

Pharmacovigilance Expert

Murfreesboro, TN · 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

Murfreesboro, TN · 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

Nashville, TN · 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

Pharmacovigilance Expert

Nashville, TN · 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 Franklin, TN

Remote Risk Adjustment Coder information

See Franklin, TN salary details

$15

$27

$42

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

As of Aug 22, 2026, the average hourly pay for remote risk adjustment coder in Franklin, TN is $27.15, according to ZipRecruiter salary data. Most workers in this role earn between $18.75 and $34.18 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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For Remote Risk Adjustment Coder jobs in Franklin, TN, the most frequently searched job titles are:

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The top searched job categories for Remote Risk Adjustment Coder jobs in Franklin, TN are:

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Cities near Franklin, TN with the most Remote Risk Adjustment Coder job openings:

Remote Risk Adjustment Coder jobs near you
Infographic showing various Remote Risk Adjustment Coder job openings in Franklin, TN as of August 2026, with employment types broken down into 1% As Needed, 88% Full Time, 8% Part Time, and 3% Contract. Highlights an 88% Physical, 4% Hybrid, and 8% Remote job distribution, with an average salary of $56,468 per year, or $27.1 per hour.

CDI Specialist

Vertek Staffing

Franklin, TN • Remote

$33.50 - $45/hr

Contractor

Re-posted 28 days ago

Job description

CDI Specialist - Remote

Acute Care Hospital Experience Required

Required Education
  • High School Diploma required with submission
Required Certifications & Licensure

Online certification verification required with submission.

Required:

  • Active, unrestricted Registered Nurse (RN) license

Preferred Certifications:

  • Certified Clinical Documentation Specialist (CCDS) - ACDIS
  • Certified Documentation Improvement Practitioner (CDIP) - AHIMA
  • Certified Coding Specialist (CCS) - AHIMA
  • Registered Health Information Administrator (RHIA) - AHIMA
  • Registered Health Information Technician (RHIT) - AHIMA
Schedule
  • Monday - Friday
  • Occasional weekend coverage may be required based on client needs
Position Summary

The CDI Specialist is responsible for improving the overall quality and completeness of clinical documentation within the medical record. Through concurrent review of patient records, the CDI Specialist collaborates with physicians, nursing staff, coding professionals, case management, and other healthcare team members to ensure documentation accurately reflects severity of illness, risk of mortality, quality measures, and resource utilization.

The CDI Specialist identifies opportunities for documentation clarification through compliant physician queries and helps ensure documentation supports accurate coding, reimbursement, quality reporting, and denial prevention.

This role requires strong clinical knowledge, critical thinking skills, and a thorough understanding of ICD-10-CM/PCS coding guidelines, MS-DRG assignment, APR-DRG methodologies, and regulatory requirements.

The CDI Specialist will work collaboratively with HIM, Coding, Case Management, Utilization Review, Physician Advisors, and providers to support accurate and complete clinical documentation.

Key Responsibilities
  • Conduct concurrent reviews of inpatient medical records to identify documentation improvement opportunities.
  • Initiate compliant physician queries to clarify diagnoses, procedures, severity of illness, risk of mortality, and present-on-admission indicators.
  • Collaborate with Coding, HIM, Case Management, Utilization Review, and clinical teams to promote complete and accurate documentation.
  • Ensure documentation supports appropriate MS-DRG and APR-DRG assignment.
  • Assist with reducing denials through accurate clinical documentation and physician education.
  • Monitor documentation trends and identify opportunities for process improvement.
  • Participate in physician education initiatives related to documentation best practices.
  • Maintain productivity and quality standards established by the client.
  • Stay current on regulatory requirements, coding guidelines, and CDI best practices.
  • Assist leadership with special projects and additional duties as assigned.
Required Experience
  • Active RN license
  • Acute Care Hospital CDI experience required
  • Experience performing concurrent inpatient chart reviews
  • Experience writing compliant physician queries
  • Strong understanding of clinical documentation improvement principles
  • Knowledge of MS-DRGs, APR-DRGs, Severity of Illness (SOI), and Risk of Mortality (ROM)
  • Experience collaborating with physicians and interdisciplinary teams
Preferred Experience
  • CCDS and/or CDIP certification
  • Strong understanding of ICD-10-CM/PCS coding guidelines
  • Experience with mortality reviews, quality initiatives, and denial prevention
  • Experience with Epic, Cerner, Meditech, or other major EMR systems
 
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About Vertek Solutions

Sourced by ZipRecruiter

Vertek Solutions is a boutique staffing firm that specializes in recruiting top level IT talent who can enhance our clients’ teams. Our team works every day to foster relationships with both our consultants and clients to understand their needs and ensure that we are providing a solution that is mutually beneficial.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Franklin, TN, US

Year founded

2006

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