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Remote Risk Adjustment Coder Jobs in Galveston, TX

UTMB Health

Senior Coder - RCO Coding (Remote)

Galveston, TX · Remote

$21.50 - $28.50/hr

CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional ... Remote, Monday through Friday, Full-Time Position. Equal Employment Opportunity UTMB Health strives ...

UTMB Health

Senior Coder - RCO Coding (Remote)

Galveston, TX · On-site +1

$21.50 - $28.50/hr

CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional ... Remote position; flexible hours following successful completion of training. Equal Employment ...

UTMB Health

Senior Coder - RCO Coding (Remote)

Galveston, TX · Remote

$21.50 - $28.50/hr

CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional ... Remote, Monday through Friday, Full-Time Position. Equal Employment Opportunity UTMB Health strives ...

UTMB Health

Senior Coder - RCO Coding (Remote)

Galveston, TX · Remote

$21.50 - $28.50/hr

CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional ... Remote, Monday through Friday, Full-Time Position. Equal Employment Opportunity UTMB Health strives ...

UTMB Health

Senior Coder - RCO Coding (Remote)

Galveston, TX · Remote

$21.50 - $28.50/hr

CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional ... Remote position; flexible hours following successful completion of training. Equal Employment ...

UTMB Health

Senior Coder - RCO Coding (Remote)

Galveston, TX · Remote

$21.50 - $28.50/hr

CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional ... Remote position; flexible hours following successful completion of training. Equal Employment ...

UTMB Health

Senior Coder - RCO Coding (Remote)

Galveston, TX · Remote

$21.50 - $28.50/hr

CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional ... Remote position; flexible hours following successful completion of training. Equal Employment ...

UTMB Health

Senior Coder - RCO Coding (Remote)

Galveston, TX · On-site +1

$21.50 - $28.50/hr

CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional ... Remote, Monday through Friday, Full-Time Position. Equal Employment Opportunity UTMB Health strives ...

Dane Street, LLC

Freelance Medical & Billing Coder

Houston, TX · Remote

$18 - $23.75/hr

Calling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for ... Experience working in a remote environment is preferred. Experience in a medical office or health ...

CLS Health PLLC

Medical Coder I

Webster, TX · Remote

$16.50 - $22/hr

Summary Assigns and aligns predefined codes, tabulates the data into the computer system, generates new codes, resolves edits and denials, and maintains proper records in accordance with CLS guidance ...

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Remote Risk Adjustment Coder information

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

As of Jul 4, 2026, the average hourly pay for remote risk adjustment coder in Galveston, TX is $25.83, according to ZipRecruiter salary data. Most workers in this role earn between $17.84 and $32.55 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
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Senior Coder - RCO Coding (Remote)

Senior Coder - RCO Coding (Remote)

UTMB Health

Galveston, TX • Remote

$21.50 - $28.50/hr

Full-time

Posted 26 days ago

UTMB Health rating

7.4

Company rating: 7.4 out of 10

Based on 166 frontline employees who took The Breakroom Quiz

256th of 877 rated healthcare providers

Job description

EDUCATION & EXPERIENCE:

Minimum Qualifications:

  • Three years of multi-specialty coding experience.
  • Proficient in coding Professional services, and/or Outpatient professional and hospital technical services.
  • Experience with communicating, training, and educating providers in proficiency.

Preferred Qualifications:

  • Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations.
  • Plastic Surgery coding experience preferred.

REQUIRED LICENSES, REGISTRATIONS, OR CERTIFICATIONS:

One of the following:

  • CCA – Certified Coding Associate (AHIMA) or
  • CCS – Certified Coding Specialist (AHIMA) or
  • CCS-P – Certified Coding Specialist – Physician Based (AHIMA) or
  • RHIA – Registered Health Information Administrator (AHIMA) or
  • RHIT – Registered Health Information Technician (AHIMA)
  • CIC – Certified Inpatient Coder (AAPC) or
  • COC – Certified Outpatient Coder (AAPC) or
  • CPC – Certified Professional Coder (AAPC) or
  • CPC-A – Certified Professional Coder – Apprentice (AAPC) or
  • CRC – Certified Risk Adjustment Coder (AAPC)

JOB SUMMARY:

Properly codes and/or audits professional services for inpatient and/or professional and hospital outpatient technical services for multiple specialty areas to ensure accuracy and optimal reimbursement from all third-party payers.

ESSENTIAL JOB FUNCTIONS:

  • Reviews documentation in EPIC and/or on paper as provided to appropriately assign ICD-10-CM, PCS and CPT codes.
  • Communicates with and provides feedback to the education team and/or provider for query opportunities for documentation clarification or missing elements in the medical record.
  • Utilizes the encoder and/or Optum software to correctly assign all appropriate ICD-10-CM, ICD10-PCS and CPT codes for diagnosis and procedures.
  • Sequences diagnoses and procedures to generate clean claims in accordance with the Coding Guidelines based on the type of coding being reviewed.
  • Verifies all ADT information is correct on all charge sessions; date of service, billing provider, service provider, place of service, referral information and claim form if required.
  • Attends and participates in coding education sessions.
  • Obtains required CEU’s for certification and completes any required education.
  • Works coding related charge reviews/claim edits daily to ensure timely and accurate billing within filing deadlines.
  • The coder is responsible for productivity and quality standards to adhere with coding compliance and federal regulations.
  • Work all PB/HB claim edits and reject errors daily.
  • Hospital DNB’s will be worked as assigned per Specialty.
  • Work charge reconciliation to ensure all services provided are captured for coding in a timely manner.
  • Adheres to internal controls and reporting structure.

Marginal or Periodic Functions:

  • Performs related duties as required.

KNOWLEDGE/SKILLS/ABILITIES:

  • Strong written and oral communication skills.

WORKING ENVIRONMENT/EQUIPMENT:

  • Standard office environment at UTMB’s main campus or other location.
  • Occasional travel may be required.
  • Standard office equipment

SALARY RANGE:

Actual salary commensurate with experience.

WORK SCHEDULE:

Remote, Monday through Friday, Full-Time Position.

Equal Employment Opportunity

UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.

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