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Remote Risk Adjustment Coder Jobs in Galveston, TX

Binary Defense

Detection Engineer - REMOTE

Houston, TX · Remote

Our team operates detection engineering as code, and we are looking for someone who thrives in a ... proactive, risk-focused security outcomes. We bring the attacker's mindset to defense, helping ...

Qcells

Solar Estimator

Houston, TX · On-site +1

$80K - $100K/yr

Remote SOLAR ESTIMATOR Hanwha Qcells USA Corp (Qcells USA), headquartered in Houston, TX, ... By choosing Qcells USA for turnkey solutions, customers can reduce uncertainty and risk, leading to ...

Crescent Energy

AI Engineer

Houston, TX · On-site +1

Equally comfortable writing code and sitting with users to map workflows, ask good questions, and ... Potential exposure to remote and high-risk environments, requiring adherence to safety protocols.

ConnectMed360

Program Support Supervisor

Houston, TX · Remote

$70K - $90K/hr

This position can be fully remote. We offer quarterly incentive bonuses with plenty of growth ... adjustments. * Ensures that all prescriptions are billed in accordance with Medicare/DMEPOS ...

Baker Hughes

AI Solutioning Consultant

Houston, TX · On-site +1

Evaluating solution options across low-code/no-code tools, enterprise AI platforms, integration ... Remote Work - Regular responsibilities performed away from the designated business location for a ...

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All JobsRisk Adjustment Coder JobsRemote Risk Adjustment Coder JobsRemote Risk Adjustment Coder Jobs in Galveston, TX

Remote Risk Adjustment Coder information

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

As of Sep 3, 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 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 Galveston, TX as of August 2026, with employment types broken down into 1% As Needed, 87% Full Time, 10% Part Time, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $53,732 per year, or $25.8 per hour.

Medical Records Technician (Coder/Audit/Training)

Defense Health Agency

Houston, TX

$51K - $65K/yr

Full-time

Posted 13 days ago

Defense Health Agency rating

8.1

Company rating: 8.1 out of 10

Based on 84 frontline employees who took The Breakroom Quiz

66th of 898 rated healthcare providers

Job description

Summary
About the Position: This is an open continuous announcement. Multiple vacancies exist and may be filled from this announcement at any of the locations listed. We accept applications on an ongoing basis; qualified applicants will be considered as vacancies become available.
Salary negotiation may be available for those candidates who are new to Federal service.
This is a Direct Hire Solicitation
Learn more about this agency
Duties
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  • Perform retrospective audits of diagnoses, E/M levels, procedures, and documentation to identify inaccurately coded services and ensure regulatory compliance.
  • Review medical records, analyze coding accuracy trends, prepare finding reports, and coordinate results with leadership to drive performance improvement.
  • Use encounter audits to identify operational and regulatory issues, ensures complete data capture, and support development of compliance plans.
  • Develop and deliver one-on-one and group training on documentation and coding requirements; updates clinical templates and recommends coding resources.
  • Review and code medical records, validates ICD and CPT accuracy, assists providers with documentation needs, and ensures proper RVU/RWP capture.
  • Prepare monthly progress reports, monitors coding performance, conducts special audits/projects, and communicates findings to leadership.

Requirements
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Conditions of employment
  • Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
  • A Personnel Security Investigation is required.
  • This position may have specific initial background investigation and periodic re-verification requirements since its duties may require interaction with children and youth under the age of eighteen (18) years of age on a recurring basis.
  • Selectees may be required to sign a statement (Condition of Employment) consenting to seasonal influenza vaccinations or must provide a recognized exemption.
  • Immunization screening may be required. Hepatitis B immunization is required for all positions with direct patient contact. Applicants may be required to show proof of other immunizations depending on the type of position.
  • Additional requirements may be determined as positions arise and will be communicated during the hiring process if you are selected.

Qualifications
Who May Apply: US Citizens
In order to qualify, you must meet the experience requirements described below. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document.
Specialized Experience: One year of specialized experience that includes assisting with coding audits to identify inaccurately coded services; reviewing coding errors to identify trends and develop training materials; and providing guidance to support accurate coding practices. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-06).Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience aloneno substitution of education for experience is permitted.
Additional information
  • Male applicants born after December 31, 1959 must complete a Pre-Employment Certification Statement for Selective Service Registration.
  • You will be required to provide proof of U.S. Citizenship.
  • This position requires a 1 year probationary period during which the agency evaluates your fitness and whether your continued employment advances the public interest. In making this determination, the agency may consider your performance and conduct; agency needs and interests; whether your continued employment supports organizational or Government goals; and whether it promotes the efficiency of the Federal service. Continued employment requires written certification that it advances the public interest.
  • Direct Deposit of Pay is required.
  • Selection is subject to restrictions resulting from Department of Defense referral system for displaced employees.
  • Recruitment or relocation incentives MAY be authorized for highly qualified candidates.
  • Multiple positions may be filled from this announcement.
  • Salary includes applicable locality pay or Local Market Supplement.
  • If you have retired from federal service and you are interested in employment as a reemployed annuitant, see the information in the Reemployed Annuitant information sheet.
  • Payment of Permanent Change of Station (PCS) costs is not authorized, based on a determination that a PCS move is not in the Government interest.
  • Permanent positions: One year trial/probationary period may be required.

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Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
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