Coding Quality Analyst
Grand Rapids, MI · On-site +1
CRT-Professional Coder - AAPC American Academy of Professional Coders Upon Hire require About Corewell Health As a team member at Corewell Health, you will play an essential role in delivering ...
Coding Quality Analyst
Grand Rapids, MI · On-site +1
CRT-Professional Coder - AAPC American Academy of Professional Coders Upon Hire require About Corewell Health As a team member at Corewell Health, you will play an essential role in delivering ...
CRT-Professional Coder - AAPC American Academy of Professional Coders About Corewell Health As a team member at Corewell Health, you will play an essential role in delivering personalized health care ...
CRT-Professional Coder - AAPC American Academy of Professional Coders About Corewell Health As a team member at Corewell Health, you will play an essential role in delivering personalized health care ...
Actively shipping production code for the Speechify iOS app * Work within a dedicated product team ... We're a high-growth startup with a busy, remote team. You know how and when to engage or be heads ...
Actively shipping production code for the Speechify iOS app * Work within a dedicated product team ... We're a high-growth startup with a busy, remote team. You know how and when to engage or be heads ...
Remote Risk Adjustment Coder information
See Grand Rapids, MI salary details
$17.01 is the 25th percentile. Wages below this are outliers.
$14.73 - $17.06
26% of jobs
$17.06 - $19.40
9% of jobs
$19.40 - $21.73
12% of jobs
The median wage is $22.90 / hr.
$21.73 - $24.06
9% of jobs
$24.06 - $26.40
11% of jobs
$26.40 - $28.73
5% of jobs
$30.48 is the 75th percentile. Wages above this are outliers.
$28.73 - $31.06
6% of jobs
$31.06 - $33.39
5% of jobs
$33.39 - $35.73
5% of jobs
$35.73 - $38.06
3% of jobs
$38.06 - $40.39
10% of jobs
$14
$25
$40
How much do remote risk adjustment coder jobs pay per hour?
As of Aug 29, 2026, the average hourly pay for remote risk adjustment coder in Grand Rapids, MI is $25.52, according to ZipRecruiter salary data. Most workers in this role earn between $17.64 and $32.12 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?
| Aspect | Remote Risk Adjustment Coder | Remote Medical Coder |
|---|---|---|
| Certifications | AHIMA or AAPC Risk Adjustment certifications | AAPC CPC, CCS, or RHIT certifications |
| Work Environment | Healthcare insurance, payer organizations, risk adjustment teams | Hospitals, clinics, physician offices, insurance companies |
| Industry Usage | Primarily in health insurance and risk adjustment programs | Broad 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.
More about Remote Risk Adjustment Coder jobs
What are popular job titles related to Remote Risk Adjustment Coder jobs in Grand Rapids, MI?
For Remote Risk Adjustment Coder jobs in Grand Rapids, MI, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coder jobs in Grand Rapids, MI look for?
The top searched job categories for Remote Risk Adjustment Coder jobs in Grand Rapids, MI are:
What cities near Grand Rapids, MI are hiring for Remote Risk Adjustment Coder jobs?
Cities near Grand Rapids, MI with the most Remote Risk Adjustment Coder job openings:
Coding Quality Analyst
Grand Rapids, MI • On-site, Remote
Corewell Health •
Hospitals • 10K+ employees10,000+ employees
7.0
Based on 778 frontline employees who took The Breakroom Quiz
420th of 895 rated healthcare providers
People enjoy working here
Recommended by students
Recommended by parents
Respectful managers
Good training
Full-time
Medical, Vision, Retirement
Posted 8 days ago
Job description
Job Summary
Acts as a liaison between physician practices, rehab services, professional billing office, coding, payer relations, compliance and revenue management operations of patient financial services and Spectrum Health. Provides assistance to management and employees. Conducts coding quality reviews for the coding department, rehab services and physician practices.
Essential Functions
Qualifications
Required
About Corewell Health
As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.
How Corewell Health cares for you
Primary Location
SITE - Priority Health - 1239 E Beltline Ave NE - Grand Rapids
Department Name
Medical Code Review - PH Managed Benefits
Employment Type
Full time
Shift
Day (United States of America)
Weekly Scheduled Hours
40
Hours of Work
Flexible: 7 a.m. to 5 p.m.
Days Worked
Monday to Friday
Weekend Frequency
N/A
CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.
Acts as a liaison between physician practices, rehab services, professional billing office, coding, payer relations, compliance and revenue management operations of patient financial services and Spectrum Health. Provides assistance to management and employees. Conducts coding quality reviews for the coding department, rehab services and physician practices.
Essential Functions
- Meets with providers and coding employees regularly on billing, coding and reimbursement issues applicable to their specialty.
- Reviews monthly reporting from billing system with a focus on revenue cycle metrics, unbilled accounts, and adequate documentation.
- Acts as a liaison between the Coding department and Spectrum Health to enhance educational awareness of coding and documentation. Participates and initiates process and quality improvement activities.
- Reviews coding patterns/trends and provides ongoing consultation to providers regarding coding and documentation issues.
- Proactively identifies and communicates problems and opportunities; actively recommends and implements solutions or process improvements.
- Presents information to physicians, administrators and other institutional leadership.
- Acts as an expert resource for administrators and physicians in regulatory, coding, billing compliance and financial functions.
Qualifications
Required
- Bachelor's Degree accounting, finance, health care administration, or related field or equivalent combination of education and experience
- 2 years of relevant experience progressive experience in various hospital functions (e.g., professional/facility coding, reimbursement, billing, and/or chargemaster maintenance)
- CRT-Registered Health Information Administrator (RHIA) - AHIMA American Health Information Management Association Upon Hire required Or
- CRT-Registered Health Information Technician (RHIT) - AAPC American Academy of Professional Coders Upon Hire required Or
- CRT-Coding Specialist (CCS) - AHIMA American Health Information Management Association Upon Hire required Or
- CRT-Professional Coder - AAPC American Academy of Professional Coders Upon Hire require
About Corewell Health
As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.
How Corewell Health cares for you
- Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
- On-demand pay program powered by Payactiv
- Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
- Optional identity theft protection, home and auto insurance
- Traditional and Roth retirement options with service contribution and match savings
- Eligibility for benefits is determined by employment type and status
Primary Location
SITE - Priority Health - 1239 E Beltline Ave NE - Grand Rapids
Department Name
Medical Code Review - PH Managed Benefits
Employment Type
Full time
Shift
Day (United States of America)
Weekly Scheduled Hours
40
Hours of Work
Flexible: 7 a.m. to 5 p.m.
Days Worked
Monday to Friday
Weekend Frequency
N/A
CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.
About Corewell Health
Sourced by ZipRecruiter
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Grand Rapids, MI, US
Website
What Corewell Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom