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Remote Risk Adjustment Coder Jobs in Hampton, VA

Sentara

Accounts Receivable Specialist I

Virginia Beach, VA · On-site +1

$19.25 - $25.50/hr

Reviewing and processing insurance claims, verifying patient information and coding for accuracy ... or adjustments. Maintaining patient account balances, assisting with follow-up on unpaid claims ...

Sentara

Payroll Specialist

Virginia Beach, VA · On-site +1

$22.25 - $30.25/hr

... adjustments and retroactive calculations in compliance with Fair Labor Standards Act (FLSA ... risk. Monday through Friday, 8-4:30 position at 1330 Sentara Park, Virginia Beach, Virginia ...

Sentara

Payroll Specialist

Virginia Beach, VA · On-site +1

$10K/mo

... adjustments and retroactive calculations in compliance with Fair Labor Standards Act (FLSA ... risk. Monday through Friday, 8-4:30 position at 1330 Sentara Park, Virginia Beach, Virginia ...

Alutiiq, LLC

Program Manager I

Chesapeake, VA · On-site +1

$135K - $170K/yr

Taxable Entity ALUTIIQ SOLUTIONS LLC Job Title Program Manager I Location VA Remote - Remote, VA ... Possess strong knowledge of federal codes and standards, including OSHA, NFPA, and environmental ...

Sentara

MGR, Construction Management

Virginia Beach, VA · On-site +1

$10K/mo

Ensure all construction activities comply with federal, state, and local building codes, including ... Prepare regular project status reports for leadership, including risk assessments and mitigation ...

Sentara

MGR, Construction Management

Virginia Beach, VA · On-site +1

Ensure all construction activities comply with federal, state, and local building codes, including ... Prepare regular project status reports for leadership, including risk assessments and mitigation ...

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$42

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

As of May 29, 2026, the average hourly pay for remote risk adjustment coder in Hampton, VA is $26.57, according to ZipRecruiter salary data. Most workers in this role earn between $18.37 and $33.46 per hour, depending on experience, location, and employer.

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, 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 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 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.

More about Remote Risk Adjustment Coder jobs
What are the most commonly searched types of Risk Adjustment Coder jobs in Hampton, VA? The most popular types of Risk Adjustment Coder jobs in Hampton, VA are:
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What job categories do people searching Remote Risk Adjustment Coder jobs in Hampton, VA look for? The top searched job categories for Remote Risk Adjustment Coder jobs in Hampton, VA are:
What cities near Hampton, VA are hiring for Remote Risk Adjustment Coder jobs? Cities near Hampton, VA with the most Remote Risk Adjustment Coder job openings:
Remote Risk Adjustment Coder jobs near you
Accounts Receivable Specialist I

Accounts Receivable Specialist I

Sentara

Virginia Beach, VA • On-site, Remote

$19.25 - $25.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 27 days ago

Sentara Health rating

6.8

Company rating: 6.8 out of 10

Based on 379 frontline employees who took The Breakroom Quiz

489th of 864 rated healthcare providers

Job description

City/State

Virginia Beach, VA

Work Shift

First (Days)

Overview:

Accounts Receivable Specialist I

The Accounts Receivable Specialist I is responsible for managing the day-to-day operations of the organization's accounts receivable. This role involves ensuring accurate and timely collection of payments from consumers, insurance companies, and other payers. The Accounts Receivable Specialist will work to resolve billing issues, reconcile accounts, and maintain accurate records of transactions to ensure financial health and compliance with industry standards.

Managing accounts receivable accounts, ensuring accurate billing and timely collection of payments. Reviewing and processing insurance claims, verifying patient information and coding for accuracy. Communicating with insurance providers, patients, and internal teams to resolve payment discrepancies or issues. Performing account reconciliations, identifying discrepancies, and applying appropriate payments or adjustments. Maintaining patient account balances, assisting with follow-up on unpaid claims, and issuing statements as needed. Ensuring adherence to healthcare billing regulations and policies. Assisting with month-end closing activities and financial reporting.
Collaborating with other departments (e.g., billing, coding, and customer service) to streamline AR processes. Addressing and resolving any patient or insurance inquiries related to billing and payment issues.

The AR Specialist I should possess strong attention to detail, excellent communication skills, and a solid understanding of healthcare billing practices and payer systems. This role supports the organization's financial operations by optimizing the accounts receivable process and improving cash flow.

Education
  • High School or equivalent
Certification/Licensure
  • No specific certification or licensure requirements
Experience
  • one (1) year of related healthcare experience
  • Accounts Payable experience (debits/credits, familiar with payer websites preferred)
  • Some billing experience (preferably Healthcare)
  • Prior EPIC experience preferred
  • After successful completion of training period, can chose work schedule from 6am until 6pm
Benefits: Caring For Your Family and Your Career
Medical, Dental, Vision plans
Adoption, Fertility and Surrogacy Reimbursement up to 10,000
Paid Time Off and Sick Leave
Paid Parental & Family Caregiver Leave
Emergency Backup Care
Long-Term, Short-Term Disability, and Critical Illness plans
Life Insurance
401k/403B with Employer Match
Tuition Assistance - 5,250/year and discounted educational opportunities through Guild Education
Student Debt Pay Down - 10,000
Reimbursement for certifications and free access to complete CEUs and professional development
Pet Insurance
Legal Resources Plan
Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.


In support of our mission "to improve health every day," this is a tobacco-free environment.

For positions that are available as remote work, Sentara Health employs associates in the following states:

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

What Sentara Health employees say

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