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Remote Risk Adjustment Coder Jobs in Hilton Head Island, SC

CRB

Project Manager

Savannah, GA

Location: Remote option available - open to Savannah, GA, Tampa, FL, Miami, FL, Orlando, FL ... Regulatory Compliance: Ensure all designs meet applicable codes, standards, and industry ...

All JobsRisk Adjustment Coder JobsRemote Risk Adjustment Coder JobsRemote Risk Adjustment Coder Jobs in Hilton Head Island, SC

Remote Risk Adjustment Coder information

See Hilton Head Island, SC salary details

$14

$25

$41

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 Hilton Head Island, SC is $25.97, according to ZipRecruiter salary data. Most workers in this role earn between $17.93 and $32.69 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 Hilton Head Island, SC, the most frequently searched job titles are:

What cities near Hilton Head Island, SC are hiring for Remote Risk Adjustment Coder jobs?

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Remote Risk Adjustment Coder jobs near you

Market Physician Executive

Monogram Health

Savannah, GA • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 25 days ago

Job description

Monogram Health is seeking a mission-driven Market Physician Executive (MPE) in Savannah, GA, to lead an in-home multi-specialty polychronic care model. This role involves improving patient well-being, quality of life, and health outcomes by leveraging proprietary AI algorithms and a robust clinical team. The MPE will focus on enhancing patient experience, population health outcomes, and provider satisfaction while reducing costs through evidence-based clinical pathways and disease treatment.

Practice Info

  • Lead an in-home multi-specialty polychronic care model in an assigned market.
  • Each market is comprised of 5-10 territories led by local advanced practice providers (APP), registered nurses (RN), licensed clinical social workers (LCSW), and pharmacists.
  • Collaborate with Monogram Health's Multi-Specialty Platform to leverage employed specialists to deliver in-home specialty care.
  • Oversee the daily clinical and business operations through delivery of direct patient care, care management services, social worker support and pharmacy services within the market.
  • Provide clinical guidance and direction to Market teams to drive Population Health Management activities.
  • This position will be remote within the designated market with occasional in-home patient treatment visits and occasional domestic travel.

Responsibilities

  • Know, understand, and deliver on Monogram Health's proprietary evidence-based clinical pathways.
  • Review and approve APP, RN, SW and Pharmacy plans of care.
  • Review, approve and co-sign APP encounters.
  • Overall accountability for reducing total cost of care and Medical Loss Ratio.
  • Actively lead daily high risk and concurrent review rounds.
  • Direct supervision of front line clinical and operations team members, which includes regular shadowing/ride-alongs in the field.
  • Provide direct and indirect patient care (including diagnosis and treatment of acute and chronic diseases).
  • Conduct Peer to Peer consults with community, facility, and health plan partners.

Compensation

  • Competitive compensation
  • 401k with employer match

Benefits

  • Medical, dental, and vision insurance
  • Employee assistance program
  • Employer-paid and voluntary life insurance
  • Disability insurance
  • Health and flexible spending accounts
  • Paid holidays
  • Flexible vacation time/PSSL
  • Paid parental leave
  • Work life assistance resources
  • Physical wellness perks
  • Mental health support
  • Employee referral program
  • BenefitHub for employee discounts

Shift & Schedule

  • Participate in Monogram On-Call rotation which will vary; e.g. 7 days on call minimum once/quarter.

Requirements

  • Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare.
  • Willingness to become licensed in multiple states.
  • MD or DO degree from an accredited medical school.
  • BC or BE in an ACGME approved specialty such as Nephrology, Internal Medicine, Family Practice, Emergency Medicine, Critical Care, Cardiology, Endocrinology, Hepatology, or Geriatrics.
  • Active, unrestricted state medical license required in each state within the market, and ability to obtain additional states as needed.
  • Demonstrated experience applying evidence-based clinical criteria.
  • Experience in multispecialty, geriatrics and/or value-based care.
  • Advanced management and communication skills.
  • Experience with high need Medicare Advantage and managed Medicaid populations.
  • Experience with NCQA, HEDIS, Medicaid, Medicare, quality improvement, medical utilization management, and risk adjustment.

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