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Remote Risk Adjustment Coder Jobs in Hollywood, FL

Oscar Health

Auditor, Risk Adjustment

Miami, FL · Remote

$82K - $108K/yr

Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas.

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Remote Risk Adjustment Coder information

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$14

$25

$39

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

As of Jun 21, 2026, the average hourly pay for remote risk adjustment coder in Hollywood, FL is $25.22, according to ZipRecruiter salary data. Most workers in this role earn between $17.40 and $31.73 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
What are popular job titles related to Remote Risk Adjustment Coder jobs in Hollywood, FL? For Remote Risk Adjustment Coder jobs in Hollywood, FL, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coder jobs in Hollywood, FL look for? The top searched job categories for Remote Risk Adjustment Coder jobs in Hollywood, FL are:
What cities near Hollywood, FL are hiring for Remote Risk Adjustment Coder jobs? Cities near Hollywood, FL with the most Remote Risk Adjustment Coder job openings:
Remote Risk Adjustment Coder jobs near you
Infographic showing various Remote Risk Adjustment Coder job openings in Hollywood, FL as of June 2026, with employment types broken down into 82% Full Time, and 18% Contract. Highlights an 100% Remote job distribution, with an average salary of $52,449 per year, or $25.2 per hour.
Risk Adjustment Coder-1

Risk Adjustment Coder-1

ChenMed

Miami, FL • Remote

$24 - $34.25/hr

Full-time

Posted 6 days ago

ChenMed rating

8.4

Company rating: 8.4 out of 10

Based on 39 frontline employees who took The Breakroom Quiz

1st of 228 rated social care providers

Job description

We’re unique.  You should be, too.

We’re changing lives every day.  For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts?  Do you inspire others with your kindness and joy?

We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team.

The Risk Adjustment Coder works in a collaborative effort directly with physicians and their office staff and other support departments to review medical records and other clinical documentation to identify appropriate risk adjustment codes and quality gap closure opportunities.
A major focus of the position is to collect and review documents to support the organization’s quality and risk adjustment initiatives, which results in improving quality of care.

ESSENTIAL JOB DUTIES/RESPONSIBILITIES:

  • Ensures compliance with all applicable Federal, State and/or County laws and regulations related to coding and documentation guidelines for Risk Adjustment Reviews of medical records, patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries to verify whether:
    • The diagnosis codes are supported by the documentation and ensure with ICD-10-CM Guidelines for Coding and Reporting.
    • The diagnosis codes for each chronic or major medical condition have been captured correctly.
  • Any diagnosis code that is unsubstantiated by the record should be queried to provider and assess to accuracy.
  • Reviews for clinical indicators and query providers to capture the severity of illness of the patient.
  • Conducts medical charts to identifying opportunities for improving individual member risk adjustment score accuracy.
  • Provides feedback to internal clients on:
    • Examples of documentation and physician self-coding that do not meet quality standards.
    • Examples of missed operations missed opportunities.
    • Examples of clinical that ensure quality and timely care of our members as well as correct reimbursement.
    • Identifies clinical coding and documentation trends and training needs to improve the quality of documentation to reflect our patients’ health data.
  • Attends all meetings as required.
  • Other duties as assigned and modified at manager’s discretion.

KNOWLEDGE, SKILLS & ABILITIES:

  • Advanced understanding of medical terminology, body systems/anatomy, physiology and concepts of disease processes.
  • Demonstrated ability to utilize a variety of electronic medical records systems.
  • Ability to manage significant work load, and to work efficiently under pressure meeting established deadlines with minimal supervision.
  • Strong time management skills.
  • Excellent written and oral communication for representation of clear and concise results.
  • Strong follow-up skills & organizational skills required.
  • Must possess high degree of accuracy, efficiency and dependability.
  • Candidate will start in office, but could potentially work from home after quality and production levels exceed targets. Would need to be comfortable coming to the office on a weekly basis and as established by management.
  • Travel required 0-10%

EDUCATION AND EXPERIENCE CRITERIA:

  • High School Diploma or GED required.
  • Coding Certificate required. APPC or AHIMA coding certified preferred.
  • CRC (certified risk coder) is required, or minimum of 3-5 years’ experience in risk adjusting coding in lieu of certificate.
  • Two (2) + years’ experience in a primary care environment is required.
  • Strong knowledge of Microsoft Office Suite (Excel-basic mathematical formulas, charts, tables).
  • Strong medical coding and third party operating procedures and practices.
  • Knowledge of CPT/ICD-9 & 10 & Medical Terminology.

PAY RANGE:

$24.0 - $34.25 Hourly

The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for a bonuses or commissions.

EMPLOYEE BENEFITS

https://chenmed.makeityoursource.com/helpful-documents

We’re ChenMed and we’re transforming healthcare for seniors and changing America’s healthcare for the better.  Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We’re growing rapidly as we seek to rescue more and more seniors from inadequate health care. 

ChenMed is changing lives for the people we serve and the people we hire.  With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow.  Join our team who make a difference in people’s lives every single day.

Current employees, if you want to apply to our internal career site, please click HERE

Current Contingent Worker please see job aid HERE to apply

#LI-Remote

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About ChenMed

Sourced by ZipRecruiter

We're expanding healthcare equity across America. We're already in 15 states with 100+ medical centers. As a rapidly growing, physician-led organization, we have one central focus: rescue any and every senior from a healthcare system that has failed them. Our family of brands include Chen Senior Medical Center, JenCare Senior Medical Center, and Dedicated Senior Medical Center. Recently named a 2021 Best Places To Work and one of the only healthcare companies recognized in Fortune's 2020 "Change The World" list, ChenMed prides itself on creating a culture that enables career growth and promotes inclusion for all.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Miami, FL, US

Year founded

1985

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