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Remote Risk Adjustment Coder Jobs in Humble, TX (NOW HIRING)

Remote Hospital Pharmacist

Houston, TX · On-site +1

$55.75 - $66.75/hr

Renal dosing adjustments * High-risk medications (anticoagulants, opioids, insulin, vancomycin AUC) * Communicate directly with providers and nursing staff 3) Remote Oversight of Medication Use

Senior Network Engineer

Houston, TX · On-site +1

$99K - $136K/yr

Develop and maintain Infrastructure as Code (IaC) scripts for network and cloud resource ... Potential exposure to remote and high-risk environments, requiring adherence to safety protocols.

Senior Network Engineer

Houston, TX · On-site +1

$99K - $136K/yr

Develop and maintain Infrastructure as Code (IaC) scripts for network and cloud resource ... Potential exposure to remote and high-risk environments, requiring adherence to safety protocols.

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Remote Risk Adjustment Coder information

See Humble, TX salary details

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

As of Jun 9, 2026, the average hourly pay for remote risk adjustment coder in Humble, TX is $23.74, according to ZipRecruiter salary data. Most workers in this role earn between $16.39 and $29.90 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.

What are popular job titles related to Remote Risk Adjustment Coder jobs in Humble, TX? For Remote Risk Adjustment Coder jobs in Humble, TX, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coder jobs in Humble, TX look for? The top searched job categories for Remote Risk Adjustment Coder jobs in Humble, TX are:
What cities near Humble, TX are hiring for Remote Risk Adjustment Coder jobs? Cities near Humble, TX with the most Remote Risk Adjustment Coder job openings:
Remote Hospital Pharmacist

Remote Hospital Pharmacist

PharMerica

Houston, TX • On-site, Remote

$55.75 - $66.75/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 3 days ago


PharMerica rating

6.5

Company rating: 6.5 out of 10

Based on 102 frontline employees who took The Breakroom Quiz

55th of 99 rated pharmacies


Job description

Our Company
PharMerica
Overview
PharMerica is hiring a {position type} Pharmacist in {City, State}!
Join our closed-door pharmacy team where you'll work in a non-retail environment, dedicated to meeting the pharmaceutical needs of long-term care and senior living clients. If you're passionate about delivering exceptional service and high-quality care, we want to hear from you. Apply today and become part of a team committed to making a difference!
Schedule:
Days/Hours/Shift
Weekend/Holiday Rotation
Additional Information To Highlight:
*Shift Differential
*required/preferred experience
*required/preferred licensure/certification
*Sign On/Relocation Bonus
Benefits and perks for you!
  • Medical, Dental, Vision insurance
  • Health Savings & Flexible Spending Accounts (up to $5,000 for childcare)
  • Tuition discounts & reimbursement
  • 401(k)
  • Company Paid Time Off
  • Shift Differential
  • DailyPay
  • Pet Insurance
  • Employee wellness and discount programs

*Benefits may vary by employment status
Responsibilities
How YOU will benefit:
  • Supportive team with room to work independently
  • Ongoing training and career growth
  • Advancement opportunities in a growing company
  • Referral bonuses

As a Pharmacist you will:
  • Evaluate physician medication orders for drug appropriateness, correct dosage, potential drug interactions, and proper route of administration.
  • Provide clinical recommendations to physicians and healthcare staff regarding medication therapy changes and optimizations.
  • Maintain up-to-date patient/resident profiles, including medical history, lab results, and current medications (prescription, OTC, and home remedies).
  • Ensure laboratory tests required for monitoring high-risk medications are appropriately ordered, reviewed, and communicated to the healthcare team.
  • Collaborate with physicians, nurses, and other healthcare professionals to provide clinical and technical support.
  • Document all communications and clinical interventions in the patient's medical record, including interactions with families and caregivers.
  • Implement and enforce policies and procedures for the safe handling, dispensing, and clinical oversight/management of medications.
  • Ensure compliance with all state and federal regulatory requirements related to pharmacy practice and medication management.
  • Report medication-related errors and adverse drug events to the Pharmacy Manager as required.
  • Educate and support clinical team and healthcare agency staff on safe and effective medication handling procedures.
  • Perform other pharmacy-related tasks and responsibilities as assigned.

Qualifications
Qualifications
Required:
  • Bachelor's Degree in Pharmacy, Pharm D preferred
  • One year experience in long term care desired
  • License/Certification(s): current and valid pharmacist license in the state of practice
  • Knowledge of drug therapy guidelines, medication safety practices, and regulatory standards (CMS, DEA, FDA).
  • Proficiency in electronic medical records and pharmacy information systems
  • Strong clinical judgement, and effective written and verbal communication

*Position will be posted for a minimum of 7 business day
About our Line of Business
PharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals. We also cater to individuals with behavioral needs, infusion therapy needs, seniors receiving in-home care, and patients with cancer. Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the personal touch of a neighborhood pharmacy with the resources of a national network. Our comprehensive solutions, backed by industry-leading technology and regulatory expertise, ensure accurate medication access, cost control, and compliance with best-in-class clinical standards. We are committed to enhancing resident health, reducing staff burdens, and supporting our clients' success. For more information, visit www.pharmerica.com. Follow us on Facebook, Twitter, and LinkedIn.
Additional Job Information
Key Facts
  • Schedule: 7 days on / 7 days off (evenings or nights preferred based on coverage needs)
  • Location: Fully Remote
  • Setting: Critical Access Hospitals (CAH) + Behavioral Health
  • Licensure Required:
    • Active Pharmacist License - Texas (required)
    • Active Pharmacist License - New Mexico (required)
    • Willingness to obtain additional state licenses (required)
  • Experience Preferred: Inpatient hospital pharmacy, remote verification, or clinical pharmacist role

Core Responsibilities (Operational Workflow)
1) Order Verification (Primary Function)
  • Review and verify medication orders in real-time
  • Ensure:
    • Appropriate indication
    • Correct dose, route, frequency
    • Renal/hepatic adjustments
    • Allergy and interaction screening
  • Release verified orders to ADCs (Omnicell/Pyxis) for nursing access

2) Clinical Review & Intervention
  • Perform prospective and retrospective clinical order review
  • Provide recommendations for:
    • Antibiotic stewardship (IDSA-aligned)
    • Renal dosing adjustments
    • High-risk medications (anticoagulants, opioids, insulin, vancomycin AUC)
  • Communicate directly with providers and nursing staff

3) Remote Oversight of Medication Use
  • Monitor medication administration trends and discrepancies
  • Support nursing workflow:
    • Timing of doses
    • Missing medication resolution
  • Provide guidance on IV compatibility, infusion rates, and administration safety

4) Controlled Substance & Compliance Oversight
  • Review narcotic usage patterns and discrepancies
  • Support diversion monitoring efforts (DEA expectations)
  • Ensure:
    • Valid order present for all controlled substance dispensing
    • Documentation aligns with administration records

5) Regulatory & Survey Readiness
  • Maintain compliance with:
    • CMS Conditions of Participation (CoPs)
    • Joint Commission Medication Management (MM standards)
    • Texas State Board of Pharmacy (TSBP)
  • Support documentation and audit readiness (72-hour retrieval standard)

Regulatory Requirements vs Best Practice
Regulatory (Must Do)
  • Active licensure in all practicing states (TSBP, NM Board)
  • Prospective drug utilization review (DUR) prior to dispensing (CMS CoPs)
  • Controlled substance oversight (DEA compliance)
  • Timely documentation and retrievability of pharmacy actions

Best Practice
  • Antibiotic stewardship interventions (IDSA guidance)
  • AUC-based vancomycin monitoring when appropriate
  • Standardized remote verification workflows
  • Clear communication loops with nursing and providers

Operational Recommendations
  • Experience with:
    • Remote access platforms (VPN/Parallels)
    • ADC systems (Omnicell, Pyxis)
    • Meditech, Cerner, CPSI / TruBridge or similar EHRs
  • Ability to work independently with strong clinical judgment
  • High attention to detail under low supervision environments

High-Risk Areas (Patient Safety + Compliance)
  • Anticoagulants (heparin, DOACs) → bleeding risk, dosing errors
  • Opioids (Schedule II) → diversion + respiratory depression
  • Insulin → hypoglycemia risk
  • Electrolytes (K, Mg, Na) → cardiac/neurologic complications
  • Vancomycin / Aminoglycosides → nephrotoxicity

Required Qualifications
  • PharmD or BS Pharmacy degree
  • Active licenses:
    • Texas (required)
    • New Mexico (required)
  • Willingness to obtain additional state licenses
  • Minimum 2+ years inpatient hospital experience preferred
  • Strong clinical knowledge and independent decision-making ability

Preferred Qualifications
  • Experience in remote pharmacy services
  • Familiarity with critical access hospitals (CAH)
  • Experience with:
    • Antibiotic stewardship programs
    • Pharmacokinetics (vancomycin AUC dosing)
    • Remote technician oversight

Compensation & Benefits
  • Competitive hourly rate (based on experience)
  • Additional compensation for multi-state licensure
  • PTO structure based on 7/7 schedule model
  • Opportunity to grow with expanding hospital network

Why This Role Matters
This position plays a critical role in:
  • Ensuring safe medication use across multiple hospitals
  • Supporting limited onsite staffing environments
  • Maintaining regulatory compliance and survey readiness
  • Enhancing clinical outcomes through remote expertise

What PharMerica employees say

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Benefits

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