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Remote Risk Adjustment Coder Jobs in Livermore, CA

YO AI Labs

Medical Coder - Remote

San Jose, CA · Remote

$50 - $80/hr

Medical Coder Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Coders to contribute their healthcare coding expertise to an innovative project focused on ...

YO AI Labs

Medical Coder - Remote

Palo Alto, CA · Remote

$50 - $80/hr

Medical Coder Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Coders to contribute their healthcare coding expertise to an innovative project focused on ...

MedHQ, LLC

Medical Coder

Tracy, CA · Remote

$19.25 - $25.50/hr

Position Overview We are seeking a meticulous and detail-oriented Medical Coder specializing in ... Vision insurance This is a remote position. **Applicants must be legally authorized to work in the ...

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All JobsRisk Adjustment Coder JobsRemote Risk Adjustment Coder JobsRemote Risk Adjustment Coder Jobs in Livermore, CA

Remote Risk Adjustment Coder information

See Livermore, CA salary details

$18

$32

$51

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

As of Aug 24, 2026, the average hourly pay for remote risk adjustment coder in Livermore, CA is $32.25, according to ZipRecruiter salary data. Most workers in this role earn between $22.26 and $40.62 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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Remote Risk Adjustment Coder jobs near you

Quality Improvement Coordinator

San Jose, CA • Remote

Astiva Health
Health Care and Social Assistance • 51 - 200 employees
Learn more about Astiva Healthexternal

$23 - $25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 20 days ago

Job description

Description

About Us:

Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members.


This is a remote position. The candidate must reside in the San Jose, CA area for occasional provider office visits.


Summary:

The Quality Improvement Coordinator will be responsible for coordinating and implementing quality improvement initiatives related to HEDIS measures and risk adjustments/HCC. This individual will work with internal and external stakeholders to ensure compliance with HEDIS specifications, data collection, reporting, and improvement strategies.


ESSENTIAL DUTIES AND RESPONSIBILITIES: include the following. Other duties may be assigned.

  • Regular and consistent attendance. In office attendance is requested 5 days a week.
  • Coordinate and partner with IPA/MSO delegates for HEDIS and risk adjustment data reporting
  • Identify gaps and opportunities for improvement
  • Collaborate with internal departments to review and implement projects and interventions to improve delivery of services and quality of care.
  • Assist with audits and reviews to ensure data accuracy and validity
  • Review and summarize collected data with trend analysis for additional provider educational opportunities.
  • Attend health plan meetings as requested by department leadership.
  • Stay updated on HEDIS and risk adjustment specifications, guidelines, and industry trends

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance
  • Free lunches on site

Requirements

EDUATION and/or EXPERIENCE:

  • 3+ years of quality improvement or healthcare related experience
  • Familiarity of HEDIS measures, specifications, and reporting requirements
  • Proficient in data analysis, Excel, and quality improvement methodologies
  • Excellent communication, presentation, and interpersonal skills
  • Ability to work independently and collaboratively in a fast-paced environment.
  • Detail-orientated, organized, and problem-solving skills.


Apply