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Remote Risk Adjustment Coder Jobs in McAllen, TX

Coder Cert - Inpatient FT ROC

Edinburg, TX · Remote

$15.75 - $19/hr

Maintains relationship with Coding Manager/Supervisor, CDI team, Business Office and Case Management staff. Performs primary function of coding inpatient records, to include DRG assignment and ...

Coder Cert - Inpatient FT ROC

Edinburg, TX · Remote

$15.75 - $19/hr

Maintains relationship with Coding Manager/Supervisor, CDI team, Business Office and Case Management staff. Performs primary function of coding inpatient records, to include DRG assignment and ...

Remote Risk Adjustment Coder information

See McAllen, TX salary details

$15

$26

$41

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

As of May 28, 2026, the average hourly pay for remote risk adjustment coder in McAllen, TX is $26.12, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $32.88 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.

What are popular job titles related to Remote Risk Adjustment Coder jobs in McAllen, TX? For Remote Risk Adjustment Coder jobs in McAllen, TX, the most frequently searched job titles are:
What cities near McAllen, TX are hiring for Remote Risk Adjustment Coder jobs? Cities near McAllen, TX with the most Remote Risk Adjustment Coder job openings:
Infographic showing various Remote Risk Adjustment Coder job openings in McAllen, TX as of May 2026, with employment types broken down into 63% Full Time, 33% Part Time, and 4% Contract. Highlights an 8% Physical, and 92% Remote job distribution, with an average salary of $54,335 per year, or $26.1 per hour.
Coder Cert - Inpatient FT ROC

Coder Cert - Inpatient FT ROC

UHS

Edinburg, TX • Remote

$15.75 - $19/hr

Full-time

Posted 7 days ago


Universal Health Services rating

6.9

Company rating: 6.9 out of 10

Based on 246 frontline employees who took The Breakroom Quiz

449th of 864 rated healthcare providers


Job description

Responsibilities

POSITION SUMMARY:

Performs the functions of all services of IP coding. Responsible and accountable for coding and DRG accuracy, timeliness of coding, and utilization of systems used to perform coding functions.  Maintains relationship with Coding Manager/Supervisor, CDI team, Business Office and Case Management staff.  Performs primary function of coding inpatient records, to include DRG assignment and validation.  Maintains knowledge of outpatient coding and other areas to assist as needed.  Utilizes the 3M Encoder to code and classify accurately all medical records according to ICD-10-CM/PCS.  Responsible and accountable for maintaining performance skills.


Qualifications

QUALIFICATIONS:

1.       Three to Five years coding experience required (Inpatient preferred)

2.       Advanced training in medical coding (ICD10-CM/PCS, CPT and APC).

3.       Medical terminology, anatomy and physiology required.

4.       Computer skills.

5.       Ability to read medical reports, interpret lab values pertinent to coding diagnoses, abstract pertinent

        information from records and to provide meaningful information by telephone or letter in replying to

        inquiries.

6.       Ability to work remotely. Must be able to provide high speed internet at place of residence at the expense of the employee, with a work area that is in adherence to privacy and security policies and procedures.

7.      Must demonstrate commitment and adherence to STHS’s Compliance Program and Code of Conduct through compliance with all policies and procedures, the Code of Conduct, attendance at required training and immediately reporting suspected compliance issue(s) to the Compliance Officer.

EDUCATION / LICENSURE:

1.       High School diploma, GED, or Higher Education required.

2.      Certification: AHIMA: RHIT, RHIA, CCS, or CCA; or AAPC Coding Certification required.

3.      Degree (Medical Records or Healthcare related field) or Coding Education Certificate from an accredited vocational school/college preferred.

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries.  We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.

Qualifications:

QUALIFICATIONS:

1.       Three to Five years coding experience required (Inpatient preferred)

2.       Advanced training in medical coding (ICD10-CM/PCS, CPT and APC).

3.       Medical terminology, anatomy and physiology required.

4.       Computer skills.

5.       Ability to read medical reports, interpret lab values pertinent to coding diagnoses, abstract pertinent

        information from records and to provide meaningful information by telephone or letter in replying to

        inquiries.

6.       Ability to work remotely. Must be able to provide high speed internet at place of residence at the expense of the employee, with a work area that is in adherence to privacy and security policies and procedures.

7.      Must demonstrate commitment and adherence to STHS’s Compliance Program and Code of Conduct through compliance with all policies and procedures, the Code of Conduct, attendance at required training and immediately reporting suspected compliance issue(s) to the Compliance Officer.

EDUCATION / LICENSURE:

1.       High School diploma, GED, or Higher Education required.

2.      Certification: AHIMA: RHIT, RHIA, CCS, or CCA; or AAPC Coding Certification required.

3.      Degree (Medical Records or Healthcare related field) or Coding Education Certificate from an accredited vocational school/college preferred.

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries.  We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.

Education:UNAVAILABLEEmployment Type: FULL_TIME

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About Universal Health Services

Sourced by ZipRecruiter

Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

King of Prussia, PA, US