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Remote Risk Adjustment Coder Jobs in Melissa, TX

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Code of Ethics. We offer a flexible work environment that requires an individual to be in the ...

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Code of Ethics. We offer a flexible work environment that requires an individual to be in the ...

Senior Site Reliability Engineer II

Dallas, TX · On-site +1

$125K - $209K/yr

LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Business ... If not, this role is fully remote. We do not restrict applicants based on job site or posting ...

Senior Site Reliability Engineer II

Allen, TX · On-site +1

$125K - $209K/yr

LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Business ... If not, this role is fully remote. We do not restrict applicants based on job site or posting ...

... risk. • Apply ABAC/ReBAC and policy as code (e.g., OPA) for APIs and event driven architectures. MSSP Solution Design & Delivery • Create multi-tenant reference architectures and runbooks for ...

Supports audit and denial escalation review and evaluates and resolves high-risk AI-assisted coding exceptions to ensure regulatory compliance, audit readiness, and optimal reimbursement. The duties ...

Tax Analyst Senior

Plano, TX · On-site +1

$93K - $179K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... adjustments, and completing required forms and schedules. * Leads high-risk tax audit issues in ...

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Remote Risk Adjustment Coder information

See Melissa, TX salary details

$15

$26

$42

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 Melissa, TX is $26.80, according to ZipRecruiter salary data. Most workers in this role earn between $18.51 and $33.75 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 Melissa, TX? For Remote Risk Adjustment Coder jobs in Melissa, TX, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coder jobs in Melissa, TX look for? The top searched job categories for Remote Risk Adjustment Coder jobs in Melissa, TX are:
What cities near Melissa, TX are hiring for Remote Risk Adjustment Coder jobs? Cities near Melissa, TX with the most Remote Risk Adjustment Coder job openings:
Vice President of Product Management (EHR)

Vice President of Product Management (EHR)

Hearst

Dallas, TX • On-site, Remote

Full-time

Posted 22 days ago


Hearst rating

6.8

Company rating: 6.8 out of 10

Based on 25 frontline employees who took The Breakroom Quiz

48th of 65 rated media


Job description

The Opportunity:

Homecare Homebase is seeking a visionary, execution-focused Vice President of EHR & AI Product to lead the next generation of our core EHR platform-spanning Intake, Capacity Logistics, Care Coordination, and Revenue Cycle Management (RCM).

As the general manager and portfolio architect for HCHB's EHR business line, you will directly connect enterprise strategy to growth, profitability, and modernization outcomes. Your mandate: deliver end-to-end strategy, execution, and performance for the EHR portfolio, harnessing AI to reduce clinician burden, improve care coordination, and drive financial performance, all while upholding trust with clinicians, patients, payers, and regulators.

You will lead a team of experienced product leaders and work cross-functionally to translate strategy into durable product and business results. As a key member of the product leadership team, you will be a transformational leader and market-facing voice for EHR & AI, helping HCHB maintain and extend its position as the market leader in home-based care.

What You Will Do:EHR & AI Product Leadership
  • Define and drive EHR and AI strategy, roadmap, and priorities-linking directly to revenue, retention, margin, and clinical impact.

  • Architect a cohesive EHR-AI strategy, specifying where and how AI augments documentation, decision support, scheduling, utilization management, authorizations, denial prevention, and coding.

  • Translate market and regulatory shifts (value-based care, Medicare Advantage, interoperability) into a 3-5 year portfolio vision.

  • Modernize legacy systems while pursuing bold innovations like ambient documentation and AI copilots for clinicians and back-office teams.

  • Lead build/buy/partner decisions for AI products, selecting the right technology and data partners.

AI, Data, and Safety by Design
  • Partner with Architecture and Security to ensure robust data pipelines, model lifecycle management, and governance.

  • Set guardrails for compliant, safe AI-ensuring privacy, auditability, and content safety in clinical and financial workflows.

  • Establish success measures for AI features, and foster continuous improvement through real-world user feedback.

  • Champion responsible AI practices with clients and internal stakeholders, educating them on opportunities, limitations, and safeguards.

Product Execution & Operational Excellence
  • Drive prioritization, cross-functional alignment, and rapid learning across Intake, Capacity Logistics, Care Coordination, and RCM.

  • Foster a high-velocity operating cadence through OKRs, quarterly planning, and structured reviews that link strategy to outcome.

  • Instill operational rigor in backlog management, release readiness, and legacy module lifecycle.

Team Leadership & Talent Development
  • Build and coach a diverse, high-performing team of Directors and Senior PMs.

  • Clarify team roles, develop P&L mindset among product leaders, and foster psychological safety, succession, and accountability.

Cross-Functional Influence and Stakeholder Management
  • Partner with Engineering and UX to ensure high-quality, high-velocity delivery of EHR and AI capabilities that meaningfully improve clinician workflow, staff efficiency, and financial performance.

  • Work closely with Sales, Marketing, and Client Success to ensure crisp positioning, pricing/packaging, and launch programs that drive adoption and renewal.

  • Serve as a key face of the EHR & AI portfolio with strategic customers, prospects, and partners-translating roadmap and strategy into a compelling, credible story.

  • Help Product act as a unifying force across HCHB, especially where EHR, data, operations, and AI intersect, breaking down silos and aligning decision-making.

  • Engage with executive peers to align investment decisions, resolve conflicts, and keep the organization focused on what matters most.

Market, Customer, and Regulatory Insight
  • Maintain a systems-level understanding of home health, hospice, and personal care operations by staying close to clinicians, field staff, back-office users, and agency leaders to deeply understand pain points and test concepts before and after launch.

  • Stay ahead of regulatory and payer trends (CMS rules, MA and risk adjustment, value-based care, interoperability, and emerging AI guidance) and adjust strategy accordingly.

  • Oversee competitive intelligence, win/loss analysis, and market segmentation, ensuring our EHR & AI offerings remain differentiated, defensible, and aligned to customer segments.

What You Will Bring:
  • 12+ years of progressive product management experience, with at least 5+ years leading product teams and 3+ years in a senior or executive product leadership role (e.g., VP, Head of Product, or equivalent).

  • Deep experience with enterprise software; strong preference for EHR, healthcare workflow, RCM, or adjacent clinical/financial platforms.

  • Demonstrated success owning a major product portfolio or business line with clear business outcomes (e.g., ARR, retention, NPS, margin, or similar).

  • Strong technical proficiency with AI/ML, including familiarity with concepts such as LLMs, retrieval, model evaluation, and guardrails; able to partner deeply with Engineering leaders and make informed trade-offs.

  • A track record of modernizing or transforming legacy platforms-introducing new experiences and architectures while maintaining reliability, performance, and compliance.

  • Clear strengths as a P&L-minded general manager: comfortable with pricing and packaging, business cases, and balancing growth investments with operational and technical constraints.

  • High EQ with a coaching-oriented leadership style; experienced in building healthy cultures and teams in environments navigating change or recovery from burnout.

  • Proven ability to navigate ambiguity, drive alignment, and lead through complex, cross-functional decisions, including in politically sensitive or high-stakes contexts.

  • Strategic fluency in payer/provider economics (Medicare Advantage, value-based care, risk-sharing models, authorizations, denials) strongly preferred.

  • Experience with build vs. buy decisions, partner integrations, and ecosystem strategy in a regulated or complex domain.

  • Familiarity with Agile/Lean product practices and modern product lifecycle tools.

About Us:

Founded in 1999, Homecare Homebase, a subsidiary of Hearst Corporation, is a market leader in healthcare software development, providing mobile cloud-based solutions for clinical, operational, and financial improvement of home care, hospice, and personal care agencies throughout the United States. Our software enables real-time solutions for wireless information exchange and communication between office staff, field staff, and physicians.

Our success is fueled by talented teams driven by their passion to make a difference in patient care. Our employees work in a culture guided by our CARES values: Care, Act, Respect, Excel, and Smile (a positive attitude). If you want to work in a role where your skills have a direct influence on patient care, Homecare Homebase is the next step in your career. We are hiring team members who want to make a difference.

What You Can Expect from Us:

At Homecare Homebase, we don't just help our clients succeed; we help our employees succeed. Competitive pay, robust benefits, and professional development opportunities are a few of the many reasons that Homecare Homebase is a great place to build your career.

Our team members also enjoy:

  • Meaningful work. Your work will have a direct impact on clinicians, homecare staff, and the patients they serve.

  • Leaders who care. President Luke Rutledge continues our mission to create a culture that cares-one that appreciates and takes good care of its people. Being an employee at HCHB feels like being a member of a big family.

  • Flexibility. We value work-life balance because we know that happy employees create happy clients. HCHB offers both full- and part-time career opportunities to fit life's unique demands.

  • A company that gives back. Every year, Homecare Homebase proudly supports charitable initiatives that align with our mission of empowering exceptional care and helping others in need.

Sound like a good fit? We'd love to hear from you.

This position does not provide sponsorship.  All applicants should either be US Citizens or Permanent Residents eligible to work in the US without immigration restrictions.


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