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Remote Risk Adjustment Coder Jobs in Menifee, CA

Crox Consulting Inc

Inpatient Coder I/II

Redlands, CA · Remote

$32 - $33/hr

Seeking six (6) experienced inpatient coders for immediate remote support. Contractors will be responsible for coding high-dollar, complex inpatient accounts with both MS-DRG and APR-DRG groupers.

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Remote Risk Adjustment Coder information

See Menifee, CA salary details

$16

$29

$46

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 Menifee, CA is $29.09, according to ZipRecruiter salary data. Most workers in this role earn between $20.10 and $36.63 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.

More about Remote Risk Adjustment Coder jobs
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What job categories do people searching Remote Risk Adjustment Coder jobs in Menifee, CA look for? The top searched job categories for Remote Risk Adjustment Coder jobs in Menifee, CA are:
What cities near Menifee, CA are hiring for Remote Risk Adjustment Coder jobs? Cities near Menifee, CA 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 Menifee, CA 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 $60,503 per year, or $29.1 per hour.

Inpatient Coder I/II

Crox Consulting Inc

Redlands, CA • Remote

$32 - $33/hr

Contractor

Posted 25 days ago

Job description

Position Summary:
Seeking six (6) experienced inpatient coders for immediate remote support. Contractors will be responsible for coding high-dollar, complex inpatient accounts with both MS-DRG and APR-DRG groupers. Experience with Expanse (Meditech) is preferred. Ideal candidates are detail-oriented, self-directed, and able to work efficiently under tight turnaround expectations.
Key Responsibilities:
Accurately code inpatient, outpatient, and ED records using ICD-10-CM and CPT
Abstract clinical information into Meditech systems
Maintain 95% accuracy in coding and abstracting
Assign and sequence principal and secondary diagnoses and procedures
Collaborate with case management on missing documentation
Prepare physician queries when needed for clarity or specificity
Maintain DNFC levels per facility benchmarks
Requirements:
Coder I:
AHIMA Certification: CCS, or both RHIT and CCA
1+ year of coding experience in an acute hospital setting
Coder II:
AHIMA Certification: CCS required
2+ years of inpatient coding in acute care setting
Preferred:
Familiarity with Expanse (Meditech)
Experience with high-dollar, mortality-based inpatient cases
Strong understanding of DRG coding and abstracting best practices
Additional Details:
100% Remote
Must have own equipment and secure work environment
Position is production- and quality-driven
Must be able to work independently and meet turnaround goals