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Remote Risk Adjustment Coder Jobs in Minneapolis, MN

Minneapolis, MN (Remote) Job Type: Contract * Projects include but not limited to web portal security enhancements, medical chart import/export processing. Risk Adjustment and Quality application ...

The Senior Medical Coder performs concurrent review of FFS coding rules, ensuring all CPT and E/M ... Remote Nationwide You will enjoy the flexibility to telecommute* from anywhere within the U.S. as ...

Medical Coder

Eden Prairie, MN · Remote

$20 - $36/hr

The Medical Coder performs concurrent review of FFS coding rules within Epic, ensuring all CPT and ... Remote Nationwide You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as ...

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Remote Risk Adjustment Coder information

See Minneapolis, MN salary details

$16

$28

$45

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

As of Jun 20, 2026, the average hourly pay for remote risk adjustment coder in Minneapolis, MN is $28.70, according to ZipRecruiter salary data. Most workers in this role earn between $19.81 and $36.15 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 the most commonly searched types of Risk Adjustment Coder jobs in Minneapolis, MN? The most popular types of Risk Adjustment Coder jobs in Minneapolis, MN are:
What are popular job titles related to Remote Risk Adjustment Coder jobs in Minneapolis, MN? For Remote Risk Adjustment Coder jobs in Minneapolis, MN, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coder jobs in Minneapolis, MN look for? The top searched job categories for Remote Risk Adjustment Coder jobs in Minneapolis, MN are:
What cities near Minneapolis, MN are hiring for Remote Risk Adjustment Coder jobs? Cities near Minneapolis, MN with the most Remote Risk Adjustment Coder job openings:
Infographic showing various Remote Risk Adjustment Coder job openings in Minneapolis, MN as of June 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $59,686 per year, or $28.7 per hour.
Risk Adjustment Coding Auditor

$31.48 - $39.35/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 19 days ago


Blue Cross Blue Shield Of Minnesota rating

5.3

Company rating: 5.3 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

251st of 261 rated insurance


Job description

About Blue Cross and Blue Shield of Minnesota

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us.

The Impact You Will Have

Blue Cross and Blue Shield of Minnesota is hiring a Risk Adjustment Coding Auditor. The Risk Adjustment Coding Auditor ensures the accuracy and completeness of coded clinical data to support compliant reporting and appropriate reimbursement across risk adjustment programs. The role strengthens organizational performance by identifying coding and documentation gaps, mitigating financial and regulatory risk, and improving data integrity. It provides subject matter expertise to support consistent application of coding standards and enables informed decision-making across the enterprise.

An ideal candidate has 5+ years of risk adjustment coding experience and an active CRC certification. This is a production-based role requiring comfort in a high-volume environment.

Your Responsibilities

  • Evaluates risk adjustment codes to ensure accuracy, consistency, and alignment with coding standards and best practices
  • Protects patient records and audit information by ensuring compliance with HIPAA, privacy, security, and regulatory requirements
  • Performs Retrospective and Prospective chart reviews to ensure accurate risk adjustment reporting
  • Verifies and ensures the accuracy, completeness, specificity and appropriateness of providerreported diagnosis codes based on medical record documentation
  • Reviews medical record information to identify complete and accurate diagnosis code capture based on CMS HCC categories
  • Maintains knowledge of relevant regulatory mandates and ensures activities are in compliance with requirements
  • Contributes to audit and production efforts to meet business demand and workload priorities
  • Provide written and verbal guidance on coding errors to others
  • Meets audit deliverables within established timelines and deadlines
  • Assists with special projects such as risk mitigation reviews
  • Serves as subject matter resource regarding the risk adjustment process and diagnosis coding for risk adjustment

Required skills and experiences:

  • 7+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
  • 5+ years of HCC coding experience in utilizing inpatient and outpatient coding guidelines
  • 5+ years of experience auditing Risk Adjustment records
  • 1+ years working in a Production environment
  • CRC (Certified Risk Coder) in good standing, in addition to required coding certification or ability to obtain certification within the first 6 months of hire.
  • Intermediate level of knowledge in risk adjustment Medicare, ACA Commercial and Medicaid models
  • Demonstrated ability to apply critical thinking skills to coding policy interpretation and implementation.
  • Experience providing written and verbal guidance on coding errors and trends
  • Intermediate (or higher) MS Office (Word, Excel, Powerpoint & Outlook)
  • Excellent organizational ability to manage multiple projects and perform in a deadline driven environment
  • High school diploma (or equivalency) and legal authorization to work in the U.S.

Preferred skills and experiences

  • Bachelor's degree
  • HEDIS/STARS experience
  • Provider education experience
  • Prior RADV experience
  • CPMA or other coding credentials
Role DesignationTeleworker

Role designation definition: Teleworking is working full time remote. Hybrid is a minimum of 2 days onsite. Onsite is full-time onsite.

Compensation and Benefits$31.48 - $39.35 - $47.22 Hourly

Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.

We offer a comprehensive benefits package which may include:

  • Medical, dental, and vision insurance

  • Life insurance

  • 401k

  • Paid Time Off (PTO)

  • Volunteer Paid Time Off (VPTO)

  • And more

To discover more about what we have to offer, please review our benefits page.

Equal Employment Opportunity Statement

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an Affirmative Action plan, as required by Minnesota law applicable to state contractors. All qualified applications will receive consideration for employment without regard to, and will not be discriminated against based on any legally protected characteristic.

Individuals with a disability who need a reasonable accommodation in order to apply, please contact us at: talent.acquisition@bluecrossmn.com.

Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association.