ZipRecruiter

Log In

2

Remote Risk Adjustment Coder Jobs in Norfolk, VA

Arctiq, Inc.

Senior Site Reliability Engineer

Norfolk, VA · Remote

$55.25 - $73.25/hr

This is a remote, contract opportunity for a project Arctiq is delivering for a client. Candidates ... Design and govern the enterprise Infrastructure as Code (IaC) standards. Develop custom tooling to ...

Arctiq

Senior Site Reliability Engineer

Norfolk, VA · Remote

$58.25 - $77.50/hr

This is a remote, contract opportunity for a project Arctiq is delivering for a client. Candidates ... Design and govern the enterprise Infrastructure as Code (IaC) standards. Develop custom tooling to ...

next page

Showing results 1-20

All JobsRisk Adjustment Coder JobsRemote Risk Adjustment Coder JobsRemote Risk Adjustment Coder Jobs in Norfolk, VA

Remote Risk Adjustment Coder information

See Norfolk, VA salary details

$15

$26

$42

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

As of Sep 4, 2026, the average hourly pay for remote risk adjustment coder in Norfolk, VA is $26.60, according to ZipRecruiter salary data. Most workers in this role earn between $18.37 and $33.51 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.

More about Remote Risk Adjustment Coder jobs

What are the most commonly searched types of Risk Adjustment Coder jobs in Norfolk, VA?

The most popular types of Risk Adjustment Coder jobs in Norfolk, VA are:

What are popular job titles related to Remote Risk Adjustment Coder jobs in Norfolk, VA?

For Remote Risk Adjustment Coder jobs in Norfolk, VA, the most frequently searched job titles are:

What job categories do people searching Remote Risk Adjustment Coder jobs in Norfolk, VA look for?

The top searched job categories for Remote Risk Adjustment Coder jobs in Norfolk, VA are:

What cities near Norfolk, VA are hiring for Remote Risk Adjustment Coder jobs?

Cities near Norfolk, VA 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 Norfolk, VA as of August 2026, with employment types broken down into 76% Full Time, 17% Part Time, and 7% Contract. Highlights an 100% Remote job distribution, with an average salary of $55,326 per year, or $26.6 per hour.

IPA Consultative Coder

CenterWell Primary Care

Chesapeake, VA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 9 days ago

CenterWell rating

9.0

Company rating: 9.0 out of 10

Based on 10 frontline employees who took The Breakroom Quiz

Job description

Become a part of our caring community
Become a part of our caring community and help us put health first
*** $5,000 SIGN-ON BONUS for new associates! $5,000 payable following 90 days employment. ***
The IPA Consultative Coding Professional provides medical coding expertise and consultative support to Independent Practice Association (IPA) affiliates nationwide. These affiliates include MSO-contracted independent providers. You will be the primary coding and documentation resource for assigned providers, supporting accuracy, compliance, and performance in risk adjustment and value-based care initiatives.You will analyze trends, triage, and answer questions in real-time, as well as research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues.
As an IPA Consultative Coding Professional, we will assign you a panel of up to 30 providers within a defined market or region. You will deliver ongoing education, support coding workflows, and ensure agreement on organizational documentation and coding standards,while collaborating with STARS leaders and champions to identify STARS gaps and deficiencies.
The IPA Consultative Coding Professional provides medical coding expertise to support IPA-affiliatedclinicians-including physicians and advanced practiceproviders-to ensure documentation supports accurate diagnostic coding and risk adjustment capture.

Relationship Management and Provider Support

  • Be the primary contact for assigned IPA providers for all coding and documentation-related inquiries.

  • Build consultative relationships with providers to support continuous improvement in coding accuracy and documentation practices.

  • Deliver targeted education based on provider-specific trends and opportunities identified through chart reviews and coding analytics.

Quarterly Chart Reviews and Education

  • Conduct quarterly chart reviews for assigned providers to evaluate coding accuracy, documentation integrity, and risk capture opportunities.

  • Develop and deliver comprehensive education based on findings, including documentation best practices and coding optimization strategies.

  • Identify trends and recurringgaps, andpartner with education and leadership teams to address systemic opportunities.

Coding Tools, Workflow Support, and Operations

  • Support daily operations of internal coding solutions, including Annual Proof of Documentation (APD 2.0) and any future tools implemented based on organizational needs.

  • Assist providers in navigating coding workflows, resolving issues, and ensuring successful use of coding tools.

  • Monitor and support completion of coding activities tied to assigned providers.

IPA Coding Helpdesk Support

  • Participate in a daily coder helpdesk (virtual/Zoom-based), providing real-time support to providers within assigned markets.

  • Address immediate coding and documentation questions, ensuring accurate guidance.

  • Maintain a high level of responsiveness and provider engagement.

HCC Outage and Recapture Support

  • Support HCC outage management through structured reviews of "assessed but not coded" conditions.

  • Conduct targeted reviews to identify missed coding opportunities and provide education to improve recapture performance.

  • Collaborate with analytics and leadership teams to track and improve performance outcomes.


Use your skills to make an impact

Required Qualifications:

  • 3+ years of risk adjustment MedicalCodingor riskadjustmentProviderEducation

  • Intermediate/advanced competency with MS Office based programs (Excel, Word, PowerPoint)

  • Must be certified at least one of the following: CCS, CRC, or CPC

  • Must resideand be able to travelwithin the assigned MSO market or region.

Preferred Qualifications:

  • Strong communication and interpersonal skills are essential. These skills enable effective, clear, and sensitive engagement with clinicians and team members, even in high-pressure or stressful situations. They also facilitate presenting, influencing, and building credibility at all levels of the organization.

  • Positive, collaborative mindset with an ability to foster partnerships across Coding, Audit and Education, PCO, and Humana teams.

Additional Information

  • We ask that youhave the ability totravel locally for in-office provider support.

  • Standard working hours required; based on market needs.

  • Travel may be required based on provider engagement and business needs.

Work Information:

This role requires an in-center presence, involving daily commute to assigned clinic(s) and occasional (quarterly) travel within the market to alternative clinic(s) for strategic meetings.

  • Workstyle: Hybrid/remote

  • Location:Must residewithin 50 milesof Chesapeake, Suffolk or Virginia Beach, Virginia

  • Hours:Monday-Friday, 8:00 AM-5:00 PM; additional time may be required.

TB Statement:

This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

Driving Statement:

This role is part of our company's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance.Individualmust carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.

Work at Home Statement

To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.

  • Satellite, cellular and microwave connection can be used only if approved by leadership.

  • Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

  • Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.

  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


$59,300 - $80,900 per year


This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient's well-being.About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer atCenterWell.com.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

What CenterWell employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply