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Remote Risk Adjustment Coder Jobs in North Bend, OR

Senior Business Analyst

OR · Remote

$94K - $122K/yr

US - Remote Position Summary The role of the Senior Business Analyst is to provide an IT interface ... adjustments required. * Provide guidance relative to underwriting (manual and underwriting ...

... Code. * Responsible for an equitable distribution of the workload to the hearing officers through round robin distribution. Necessary adjustments are reviewed with the Chief and coordinated with the ...

Senior Business Analyst

OR · On-site +1

$86K - $112K/yr

US - Remote Position Summary The role of the Senior Business Analyst is to provide an IT interface ... adjustments required. * Provide guidance relative to underwriting (manual and underwriting ...

Lead, Commercial Finance

OR · Remote

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... risk, and fueling growth. With over 5,000 successful projects, we support the full data lifecycle ... This role has been designated as a remote position allowing qualified talent throughout the listed ...

Lead, Commercial Finance

OR · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... risk, and fueling growth. With over 5,000 successful projects, we support the full data lifecycle ... This role has been designated as a remote position allowing qualified talent throughout the listed ...

Software Developer

OR · On-site +1

Remote Job Summary Sapiens is on the lookout for a Software Developer to become a key player in our ... Adheres to defined coding standards and other defined quality standards * Client interaction ...

Remote Risk Adjustment Coder information

See North Bend, OR salary details

$14

$25

$40

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

As of Aug 19, 2026, the average hourly pay for remote risk adjustment coder in North Bend, OR is $25.51, according to ZipRecruiter salary data. Most workers in this role earn between $17.64 and $32.12 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.

What cities near North Bend, OR are hiring for Remote Risk Adjustment Coder jobs?

Cities near North Bend, OR with the most Remote Risk Adjustment Coder job openings:

Infographic showing various Remote Risk Adjustment Coder job openings in North Bend, OR as of July 2026, with employment types broken down into 80% Full Time, 15% Part Time, and 5% Contract. Highlights an 100% Remote job distribution, with an average salary of $53,061 per year, or $25.5 per hour.

$94K - $122K/yr

Full-time

Re-posted 21 days ago


Job description

Location: US - Remote

Position Summary

The role of the Senior Business Analyst is to provide an IT interface to the Life Business building out sustainable and consistent business requirements to be incorporated into the long term application lifecycle management across the entire Life Portfolio.  The analyst will be working closely with business units and technical development teams on all projects.    They will engage in client discussions and capture requirements based on interaction with client's business users. 

Job Description
  •  Assist  in systems / technology requirement gathering sessions for systems integration, update, and configuration. 
  • Provide guidance and a support to the business analysis team while acting as a Subject Matter Expert, providing product expertise and leadership on the engagement.
  • Analyze and define systems scope and objectives based on both user needs and a good understanding of applicable business systems and industry requirements to produce functional design specification documents. 
  • Develop and implement software/system scripts and integrate workarounds to provide fixes to defined technical issues. 
  • Analyze and review test plans, and perform testing of Sapiens software / technologies following development and configuration stages, validating test cases and ensuring full coverage of requirements.
  • Facilitate and participate in team quality reviews of requirement artifacts to ensure requirements are complete, consistent, comprehensible, feasible, and conform to standards.
  • Assist the various teams across the organization with problem resolution while prioritizing and gaining approval for defined requirements.
  • Manage and track the status of requirements throughout the project lifecycle; enforce and redefine as necessary.
  • Regularly communicate and coordinate with all stakeholders while coordinating and scope changes and adjustments required.
  • Provide guidance relative to underwriting (manual and underwriting) measures and processes, including evaluating risk against insurance product characteristics
  • Analyze and perform initial configuration and set up of plans, rules and tables in a system support of product definition preferred Analyze implemented solutions to verify objectives are met.
Desired Skills and Experience
  • Minimum of 5 years in an individual contributor Business Analysis role.  Priority given to candidates who have led engagements. 
  • 5+ years insurance industry experience in Life and Annuities (L&A) Insurance background - Must           .  This includes but not limited to Whole Life, Term, Disability Income and Universal life products
  • Policy administration, Illustration, Underwriting knowledge and implementation experience in the insurance industry, specifically Life and Health solutions
  • Requirement gathering and documentation experience
  • Experience working with configurable enterprise systems
  • Excellent written and verbal communication skills
  • Excellent customer communication skills
  • Experience working within a born-in-the-cloud environment, with demonstrated familiarity in cloud-native platforms, SaaS-based Life and Annuity solutions, and modern cloud infrastructure (e.g., AWS, Azure, or GCP) as applied to insurance product delivery, policy administration, and digital transformation initiatives.

Sapiens is an equal-opportunity employer. We value diversity and strive to create an inclusive work environment that embraces individuals from diverse backgrounds.