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Remote Risk Adjustment Coder Jobs in Ormond Beach, FL

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$13

$24

$38

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 Ormond Beach, FL is $24.14, according to ZipRecruiter salary data. Most workers in this role earn between $16.68 and $30.38 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 Ormond Beach, FL look for? The top searched job categories for Remote Risk Adjustment Coder jobs in Ormond Beach, FL are:
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Remote Risk Adjustment Coder jobs near you
Infographic showing various Remote Risk Adjustment Coder job openings in Ormond Beach, FL as of May 2026, with employment types broken down into 77% Full Time, 19% Part Time, and 4% Contract. Highlights an 8% Physical, and 92% Remote job distribution, with an average salary of $50,213 per year, or $24.1 per hour.
Patient Accounting Representative I - Reimbursement Payment Poster

Patient Accounting Representative I - Reimbursement Payment Poster

Halifax Health

Daytona Beach, FL • Remote

Full-time

Posted 5 days ago

Halifax Health rating

6.0

Company rating: 6.0 out of 10

Based on 65 frontline employees who took The Breakroom Quiz

726th of 864 rated healthcare providers

Job description

Day (United States of America)Patient Accounting Representative I - Reimbursement Payment PosterAssociate's Degree in Accounting, Business Administration, Finance or at least two (2) years in a related field which can be substituted for a degree.
Preferred minimum of two (2) years of healthcare experience in the area of reimbursement methodologies including managed care contracts, Medicaid and Medicare.
Preferred knowledge of electronic remittance posting, interpretation of explanation of benefits, cash applications and batch posting processes.
Preferred knowledge in third party billing and collections in a hospital setting.
Excellent analytical, communication and organizational skills with strong attention to detail.
Self-starter with the ability to work with minimal supervision.
Proficient PC skills including Microsoft Outlook, Word and Excel.
Must be able to function and meet deadlines under stressful conditions and prioritize work flow.
  • Timely and accurate posting, adjusting and reconciling of funds received via lockbox payments, electronic funds transfers and mail with posting accuracy of 99% or greater.
  • Forwards potential third party or patient refunds to the Refund Specialist based on credit balances created from payments and/or adjustments posted to patient's accounts.
  • Responds to system or manual tasks in a timely manner.
  • Prepares daily reconciliation of cash posting to Accounting Department.
  • Applies payroll deductions within 48 hours of receipt.
  • Applies payments and adjustments not completed by electronic remittance posting.
  • Prepares remote bank deposits and processes credit card transactions daily with 100% accuracy.
  • Correctly identifies remittance codes and applies them to individual patient's accounts as received by insurance companies. Validate, track and trend remittance codes for process improvement.
  • Correctly identifies underpaid claims in accordance with hospital insurance contracts by applying underpayment codes correctly to patient's accounts, based off information received by insurance companies.
  • Post insurance payments to the correct insurance plans as identified by hospital contracts. Updates patient accounts with corrected insurance plans. Track and trend insurance plan errors and forward to registration areas for improvement.
  • Performs research related to unidentified payments received to determine the appropriate accounts for posting.
  • Review and complete correspondence and faxes in a timely manner.
  • Contributes to effective working relationships by demonstrating a positive and helpful attitude with co-workers.
  • Maintains privacy strictly adhering to HIPAA guidelines.
  • Performs other duties as assigned.

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