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Remote Risk Adjustment Coder Jobs in Pasadena, TX

CLS Health PLLC

Medical Coder I

Webster, TX · Remote

$16.50 - $22/hr

Summary Assigns and aligns predefined codes, tabulates the data into the computer system, generates new codes, resolves edits and denials, and maintains proper records in accordance with CLS guidance ...

YO AI Labs

Pharmacovigilance Expert - Remote

Houston, TX · Remote

$70 - $80/hr

Remote Job Overview We are seeking experienced Pharmacovigilance Experts to contribute their drug ... Benefit-Risk Assessment * MedDRA Coding * Seriousness & Causality Assessment * Expectedness ...

MD Anderson

Coding Training Coordinator

Houston, TX · Remote

$77K/mo

Remote Must be able to attend meetings onsite as needed Why Us? Working in this role at UT MD ... CPC - Certified Professional Coder American Academy of Professional Coders (AAPC). Upon Hire or

MD Anderson

Coding Training Coordinator

Houston, TX · Remote

Remote Must be able to attend meetings onsite as needed Why Us. Working in this role at UT MD ... CPC - Certified Professional Coder American Academy of Professional Coders (AAPC). Upon Hire or ...

MD Anderson

Coding Training Coordinator

Houston, TX · Remote

Remote Must be able to attend meetings onsite as needed Why Us? Working in this role at UT MD ... CPC - Certified Professional Coder American Academy of Professional Coders (AAPC). Upon Hire or

Binary Defense

Detection Engineer - REMOTE

Houston, TX · Remote

Our team operates detection engineering as code, and we are looking for someone who thrives in a ... proactive, risk-focused security outcomes. We bring the attacker's mindset to defense, helping ...

Binary Defense

Detection Engineer - REMOTE

Houston, TX · On-site +1

Our team operates detection engineering as code, and we are looking for someone who thrives in a ... proactive, risk-focused security outcomes. We bring the attacker's mindset to defense, helping ...

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All JobsRisk Adjustment Coder JobsRemote Risk Adjustment Coder JobsRemote Risk Adjustment Coder Jobs in Pasadena, TX

Remote Risk Adjustment Coder information

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$39

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

As of Aug 17, 2026, the average hourly pay for remote risk adjustment coder in Pasadena, TX is $25.12, according to ZipRecruiter salary data. Most workers in this role earn between $17.36 and $31.63 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.

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Remote Risk Adjustment Coder jobs near you

Medical Coder I

CLS Health PLLC

Webster, TX • Remote

$16.50 - $22/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 6 days ago

CLS Health rating

6.9

Company rating: 6.9 out of 10

Based on 10 frontline employees who took The Breakroom Quiz

Job description

Description

About CLS Health

CLS Health is a growing healthcare system in Houston, Texas that is taking a different approach to healthcare. We are a physician-led healthcare group that focuses on providing patients with holistic, multispecialty care. We're a dynamic team on a mission to provide better healthcare options for Houstonians!


Summary

Assigns and aligns predefined codes, tabulates the data into the computer system, generates new codes, resolves edits and denials, and maintains proper records in accordance with CLS guidance and procedures. Conducts regular reviews to ensure billing is timely, accurate, and in compliance.


Job Description

  • Assist with implementing and maintaining system-wide billing and coding quality audits. 
  • Understands, interprets and applies coding guidelines for coding audits. Review of medical records to determine coding accuracy of all documented diagnoses and procedures. Reviews claims to validate submitted codes and abstracted data including but not limited to ICD-10-CM codes, CPT's, and HCPCS codes, which all impact reimbursement.
  • Assure appropriateness and accurate of coding assignments in accordance with federal coding regulations and guidelines. 
  • Identifies documentation issues (lacking documentation, missed physician queries, etc.) that impact coding accuracy. Clearly communicates (verbally and in written reports or summaries) opportunities for documentation improvement related to coding issues.
  • Stays current with AMA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM, CPT, and HCPCS coding. Completes online education courses and attends mandatory coding workshops and/or seminars (ICD-10-CM, HCPCS and CPT updates) for all specialties (e.g. OPPS, IPPS) coding. Reviews AMA, CMS ASC Payment System, and CPT quarterly coding update publications.
  • Evaluate the effectiveness of internal controls designed to ensure that processes and practices lead to appropriate execution of regulatory requirements and guidelines related to professional and facility fee documentation, coding and billing, including CMS and OIG compliance standards. 
  • Review the EMR system to ascertain the accuracy of the physicians E/M, Diagnosis and Procedure coding based on their documentation and updating this information either in our reporting system or a spreadsheet.  
  • Review daily provider notes and work with Providers to ensure all notes meet documentation requirements.   
  • Performs additional duties as required or assigned

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental Insurance
  • Disability insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance


Requirements

  • 2+ years' experience as an auditor/coder within a health care organization. Both inpatient and outpatient coding required. 
  • Knowledge of auditing concepts and principles. 
  • Advanced knowledge of medical coding and billing systems and regulatory requirements 
  • Excellent verbal/written communication skills. 
  • Proficiency with Microsoft Word, Excel and Power Point. 
  • Ability and willingness to provide one-on-one provider education a plus. 



What CLS Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

CLS Health logo

About CLS Health

Sourced by ZipRecruiter

Industry

Health care and social assistance

Company size

201 - 500 Employees

Headquarters location

Webster, TX, US

Year founded

2005

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