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Remote Risk Adjustment Coder Jobs in Pearland, TX

St. Luke's Health

Value Based Coder II

Houston, TX · On-site +1

$25.30 - $35.74/hr

The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk ... as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC ...

Dane Street, LLC

Freelance Medical & Billing Coder

Houston, TX · Remote

$18 - $23.75/hr

Calling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for ... Experience working in a remote environment is preferred. Experience in a medical office or health ...

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 ...

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

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

PharMerica

Remote Hospital Pharmacist

Houston, TX · On-site +1

$55.75 - $66.75/hr

Renal dosing adjustments * High-risk medications (anticoagulants, opioids, insulin, vancomycin AUC) * Communicate directly with providers and nursing staff 3) Remote Oversight of Medication Use

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Remote Risk Adjustment Coder information

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

As of Jul 9, 2026, the average hourly pay for remote risk adjustment coder in Pearland, TX is $24.51, according to ZipRecruiter salary data. Most workers in this role earn between $16.92 and $30.87 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.

More about Remote Risk Adjustment Coder jobs
What are the most commonly searched types of Risk Adjustment Coder jobs in Pearland, TX? The most popular types of Risk Adjustment Coder jobs in Pearland, TX are:
What are popular job titles related to Remote Risk Adjustment Coder jobs in Pearland, TX? For Remote Risk Adjustment Coder jobs in Pearland, TX, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coder jobs in Pearland, TX look for? The top searched job categories for Remote Risk Adjustment Coder jobs in Pearland, TX are:
What cities near Pearland, TX are hiring for Remote Risk Adjustment Coder jobs? Cities near Pearland, TX 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 Pearland, TX as of July 2026, with employment types broken down into 87% Full Time, 8% Part Time, and 5% Contract. Highlights an 100% Remote job distribution, with an average salary of $50,984 per year, or $24.5 per hour.
Value Based Coder II

Value Based Coder II

St. Luke's Health

Houston, TX • On-site, Remote

$25.30 - $35.74/hr

Other

Re-posted 19 days ago

St. Luke's Health (Texas) rating

7.2

Company rating: 7.2 out of 10

Based on 41 frontline employees who took The Breakroom Quiz

328th of 880 rated healthcare providers

Job description

Where You'll Work
Baylor St. Luke's Medical Center is an 881-bed quaternary care academic medical center that is a joint venture between Baylor College of Medicine and CHI St. Luke's Health. Located in the Texas Medical Center, the hospital is the home of the Texas Heart® Institute, a cardiovascular research and education institution founded in 1962 by Denton A. Cooley, MD. The hospital was the first facility in Texas and the Southwest designated a Magnet® hospital for Nursing Excellence by the American Nurses Credentialing Center, receiving the award five consecutive times. Baylor St. Luke's also has three community emergency centers offering adult and pediatric care for the Greater Houston area.
Job Summary and Responsibilities
The Value Based Coder II is an experienced professional within the Quality Management/Risk team, responsible for independently reviewing patient medical records to identify, assess, monitor, and review coding opportunities, with a growing emphasis on Hierarchical Condition Categories (HCC). This role focuses on developing and delivering provider education and contributing to process improvement initiatives. The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk-adjusting conditions and supporting provider documentation improvement.
1. Comprehensive Record Review & HCC Expertise: Independently review patient medical record information via population health tools on both a retroactive and prospective basis to identify, assess, monitor, and review network coding opportunities as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC documentation and coding.
2. Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns, trends, and opportunities for improvement related to HCC capture. Develop and deliver effective education materials and tools to help network providers improve clinical documentation and support Hierarchical Condition Category coding capture. Provide targeted provider 1:1 education on documentation best practices, HCC guidelines, and risk adjustment principles.
3. Compliance & Regulatory Insight: Continuously monitor and interpret evolving HCC coding guidelines, CMS regulations, and compliance trends within the risk adjustment landscape, applying this knowledge to daily coding and education efforts. Champion a culture of compliance by advocating for best practices and providing robust provider support to ensure CommonSpirit adheres to all federal and coding guidelines pertaining to HCC and risk adjustment. Safeguard medical records and preserve the confidentiality of personal health information through adherence to all relevant policies (release of medical record information, record retention, HIPAA privacy and security).
4. Process Improvement & Collaboration: Actively participate in network performance improvement initiatives, offering insights and solutions based on coding expertise. Collaborate with providers and office staff to address documentation deficiencies and coding gaps.
Job Requirements
• 2+ years of experience in outpatient coding
• 2+ years focused on risk adjustment and HCC principles.
• Advanced knowledge of CPT and ICD-10 coding, with significant expertise in HCC codingguidelines and risk adjustment models.
• Strong understanding of federal and state guidelines on all coding systems and sponsored programs.
• Proficiency in developing and delivering educational content.
• Effective interpersonal, communication, and presentation skills (both verbal and written).
• Ability to manage multiple priorities and work independently.
• Computer literacy in medical information systems, records management software, and encoder software.
Preferred/Desired Experience
• 4+ years of experience in outpatient coding,
• 3+ years focused on risk adjustment and HCC principles

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