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Remote Risk Adjustment Coder Jobs in Pleasanton, CA

Gallagher

Risk Management Analyst

San Jose, CA · Remote

$80K - $120K/yr

... including Education Code benefits) Medical Management & Network Optimization * Support ... Remote work environment flexibility. About You * Minimum of 5 years of experience with workers ...

MedHQ, LLC

Medical Coder

Tracy, CA · Remote

$19.25 - $25.50/hr

Position Overview We are seeking a meticulous and detail-oriented Medical Coder specializing in ... Vision insurance This is a remote position. **Applicants must be legally authorized to work in the ...

UnitedHealth Group

Medical Coder - RAD-ONC

Walnut Creek, CA · Remote

$20.38 - $36.44/hr

Generates coding queries for clarification regarding physician documentation as needed * Stays abreast of all changes in coding conventions and coding updates * Ability to manage significant workload ...

CENTRL

Software Engineer (Remote)

Mountain View, CA · Remote

CENTRL is a leading risk and compliance technology company that provides AI powered enterprise ... Experience coding with Java and Python; Front-end experience with Angular. * Experience with AI ...

Oklo

Senior Global Supply Manager

Santa Clara, CA · On-site +1

$178K - $179K/yr

This position may be based in Santa Clara, CA or remote within the United States. Specific ... Maintain working knowledge of nuclear ASME Pressure Vessel Code (BPVC) requirements and associated ...

Oklo

Senior Global Supply Manager

Santa Clara, CA · On-site +1

$178K - $179K/yr

This position may be based in Santa Clara, CA or remote within the United States. Specific ... Maintain working knowledge of nuclear ASME Pressure Vessel Code (BPVC) requirements and associated ...

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All JobsRisk Adjustment Coder JobsRemote Risk Adjustment Coder JobsRemote Risk Adjustment Coder Jobs in Pleasanton, CA

Remote Risk Adjustment Coder information

See Pleasanton, CA salary details

$17

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$48

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

As of Jul 16, 2026, the average hourly pay for remote risk adjustment coder in Pleasanton, CA is $30.60, according to ZipRecruiter salary data. Most workers in this role earn between $21.15 and $38.51 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 popular job titles related to Remote Risk Adjustment Coder jobs in Pleasanton, CA? For Remote Risk Adjustment Coder jobs in Pleasanton, CA, the most frequently searched job titles are:
What cities near Pleasanton, CA are hiring for Remote Risk Adjustment Coder jobs? Cities near Pleasanton, CA 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 Pleasanton, CA as of July 2026, with employment types broken down into 85% Full Time, 10% Part Time, and 5% Contract. Highlights an 100% Remote job distribution, with an average salary of $63,638 per year, or $30.6 per hour.

Remote Medical Coder

JM Services and Consulting, LLC

Oakland, CA • Remote

$21.50 - $27.25/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 9 days ago

Job description

, remote

Position: Remote Medical Coder

Company Overview:

JM Services and Consulting, LLC is a leading healthcare consulting firm that provides revenue cycle management services to healthcare providers across the United States. We specialize in coding, billing, and compliance services for medical practices of all sizes. Our team of experienced professionals is dedicated to helping our clients maximize their revenue and ensure compliance with all industry regulations.

Job Description:

We are seeking a skilled and detail-oriented Remote Medical Coder to join our team. The ideal candidate will have a strong understanding of medical coding guidelines and regulations, as well as experience with various coding systems such as ICD-10, CPT, and HCPCS. This is a full-time, remote position that offers a competitive salary and benefits package.

Key Responsibilities:

- Review and analyze medical records to accurately assign codes for diagnoses, procedures, and services

- Ensure all codes are in compliance with coding guidelines and regulations

- Communicate with healthcare providers to clarify documentation and obtain additional information as needed

- Work closely with billing team to ensure accurate and timely submission of claims

- Stay up-to-date on changes and updates to coding guidelines and regulations

- Participate in coding audits and provide feedback for improvement

- Maintain confidentiality of patient information and adhere to all HIPAA regulations

- Collaborate with other team members to identify and resolve coding issues

- Meet productivity and quality standards set by the company

- Other duties as assigned by management

Qualifications:

- High school diploma or equivalent required; Associate's or Bachelor's degree in Health Information Management or related field preferred

- Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification required

- Minimum of 2 years of medical coding experience, preferably in a remote setting

- Strong understanding of medical terminology, anatomy, and physiology

- Proficient in ICD-10, CPT, and HCPCS coding systems

- Excellent attention to detail and ability to work independently

- Strong communication and interpersonal skills

- Proficient in Microsoft Office and electronic medical record systems

- Ability to maintain confidentiality and adhere to all HIPAA regulations

- Reliable internet connection and home office setup for remote work

If you are a motivated and experienced Remote Medical Coder looking for a challenging and rewarding opportunity, we encourage you to apply for this position with JM Services and Consulting, LLC. We offer a supportive and collaborative work environment, competitive salary, and benefits package. Join our team and make a positive impact on the healthcare industry!

Package Details

  • 401(k)
  • Dental insurance
  • Flexible schedule
  • Health insurance
  • Paid time off
  • Parental leave
  • Vision insurance

Apply