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Remote Risk Adjustment Coder Jobs in Pleasanton, CA

Sprinter Health

Medical Coder - Remote

Menlo Park, CA · Remote

$30/hr

Stay current with updates to CPT, ICD-10, HCPCS, and CMS risk adjustment guidelines. * Maintain ... a remote setting while staying connected to a collaborative, purpose-driven team. * You see coding ...

Sprinter Health

Medical Auditor - Remote

Menlo Park, CA · Remote

$36/hr

Remote Level: Associate, Medical Coding Auditor Team: Coding Department What You Will Do * Conduct ... Strong understanding of HCC / risk adjustment coding principles, clinical documentation improvement ...

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 ...

OKX

Staff Machine Learning Engineer

San Jose, CA · Remote

... adjustment, account restriction, and other risk mitigation actions. * Work closely with risk ... Apply AI-assisted development throughout the engineering workflow, using LLM coding tools to ...

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Remote Risk Adjustment Coder information

See Pleasanton, CA salary details

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$48

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

As of Aug 5, 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?

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 1% As Needed, 74% Full Time, 19% Part Time, and 6% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution, with an average salary of $63,638 per year, or $30.6 per hour.

Medical Coder - Remote

Sprinter Health

Menlo Park, CA • Remote

$30/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 12 days ago

Job description

About Sprinter Health

 

At Sprinter Health, our mission is reimagining how people access care by bringing it directly into their homes. Nearly 30% of patients in the U.S. skip preventive or chronic care simply because they can’t get to a doctor’s office. For many, the ER becomes their first touchpoint with the healthcare system—driving over $300B in avoidable costs every year.

 

By using the same technologies that power leading marketplace and last-mile platforms, we deliver care where people are, especially those who need it most. So far, we’ve supported more than 2 million patients across 22 states, completed over 130,000 in-home visits, and maintained a 92 NPS. Our team of clinicians, technologists, and operators have raised over $125M to date from investors like a16z, General Catalyst, GV, and Accel and enjoy multi-year runway.

 

About the Role

 

As a Medical Coder, you will be responsible for reviewing and abstracting professional medical records to ensure accurate code assignment. You'll play a a critical role in maintaining our coding quality, compliance, and productivity standards.

What You Will Do...

  • Review and abstract professional medical records, including provider notes, encounters, and supporting documentation.

  • Assign ICD-10-CM, CPT, HCPCS, and applicable modifiers accurately, following national and payer-specific coding guidelines.

  • Validate that all codes are supported by provider documentation; query providers for clarification when necessary.

  • Maintain coding quality metrics (accuracy, productivity, and compliance) as defined by leadership.

  • Participate in internal and external coding audits; provide feedback to improve documentation and coding processes.

  • Stay current with updates to CPT, ICD-10, HCPCS, and CMS risk adjustment guidelines.

  • Maintain confidentiality and adhere to all HIPAA and compliance standards.

You’ll Love this Job If:

  • You take pride in accuracy and integrity, finding satisfaction in getting every detail right. 

  • You’re motivated by mission as much as metrics — knowing your work directly supports better access to preventive and chronic care for patients nationwide. 

  • You thrive in a tech-forward, fast-growing environment where innovation and continuous improvement are part of the daily rhythm. 

  • You enjoy working independently in a remote setting while staying connected to a collaborative, purpose-driven team.

  •  You see coding as more than data entry — it’s a way to translate complex clinical stories into meaningful information that drives quality care. 

  • You’re naturally curious, proactive, and eager to stay current on coding updates, contribute feedback, and shape evolving processes. 

  • Most of all, you value flexibility, accountability, and being part of a company that’s reimagining how healthcare reaches people where they are.

What We’re Looking For

  • Certification: Active AAPC (e.g., CPC, COC) or AHIMA (CCS-P, CCS) certification.

  • Experience: Minimum 3 years of Pro-Fee coding experience.

  • Strong understanding of HCC / risk adjustment coding principles.

  • Excellent command of medical terminology, anatomy, physiology, pathophysiology, disease progression, and pharmacology.

  • Deep familiarity with CPT, ICD-10-CM, HCPCS, and modifier assignment.

  • Ability to work independently and maintain productivity in a remote setting.

  • Strong communication and problem-solving skills.

  • Proficient in EHR systems, encoder/coding software, and Google tools.

  • Reliable internet connection and dedicated, secure workspace.

  • Review and abstract professional medical records, including provider notes, encounters, and supporting documentation.

Technologies We Use

  • EMR: Elation

  • Google Suite (docs, slides, sheets)

What we offer

  • Medical, dental, and vision fully covered for you and your family

  • 401(k) with company match

  • Flexible PTO + flexible schedule

  • Generous parental leave (4 months for birthing parent, 2 months for partners)

  • Free daily lunch when onsite + stocked micro-kitchens

  • Travel support for client meetings and conferences

Sprinter Health is an equal opportunity employer. We value diversity at our company. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, disability status, or other protected classes.