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Remote Risk Adjustment Coder Jobs in Pleasanton, CA

Hologic Inc.

Senior Product Security Engineer

Santa Clara, CA · On-site +1

$134K - $184K/yr

... remote connectivity solutions, providing support to product teams as needed. * Risk Management ... Development Support: Assist in product development efforts, including Security Code Reviews, to ...

Basin Enterprises Inc.

Be Seen First

Transmission & Distribution Line Estimator - Remote

Milpitas, CA · Remote

$140K - $190K/yr

Apply prevailing wage assessments and adjustments as applicable according to State, Federal, IRA ... Assess and document cash flow, risk management, contingency, and margin strategies * Present ...

Hitachi

ServiceNow Global Solution Architect

Santa Clara, CA · Remote

$83.75 - $105.50/hr

... code, and test plans and results. Apply expertise in IT Operations Management (ITOM), Integrated Risk Management (IRM), Third Party Risk Management (TPRM), Human Resources Service Delivery (HRSD ...

4LEAF, Inc

Fire Director

Pleasanton, CA · On-site +1

... in a remote capacity in California. Under general administrative direction, plans, organizes ... Ensure compliance with applicable fire codes, regulations, and standards. * Review inspection ...

4LEAF, Inc

Fire Director

Pleasanton, CA · On-site +1

$151K - $179K/yr

... in a remote capacity in California. Under general administrative direction, plans, organizes ... Ensure compliance with applicable fire codes, regulations, and standards. * Review inspection ...

Aviatrix

Staff Engineer - Cloud Test

Santa Clara, CA · Remote

$65.50 - $87.50/hr

Improve product reliability, performance, and scalability through early defect detection and risk ... Proficiency in coding in Golang (preferred) Experience with: * Kubernetes and microservices ...

Cupertino Electric, Inc.

BIM Operator II

San Jose, CA · Remote

$39 - $51/hr

San Jose, California | Remote Salary Range: $39.00/hour to $51.00/hour Final determination of a ... Implementing electrical construction practices and code requirements * Interpreting electrical ...

Cupertino Electric, Inc.

BIM Operator III

San Jose, CA · On-site +1

San Jose, California | Remote Salary Range: $47.00/hour to $63.00/hour Final determination of a ... Implementing electrical construction practices and code requirements * Interpreting electrical ...

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Remote Risk Adjustment Coder information

See Pleasanton, CA salary details

$17

$30

$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.
Associate General Counsel (Commercial)

Associate General Counsel (Commercial)

Orca Bio

Menlo Park, CA • Remote

Full-time

Posted 9 days ago

Job description

More than one million people in the United States today are fighting blood cancer. While a traditional allogeneic stem cell transplant has been the best hope for many, the transplant itself can prove fatal or lead to serious conditions, such as graft vs. host disease. Orca Bio is a commercial-stage biotechnology company redefining the transplant process by developing next-generation cell therapies with the goal of providing significantly better survival rates with dramatically fewer risks. With our purified, high-precision investigational cell therapies we hope to not only replace patients' blood and immune systems with healthy ones, but also restore their lives.

Summary: Reporting into our SVP, Legal, the Associate General Counsel will lead the commercial legal function with primary responsibility to support our first U.S. product launch. This individual serves as a trusted strategic partner and provides practical, timely and business-savvy legal advice to the Commercial (Sales, Marketing, Market Access), Medical Affairs and Patient Support functions. This role is the subject matter expert (SME) on U.S. healthcare laws, FDA promotional regulations and industry codes to enable legal and compliant pre-launch, launch and ongoing commercial and medical activities. This role partners with and may oversee Compliance to ensure that the Company’s U.S. compliance program remains risk-based, fit-for-purpose and aligned with our corporate values, while supporting cross-functional teams through advisory responsibilities, training and policy development. The ideal candidate will combine a strategic and seasoned mindset with hands-on tactical and operational excellence. 

Location and Travel: role can support remote-based candidates. Travel expectations: up to 15%.

Key Responsibilities

Commercial & Medical Affairs Legal Support

  • Serve as key legal partner and SME to commercial and medical teams
  • Provide practical legal advice on pre-launch activities and launch strategy, including medical (e.g., MSL activities and programs), disease awareness, sales, marketing (brand messaging, activities and campaigns), marketing analytics, patient advocacy programs, advisory boards, incentive compensation for commercial personnel and other business activities
  • Counsel market access on pricing, reimbursement, distribution and contracting structures; advise on payer engagement issues including PIE and FDAMA 114; draft and lead the development of market access and patient support agreements; advise patient support team on legal issues related to patient support and hub services
  • Act as Legal representative reviewing content and messaging on Promotional Review Committee, Medical Legal Regulatory (Medical) Review Committee, Publications Review Committee, ISR reviews, grants and sponsorships committees and similar bodies
  •  Training of applicable personnel
  • Oversee outside counsel; conduct and respond to diligence for financings, business development activities and the like as needed; and review other external corporate content such as press releases

Compliance Program Support

  • Provide thought partnership to Compliance to advise commercial, medical, and advocacy teams on compliance obligations
  • Partner with Compliance to evolve the U.S. compliance program consistent with company size and scope and aligned with company values
  • Partner with Compliance to coordinate training activities including legal and compliance responsibilities, ethics, policies and procedures
  • Support development and enhancement of compliance policies and SOPs related to AKS, FCA, and industry codes
Qualification Requirements
  • JD required with 12+ years of relevant legal experience in the biopharmaceutical industry (biotech preferred)
  • Deep knowledge of FDA promotional regulations, Anti-Kickback Statute, False Claims Act, OIG Guidance, and industry codes, and ability to stay current on evolving trends and enforcement
  • Experience reviewing promotional and medical materials
  • Ability to interpret and apply healthcare laws to complex business plans
  • Experience supporting product launch planning and cross functional review committees (experience building for first US launch preferred)
  • Strong business partnering skills with ability to balance risk and business goals
  • Excellent communication skills
  • Ability to manage multiple priorities in a fast-paced environment; comfortable working in a demanding start-up culture with evolving processes; flexible and able to adapt to new situations as the business demands
The anticipated annual salary range for this job is based on prior experience in the role/industry, education, location, internal equity, and other job-related factors as permitted by law. For remote-based positions, this range may vary based on your local market. Full-time employment positions will also be eligible to receive pre-IPO equity and annual bonus, in addition to competitive medical, dental, and vision benefits, PTO, 401(k) plan, life and accidental death and disability coverage, and parental leave benefits. Other perks include subsidized daily lunches and snacks at our on-site locations.
 
Who we are
 
We are driven by a passion for science and compassion for patients. We act with urgency to ensure our treatments are one day accessible to all who need them.
 
We live by our core values of passion, courage, and integrity. Excellence in our work means the chance to unlock a better quality of life for our patients, and with that comes tremendous responsibility.
 
We innovate on a path that hasn’t been paved. We embrace an entrepreneurial spirit and take calculated risks to achieve our mission. We aren’t afraid to ask “why not” and challenge the status quo.
 
We maintain a start-up culture of camaraderie and leadership by example, regardless of title.
 
We’re proud to be an equal opportunity employer, and recognize that celebrating our differences creates stronger, lasting solutions that better serve our team, our patients and their healthcare providers.
 
Notice to staffing firms
 
Orca Bio does not accept resumes from staffing agencies with which we do not have a written agreement and specific engagement for a particular opening. Our employment activities, inquiries and offers are managed through our HR/Talent team, and all candidates are presented through this channel only. We do not accept unsolicited resumes, and we rarely outsource recruitment.

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.