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Remote Risk Adjustment Coder Jobs in Pleasanton, CA

Oklo

Senior Global Supply Manager

Santa Clara, CA · On-site +1

$178.50K - $179.70K/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

$178.50K - $179.70K/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 ...

Waymo

System Safety Engineer - Onboard

Mountain View, CA · On-site +1

$196K - $248K/yr

... risk based decisions with stakeholders * Experience in writing code and performing unit tests as ... remote, the specific salary range for your preferred location, during the hiring process. Waymo ...

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 II

San Jose, CA · On-site +1

$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 II

San Jose, CA · Remote

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 ...

Waymo

Head of Technical Services

Mountain View, CA · On-site +1

$226K - $278K/yr

... long-term risk mitigation. * Lead System Integration: Act as the Master Systems Integrator ... line code), while enforcing coding standards and conducting rigorous code reviews. * Team ...

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 ...

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

As of May 29, 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 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, 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 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 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.

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 May 2026, with employment types broken down into 63% Full Time, 33% Part Time, and 4% Contract. Highlights an 7% Physical, and 93% Remote job distribution, with an average salary of $63,638 per year, or $30.6 per hour.

Therapist / Physical Therapist / California / PT for RTM Job

Aetos healthcare LLC

Newark, CA • On-site, Remote

$1.87K - $2.42K/wk

Part-time

This job post has expired today. Applications are no longer accepted.

Job description

Job TitlePhysical Therapist (PT) Remote Therapeutic Monitoring (RTM)Company: Aetos HealthcareLocation: Remote (U.S. License Required California Preferred)Job Type: Part-Time / ContractAbout the RoleAetos Healthcare is hiring a licensed Physical Therapist to support an App-Based Remote Therapeutic Monitoring (RTM) program focused on chronic musculoskeletal (MSK) conditions.This role is designed for PTs who want to combine clinical expertise with digital health delivery. You will remotely monitor patient progress, evaluate therapy adherence, conduct interactive monthly assessments, and document care aligned with CPT codes 98975, 98976/98977, 98980, and 98981.This is a structured, compliance-first program.

Strong documentation and workflow discipline are essential.Patient PopulationChronic low back painCervical radiculopathyKnee and hip osteoarthritisPost-procedural rehabilitationChronic shoulder and MSK conditionsFunctional mobility impairmentCore ResponsibilitiesClinical OversightMonitor RTM dashboard data and therapy adherenceReview patient-reported outcome measures (Oswestry, PEG, WOMAC, functional scales)Assess functional improvement and symptom trendsModify therapeutic recommendations within scopeEscalate red-flag symptoms to supervising providersPatient EngagementConduct structured monthly interactive communication (video or phone)Provide exercise progression guidanceAddress barriers to adherenceReinforce home exercise programsEnsure appropriate accumulation of 20+ minutes per month when clinically indicatedDocumentation & ComplianceMaintain audit-ready documentationTrack cumulative minutes for 98980/98981Clearly document interactive communication and clinical reasoningFollow Medicare and commercial payer RTM guidelinesAdhere to state licensure and supervision requirementsOperational ResponsibilitiesStratify high-risk vs stable patientsSupport panel growth from 50150 patientsTrack KPIs including:% patients ?20 minutesAdherence ratesFunctional improvementEscalation frequencyQualificationsRequired:Active Physical Therapist license (U.S.)2+ years of outpatient ortho or MSK experienceStrong knowledge of therapeutic exercise progressionExperience with telehealth or remote patient engagementStrong documentation disciplinePreferred:Experience in RTM or RPM programsFamiliarity with minutes-based CPT documentationComfort using digital health platforms and dashboardsExperience managing high patient volumes efficientlyWorkload ExpectationsFlexible, minutes-based scheduleEstimated time for 100 RTM patients: 33 hours/month (for 98980 only)Additional time if 98981 add-on minutes are clinically necessaryWhat Success Looks LikeHigh patient engagement and adherenceMeasurable functional improvementAccurate and compliant documentationScalable workflow managementBalanced clinical judgment without over-escalationCompensationHourly rate (based on experience)Optional per-patient or hybrid compensation models availableWhy Join Aetos HealthcareRemote flexibilityStructured, compliance-driven workflowsDigital health innovation exposureScalable patient panel growthClear performance metrics and accountability

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