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Remote Risk Adjustment Coder Jobs in Prosper, TX

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The right candidate should be able to code both professional and facility charts; adhere to coding ... Our organization has grown significantly since transitioning to a fully remote workforce, and we ...

... risk and strong performance experience of an established GEOINT and Geospatial service provider ... Tasks include extraction, adjustment, or representation to meet specification or requirements of ...

... risk and strong performance experience of an established GEOINT and Geospatial service provider ... Tasks include extraction, adjustment, or representation to meet specification or requirements of ...

Senior Coding Educator

Dallas, TX · Remote

$27 - $30.75/hr

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within ... improving risk management, quality and revenue growth. Ready to help us deliver results that ...

Senior Site Reliability Engineer II

Dallas, TX · On-site +1

$125K - $209K/yr

LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Business ... If not, this role is fully remote. We do not restrict applicants based on job site or posting ...

Senior Site Reliability Engineer II

Allen, TX · On-site +1

$125K - $209K/yr

LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Business ... If not, this role is fully remote. We do not restrict applicants based on job site or posting ...

Showing results 21-40

Remote Risk Adjustment Coder information

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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 Prosper, TX is $25.18, according to ZipRecruiter salary data. Most workers in this role earn between $17.40 and $31.68 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.

What are popular job titles related to Remote Risk Adjustment Coder jobs in Prosper, TX? For Remote Risk Adjustment Coder jobs in Prosper, TX, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coder jobs in Prosper, TX look for? The top searched job categories for Remote Risk Adjustment Coder jobs in Prosper, TX are:
What cities near Prosper, TX are hiring for Remote Risk Adjustment Coder jobs? Cities near Prosper, TX with the most Remote Risk Adjustment Coder job openings:

Medical Coder- Emergency Department- Facility and Profee- Remote

QMACS

Dallas, TX • Remote

$50K - $60K/yr

Full-time

Medical, Dental, Life, PTO

Re-posted 28 days ago

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Job description

QMACS, Inc., a well-established medical billing company located in Richardson, Texas, has an opening for an experienced emergency department coder. The right candidate should be able to code both professional and facility charts; adhere to coding policies and procedures consistent with the industry standard guidelines for CPT, ICD-10, HCPCS and ACEP coding and reporting. The ideal candidates should have the ability to work within a team environment to ensure optimal revenue attainment and complete compliance with governmental and private payor requirements. AAPC and/or AHIMA Medical Coding Certification is required. Experience is preferred.

Requirements

  • Experience coding Emergency Department charts
  • Knowledge of HITECH & HIPAA compliance rules and regulations required
  • Ability to work well with Microsoft Office suite of products, particularly Excel
  • Ability to work in and/or familiarization with a variety of EHR products is a plus
  • Knowledge of facility AND professional charts
  • Excellent organizational and attention-to-detail skills
  • Strong oral and verbal communication skills
  • Experience Preferred
  • AAPC and/or AHIMA Coding Certification Required

Company Description

We are a privately held medical billing company based in Richardson, Texas, providing comprehensive revenue cycle management services to healthcare providers nationwide. With over three decades of industry experience, our team specializes in optimizing reimbursement, improving operational efficiency, and supporting providers through ever stage of the billing process.

Our organization has grown significantly since transitioning to a fully remote workforce, and we are proud to employ talented professionals across more than 25 states.