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Remote Risk Adjustment Coder Jobs in Raleigh, NC

This position is 100% remote. All Duke University remote workers must reside in one of the ... The medical coder specialist focuses their work on the detailed physician surgical chart ...

This position is 100% remote. All Duke University remote workers must reside in one of the ... The medical coder specialist focuses their work on the detailed physician surgical chart ...

This position is 100% remote. All Duke University remote workers must reside in one of the ... The medical coder specialist focuses their work on the detailed physician surgical chart ...

This position is 100% remote. All Duke University remote workers must reside in one of the ... The medical coder specialist focuses their work on the detailed physician surgical chart ...

This position is 100% remote. All Duke University remote workers must reside in one of the ... The medical coder specialist focuses their work on the detailed physician surgical chart ...

This position is 100% remote. All Duke University remote workers must reside in one of the ... The medical coder specialist focuses their work on the detailed physician surgical chart ...

Senior Medical Coder

Raleigh, NC · On-site +1

$16 - $21.50/hr

Perform dictionary coding in accordance with study specific coding conventions using MedDRA and WHO Drug within various coding systems. Manage end-to-end delivery of clinical data management coding ...

RCS Medical Coding Auditor (CPC, CPMA)

Raleigh, NC · On-site +1

$57K - $80K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This role supports coding integrity, mitigates compliance risk, and drives continuous quality ... adjustments accordingly, we strive to ensure that our compensation practices reflect the value we ...

Director, Laboratory CPT Coding

Durham, NC · On-site +1

$102K - $133K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... remote workdays per week, supporting both collaboration and flexibility, with occasional onsite ... Compliance, Quality & Risk Management * Ensure compliance with CMS, AMA, OIG, commercial payer, and ...

Showing results 21-40

Remote Risk Adjustment Coder information

See Raleigh, NC salary details

$15

$26

$42

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

As of Aug 18, 2026, the average hourly pay for remote risk adjustment coder in Raleigh, NC is $26.72, according to ZipRecruiter salary data. Most workers in this role earn between $18.46 and $33.65 per hour, depending on experience, location, and employer.

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 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?

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 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 most commonly searched types of Risk Adjustment Coder jobs in Raleigh, NC?

The most popular types of Risk Adjustment Coder jobs in Raleigh, NC are:

What job categories do people searching Remote Risk Adjustment Coder jobs in Raleigh, NC look for?

The top searched job categories for Remote Risk Adjustment Coder jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Remote Risk Adjustment Coder jobs?

Cities near Raleigh, NC with the most Remote Risk Adjustment Coder job openings:

Infographic showing various Remote Risk Adjustment Coder job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 87% Full Time, 9% Part Time, and 3% Contract. Highlights an 88% Physical, 5% Hybrid, and 7% Remote job distribution, with an average salary of $55,585 per year, or $26.7 per hour.

Agentic AI Software Developer

Ethos Risk Services

Raleigh, NC • Remote

Full-time

Posted 5 days ago


Job description

ABOUT US:Ethos Risk Services is a leading insurance claims investigation and medical management company committed to providing better data that translates into better decision-making for our clients. We are at the forefront of innovation in our space, and our success is driven by a dynamic team passionate about delivering exceptional services to our customers. JOB SUMMARY: Our synergetic Ethos IT Team is growing and seeking a full-time Agentic AI Software Developer (REMOTE) to architect and guide software solutions in an AI-first, spec-driven environment. This role translates business requirements into structured specifications, oversees AI-assisted development workflows, and ensures the quality, security, and performance of AI-generated code. Our ideal candidate is a senior engineer with hands-on spec-driven development experience who has worked with agentic AI tools and AI-integrated systems. They have strong SQL experience, preferably PostgreSQL, and experience on development teams leveraging AI-assisted workflows, including reviewing and validating AI-generated code. KEY RESPONSIBILITIES:Spec-Driven Development– Translate business requirements into clear, testable specifications for AI-assisted development.AI Workflow Orchestration – Oversee software generation using agentic AI tools, ensuring alignment with architecture.Code Review & Quality – Rigorously review AI-generated code for accuracy, security, and maintainability.Testing & Validation – Ensure outputs meet specifications through strong testing practices.Prompt Engineering – Develop and refine prompts, constraints, and AI workflows for better outcomes. Architecture & Modernization – Support scalable system design and migration from legacy environments. Risk & Security – Identify and mitigate risks in AI-generated code and ensure secure development practices.CI/CD & Automation – Contribute to pipelines with validation and quality gates for generated code.Mentorship & Support – Guide team members and provide production support for AI-assisted systems.Documentation – Maintain clear specifications, workflows, and technical documentation.Collaboration – Partner with stakeholders to refine requirements and solution design. QUALIFICATIONS:Education: Master's degree in Computer Science, Data Science or a related field (preferred). Relevant experience may be a substitute for formal education.Experience: Minimum of 7 to 10 years of software development experience, primarily with C# and .NET technologies (required). Minimum of 5 years working with MS SQL Server and PostgreSQL (required).Minimum of 3 to 5 years of experience with cloud platforms, preferably in AWS (required). Hands-on experience with AI-assisted or spec-driven development tools (e.g., Kiro or similar) (strongly preferred). Proven experience reviewing and validating AI-generated code (required). Experience with modern front-end frameworks, preferably in React. Strong background in CI/CD pipelines, automation, and quality assurance. Demonstrated ability to lead architecture and mentor engineering teams. Certifications:AI-assisted development or prompt engineering certifications (preferred). Microsoft, AWS, or security certifications (plus).Required completion of secure software development training annually, including AI-specific secure coding practices and validation techniques.Skills:Proficiency in Python and ML frameworks such as TensorFlow or PyTorch (preferred). Experience with MLOps, CI/CD pipelines, and infrastructure-as-code (Terraform or CloudFormation) (required).Strong understanding of data pipelines, model deployment, and performance monitoring (preferred). Ability to translate business requirements into scalable AI system designs (preferred). Excellent communication, stakeholder management, and problem-solving skills (required). WORKING CONDITIONS:This is a primarily remote position working in a home office environment, with a preference for candidates able to work within Eastern or Central Time Zone business hours. The role requires prolonged periods of sitting or standing while operating a computer and other office equipment. Communication with team members, clients, and stakeholders is expected. Ethos Risk Services is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic.
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