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Remote Risk Adjustment Coder Jobs in Raleigh, NC

Duke Health

COMPLIANCE SPECIALIST

Durham, NC · Remote

This position is 100% remote. All Duke University remote workers must reside in one of the ... Identify coding and billings risk areas, conduct focused reviews, and implement corrective action ...

Duke University

COMPLIANCE SPECIALIST

Durham, NC · Remote

This position is 100% remote. All Duke University remote workers must reside in one of the ... Identify coding and billings risk areas, conduct focused reviews, and implement corrective action ...

Jsr Associates

Plant Engineering Manager

Raleigh, NC · Remote

$125K - $150K/yr

Remote means work from local plant in NC and travel 70% to other plants. Salary is listed, bonus is ... Establish design criteria aligned with codes and standards; verify field work and produce ...

Berriehill Research

Staff Scientist

Raleigh, NC · On-site +1

Remote work may be considered for the right candidate. What you will do as a staff scientist ... computer codes (e.g., FORTRAN, C, C++, and/or Python) for natural hazard risk assessment.

Berriehill Research

Senior Scientist

Raleigh, NC · On-site +1

$80K - $110K/yr

Remote work may be considered for the right candidate. What you will do as a senior scientist ... computer codes (e.g., FORTRAN, C, C++, and/or Python) for natural hazard risk assessment.

Strata Information Group

Project Manager

Raleigh, NC · Remote

$90K - $115K/yr

Work with the client to develop a risk management plan Required Qualifications * Five+ years of ... Remote work The listed salary range for this position is indicative and subject to adjustment based ...

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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.

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Remote Risk Adjustment Coder jobs near you
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.

Medical Records Coder II - Duke Homecare and Hospice - PRN

Duke University

Durham, NC • Remote

$18 - $24.25/hr

Per diem

Posted 27 days ago

Duke University rating

6.7

Company rating: 6.7 out of 10

Based on 55 frontline employees who took The Breakroom Quiz

487th of 618 rated colleges and universities

Job description

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

About Duke HomeCare & Hospice

Pursue your passion for caring with Duke HomeCare & Hospice, which offers hospice, home health, and infusion services across the region, as well as serves as the home forthe Duke Caregiver Support Program. Team members work closely with a patient's physician to provide comprehensive, individualized care in the comfort of their home or at our inpatient hospice facility in Durham, NC.

Must Reside in North Carolina 

Please note: All Duke medical coding opportunities require candidates to have a North Carolina address as a condition of employment.

Job Summary

The Duke HomeCare &Hospice Medical Records Coder II is a certified Coder, responsible for coding activities for the home health and hospice areas at Duke. Code medical records utilizing ICD-10-CM coding conventions. Review the medical record to ensure specificity of diagnoses and appropriate/optimal reimbursement for Home Health and/or Hospice. Abstract information from medical records following established methods and procedures.

Job Responsibilities 

  • Review the complex (problematic coding that needs research and reference checking) medical records and accurately code the primary/secondary diagnoses and procedures using ICD-10-CM coding conventions
  • Review medical record documentation and accurately code the primary/secondary diagnoses using ICD-10-CM coding conventions.
  • Sequence diagnoses using coding guidelines.
  • Abstract and compile data from medical records for appropriate optimal reimbursement for Home Health or Hospice and/or professional charges.
  • Consult with and educate physicians on coding practices and conventions to provide detailed coding information.
  • Communicate with nursing and ancillary services personnel for needed documentation for accurate coding.
  • Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participation in continuing education programs to effectively apply ICD-10-CM coding guidelines to inpatient and outpatient diagnoses and procedures.
  • Maintain a thorough understanding of medical record practices, standards, regulations, The Joint Commission, Health Care/Finance Administration (HCFA), Medical Review of North Carolina (MRNC), DHHS (Department of Health and Human Service), etc.
  • Assist with special projects as required.
  • Perform other related duties as assigned.

Education and Formal Training

High School Diploma required

Experience
  • RHIA certification- no experience required
  • RHIT certification- no experience required
  • CCS certification- one year of coding experience required
  • CPC or HCS-D certification- two years of coding experience required
Degrees, Licensure, and/or Certification
  • Must hold one of the following active/current certifications:
  • Registered Health Information Administrator (RHIA) Hospital Coding
  • Registered Health Information Technician (RHIT) Hospital Coding
  • Certified Coding Specialist (CCS) Hospital Coding
  • Certified Professional Coder (CPC)
  • Homecare Coding Specialist-Diagnosis (HCS-D) Homecare Coding

Knowledge, Skills & Abilities

  • Advanced ICD-10-CM & CPT-4 coding conventions 
  • Anatomy and Physiology 
  • Medical Terminology 
  • Extensive DRG/APC reimbursement knowledge 
  • HH PDGM Knowledge R/T Coding
  • Coding software familiarity 
  • Effective written and verbal communication skills 
  • Data entry/CRT 
     

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.


Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.


Essential Physical Job Functions:

Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.


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About Duke University

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Duke is regarded as one of America's leading research universities. Located in Durham, North Carolina, Duke is positioned in the heart of the Research Triangle, which is ranked annually as one of the best places in the country to work and live. Duke has more than 15,000 students who study and conduct research in its 10 undergraduate, graduate, and professional schools. With about 40,000 employees, Duke is the third largest private employer in North Carolina, and it now has international programs in more than 150 countries.

Industry

Colleges, universities, and professional schools and hospitals

Company size

10,000+ Employees

Headquarters location

Durham, NC, US

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