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Remote Risk Adjustment Coder Jobs in Rancho Cordova, CA

Corvel

CA UR Case Manager II

Folsom, CA · Remote

$32.18 - $48.68/hr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ... Must have thorough knowledge of both CPT and ICD coding * Ability to interface with claims staff ...

Direct Counsel

Legal E-Billing Coordinator

Sacramento, CA · On-site +1

$90K - $105K/yr

... codes, rate structures, and data entry. * Submit appeals or adjustments on short-paid invoices ... Up to two remote workdays per week. * Comprehensive Benefits: 401(k), profit sharing, full health ...

Dignity Health Medical Group

QCDI Coder

Rancho Cordova, CA · Remote

$32.38 - $48.17/hr

As a remote employee, we will provide you with the equipment needed to work from home, including a ... HCC, risk adjustment, or specialty coding experience preferred * Experience with MSSP preferred

Vialto Partners

US Immigration Attorney

Sacramento, CA · On-site +1

$120K - $157K/yr

... and adjustment of status applications Develop tailored immigration strategies that align with ... Hybrid and remote opportunities available for flexibility and work-life balance. Additional ...

L3HHCM20

Specialist, Subcontracts

Sacramento, CA · Remote

$73K - $135K/yr

Specialist, Subcontracts (Remote) Job Code: 42913 Job Location: Remote Opportunity Job Schedule : 9 ... Assesses supplier risk, including financial, schedule, technical, and performance risk, and ...

L3HHCM20

Specialist, Program Scheduler

Sacramento, CA · Remote

$73K - $135K/yr

Specialist, Program Scheduler (Remote) Job Code: 43603 Job Location: Remote Opportunity Job ... Track plans and schedules, perform risk analysis, identify and resolve critical path and network ...

Corvel

CA Senior Claims Specialist

Folsom, CA · Remote

$29.35 - $47.28/hr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Corvel

CA Senior Claims Specialist

Folsom, CA · Remote

$29.35 - $47.28/hr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... The level may impact the salary range, and these adjustments would be clarified during the offer ...

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All JobsRisk Adjustment Coder JobsRemote Risk Adjustment Coder JobsRemote Risk Adjustment Coder Jobs in Rancho Cordova, CA

Remote Risk Adjustment Coder information

See Rancho Cordova, CA salary details

$16

$29

$46

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

As of Sep 3, 2026, the average hourly pay for remote risk adjustment coder in Rancho Cordova, CA is $29.33, according to ZipRecruiter salary data. Most workers in this role earn between $20.24 and $36.92 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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Certified Coder, Acute Hospital ED, Cancer & Edits (Remote)

Adventist Health

Roseville, CA • On-site, Remote

$30.01 - $38.57/hr

Full-time

Posted 13 days ago

Adventist Health rating

7.7

Company rating: 7.7 out of 10

Based on 246 frontline employees who took The Breakroom Quiz

165th of 898 rated healthcare providers

Job description


Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.
Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.
Job Summary:
Reviews acute hospital outpatient emergency department (ED), medical oncology, adult outpatient rehab including cardiac rehab patient records including charge capture/entry to identify the diagnosis and procedure codes performed during the patient's stay are valid and in accordance with coding conventions and guidelines. Record types include ED including charge capture/entry, medical oncology cancer and adult outpatient rehab including cardiac rehab encounter types. Handles returned for coding/coding edits workflow to resolution. Works on routine assignments within defined parameters, established guidelines and precedents. Follows established procedures and receives daily instructions on work.
Job Requirements:
Education and Work Experience:
  • High School Education/GED or equivalent: Required
  • Associate's/Technical Degree or equivalent combination of education/related experience: Preferred
  • Three years' outpatient emergency department (ED), medical oncology, adult outpatient rehab and cardiac rehab coding experience: Preferred
  • Experience in an acute care setting: Preferred

Licenses/Certifications:
  • AHIMA Certified Coding Specialist (CCS): Required
  • AAPC Certified Professional Coder - CPC (critical access facilities): Preferred
  • AAPC Certified Outpatient Coder - COC: Preferred
  • AHIMA Certified Coding Associate (CCA), AHIMA RHIT/RHIA (Registered Health Information Technologist) or (Registered Health Information Administrator): Required - prior to 1-1-2018 - not accepting new CCA, RHIT/RHIA certifications
  • All Associates hired Jan 1, 2018, and prior have been grandfathered in as acceptable certifications. New hires will be required to have a CCS or CPC dependent on site assignment certification only: Required
  • Maintain appropriate credential related to essential job assignment: CCS or CPC or COC. For those that were grandfathered in prior to Jan 1, 2018, will be expected to maintain CCA, RHIT, or RHIA certification: Required
  • Certified Coding Specialist (CCS) or Certified Coding Associate (CCA): Required

Essential Functions:
  • Abstracts and assigns diagnosis codes and procedure codes from the ED patient record to provide information required for billing and reimbursement. Abstracts and assigns diagnosis codes and procedure codes from the MedOnc recurring patient record to provide information required for billing and reimbursement. Abstracts and assigns diagnosis codes and procedure codes from the adult outpatient rehab and cardiac rehab patient record to provide information required for billing and reimbursement. Validates appropriate dates of service against documentation in the EMR for MedOnc recurring encounters with multiple service dates. Completes required abstract fields in registration conversation on ED encounter for OSHPD (state reporting) data submissions.
  • Posts, corrects and validates ED charges using the ED FCT, ED Ad Hoc FCT. Validates and corrects infusion and injection charges in ED and MedOnc. Appropriates utilization of modifiers.
  • Audits medical records to ensure proper coding is completed and to ensure compliance with federal and state regulatory agencies. Follows outpatient coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies.
  • Follows up coding holds, revenue cycle department holds including related and all other email communication. Collaborates to provide coding feedback and education to departmental leadership regarding complete and accurate documentation.
  • Maintains required online education requirements. Attends meetings for coder education, audit reviews, staff meetings, coder roundtable and other specialty meetings as needed including emergency department charging, cancer, infusions and injections, cardiac rehab and returned for coding.
  • Performs other job-related duties as assigned.

Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.
About Us
Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

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