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Remote Risk Adjustment Coder Jobs in Riverside, CA

Crox Consulting Inc

Inpatient Coder I/II

Redlands, CA · Remote

$32 - $33/hr

Seeking six (6) experienced inpatient coders for immediate remote support. Contractors will be responsible for coding high-dollar, complex inpatient accounts with both MS-DRG and APR-DRG groupers.

Ethos Risk Services

Bill Review Specialist

Lake Forest, CA · On-site +1

$20.25 - $28/hr

Ethos Risk Services is a leading provider of workers' compensation medical management ... Our dynamic Bill Review team is seeking a full-time Bill Review Specialist (REMOTE) to review ...

Corvel

CA Utilization Review Nurse I

Rancho Cucamonga, CA · Remote

$30.64 - $45.80/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Ensign Services, Inc.

Payroll Resource

Irvine, CA · On-site +1

$20 - $30/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Location (Remote): We are seeking candidates based in California to support our Flagstone Market ... Consults with the garnishment/withholding order team to process periodic adjustments when directed.

Corvel

Medical Only Claims Specialist

Rancho Cucamonga, CA · Remote

$16.74 - $26.92/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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

Senior Claims Specialist (SIP) 4850

Rancho Cucamonga, CA · Remote

$29.35 - $47.28/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This is a remote position. Candidates must reside in California. ESSENTIAL FUNCTIONS ... Associates in Claims or Associates in Risk Management designation preferred * 4850 experience ...

Corvel

Content Marketing Associate

Irvine, CA · Remote

$83K - $139K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Develop and implement a ... Experience in the healthcare or risk management industry (preferred). PAY RANGE: CorVel uses a ...

Corvel

Senior Corporate Paralegal - Contracts

Irvine, CA · Remote

$70K - $116K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This is a hybrid or remote role in the Irvine, CA or Downers Grove, IL office. ESSENTIAL FUNCTIONS ... Ability to identify, analyze, and mitigate contractual risk * Excellent communication and ...

Corvel

Project Manager III

Irvine, CA · On-site +1

$92K - $143K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This is a remote/hybrid work arrangement. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Lead and ... The level may impact the salary range, and these adjustments would be clarified during the offer ...

CorVel Career Site

Project Manager III

Irvine, CA · On-site +1

$92K - $143K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This is a remote/hybrid work arrangement. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Lead and ... 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 Riverside, CA

Remote Risk Adjustment Coder information

See Riverside, CA salary details

$16

$28

$45

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 Riverside, CA is $28.68, according to ZipRecruiter salary data. Most workers in this role earn between $19.81 and $36.11 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.

More about Remote Risk Adjustment Coder jobs

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For Remote Risk Adjustment Coder jobs in Riverside, CA, the most frequently searched job titles are:

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Cities near Riverside, 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 Riverside, CA as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 10% Part Time, and 3% Contract. Highlights an 89% Physical, 4% Hybrid, and 7% Remote job distribution, with an average salary of $59,656 per year, or $28.7 per hour.

Inpatient Coder I/II

Crox Consulting Inc

Redlands, CA • Remote

$32 - $33/hr

Contractor

Re-posted 17 days ago

Job description

Position Summary:
Seeking six (6) experienced inpatient coders for immediate remote support. Contractors will be responsible for coding high-dollar, complex inpatient accounts with both MS-DRG and APR-DRG groupers. Experience with Expanse (Meditech) is preferred. Ideal candidates are detail-oriented, self-directed, and able to work efficiently under tight turnaround expectations.
Key Responsibilities:
Accurately code inpatient, outpatient, and ED records using ICD-10-CM and CPT
Abstract clinical information into Meditech systems
Maintain 95% accuracy in coding and abstracting
Assign and sequence principal and secondary diagnoses and procedures
Collaborate with case management on missing documentation
Prepare physician queries when needed for clarity or specificity
Maintain DNFC levels per facility benchmarks
Requirements:
Coder I:
AHIMA Certification: CCS, or both RHIT and CCA
1+ year of coding experience in an acute hospital setting
Coder II:
AHIMA Certification: CCS required
2+ years of inpatient coding in acute care setting
Preferred:
Familiarity with Expanse (Meditech)
Experience with high-dollar, mortality-based inpatient cases
Strong understanding of DRG coding and abstracting best practices
Additional Details:
100% Remote
Must have own equipment and secure work environment
Position is production- and quality-driven
Must be able to work independently and meet turnaround goals