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Remote Risk Adjustment Coder Jobs in Roseville, MI

Exiger

Solutions Architect, Commercial

Detroit, MI · Remote

$62.25 - $82.25/hr

Remote Role Summary: We are looking for a Solutions Architect to partner closely with our ... Instead, it's about helping shape deals, guiding customers through complex risk challenges, and ...

Integra Partners

Medical Coding Specialist

Troy, MI · On-site +1

$65K - $65K/yr

EDUCATION: • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered ... Career development opportunities Remote Opportunities We are actively seeking new colleagues in:

Integra Partners

Medical Coding Specialist

Troy, MI · Remote

$65K - $65K/yr

Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health ... Career development opportunities Remote Opportunities We are actively seeking new colleagues in:

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Remote Risk Adjustment Coder information

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$14

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$39

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

As of Aug 9, 2026, the average hourly pay for remote risk adjustment coder in Roseville, MI is $24.94, according to ZipRecruiter salary data. Most workers in this role earn between $17.21 and $31.39 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.

More about Remote Risk Adjustment Coder jobs
What are popular job titles related to Remote Risk Adjustment Coder jobs in Roseville, MI? For Remote Risk Adjustment Coder jobs in Roseville, MI, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coder jobs in Roseville, MI look for? The top searched job categories for Remote Risk Adjustment Coder jobs in Roseville, MI are:
What cities near Roseville, MI are hiring for Remote Risk Adjustment Coder jobs? Cities near Roseville, MI 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 Roseville, MI as of August 2026, with employment types broken down into 1% As Needed, 88% Full Time, 8% Part Time, and 3% Contract. Highlights an 88% Physical, 4% Hybrid, and 8% Remote job distribution, with an average salary of $51,877 per year, or $24.9 per hour.

ASC/Professional Surgical Coding Auditor & Educator (REMOTE)

Trinity Health

Livonia, MI • On-site, Remote

$17.50 - $20/hr

Full-time

Posted 4 days ago

Trinity Health rating

6.6

Company rating: 6.6 out of 10

Based on 354 frontline employees who took The Breakroom Quiz

572nd of 887 rated healthcare providers

Job description

Employment Type:
Full timeShift:
Description:
Purpose
Uses specialized knowledge to support key areas of the organization related to an area of expertise. Uses data,
research analysis, critical thinking & problem-solving skills to support colleagues & leadership in achieving
organization's strategic objectives. Serves as a peer influencer & may direct a project or project team by applying
industry experience & specialized knowledge.
Note: "patients" refers to patients, clients, residents, participants, customers, members
Essential Functions
Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values,
Vision, Actions & Promise in behaviors, practices & decisions.
Work Focus: Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads
through resolution. Collaborates on performance improvement activities as indicated by outcomes in program
efficiency & patient experience. Responsible for distribution of analytical reports.
Process Focus: Utilizes multiple system applications to perform analysis, create reports & develop educational
materials. Incorporates basic knowledge of Trinity Health policies, practices & processes to ensure quality,
confidentiality & safety are prioritized. Demonstrates knowledge of departmental processes & procedures & ability
to readily acquire new knowledge.
Data Management & Analysis: Research & compiles information to support ad-hoc operational projects &
initiatives. Synthesizes & analyzes data & provides detailed summaries including graphical data presentations
illustrating trends & recommending practical options or solutions while considering the impact on business strategy
& supporting leadership decision making. Leverages program & operational data & measurements to define &
demonstrate progress, ROI & impacts.
Maintains a working knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity &
Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure
adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.
Functional Role (not inclusive of titles or advancement career progression)
  • Provides high level technical competency & subject matter expertise analyzing coding and documentation review for complex services, including code selection of surgical procedures & assessment of high-acuity type services.
  • Conducts comprehensive audits of professional coders and providers to ensure accuracy, compliance, and alignment with CPT, ICD 10, HCPCS, HCC and payer specific-specific guidelines.
  • Analyze documentation and coding patterns to identify risks related to compliance, revenue integrity, and regulatory requirements.
  • Provides clear, actionable feedback to providers, coders, and leadership to improve documentation quality and coding accuracy.
  • Develops and delivers targeted education and training programs based on audit findings, regulatory updates, and identified knowledge gaps.
  • Provides training and onboarding to new audit and education of colleagues & providers.
  • Adheres to coding quality & productivity standards as established by Revenue Excellence; Maintains accuracy of 95% or greater per coding audits; Responsible for completion of audit and education workplan as defined by the Service Area Manager of Coding Audit and Education.

Minimum Qualifications
  • Associate degree in Health Information Management or a related field or an equivalent combination of years of education & experience. Must possess extensive knowledge of ICD-10, HCPCS, CPT, and HCC guidelines, medical terminology, regulatory guidelines including Medicare and Medicaid, and payer polices.
  • Five (5) or more years of professional coding experience including surgical procedures and two (2) years of auditing and or education.
  • Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), or Coding Profession Certification (CPC) is required.

Additional Qualifications (nice to have)
  • Bachelor's degree in health information management (HIM) or related healthcare field is preferred
  • Preferred prior experience in auditing and provider education.
  • Preferred credentials: Certified Professional Medical Auditor (CPMA), Certified Risk Coder (CRC), Clinical Documentation Expert - Outpatient (CDEO).

Physical & Mental Requirements & Working Conditions (General Summary)
Direct Healthcare Services / Indirect Healthcare / Support Services:
  • Exposure to conditions which may be considered unpleasant to sight, touch, sound & / or smell. Occasional
  • Exposure to fumes, odors, dusts, mists & gases, biohazards / hazards (mechanical, electrical, burns, chemicals, radiation, sharp objects, etc.). Occasional
  • Exposure to or subject to noise, infectious waste, diseases & conditions. Occasional
  • Exposure to interruptions, shifting priorities & stressful situations. Frequent
  • Ability to follow tasks through to completion, understand & relate to complex ideas / concepts, remember multiple tasks & regimens over long periods of time & work on concurrent tasks / projects. Continuous
  • Ability to read small print, hear sounds & voice / speech patterns, give / receive instructions & other verbal communications (in-person & / or over the phone / computer / device / equipment assigned) with some background noise. Frequent
  • Perform manual dexterity activities & / or grasping / handling. Occasional
  • Ability to climb, kneel, crouch & / or operate foot controls. Occasional
  • Use a computer / other technology. Frequent
  • Sit with the ability to vary / adjust physical position or activity. Continuous
  • Maintain a safe working environment & use available personal protective equipment (PPE). Continuous
  • Comply with Trinity Health's Code of Conduct, policies, procedures & guidelines. Continuous
  • Ability to provide assistance in the event of an emergency. Occasional

Indirect Healthcare / Support Services:
  • Perform activities that require standing / walking with the ability to vary / adjust physical position or activity. Occasional
  • Lift a maximum of 30 pounds unassisted. Occasional
  • Experience of long periods of walking / standing / stooping / bending / pulling & / or pushing. Occasional
  • Encounter a clinical / patient facing / hands on interactive work environment. Occasional
  • Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions. Continuous

Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

What Trinity Health employees say

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About Trinity Health

Sourced by ZipRecruiter

Trinity Health Ann Arbor is a 537 -bed teaching hospital located on 340 acre campus. Recognized by IBM Watson as a Top 100 Hospital and #1 Teaching Hospital, Trinity Health Ann Arbor has been a leading health care provider for more than 100 years. Trinity Health has received numerous local and national awards in recognition of our leadership, quality outcomes, and clinical excellence.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Livonia, MI, US

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