POSITION SUMMARY/RESPONSIBILITIES The Risk Adjustment Data Validation (RADV) Auditor is responsible for auditing medical records to validate ICD-10-CM coding accuracy and ensure compliance with ...
POSITION SUMMARY/RESPONSIBILITIES The Risk Adjustment Data Validation (RADV) Auditor is responsible for auditing medical records to validate ICD-10-CM coding accuracy and ensure compliance with ...
POSITION SUMMARY/RESPONSIBILITIES The Risk Adjustment Data Validation (RADV) Auditor is responsible for auditing medical records to validate ICD-10-CM coding accuracy and ensure compliance with ...
POSITION SUMMARY/RESPONSIBILITIES The Risk Adjustment Data Validation (RADV) Auditor is responsible for auditing medical records to validate ICD-10-CM coding accuracy and ensure compliance with ...
Auditor, Risk Adjustment Data Validation
San Antonio, TX · Remote
$22.10 - $38.25/hr
POSITION SUMMARY/RESPONSIBILITIES The Risk Adjustment Data Validation (RADV) Auditor is responsible for auditing medical records to validate ICD-10-CM coding accuracy and ensure compliance with ...
Auditor, Risk Adjustment Data Validation
San Antonio, TX · Remote
$22.10 - $38.25/hr
POSITION SUMMARY/RESPONSIBILITIES The Risk Adjustment Data Validation (RADV) Auditor is responsible for auditing medical records to validate ICD-10-CM coding accuracy and ensure compliance with ...
Specialist, Health Plan Provider Engagement (Remote in TX)
China Grove, TX · Remote
$45K - $80K/yr
Drives value-based care strategies through risk adjustment and quality improvement activities. Ensures smaller, less advanced tier II and tier III providers have engagement plans to meet annual ...
Specialist, Health Plan Provider Engagement (Remote in TX)
China Grove, TX · Remote
$45K - $80K/yr
Drives value-based care strategies through risk adjustment and quality improvement activities. Ensures smaller, less advanced tier II and tier III providers have engagement plans to meet annual ...
Medical Records Coder-Assoc
San Antonio, TX · On-site +1
$17 - $22.50/hr
Remote Coders may be required to occasionally attend on campus training and meetings. The University of Texas at San Antonio (UT San Antonio) is a nationally recognized, top-tier public research ...
Medical Records Coder-Assoc
San Antonio, TX · On-site +1
$17 - $22.50/hr
Remote Coders may be required to occasionally attend on campus training and meetings. The University of Texas at San Antonio (UT San Antonio) is a nationally recognized, top-tier public research ...
Medical Records Coder-Int
San Antonio, TX · On-site +1
$17 - $22.50/hr
Remote Coders may be required to occasionally attend on campus training and meetings. The University of Texas at San Antonio (UT San Antonio) is a nationally recognized, top-tier public research ...
Medical Records Coder-Int
San Antonio, TX · On-site +1
$17 - $22.50/hr
Remote Coders may be required to occasionally attend on campus training and meetings. The University of Texas at San Antonio (UT San Antonio) is a nationally recognized, top-tier public research ...
Certified Medical Coder
San Antonio, TX · Remote
$25 - $33/hr
Certified Medical Coder (Puyallup, WA -- In-Office if Local / Remote if Non-Local) Our mission to change wound care and improve the lives of others isn't easy, but it's worth it! One in ten residents ...
Quick apply
Certified Medical Coder
San Antonio, TX · Remote
$25 - $33/hr
Certified Medical Coder (Puyallup, WA -- In-Office if Local / Remote if Non-Local) Our mission to change wound care and improve the lives of others isn't easy, but it's worth it! One in ten residents ...
Freelance Medical & Billing Coder
San Antonio, TX · Remote
$17 - $22.50/hr
Calling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for ... Experience working in a remote environment is preferred. Experience in a medical office or health ...
Freelance Medical & Billing Coder
San Antonio, TX · Remote
$17 - $22.50/hr
Calling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for ... Experience working in a remote environment is preferred. Experience in a medical office or health ...
Certified Professional Coder Representative
San Antonio, TX · On-site +1
$20.50 - $27.25/hr
What does a Certified Professional Coder really do? Think of yourself as someone who will provide world-class service to our customers or clients in an accurate, efficient, and respectful manner on ...
Certified Professional Coder Representative
San Antonio, TX · On-site +1
$20.50 - $27.25/hr
What does a Certified Professional Coder really do? Think of yourself as someone who will provide world-class service to our customers or clients in an accurate, efficient, and respectful manner on ...
Coding Educator/Auditor
San Antonio, TX · Remote
$23.50 - $26.75/hr
... remote quality assurance reviews/audits with appropriate compliance with governmental and payer regulations. * Provides and monitors instructions/education provided to Providers, Coding, Risk, CDI ...
Coding Educator/Auditor
San Antonio, TX · Remote
$23.50 - $26.75/hr
... remote quality assurance reviews/audits with appropriate compliance with governmental and payer regulations. * Provides and monitors instructions/education provided to Providers, Coding, Risk, CDI ...
Coding Educator/Auditor
San Antonio, TX · Remote
$25.10 - $40.25/hr
... remote quality assurance reviews/audits with appropriate compliance with governmental and payer regulations. * Provides and monitors instructions/education provided to Providers, Coding, Risk, CDI ...
Coding Educator/Auditor
San Antonio, TX · Remote
$25.10 - $40.25/hr
... remote quality assurance reviews/audits with appropriate compliance with governmental and payer regulations. * Provides and monitors instructions/education provided to Providers, Coding, Risk, CDI ...
Senior Audit Manager - Model Risk/AI
San Antonio, TX · On-site +1
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Code of Ethics. We offer a flexible work environment that requires an individual to be in the ...
Senior Audit Manager - Model Risk/AI
San Antonio, TX · On-site +1
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Code of Ethics. We offer a flexible work environment that requires an individual to be in the ...
CPC-A Certified Coder Representative
San Antonio, TX · On-site +1
$20.25 - $27.75/hr
If you are a detail-obsessed medical coder or clinical documentation specialist who loves the intersection of healthcare and technology, this is your sandbox. What You'll Do * Detect & Correct: Audit ...
CPC-A Certified Coder Representative
San Antonio, TX · On-site +1
$20.25 - $27.75/hr
If you are a detail-obsessed medical coder or clinical documentation specialist who loves the intersection of healthcare and technology, this is your sandbox. What You'll Do * Detect & Correct: Audit ...
Tax Analyst Senior
San Antonio, TX · On-site +1
$93K - $179K/yr
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... adjustments, and completing required forms and schedules. * Leads high-risk tax audit issues in ...
Tax Analyst Senior
San Antonio, TX · On-site +1
$93K - $179K/yr
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... adjustments, and completing required forms and schedules. * Leads high-risk tax audit issues in ...
Tax Analyst Senior
San Antonio, TX · On-site +1
$93K - $179K/yr
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... adjustments, and completing required forms and schedules. * Leads high-risk tax audit issues in ...
Tax Analyst Senior
San Antonio, TX · On-site +1
$93K - $179K/yr
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... adjustments, and completing required forms and schedules. * Leads high-risk tax audit issues in ...
... adjustment to illness), psychosocial stressors, grief or phase of life difficulties (e.g ... Follow suicide prevention guidelines and risk assessment documentation and training requirements.
... adjustment to illness), psychosocial stressors, grief or phase of life difficulties (e.g ... Follow suicide prevention guidelines and risk assessment documentation and training requirements.
Medical Billing Specialist
San Antonio, TX · Remote
$58K - $74K/yr
Post payments, adjustments, and patient balances accurately within billing systems. Communicate ... Familiarity with CPT, ICD-10, and HCPCS coding standards. Experience using Electronic Health ...
Quick apply
Medical Billing Specialist
San Antonio, TX · Remote
$58K - $74K/yr
Post payments, adjustments, and patient balances accurately within billing systems. Communicate ... Familiarity with CPT, ICD-10, and HCPCS coding standards. Experience using Electronic Health ...
Medical Billing Specialist
San Antonio, TX · Remote
$58K - $74K/yr
Post payments, adjustments, and patient balances accurately within billing systems. Communicate ... Familiarity with CPT, ICD-10, and HCPCS coding standards. Experience using Electronic Health ...
Medical Billing Specialist
San Antonio, TX · Remote
$58K - $74K/yr
Post payments, adjustments, and patient balances accurately within billing systems. Communicate ... Familiarity with CPT, ICD-10, and HCPCS coding standards. Experience using Electronic Health ...
Medical Billing Specialist
San Antonio, TX · On-site +1
$58K - $74K/yr
Post payments, adjustments, and patient balances accurately within billing systems. Communicate ... Familiarity with CPT, ICD-10, and HCPCS coding standards. Experience using Electronic Health ...
Medical Billing Specialist
San Antonio, TX · On-site +1
$58K - $74K/yr
Post payments, adjustments, and patient balances accurately within billing systems. Communicate ... Familiarity with CPT, ICD-10, and HCPCS coding standards. Experience using Electronic Health ...
Compensation Analyst
San Antonio, TX · On-site +1
Ensures that requests for pay adjustments comply with current compensation policy. Responsible for ... Responsible for position management including s, titles, Occupation Codes, Rate Codes, and ...
Compensation Analyst
San Antonio, TX · On-site +1
Ensures that requests for pay adjustments comply with current compensation policy. Responsible for ... Responsible for position management including s, titles, Occupation Codes, Rate Codes, and ...
Remote Risk Adjustment Coder information
See San Antonio, TX salary details
$15.82 is the 25th percentile. Wages below this are outliers.
$13.70 - $15.87
26% of jobs
$15.87 - $18.04
9% of jobs
$18.04 - $20.21
12% of jobs
The median wage is $21.29 / hr.
$20.21 - $22.37
9% of jobs
$22.37 - $24.54
11% of jobs
$24.54 - $26.71
5% of jobs
$28.34 is the 75th percentile. Wages above this are outliers.
$26.71 - $28.88
6% of jobs
$28.88 - $31.05
5% of jobs
$31.05 - $33.22
5% of jobs
$33.22 - $35.39
3% of jobs
$35.39 - $37.56
10% of jobs
$13
$23
$37
How much do remote risk adjustment coder jobs pay per hour?
What are the key skills and qualifications needed to thrive as a Remote Risk Adjustment Coder, and why are they important?
What is a Remote Risk Adjustment Coder?
What is the difference between Remote Risk Adjustment Coder vs Remote Medical Coder?
| Aspect | Remote Risk Adjustment Coder | Remote Medical Coder |
|---|---|---|
| Certifications | AHIMA or AAPC Risk Adjustment certifications | AAPC CPC, CCS, or RHIT certifications |
| Work Environment | Healthcare insurance, payer organizations, risk adjustment teams | Hospitals, clinics, physician offices, insurance companies |
| Industry Usage | Primarily in health insurance and risk adjustment programs | Broad 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?
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.

Full-time
Posted 12 days ago
Job description
POSITION SUMMARY/RESPONSIBILITIES
The Risk Adjustment Data Validation (RADV) Auditor is responsible for auditing medical records to validate ICD-10-CM coding accuracy and ensure compliance with Centers for Medicare and Medicaid (CMS) and RADV guidelines. This role focuses on performing detailed audits, analyzing data, and collaborating with providers and internal teams to support Hierarchical Condition Categories (HCC) ratio goals and risk adjustment improvement initiatives. The auditor prepares customized reports based on data analysis and provides actionable recommendations to enhance operational and clinical performance. Additionally, the position assists in managing data collection processes and develops procedures for monitoring, validating, and reconciling data for accuracy. Working closely with cross-functional teams, the auditor supports compliance, quality assurance, and risk mitigation strategies while contributing to the development of tools and processes to improve coding accuracy and audit efficiency.
EDUCATION/EXPERIENCE
Bachelor’s degree required. Coding certification (such as CPC, CRC, or CCS) is preferred, or candidates must demonstrate a willingness to obtain certification within 6–12 months of hire. Applicants should have 1–2 years of healthcare experience; prior coding experience is preferred. Strong analytical and problem-solving skills, coupled with attention to detail, are essential. Candidates must possess the ability to learn and apply ICD-10-CM coding principles, exhibit excellent communication and organizational skills. Proficiency in health information systems, electronic health records (EHRs), HEDIS, RADV, and claims data analysis is a plus.
LICENSURE/CERTIFICATION
Coding certification within 2 years of employment (e.g., Certified Professional Coder - CPC, Certified Risk Adjustment Coder-CRC)