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Remote Risk Adjustment Coder Jobs in Sioux Falls, SD

Coder II - Inpatient

Sioux Falls, SD · On-site +1

$25.50 - $38/hr

The Coder will work to meet quality and production goals for the position with guidance from other professional staff. Position will work closely with and be mentored by other coding professional ...

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... risk assessment methodology. * Hands-on experience with MedDRA coding, seriousness and causality ...

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... risk assessment methodology. * Hands-on experience with MedDRA coding, seriousness and causality ...

Remote Risk Adjustment Coder information

See Sioux Falls, SD salary details

$15

$27

$43

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 Sioux Falls, SD is $27.35, according to ZipRecruiter salary data. Most workers in this role earn between $18.89 and $34.42 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.

What are the most commonly searched types of Risk Adjustment Coder jobs in Sioux Falls, SD? The most popular types of Risk Adjustment Coder jobs in Sioux Falls, SD are:
What are popular job titles related to Remote Risk Adjustment Coder jobs in Sioux Falls, SD? For Remote Risk Adjustment Coder jobs in Sioux Falls, SD, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coder jobs in Sioux Falls, SD look for? The top searched job categories for Remote Risk Adjustment Coder jobs in Sioux Falls, SD are:
Infographic showing various Remote Risk Adjustment Coder job openings in Sioux Falls, SD 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 $56,888 per year, or $27.4 per hour.

Coder II - Inpatient

Avera Health

Sioux Falls, SD • On-site, Remote

$25.50 - $38/hr

Full-time

Retirement, PTO

Re-posted 1 hour ago


Job description

Location:
Avera Downtown Building-Sioux Falls
Worker Type:
Regular
Work Shift:
Primarily days with possible weekends/evenings/holidays (United States of America)
Pay Range:
The pay range for this position is listed below. Actual pay rate dependent upon experience.
$25.50 - $38.00
Position Highlights
You Belong at Avera
Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.
A Brief Overview
Responsible for the timely and accurate assignment of diagnostic and procedural codes for inpatient charts for a variety of facilities within Avera Health. Accurate abstracting along with other reporting and editing functions is also within the scope of the Coder. The Coder will work to meet quality and production goals for the position with guidance from other professional staff. Position will work closely with and be mentored by other coding professional staff to ensure accurate coding assignment.
What you will do
  • Review all aspects of a patient's clinical documentation in order to identify the appropriate sequence of ICD-10-CM diagnosis and PCS procedure codes for assigned patient charts across Avera's facilities. Understand the basics of ICD-10-CM and PCS codes in depth, and be willing to update that knowledge through research or other educational opportunities.
  • IP Coder II is distinguished by specific services lines which could include but not limited to the following: Surgery, NICU/PICU, Cardiovascular, Women's Health, OB, Nursery, Behavioral Health, Orthopedics, Inpatient Rehabilitation and others as appropriate.
  • Focus on determining the appropriate DRG based on insurance and/or medical coding for inpatient charts or other charts as necessary for the inpatient service line.
  • Serves as a subject matter expert for other health professionals within Avera on these topics on occasion.
  • Queries physicians and clinical documentation staff to ensure a full capture of the clinical record for appropriate DRG classification and/or medical coding.

Essential Qualifications
The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.
Required Education, License/Certification, or Work Experience:
  • Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) within 180 Days or
  • Certified Document Improvement Practitioner (CDIP) - American Health Information Management Association (AHIMA) within 180 Days or
  • Registered Health Information Tech (RHIT) - American Health Information Management Association (AHIMA) within 180 Days or
  • Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA) within 180 Days or
  • Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA) within 180 Days

Preferred Education, License/Certification, or Work Experience:
  • Associate's Health Information Administration or Health Information Technology
  • 1-3 years coding experience

Expectations and Standards
  • Commitment to the daily application of Avera's mission, vision, core values, and social principles to serve patients, their families, and our community.
  • Promote Avera's values of compassion, hospitality, and stewardship.
  • Uphold Avera's standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
  • Maintain confidentiality.
  • Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.
  • Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.

Benefits You Need & Then Some
Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future.
  • PTO available day 1 for eligible hires.
  • Up to 5% employer matching contribution for retirement
  • Career development guided by hands-on training and mentorship

Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org.

Avera Health logo

About Avera Health

Sourced by ZipRecruiter

Avera Health, based in Sioux Falls, SD, US, is a significant player in the healthcare industry. This notable network of healthcare providers, hospitals, and health facilities serves over a million people across five Midwestern states. The health network was formed with the 1994 partnership of the Benedictine and Presentation Sisters, with its roots in compassionate service dating back to the late 1800s. Renowned for its commitment to providing excellent care and improving the health of individuals and communities, it has made significant strides in the medical field. Notable achievements include consistently high rankings in the top 15% of U.S. hospitals for clinical performance and patient outcomes.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Sioux Falls, SD, US