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Remote Risk Adjustment Coder Jobs in South Boston, VA

Certified Coder - Remote

Oxford, NC · On-site +1

$20.75 - $28.25/hr

Responsible for interacting with physicians and other patient care providers in coding admission, principle, and secondary diagnoses and coding principal and secondary procedures to promote ...

Certified Coder - Remote

Oxford, NC · Remote

$20.75 - $28.25/hr

Responsible for interacting with physicians and other patient care providers in coding admission, principle, and secondary diagnoses and coding principal and secondary procedures to promote ...

Remote Risk Adjustment Coder information

See South Boston, VA salary details

$14

$24

$38

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

As of Jul 23, 2026, the average hourly pay for remote risk adjustment coder in South Boston, VA is $24.52, according to ZipRecruiter salary data. Most workers in this role earn between $16.92 and $30.87 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Remote Risk Adjustment Coder, and why are they important?

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 popular job titles related to Remote Risk Adjustment Coder jobs in South Boston, VA? For Remote Risk Adjustment Coder jobs in South Boston, VA, the most frequently searched job titles are:
What cities near South Boston, VA are hiring for Remote Risk Adjustment Coder jobs? Cities near South Boston, VA with the most Remote Risk Adjustment Coder job openings:
Certified Coder - Remote

Certified Coder - Remote

Granville Health System

Oxford, NC • On-site, Remote

$20.75 - $28.25/hr

Part-time

Posted 18 days ago


Granville Health System rating

8.6

Company rating: 8.6 out of 10

Based on 5 frontline employees who took The Breakroom Quiz


Job description

Responsible for interacting with physicians and other patient care providers in coding admission, principle, and secondary diagnoses and coding principal and secondary procedures to promote appropriate reimbursement for outpatient clinical coding. Responsible for interacting with the Insurance Department for timely processing of claims. Responsible for abstracting diagnoses from the medical records into the hospital health information system for timely billing. Performs within the prescribed limits of the hospital's/ department's Ethics and Compliance program. Will detect, observe and report compliance variances to the Director of Health Information Management, the Compliance Officer, and hospital hotline.
Minimum Qualifications
Must be experienced in ICD-10-CM coding. Completion of a Medical Coding Certificate or CAHIM accredited coding diploma program is preferred or 3 years of IDC-10-CM and CPT coding experience in a healthcare setting with validation of coding performance within the national standard. Must have initiative and judgment required to collect and analyze medical record data. Must be able to work well under pressure and in conditions of continuous interruptions. Must have effective written and oral communications skills. Must have computer skills.

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