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Remote Risk Adjustment Coder Jobs in Spokane, WA

Aptive

Medical Coder

Spokane, WA · Remote

$19 - $25.25/hr

Medical Coder Location ... Remote supporting Mann-Grandstaff Memorial VA Medical Center, 4815 N Assembly St., Spokane, WA ...

Aptive

Medical Coder

Spokane, WA · Remote

$19 - $25.25/hr

Medical Coder Location ... Remote supporting Mann-Grandstaff Memorial VA Medical Center, 4815 N Assembly St., Spokane, WA ...

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Remote Risk Adjustment Coder information

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$27

$43

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

As of Sep 7, 2026, the average hourly pay for remote risk adjustment coder in Spokane, WA is $27.80, according to ZipRecruiter salary data. Most workers in this role earn between $19.18 and $35.00 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.

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Remote Risk Adjustment Coder jobs near you
Infographic showing various Remote Risk Adjustment Coder job openings in Spokane, WA as of August 2026, with employment types broken down into 66% Full Time, 13% Part Time, 3% Temporary, and 18% Contract. Highlights an 23% In-person, and 77% Remote job distribution, with an average salary of $57,818 per year, or $27.8 per hour.

Medical Coder

Aptive

Spokane, WA • Remote

$19 - $25.25/hr

Full-time

Re-posted 23 days ago

Aptive Environmental rating

5.6

Company rating: 5.6 out of 10

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Job description

Job Title: Medical Coder

Location: Remote supporting Mann-Grandstaff Memorial VA Medical Center, 4815 N Assembly St., Spokane, WA 99205

Period of Performance: Base year 07/15/2026 - 07/14/2027, with four one-year option periods through 07/14/2031

Shift Schedule: Contractor may work any hours desired within compliance requirements.

Position Description: 

The Mann-Grandstaff VA Medical Center (VAMC) has a requirement for medical coding of inpatient, outpatient, and observation encounters. The contractor is responsible for providing accurate and complete medical coding services in accordance with VA guidelines, ICD-10-CM/PCS, CPT, and HCPCS coding standards, and must maintain an overall coding accuracy rate of 95% or above. Accuracy is paramount, and the Coder must maintain strict adherence to VA national policy, local VAMC policy, and applicable federal regulations governing coding of protected health information.


  • Maintain an overall coding accuracy of 95% or above across all record types.
  • Perform coding in accordance with current Official Guidelines for Coding and Reporting.
  • Code all diagnoses and procedures to the highest degree of specificity.
  • Complete provider queries in a timely and compliant manner when required.
  • Meet coding productivity standards: Observation - Non-Billable 4 per day; Observation - Billable 3 per day; Inpatient - Billable 3 per day; Inpatient - Non-Billable 5 per day; Outpatient/Recurring/Pro Fees 30 per day; Surgery 7 per day; Prosthetics 30 per day.
  • Locate Financial Identification Numbers (FINs) and accurately link documents to the correct veteran record in Cerner/Oracle; immediately flag and report mismatches to the COR.
  • Complete 100% internal QA on all records prior to submission.
  • Report all errors or discrepancies to the HIMS Supervisor or designee immediately upon discovery, regardless of error ownership.
  • Strictly follow VA national policy, Mann-Grandstaff local policy, and HIMS Standard Operating Procedures, including VHA Handbook 1907.01.

  • Active coding credential required (RHIA, RHIT, CCS, CPC, or equivalent).
  • Prior experience with VA or federal healthcare coding strongly preferred.
  • Demonstrated knowledge of VA-specific coding requirements.
  • Knowledge and understanding of medical clinics and clinical documentation.
  • Ability to locate Financial Identification Numbers (FINs) and accurately link documents to the correct veteran record in Cerner/Oracle.
  • Knowledge of computers, specifically Microsoft Office (Word and Excel).
  • Must complete VA Cybersecurity/Privacy Training, VA Privacy and Information Security Awareness training, a Non-Disclosure Agreement (NDA), Cerner/Oracle Revenue Cycle System Training, and Cerner/Oracle PowerChart System Training prior to beginning work.

About Aptive. Aptive partners with federal agencies to achieve their missions through improved performance, streamlined operations and enhanced service delivery. Based in Alexandria, Virginia, we support more than a dozen agencies including Veterans Affairs, Transportation, Defense, Homeland Security and the National Science Foundation. We specialize in applying technology, creativity and human-centered services to optimize mission delivery and improve experiences for millions of people who count on government services every day. Founded: 2012. Employees: 300+ nationwide.


Aptive is an equal opportunity employer. We consider all qualified applicants for employment without regard to race, color, national origin, religion, creed, sex, sexual orientation, gender identity, marital status, parental status, veteran status, age, disability, or any other protected class. Veterans, members of the Reserve and National Guard, and transitioning active-duty service members are highly encouraged to apply. About Aptive: Aptive partners with federal agencies to achieve their missions through improved performance, streamlined operations and enhanced service delivery. Based in Alexandria, Virginia, we support more than a dozen agencies including Veterans Affairs, Transportation, Defense, Homeland Security and the National Science Foundation. We specialize in applying technology, creativity and human-centered services to optimize mission delivery and improve experiences for millions of people who count on government services every day. Founded: 2012. Employees: 300+ nationwide.

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