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Remote Risk Adjustment Coder Jobs in St Petersburg, FL

Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of ... claim adjustments is highly preferred. * Understanding of health claims processing/adjudication

Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of ... claim adjustments is highly preferred. * Understanding of health claims processing/adjudication

Tax Analyst Senior

Tampa, FL · 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 ...

... remote Clinical Budgeting Specialist. This position is responsible for the accuracy of risk-based ... Medical coding certification preferred. * Medical billing in workers compensation industry ...

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

Showing results 21-40

Remote Risk Adjustment Coder information

See St Petersburg, FL salary details

$15

$25

$41

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

As of Aug 13, 2026, the average hourly pay for remote risk adjustment coder in St. Petersburg, FL is $26.00, according to ZipRecruiter salary data. Most workers in this role earn between $17.98 and $32.74 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 St. Petersburg, FL?

The most popular types of Risk Adjustment Coder jobs in St. Petersburg, FL are:

What are popular job titles related to Remote Risk Adjustment Coder jobs in St. Petersburg, FL?

For Remote Risk Adjustment Coder jobs in St. Petersburg, FL, the most frequently searched job titles are:

What job categories do people searching Remote Risk Adjustment Coder jobs in St. Petersburg, FL look for?

The top searched job categories for Remote Risk Adjustment Coder jobs in St. Petersburg, FL are:

What cities near St. Petersburg, FL are hiring for Remote Risk Adjustment Coder jobs?

Cities near St. Petersburg, FL with the most Remote Risk Adjustment Coder job openings:

Data Scientist (Mid-level) - Risk Modeling

USAA

Tampa, FL • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago


USAA rating

8.2

Company rating: 8.2 out of 10

Based on 262 frontline employees who took The Breakroom Quiz

51st of 171 rated banks


Job description

Why USAA?

At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.

Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful.

We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs.

The Opportunity

We are looking for a highly skilled Data Scientist to join the P&C Underwriting Data Science team. This role will be tackling some of our most challenging analytical problems in P&C Underwriting by experimenting with data, prototyping statistical models, and deploying new data science products in operations. We're looking for someone with a high level of curiosity that can ask the right questions and has the technical skills to test business hypothesis quickly in an iterative way.

We offer a flexible work environment that requires an individual to be in the office 4 days per week. This position can be based in one of the following locations: San Antonio, TX, Phoenix, AZ, Plano, TX, Tampa, FL or Colorado Springs, CO.

Relocation assistance is not available for this position.

What you'll do:

  • Gathers, interprets, and manipulates structured and unstructured data to enable advanced analytical solutions for the business.
  • Develops scalable, automated solutions using machine learning, simulation, and optimization to deliver business insights and business value.
  • Selects the appropriate modeling technique and/or technology with consideration to data limitations, application, and business needs.
  • Develops and deploys models within the Model Development Control (MDC) and Model Risk Management (MRM) framework.
  • Composes technical documents for knowledge persistence, risk management, and technical review audiences.
  • Assesses business needs to propose/recommend analytical and modeling projects to add business value.
  • Participates in the prioritization of analytics and modeling problems/research efforts with business and analytics leaders.
  • Contributes to the development of a robust library of reusable, production-quality algorithms and supporting code, to ensure model development and research efforts are transparent and based on the highest quality data.
  • Translates business request(s) into specific analytical questions, executes on the analysis and/or modeling, and then communicates outcomes to non-technical business colleagues with focus on business action and recommendations.
  • Works closely with Data Engineering, IT, the business, and other internal stakeholders to deploy production-ready analytical assets that are aligned with the customer's vision and specifications while being consistent with modeling best practices and model risk management standards.
  • Maintains awareness of cutting-edge techniques.
  • Actively seeks opportunities and materials to learn new techniques, technologies, and methodologies.
  • Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.

What you have:

  • Bachelor's degree in Mathematics, Computer Science, Statistics, Economics, Finance, Actuarial Science, Science, Engineering, or quantitative field; OR 4 years of relevant education and/or experience.
  • 4 years of experience in a predictive analytics or data analysis OR Advanced Degree (e.g., Master's, PhD) in mathematics, computer science, statistics, economics, finance, actuarial sciences, science and engineering, or other similar quantitative discipline and 2 years of experience in predictive analytics or data analysis.
  • 2 years of experience in training and validating statistical, physical, machine learning, and other advanced analytics models.
  • 2 years of experience in one or more dynamic scripted language (such as Python, R, etc.) for performing statistical analyses and/or building and scoring AI/ML models.
  • Experience writing code that is easy to follow, well documented, and commented where necessary to explain logic (high code transparency).
  • Experience in querying and preprocessing data from structured and/or unstructured databases using query languages such as SQL, HQL, NoSQL, etc.
  • Experience in working with structured, semi-structured, and unstructured data files such as delimited numeric data files, JSON/XML files, and/or text documents, images, etc.
  • Experience in performing ad-hoc analytics using descriptive, diagnostic, and inferential statistics.
  • Ability to assess regulatory implications and expectations of distinct modeling efforts.
  • Experience with the concepts and technologies associated with classical supervised modeling for prediction such as linear/logistic regression, discriminant analysis, support vector machines, decision trees, forest models, etc.
  • Experience with the concepts and technologies associated with unsupervised modeling such as k-means clustering, hierarchical/agglomerative clustering, neighbors algorithms, DBSCAN, etc.
  • Experience communicating analytical and modeling results to non-technical business partners with emphasis on business recommendations and actionable applications of results.

What sets you apart:

  • Risk modeling experience
  • Experience building and deploying machine learning models in production
  • P&C Insurance domain experience
  • Experience solving data problems with high levels of ambiguity
  • Experience working in a collaborative environment with multiple stakeholders
  • Strong attention to detail

Compensation range: The salary range for this position is: $114,080- $218,030.

USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).

Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.

Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.

The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.

Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.

For more details on our outstanding benefits, visit our benefits page on USAAjobs.com.

Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.

USAA is 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, or status as a protected veteran.


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