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Remote Risk Adjustment Coder Jobs in Suwanee, GA

Highmark Health

Coder - Inpatient

Atlanta, GA · Remote

$37.14/hr

Certified Coding Specialist (CCS) OR Certified In-patient Professional Coder (CIC) * Familiarity with medical terminology * Strong data entry skills * An understanding of computer applications

ATLANTA GASTRO

Certified Coder (66933)

Atlanta, GA · On-site +1

$22 - $29/hr

Accurate coding of services provided by United Digestive, LLC physicians, including assigning the correct ICD-10 and CPT codes. * Research difficult coding questions thoroughly in order to maintain ...

Origami Risk LLC

Site Reliability Engineer

Atlanta, GA · On-site +1

$100K - $120K/yr

All full-time positions are hybrid, with many eligible to be completely remote * Fully Paid by ... Dais Technology, a subsidiary of Origami Risk, provides a no-code platform that revolutionizes ...

RELX

Senior Site Reliability Engineer II

Alpharetta, GA · On-site +1

$104.90K - $174.70K/yr

LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Business ... If not, this role is fully remote. We do not restrict applicants based on job site or posting ...

RELX

Senior Site Reliability Engineer II

Atlanta, GA · On-site +1

$104.90K - $174.70K/yr

LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Business ... If not, this role is fully remote. We do not restrict applicants based on job site or posting ...

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Remote Risk Adjustment Coder information

See Suwanee, GA salary details

$14

$25

$40

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

As of May 29, 2026, the average hourly pay for remote risk adjustment coder in Suwanee, GA is $25.59, according to ZipRecruiter salary data. Most workers in this role earn between $17.69 and $32.21 per hour, depending on experience, location, and employer.

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, 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 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 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.

More about Remote Risk Adjustment Coder jobs
What are the most commonly searched types of Risk Adjustment Coder jobs in Suwanee, GA? The most popular types of Risk Adjustment Coder jobs in Suwanee, GA are:
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What cities near Suwanee, GA are hiring for Remote Risk Adjustment Coder jobs? Cities near Suwanee, GA with the most Remote Risk Adjustment Coder job openings:
Remote Risk Adjustment Coder jobs near you
Associate, Data Analytics (Atlanta, GA- Remote)

Associate, Data Analytics (Atlanta, GA- Remote)

Oscar Health

Atlanta, GA • On-site, Remote

$91.66K - $120.30K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 12 days ago

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

225th of 259 rated insurance

Job description

Hi, we're Oscar. We're hiring a to join our Clinical Data Analytics team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves-one that behaves like a doctor in the family.
About the role:
You will partner closely across the organization to identify and manage inefficiencies proactively in the business. You will support business units in scoping, analyzing and monitoring performance of key financial and utilization metrics in service of company goals. You will independently drives the scoping & execution of analytical requests, including working with stakeholders to define key questions, scope methodologies and results. You will be called upon to speak to prepared analysis both internally and externally.
You will report into the Senior Manager, Clinical Analytics.
Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote
Pay Transparency: The base pay for this role is: $91,659 - $120,303 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.
Responsibilities:
  • Responsible for owning insights generation and follow-up for a major business unit, serving as the first point of contract for Sr. Managers and Associate Directors
  • Analyze data to support business teams in making better informed, data-driven decisions
  • Use data to tell a story that non-technical colleagues will be able to understand, including packaging and presenting findings in a clear, concise and compelling manner
  • Recognize the need to enhance essential operational and analytical dashboards, and define the requirements to enhance them as our user's needs evolve
  • Identify opportunities to create models and tools that produce relevant insights to identify healthcare inefficiencies and generate insights to remove inefficiencies
  • Collaborate across the organization, including owning stakeholder relationships with managers & senior managers , to identify actions to achieve improvements and monitor initiative impact
  • Support other strategic projects as assigned to meet business needs
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:
  • 3+ years of technical work experience using analytical tools and writing analytical reports
  • 3+ years demonstrated ability to work with large datasets and distill analyses into relevant insights with a structured and systematic thought process
  • Strong communication skills, verbal and written, around business reporting impact and requirements, as demonstrated by 5+ examples / projects of presenting analysis to Leadership (Director+)
  • 3+ years experience in SQL, with the ability to filter, aggregate, and build CTEs, or proficiency in R or Python, including experience with Pandas, for loops, and statistical tests
  • 3+ years experience developing dashboards and working with Looker, or other business intelligence/data visualization tools
  • 3+ years experience, including proficiency in Google Sheets or Excel skills, with ability to use VLookup, nested if statements and connected Sheets
  • 1+ years experience in healthcare, consulting, finance or the insurance industry

Bonus points:
  • 2+ years experience in preparing healthcare analytics and reporting
  • 2+ years experience managing value-based contracts at a payer or a provider organization (ACO, CIN, MSO etc.)
  • Exposure to healthcare contract negotiations, risk adjustment, ACA marketplace, quality of care, and/or population health experience

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.
At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.
Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.
California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

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