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Remote Risk Adjustment Coder Jobs in Temecula, CA

As-Needed Fire Protection Planner IV

Encinitas, CA · On-site +1

$60 - $65/hr

  • Medical

  • Retirement

... risk. The position will be remote and travel to project sites and client or fire agency offices in ... Familiarity with federal, state and local building, development, and defensible space codes and ...

Sr Staff AI Architect

Carlsbad, CA · On-site +1

$143K - $185K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This is a remote role open in the US only. What will you do? The AI & Data Architect will define ... risk assessments. * Guide cloud infrastructure design and infrastructure as code strategies.

Sr Staff AI Architect

Carlsbad, CA · On-site +1

$143K - $185K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This is a remote role open in the US only. What will you do? The AI & Data Architect will define ... risk assessments. * Guide cloud infrastructure design and infrastructure as code strategies.

Remote Risk Adjustment Coder information

See Temecula, CA salary details

$15

$27

$43

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

As of Aug 15, 2026, the average hourly pay for remote risk adjustment coder in Temecula, CA is $27.31, according to ZipRecruiter salary data. Most workers in this role earn between $18.85 and $34.38 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 popular job titles related to Remote Risk Adjustment Coder jobs in Temecula, CA?

For Remote Risk Adjustment Coder jobs in Temecula, CA, the most frequently searched job titles are:

What job categories do people searching Remote Risk Adjustment Coder jobs in Temecula, CA look for?

The top searched job categories for Remote Risk Adjustment Coder jobs in Temecula, CA are:

What cities near Temecula, CA are hiring for Remote Risk Adjustment Coder jobs?

Cities near Temecula, CA with the most Remote Risk Adjustment Coder job openings:

Infographic showing various Remote Risk Adjustment Coder job openings in Temecula, CA as of August 2026, with employment types broken down into 78% Full Time, 15% Part Time, and 7% Contract. Highlights an 100% Remote job distribution, with an average salary of $56,810 per year, or $27.3 per hour.

Claims Supervisor, Workers' Compensation

Gallagher

Corona, CA • Remote

Full-time

Re-posted 7 hours ago


Arthur J. Gallagher & Co. rating

7.6

Company rating: 7.6 out of 10

Based on 93 frontline employees who took The Breakroom Quiz

212th of 308 rated insurance


Job description

Introduction
At Gallagher, we help clients face risk with confidence because we believe that when businesses are protected, they’re free to grow, lead, and innovate. You’ll be backed by our digital ecosystem: a client-centric suite of consulting tools making it easier for you to meet your clients where they want to be met. Advanced data and analytics providing a comprehensive overview of the risk landscape is at your fingertips. Here, you’re not just improving clients' risk profiles, you’re building trust. You’ll find a culture grounded in teamwork, guided by integrity, and fueled by a shared commitment to do the right thing. We value curiosity, celebrate new ideas, and empower you to take ownership of your career while making a meaningful impact for the businesses we serve. If you’re ready to bring your unique perspective to a place where your work truly matters; think of Gallagher.
 

Overview
This is a remote position based in California, and candidates must reside within the state. 
 
Keenan is a leading insurance brokerage and consulting firm serving hospitals, public agencies, and California school districts. Specializing in employee benefits, workers' compensation, loss control, financial services, and property & liability. Keenan is committed to delivering innovative solutions that protect and empower the communities we serve.
 
At Gallagher, we’re united by a commitment to excellence and innovation. We are seeking an experienced Claims Supervisor to provide leadership, technical oversight, and operational guidance within our Workers’ Compensation claims department. This role is responsible for ensuring claims are managed in accordance with company standards, regulatory requirements, and client expectations while fostering a culture of service excellence and continuous development.

How you'll make an impact
  • Supervise and provide technical guidance to Claims Examiners, Senior Claims Examiners, Claims Assistants, and other designated staff.
  • Ensure claims are managed in accordance with Keenan's policies, procedures, and best practices.
  • Review and approve investigations, litigation referrals, settlements, reserve changes, delays, and denials within assigned authority levels.
  • Monitor complex claims, including cumulative trauma, subrogation, joint coverage, Serious & Willful, and Labor Code 132a matters.
  • Conduct quarterly file audits and maintain active oversight of high-value claims.
  • Partner with leadership to identify staffing needs and support employee development.
  • Deliver training and updates related to labor code changes, legislation, case law, and client procedures.
  • Participate in and lead client claim reviews while maintaining exceptional client service and satisfaction.
  • Manage special projects and support departmental initiatives as assigned.

About You

Required: High school diploma and 10 years related claim experience required. Appropriately licensed and/or certified in all states in which claims are being handled or able to obtain the licenses/certification per local requirements. Knowledge of all team member related functions.
Preferred: Bachelor's degree preferred.
Behaviors: Requires exceptional analytical and problem solving skills. Ensures flawless and consistent execution of client service instructions and performance guarantees Ability to actively review work of others via file reviews; identify coaching opportunities, act on needed coaching opportunities and position subordinates for successful development leading to advancement within the organization.

Qualifications:

Required: High school diploma and 10 years related claim experience required. Appropriately licensed and/or certified in all states in which claims are being handled or able to obtain the licenses/certification per local requirements. Knowledge of all team member related functions.
Preferred: Bachelor's degree preferred.
Behaviors: Requires exceptional analytical and problem solving skills. Ensures flawless and consistent execution of client service instructions and performance guarantees Ability to actively review work of others via file reviews; identify coaching opportunities, act on needed coaching opportunities and position subordinates for successful development leading to advancement within the organization.

Education:UNAVAILABLEEmployment Type: FULL_TIME

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