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Remote Risk Adjustment Coder Jobs in Watauga, TX

SmartIPlace

REQ :: Actuary

Dallas, TX · Remote

$60 - $65/hr

Fully remote, working Eastern hours. * More experience preferred, healthcare benefits experience ... risk, risk adjustment risk, Member risk/selection risk) at the market segment level. This study ...

TEXASCONNECT INC

Certified Coder I (REMOTE)

Dallas, TX · Remote

$23.25 - $31/hr

The Certified Coder is responsible for all group practice coding activities. This includes responding to physician questions, analyzing coding trends, providing physician and staff training ...

JPS Health Network

CERTIFIED CODER I

Fort Worth, TX · Remote

$21.75 - $29/hr

... Remote) Typical Duties: * Assigns codes to diagnosis and procedures of outpatient records, including clinics, Urgent Care and Emergency room, utilizing ICD and CPT codes in accordance with ICD Coding ...

Acclaim Physician Group

CERTIFIED CODER I

Fort Worth, TX · Remote

$21.75 - $29/hr

... Remote) Typical Duties: * Assigns codes to diagnosis and procedures of outpatient records, including clinics, Urgent Care and Emergency room, utilizing ICD and CPT codes in accordance with ICD Coding ...

John Peter Smith Hospital

CERTIFIED CODER I

Fort Worth, TX · Remote

$21.75 - $29/hr

... Remote) Typical Duties: * Assigns codes to diagnosis and procedures of outpatient records, including clinics, Urgent Care and Emergency room, utilizing ICD and CPT codes in accordance with ICD Coding ...

UnitedHealth Group

Senior Coding Educator

Dallas, TX · Remote

$27 - $30.75/hr

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within ... improving risk management, quality and revenue growth. Ready to help us deliver results that ...

Corvel

Payment Integrity Supervisor

Fort Worth, TX · Remote

$77K - $120K/yr

This is a remote position. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: * Supervises all daily ... Strong understanding of claims processing, ICD-10 Coding, DRG Validation (if applicable) * Strong ...

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All JobsRisk Adjustment Coder JobsRemote Risk Adjustment Coder JobsRemote Risk Adjustment Coder Jobs in Watauga, TX

Remote Risk Adjustment Coder information

See Watauga, TX salary details

$14

$24

$38

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

As of Jul 24, 2026, the average hourly pay for remote risk adjustment coder in Watauga, TX is $24.27, according to ZipRecruiter salary data. Most workers in this role earn between $16.78 and $30.58 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.

More about Remote Risk Adjustment Coder jobs
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Remote Risk Adjustment Coder jobs near you
REQ :: Actuary

REQ :: Actuary

SmartIPlace

Dallas, TX • Remote

$60 - $65/hr

Contractor

Posted 4 days ago

Job description

Actuary - Temp

  • Primary responsibilities will include modeling for the commercial segment, financial projection development, and risk projection development. See below for more details. No specific tools, systems, or industries.
  • Seeking a contract Actuary resource to cover for leave (expected Aug through EOY). Looking to hire and train ASAP.
  • The candidate should have an Actuarial certification (ASA) or FSA
  • Fully remote, working Eastern hours.
  • More experience preferred, healthcare benefits experience highly preferred

Notes on the responsibilities:


There will be 2 areas of project-based work that would take place between August and September and some other areas of support:

    • Gathering forecast inputs from various sources; developing financial projections from those inputs; consolidating forecast results; understanding and communicating variances to prior forecast; developing exhibits and/or slides to support forecast communication to senior leadership and the Board.
    • Develop model to support market segment based financial projections for Commercial Insured business.  Our forecasting infrastructure for Commercial insured business only supports aggregate Commercial insured financial projections.  As a result, after a forecast is complete, we have to perform a retrospective allocation back to our Commercial insured market segments. 
      • We would like to develop a forecast model that allows for prospective financial projections at the Commercial market segment level (Merged Market vs. Large Group Commercial vs. Large Group Municipal/Labor).
    • Conduct a Total Risk Analysis (TRA).  Healthcare cost trend has become increasingly more difficult to predict, causing actual financial results to vary significantly from initial projections. 
      • We would like to conduct a TRA to quantify risk across various risk sources (Insurance risk, Healthcare cost trend risk, risk adjustment risk, Member risk/selection risk) at the market segment level.  This study will help us answer questions around “how much margin would we need to add to rates in order to be X% confident the rates are adequate” as well as “how much explicit margin would we need to add to our best estimate financial forecast in order to be X% confident that we will achieve that forecast”.  This analysis will be based on a recent SOA study on TRA (we will provide an analyst to help pull appropriate data).
    • Lastly, we would need some support for our 2026 Financial Planning process (October – November). 
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About Smart-iPlace

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SMART-iPLACE provides innovative staffing and consulting solutions that help our clients achieve their business objectives. We can understand and support all areas of your IT systems from back-end infrastructure to front-end personal productivity. Our goal is create innovative IT solutions that enable your business to be more agile and competitive.

Industry

It services

Company size

51 - 200 Employees

Headquarters location

Irving, TX, US

Year founded

2021

Social media

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