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Remote Risk Adjustment Coder Jobs in West Valley City, UT

Imh

Oncology Financial Coordinator

Riverton, UT · On-site +1

$20.35 - $30.97/hr

... code. * Collaborate with clinicians and intake managers to minimize risk associated with medical ... If applying for a remote or hybrid role, this includes remote work expectations related to ...

RainFocus

Cybersecurity Engineer (Remote)

Lehi, UT · On-site +1

Partner with engineering teams to review code dependencies, threat-model new features, and ensure secure coding practices. * Risk & Change Management: Own and conduct system impact analyses for ...

RainFocus

Cybersecurity Engineer (Remote)

Lehi, UT · Remote

Partner with engineering teams to review code dependencies, threat-model new features, and ensure secure coding practices. * Risk & Change Management: Own and conduct system impact analyses for ...

Packsize

Application Security Engineer

Salt Lake City, UT · On-site +1

$56.75 - $76/hr

Conduct threat modeling, code reviews, and vulnerability assessments for web, cloud, and OT ... Strong background conducting security assessments, risk analyses, and security testing for ...

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All JobsRisk Adjustment Coder JobsRemote Risk Adjustment Coder JobsRemote Risk Adjustment Coder Jobs in West Valley City, UT

Remote Risk Adjustment Coder information

See West Valley City, UT salary details

$15

$26

$41

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

As of Aug 21, 2026, the average hourly pay for remote risk adjustment coder in West Valley City, UT is $26.41, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $33.27 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

Quality Assurance Engineer (Remote)

MRIoA

Salt Lake City, UT • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 15 days ago

Job description

Description
Who We Are - Motivated by Purpose. Powered by Clinical Expertise.
Founded in 1983, we're a clinically-driven, tech-enabled utilization management company offering expert clinical reviews, regulatory guidance, and actionable insights to healthcare organizations.
Excellence starts with our people.
WE OFFER
  • A competitive compensation package
  • Benefits include healthcare, vision, and dental insurance
  • A generous 401(k) match
  • Paid vacation, PTO, and holidays
  • Growth and training opportunities
  • An award-winning remote work environment

POSITION OVERVIEW
Quality Assurance Engineer is a corporate function within the Engineering organization responsible for the quality, reliability, and release-readiness of software products built on modern technologies, including cloud-native applications hosted on Microsoft Azure and AI/ML-enabled features.
Roles:
  • Primary role is testing software applications created or updated by the Application Development team.
  • Conduct structured peer and code reviews of test artifacts to ensure adherence to standards and best practices.
  • Design, create, and maintain realistic and compliant test data sets, including synthetic data for healthcare (PHI-safe) scenarios.
  • Design and execute validation strategies for AI/ML and Retrieval-Augmented Generation (RAG) features, including model quality, grounding, and safety evaluation.

Major Responsibilities or Assigned Duties:
  • Participate in the test management lifecycle, including test planning, execution tracking, defect management and reporting.
  • Provide input on release readiness criteria to Engineering and Product stakeholders.
  • Maintain the regression suite after every release.
  • Develop and maintain automated test suites in Python (e.g., pytest) and JavaScript/Node.js, integrated into CI/CD pipelines.
  • Write and review complex SQL queries, joins, and aggregations to validate data accuracy, completeness, and reconciliation across systems.
  • Validate data flows across source systems, transformation layers, and reporting/consumption layers.
  • Ensure test data supports both functional automation and AI/ML / RAG evaluation needs.
  • Design and execute test strategies for AI/ML and Retrieval-Augmented Generation (RAG) pipelines and AI-assisted features, including retrieval accuracy, grounding, hallucination, output quality, bias/safety, and drift (regression) checks.
  • Build and maintain automated evaluation harnesses and datasets for AI/ML features, including prompt/response scoring and metric tracking.
  • Validate applications, APIs, and test environments deployed on on-prem data center, Microsoft Azure, including Azure-hosted services, data stores, and CI/CD pipelines.
  • Read and interpret React / Node.js / Python / ColdFusion source code, pull requests, and technical designs to identify testable conditions, edge cases, and regression risk.
  • Write detailed test cases and test plans that trace directly to code paths, business rules, and acceptance criteria.
  • Partner with developers during code review to flag insufficient test coverage, untested branches, and high-risk changes before merge.
  • Perform post-deployment validation to confirm application, API, and AI feature stability in production.
  • Investigate production defects and data issues, perform root cause analysis, and drive resolution with Engineering.

Requirements
Skills and Experience:
  • 5+ years of experience in automated software testing
  • 5+ years of experience in manual software testing
  • 5+ years of experience in component-level testing
  • 5+ years of experience in end-to-end testing
  • Proficiency in SQL
  • Proficiency in React
  • Proficiency in Node.js
  • Proficiency in Python source code in GitLab
  • Proficiency in testing Artificial Intelligence (AI)
  • Proficiency in testing Machine Learning (ML)
  • Proficiency in evaluating Artificial Intelligence (AI)
  • Proficiency in evaluating Machine Learning (ML)
  • Proficiency in testing Retrieval-Augmented Generation (RAG)
  • Proficiency in testing generative AI features
  • Proficiency in testing workloads on Microsoft Azure

Education:
  • High School Diploma required
  • Bachelor's degree (Advantage)

Work Environment:
Ability to sit at a desk, utilize a computer, telephone, and other basic office equipment is required. This role is designed to be a remote position (work-from-home).
Diversity Statement:
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
Drug-Free Workplace:
This company is a drug-free workplace. All candidates are required to pass a Background Screen before beginning employment. All newly hired employees will take a Drug Screen, as well as agreeing to all necessary Compliance Regulations on their first day of employment. Employees are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information.
California Consumer Privacy Act (CCPA) Information (California Residents Only):
  • Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver's license number, or state identification card number, and passport number.
  • Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at HR@mrioa.com.

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