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Remote Risk Adjustment Coder Jobs in West Valley City, UT

micro1 AI

Pharmacovigilance Expert

West Valley City, UT · Remote

$70 - $80/hr

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

micro1 AI

Pharmacovigilance Expert

Salt Lake City, UT · Remote

$70 - $80/hr

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

micro1 AI

Clinical Pharmacy Technicians

West Jordan, UT · Remote

$70 - $80/hr

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

micro1 AI

Pharmacovigilance Expert

West Jordan, UT · Remote

$70 - $80/hr

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

BambooHR

Principal Software Architect

Draper, UT · Remote

This is a remote position available in the state listed on this job. Additionally, employment with ... Although writing code is part of this role, it goes beyond just that. You will have many additional ...

Canopy

Senior Application Security Engineer

Draper, UT · Remote

$107K - $146K/yr

This position is fully remote in Utah. What You'll Do * Help design and execute a multi-year ... code review, and pentesting) -- and the judgment to separate real risk and real value from hype

Canopy

Senior Application Security Engineer

Draper, UT · Remote

$107K - $146K/yr

This position is fully remote in Utah. What You'll Do * Help design and execute a multi-year ... code review, and pentesting) - and the judgment to separate real risk and real value from hype

Nearmap

Business Analyst, Product

Lehi, UT · On-site +1

Fully remote within Pacific Standard time zone About the Role Product at Nearmap doesn't just build ... Drive a regular cadence of commercial reviews with clear recommendations for adjustments * Refine ...

Nearmap

Business Analyst, Product

Lehi, UT · On-site +1

Fully remote within Pacific Standard time zone About the Role Product at Nearmap doesn't just build ... Drive a regular cadence of commercial reviews with clear recommendations for adjustments * Refine ...

Nearmap

Business Analyst, Product

Lehi, UT · On-site +1

Fully remote within Pacific Standard time zone About the Role Product at Nearmap doesn't just build ... Drive a regular cadence of commercial reviews with clear recommendations for adjustments * Refine ...

Nearmap

Value Consulting Manager

Lehi, UT · Remote

Fully remote within the continental United States. Nearmap is looking for a Value Consulting ... Adhere to company guidelines and the corporate Code of Conduct * Act in an ethical way when dealing ...

Nearmap

Value Consulting Manager

Lehi, UT · Remote

Fully remote within the continental United States. Nearmap is looking for a Value Consulting ... Adhere to company guidelines and the corporate Code of Conduct * Act in an ethical way when dealing ...

Nearmap

Value Consultant

Lehi, UT · Remote

Fully remote within the continental United States. Nearmap is looking for a Value Consultant to ... Adhere to company guidelines and the corporate Code of Conduct * Act in an ethical way when dealing ...

Nearmap

Value Consulting Manager

Lehi, UT · On-site +1

Fully remote within the continental United States. Nearmap is looking for a Value Consulting ... Adhere to company guidelines and the corporate Code of Conduct * Act in an ethical way when dealing ...

Nearmap

Value Consultant

Lehi, UT · On-site +1

Fully remote within the continental United States. Nearmap is looking for a Value Consultant to ... Adhere to company guidelines and the corporate Code of Conduct * Act in an ethical way when dealing ...

Nearmap

Value Consultant

Lehi, UT · Remote

Fully remote within the continental United States. Nearmap is looking for a Value Consultant to ... Adhere to company guidelines and the corporate Code of Conduct * Act in an ethical way when dealing ...

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Showing results 41-60

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

Clinical Pharmacist (MTM) - Work From Home

Health Care Service Corporation

Salt Lake City, UT • Remote

$102K - $184K/yr

Full-time

Medical, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary(Healthspring)The Clinical Pharmacist plays a vital role in advancing the quality, safety, and effectiveness of drug therapy for Healthspring Medicare members. In this position, you will collaborate with a high performing, multidisciplinary team of professionals across multiple functions to conduct comprehensive medication reviews (CMRs) for high-risk populations. These reviews include but are not limited to the assessment of drug interactions, identifying therapeutic duplications, evaluating renal and hepatic dosing adjustments, addressing evidence-based gaps in care, supporting STAR-related pharmacy initiatives, and identifying barriers to medication affordability and adherence.
*BILINGUAL PROFICIENCY IN ENGLISH AND SPANISH*
*WORK HOURS ARE 9 AM TO 6 PM CST. NON-NEGOTIABLE*.

JOB REQUIREMENTS (MTM):

  • Active and unrestricted Pharmacist license in the State of residence required

  • Doctor of Pharmacy (PharmD) degree required

  • Strong clinical medication knowledge with the ability to apply evidence-based guidelines in practice

  • Minimum 3 years' experience in Managed Care, Medicare and/orMedicaid settingspreferred

  • Experience with Medication Therapy Management (MTM) programs strongly preferred

  • Familiarity with MTM platforms (ex: Adhere Health's Optimize or similar applications) preferred

  • Excellent verbal and written communication skills, with the ability to effectively engage diverse audiences

  • Bilingualproficiencyin English and Spanish

  • Advancedproficiencyin Microsoft Office applications including Word, Excel, PowerPoint, and Outlook

  • Strong computer literacy with the ability to navigate systems and applications simultaneously

  • Strong learning agility and ability to apply new concepts and tools

  • Strong analytical thinking, problemsolvingand clinical decision-making skills

  • Ability to develop innovative solutions to complex healthcare challenges

PREFERRED JOB REQUIREMENTS:

*Strong experience with MTM required

*BILINGUALPROFICIENCYIN ENGLISH AND SPANISH*
*WORK HOURS ARE 9 AM TO 6 PM CST. NON-NEGOTIABLE*
*Must be willing to work Phone Queue

*Must be clinically strong with experience in diverse programs (MTM, Case Referrals, Narcotics)
*Residency and/or Board Certification preferred

#LI-FW1

#LI-Remote
This is a Remote/Work-From-Home role. Must have an active and unrestricted Pharmacist licensein the State of residence.

Sponsorship is not available

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plansubject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range$102,000.00 - $184,300.00

Exact compensation may vary based on skills, experience, and location.

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