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Remote Risk Adjustment Coder Jobs in Wilmington, NC

AMM Healthcare

RCM Coder

Wilmington, NC · Remote

$16 - $21.50/hr

This is a remote position and candidates must be located in North Carolina. Essential Functions ... Identify coding or billing problems from EOBs and work to correct the errors in a timely manner

Atlantic Medical Management

RCM Coder

Wilmington, NC · Remote

$16 - $21.50/hr

This is a remote position and candidates must be located in North Carolina. Essential Functions ... Identify coding or billing problems from EOBs and work to correct the errors in a timely manner

micro1 AI

Clinical Pharmacy Technicians

Wilmington, NC · 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

Wilmington, NC · 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 ...

All JobsRisk Adjustment Coder JobsRemote Risk Adjustment Coder JobsRemote Risk Adjustment Coder Jobs in Wilmington, NC

Remote Risk Adjustment Coder information

See Wilmington, NC salary details

$14

$25

$40

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

As of Aug 24, 2026, the average hourly pay for remote risk adjustment coder in Wilmington, NC is $25.62, according to ZipRecruiter salary data. Most workers in this role earn between $17.69 and $32.26 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
Infographic showing various Remote Risk Adjustment Coder job openings in Wilmington, NC as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 11% Part Time, and 4% Contract. Highlights an 89% Physical, 4% Hybrid, and 7% Remote job distribution, with an average salary of $53,286 per year, or $25.6 per hour.

RCM Coder

AMM Healthcare

Wilmington, NC • Remote

$16 - $21.50/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 2 days ago

Job description

Summary:

Atlantic Medical Management is currently hiring for professional Medical Coding Specialist who is goal oriented, revenue driven, highly accurate and motivated. This position includes collecting reimbursements by gathering, coding, and transmitting patient care information; resolving discrepancies; adjusting patient bills; working AR and preparing reports. Must have ProFee coding and billing experience. This is a remote position and candidates must be located in North Carolina.

Essential Functions 

  • Post medical charges intoNextGensoftware in a timely manner to meet daily and monthly goals. 
  • Reviews and verifies documentation supports diagnoses, procedures, and treatment results. 
  • Identifies diagnostic and procedural information and assigns codes for reimbursements 
  • Ability to navigate around CPT, ICD-10, and HCPCS.
  • Work with providers to correct the diagnosis or procedure codes so that the claim can be processed. 
  • Identify coding or billing problems from EOBs and work to correct the errors in a timely manner 
  • Maintain in depth knowledge ofall payers. 
  • Coordinate with clinics to ensure all outstanding superbills are collected prior to month end close. 
  • Update patient demographic and insurance 
  • Transfer open balances to correct insurance
  • Work with patients and guarantors to secure payment 
  • Resolves disputed claims by gathering, verifying, and providing additional information 
  • Identify problem accounts and escalate as appropriate. 
  • Write appeals and include supportingdocumentation 
  • Run appropriate reports and contact insurance companies to resolve unpaid claims  
  • Meet set department metrics and threshold set forth by manager. 
  • Assist with special projects and other job-related duties as needed. 

Minimum Qualifications 

  • High School Diploma.
  • 2 years of Professional coding/billing experience
  • AAPC certification preferred 
  • Experience Medicare, Medicaid and other commercial and private payers.
  • Demonstrated well-developed interpersonal skills to interact in sensitive and/or complex situation with a variety of people.
  • Excellentcustomer serviceand professionalism.
  • Maintains patient confidentiality.
  • Proficient computer skills.
  • Organized and efficient.
  • Self-motivated to meet objectives

Benefits:  

  • 401(k)  
  • Health, Dental and Vision insurance  
  • Employee assistance program  
  • AFLAC
  • Paid time off

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