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Remote Risk Adjustment Coder Jobs (NOW HIRING)

Intus, Inc

Coding Associate

$55/hr

Qualifications Required Certifications • CPC, CCS, RHIT, or CRC (Certified Risk Adjustment Coder ... This is a fully remote role based in the United States. Sponsorship: This position is not eligible ...

Bcbsri

Risk Adjustment Medical Coder

Providence, RI · On-site +1

$65K - $98K/yr

It's why we offer flexible work arrangements that include remote and hybrid opportunities and paid ... risk adjustment payments.Perform data validation of collected medical codes from both outpatient ...

Pathways Health Partners

HCC Risk Coder

Leesburg, FL · On-site +1

$16.75 - $22.25/hr

An active CRC (certified risk adjustment coder) or CPC (certified professional coder) preferred. 2. Understanding of regulations regarding medical coding and documentation; Administrative ...

Honest Health

Sr. Risk Adjustment Auditor

$82K - $101K/yr

Identify coding inaccuracies, unsupported diagnoses, missed HCC opportunities, and documentation ... Ability to work independently in a remote environment * Willingness to travel up to 25% for ...

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Remote Risk Adjustment Coder information

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

As of Jun 28, 2026, the average hourly pay for remote risk adjustment coder in the United States is $27.49, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $34.62 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
What cities are hiring for Remote Risk Adjustment Coder jobs? Cities with the most Remote Risk Adjustment Coder job openings:
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Remote Risk Adjustment Coder jobs near you
Infographic showing various Remote Risk Adjustment Coder job openings in the United States as of June 2026, with employment types broken down into 97% Full Time, 1% Part Time, and 2% Contract. Highlights an 37% Physical, 3% Hybrid, and 60% Remote job distribution, with an average salary of $57,182 per year, or $27.5 per hour.
Risk Adjustment Medical Record Coder-2

Risk Adjustment Medical Record Coder-2

BlueCross BlueShield of Tennessee

Chattanooga, TN • Remote

Full-time

Posted 2 days ago

Job description

We are hiring a Risk Adjustment Medical Record Coder at BCBST!

In this role, you will support accurate and compliant coding practices by performing first-pass reviews of member medical records to identify and capture active conditions that map to risk values. You'll play an important role in ensuring documentation accuracy while contributing to overall quality and compliance within the Risk Adjustment & Quality Division.

You will contribute to team success by working collaboratively in a remote environment, engaging in team chats, and supporting peers as needed. Your proactive mindset and commitment to continuous learning will help you stay current in an evolving healthcare landscape while strengthening overall team capability.

To be successful in this position, you'll bring strong attention to detail, coding expertise, and the ability to work independently. Ideal candidates will have experience in HCC (Hierarchical Condition Category) coding, particularly within Medicare Advantage, ACA programs, and Medicaid programs.

We foster a culture where innovation is encouraged. That includes using AI-enabled tools responsibly to support everyday work-guided by proven workflows, templates, and policies. As roles become more advanced, we expect employees to leverage AI more broadly to enhance accuracy, efficiency, and outcomes.

Note:
This is a remote, day-shift position working standard shift hours; 8am-5pm ET
Candidates should be comfortable working independently while maintaining strong engagement with the team

Job Responsibilities

  • Maintain compliance with CMS risk adjustment diagnosis coding guidelines.
  • Perform comprehensive 1st pass reviews of medical records and physician assessment forms (HCC coding).
  • Assist with the intake and quality assurance of medical records as necessary.
  • Perform or participate in special projects as directed by management.
  • ICD-10 Coding assessment is required.

Job Qualifications

Education

  • Associates degree or equivalent work experience required. Equivalent experience is defined as 2 years of professional work experience.

Experience

  • 1 year - Progressive medical coding and health care experience required.

Skills\Certifications

  • Professional coding certification from AHIMA or AAPC (CPC, CCS, RHIT, RHIA).
  • Must acquire the Certified Risk Adjustment Coder (CRC) certificate from AAPC within one year, after completed training.
  • Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
  • Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint).
  • Proven analytical and problem-solving skills and ability to perform non-routine analytical tasks.
  • Must be a team player, be organized and have the ability to handle multiple projects.
  • Excellent oral and written communication skills.
  • Strong interpersonal and organizational skills.
  • Understanding of ICD-10 coding standards required.

Number of Openings Available

1

Worker Type:

Employee

Company:

BCBST BlueCross BlueShield of Tennessee, Inc.

Applying for this job indicates your acknowledgement and understanding of the following statements:

BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.

Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:

BCBST's EEO Policies/Notices

BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

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