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Remote Risk Adjustment Coder Jobs (NOW HIRING)

e4health

Risk Adjustment (RA)/HCC Coder/Auditor

$28 - $31.75/hr

Advanced knowledge and understanding of HCC/risk adjustment, coding and documentation requirements ... This is a remote role; the majority of the work is performed in a home office environment, except ...

New

WellSense Health Plan

Coder

$18.75 - $25/hr

... in a remote environment · Private lockable office space to ensure security of Member PHI · Minimum of 5 years coding experience with at least 3 of those years in Risk Adjustment coding. · ...

Centene

Risk Adjustment Auditor Educator

$56K - $101K/yr

Subject matter experts for proper risk adjustment coding and CMS data validation * Work in ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Lee Health

Coder II - ProFee

Cape Coral, FL · Remote

$20.50 - $27.85/hr

Location: Remote - Florida Department: Coding Work Type: Full Time Shift: Shift 1/ to Minimum to ... Risk Adjustment Coder) CIC (Certified Inpatient Coder) CCS (Certified Coding Specialist) RHIT ...

New

Altegra Health

Remote Certified Coder

Atlantic City, NJ · Remote

$22.50 - $31/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and ...

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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 Sep 7, 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 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 the United States as of August 2026, with employment types broken down into 1% As Needed, 89% Full Time, 8% Part Time, and 2% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $57,182 per year, or $27.5 per hour.

Risk Adjustment (RA)/HCC Coder/Auditor

e4health

Remote

$28 - $31.75/hr

Full-time, Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago

New

Job description

About e4health
At e4health, our vision is to Empower Better Health for our clients, our team, and the communities we serve. We live by five core values that guide everything we do:
  • Embrace Change, Fun, and Learning: We maintain an unrelenting focus on quality, client success, and team member growth.
  • Our PEOPLE Make the Difference: We build trusted relationships and celebrate wins every day.
  • WE GROW: We believe in win/win outcomes-when our customers win, we win.
  • GSD (Get Stuff Done): We say no to politics, drama, and egos, and yes to informed, agile decisions.
  • Respectfully Listen, Challenge, & Support Each Other: We listen intently, challenge respectfully, and support fully.

POSITION TITLE:
HCC Auditor
ROLE TYPE:
Full Time / Part Time
EMPLOYMENT TYPE:
Non-Exempt
JOB SUMMARY:
The HCC Auditor is responsible for completing quality assurance reviews on internal or external coders/providers/accounts following the official ICD-10-CM and appropriate Risk Adjustment guidelines. This role will be responsible for reviewing a patient's medical record and validating the assignment of HCC codes (and possibly complete code capture) for completeness and accuracy. The HCC Auditor also plays a key role in reporting quality results, tracking and trending of educational opportunities, responding to client subject matter needs, and providing educational support and training to coders and/or providers. The HCC Auditor is expected to maintain a consistent auditing accuracy rate of 95% or better while also meeting agreed upon productivity standards.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
  • Completes all regularly scheduled quality assurance reviews for clients
  • Knowledge of health systems operations, including an understanding of reimbursement methodologies and coding conventions
  • Advanced knowledge and understanding of HCC/risk adjustment, coding and documentation requirements
  • Demonstrate ability to perform accurate and complete chart audits for HCC/risk adjustment
  • Demonstrated ability to identify and communicate trends in provider coding and documentation
  • Excellent written, verbal, communication, and attention to detail skills
  • Ensures all diagnoses are accurate and complete from the medical record in accordance with ICD-10 CM Guidelines for Coding and Reporting
  • Confirms the correct code to the highest level of specificity as documented in the medical records
  • Works effectively and efficiently within a team environment
  • Complies with policies and procedures for confidentiality of all patient records and security of systems
  • Maintains required productivity and quality requirements
  • Maintains coding credential requirements

REQUIRED QUALIFICATIONS:
  • Must possess an approved AHIMA/AAPC credential
  • Minimum 3 years coding experience (inpatient, outpatient or physician office)
  • HCC/RA experience preferred

KEY SUCCESS ATTRIBUTES:
  • Integrity, passion, and ethics are required
  • Demonstrates strong collaboration skills
  • Has strong analytic and problem-solving abilities and techniques
  • Exhibit consistent initiative with strong drive for results and success
  • Demonstrate commitment to a team environment
  • Well-developed written, verbal, and presentation communication skills including deep listening and attention to detail
  • Ability to self-motivate and self-direct
  • Possess strong time management and organizational skills
  • Commitment and adherence to company Core Values

CORE COMPETENCIES:
  • High level of integrity & ethical judgement
  • Communication
  • Consistency and Reliability
  • Meeting Standards

BENEFITS:
We offer an excellent salary, full benefits package including 401(k) with company match, medical, dental, vision, life, short/long term disability insurance, and PTO policy.
PHYSICAL DEMANDS OF THE ESSENTIAL FUNCTIONS:
  • This role requires prolonged periods of desk working on a computer
  • Talking, hearing, and near vision are required to perform computer-based tasks and virtual communication
  • Sensory perception (visual, auditory, and tactile) is essential for computer and phone use

WORKING CONDITIONS WHILE PERFORMING ESSENTIAL FUNCTIONS:
This is a remote role; the majority of the work is performed in a home office environment, except when traveling to field sites.
e4health is an equal opportunity employer and will consider all applications without regard to race, color, religion, national origin, ancestry, marital status, veteran status, age, disability, pregnancy, genetic information, gender, sexual orientation, gender identity or any other legally protected category.
Applicants for U.S. based positions with e4health must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Visa sponsorship is not available for this position.
Requirements
REQUIRED QUALIFICATIONS:
  • Candidate must possess an approved AHIMA or AAPC coding credential - CRC (Certified Risk Adjustment Coder) preferred
  • Minimum 4 years' coding with 2 years specific HCC experience required; specialty experience may be preferred as per specific client needs
  • 30 hour commitment preferred per week
  • Recommend at least 2 years of remote experience

KEY SUCCESS ATTRIBUTES:
  • Demonstrates strong communication and collaboration skills
  • Has strong organizational, analytic and problem-solving abilities and techniques
  • Exhibit consistent initiative with strong drive for results and success
  • Demonstrate commitment to a team environment
  • Demonstrate excellent interpersonal as well as well-developed written and verbal communication skills, including deep listening and attention to detail
  • Possess strong time management skills
  • Commitment and adherence to company Core Values

CORE COMPETENCIES:
  • High level of integrity & ethical judgement
  • Communication
  • Consistency and Reliability
  • Meeting Standards
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About e4health

Sourced by ZipRecruiter

Industry

Health care and social assistance

Company size

501 - 1,000 Employees

Headquarters location

Wyomissing, PA, US

Year founded

2004

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