ZipRecruiter

Log In

2

Remote Risk Adjustment Coding Jobs in Kentucky (NOW HIRING)

Humana

Transformation Strategy Lead

Louisville, KY · On-site +1

Payor/provider experience, including product design, quality programs, risk adjustment, population ... Remote NY will be considered, preferred is DC Metro and Louisville, KY. Travel : Occasional travel ...

Humana

Transformation Strategy Lead

Louisville, KY · On-site +1

Payor/provider experience, including product design, quality programs, risk adjustment, population ... Remote NY will be considered, preferred is DC Metro and Louisville, KY. Travel : Occasional travel ...

Humana

Transformation Strategy Lead

Louisville, KY · On-site +1

Payor/provider experience, including product design, quality programs, risk adjustment, population ... Remote NY will be considered, preferred is DC Metro and Louisville, KY. Travel : Occasional travel ...

PharMerica

Inventory Control Specialist

Louisville, KY · On-site +1

$16.50 - $21.25/hr

Process Improvement & Risk Reduction * Assess end-to-end inventory workflows and recommend process ... Combination of on-site operational work and remote analysis/documentation. * Occasional evenings or ...

Onco360

Medical AR Collections Specialist

Louisville, KY · Remote

$23/hr

Remote work may be available. Work Hours: Monday-Friday - Daytime Hours 8:30am-5pm EST. **Starting ... Daily functions require working knowledge of HCPC coding, ICD-10, JCodes, and CPT codes as well as ...

Ledcor Group

Permitting Specialist

Louisville, KY · On-site +1

Your expertise in building codes, ordinances, and permitting procedures will help us deliver world ... This role will begin as a remote (work-from-home) position and will transition to a full-time, in ...

Ledcor Group

Permitting Specialist

Lexington, KY · On-site +1

Your expertise in building codes, ordinances, and permitting procedures will help us deliver world ... This role will begin as a remote (work-from-home) position and will transition to a full-time, in ...

next page

Showing results 1-20

All JobsRemote Risk Adjustment Coding JobsRemote Risk Adjustment Coding Jobs in Kentucky

Remote Risk Adjustment Coding information

See Kentucky salary details

$15

$18

$20

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

As of Jun 26, 2026, the average hourly pay for remote risk adjustment coding in Kentucky is $18.68, according to ZipRecruiter salary data. Most workers in this role earn between $15.67 and $19.86 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 medical coding, anatomy, and healthcare regulations, typically backed by a coding certification such as CPC, CRC, or CCS. Familiarity with coding software, electronic health record (EHR) systems, and risk adjustment models like HCC is essential. Attention to detail, critical thinking, and strong written communication are crucial soft skills for interpreting clinical documentation and ensuring coding accuracy. These skills and qualifications are vital to accurately capture patient risk, ensure compliance, and optimize reimbursement for healthcare organizations.

What is remote risk adjustment coding?

Remote risk adjustment coding is the process of reviewing and assigning medical codes to patient diagnoses and procedures from a remote location, usually at home. The purpose is to ensure that healthcare organizations accurately report the health status of their patients, which affects reimbursement from health plans. Coders use specialized knowledge of ICD-10-CM coding and risk adjustment models, such as HCC (Hierarchical Condition Category) coding, to capture all relevant chronic conditions. This position requires attention to detail, compliance with regulations, and strong analytical skills.

What is the difference between Remote Risk Adjustment Coding vs Remote Medical Coding?

AspectRemote Risk Adjustment CodingRemote Medical Coding
CertificationsRHIA, RHIT, CPC, CCSCPC, CCS, CCS-P
Work EnvironmentHealthcare organizations, insurance companiesHospitals, clinics, insurance companies
Industry UsageHealth insurance, risk adjustment programsMedical billing, claims processing

Remote Risk Adjustment Coding focuses on analyzing patient data for insurance risk assessments, requiring specific risk adjustment certifications. Remote Medical Coding involves coding diagnoses and procedures for billing purposes. While both roles require coding certifications, Risk Adjustment Coding emphasizes risk analysis within insurance, whereas Medical Coding centers on billing accuracy.

How does working remotely as a Risk Adjustment Coder impact collaboration with healthcare teams and ongoing professional development?

As a remote Risk Adjustment Coder, you'll often collaborate with clinical staff, auditors, and other coders through secure digital platforms and regular virtual meetings. While remote work offers flexibility, it also means that proactive communication is essential to ensure accurate coding and compliance with regulations. Many organizations provide virtual training sessions, access to coding forums, and ongoing education to help you stay updated on industry changes and coding standards. Building relationships with your team and participating in online professional communities can further support your growth and help overcome the isolation that sometimes comes with remote work.
What are popular job titles related to Remote Risk Adjustment Coding jobs in Kentucky? For Remote Risk Adjustment Coding jobs in Kentucky, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coding jobs in Kentucky look for? The top searched job categories for Remote Risk Adjustment Coding jobs in Kentucky are:
What cities in Kentucky are hiring for Remote Risk Adjustment Coding jobs? Cities in Kentucky with the most Remote Risk Adjustment Coding job openings:
Remote Risk Adjustment Coding jobs near you
Transformation Strategy Lead

Transformation Strategy Lead

Humana

Louisville, KY • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago

Humana rating

7.9

Company rating: 7.9 out of 10

Based on 256 frontline employees who took The Breakroom Quiz

156th of 262 rated insurance

Job description

Become a part of our caring community
Join the team shaping Humana's future
Humana's Transformation Office team is a high-performing team that works closely with senior leaders to help chart the course for the company's future. Transformation is critical to our core strategy: delivering great healthcare to seniors, providing a differentiated healthcare experience, and growing our reach and impact with members and patients. As a member of the Transformation team, you will support the complex and coordinated effort required to execute the enterprise strategy: accelerating our long-term vision by identifying opportunities, designing solutions, and implementing initiatives to fundamentally change the member, patient, provider, and associate experiences.
Reports into the Director of Enterprise Transformation.

The Transformation team is modeled after top-tier management consultancies. Team members work on fast-paced and high-visibility projects aligned with the enterprise's most important Transformation topics. Every day in the role is different, but activities often include developing industry analysis, building high-level financial/business models, conducting informational interviews, managing complex projects with numerous stakeholders, and synthesizing recommendations into executive-level deliverables that drive real-world results. Work assignments require a combination of strategic thinking, quantitative analysis, workstream management, cross-team collaboration, and storytelling. Team members can align with one of the enterprise's lines of business, supporting functions, or key Transformation capabilities to become a trusted thought partner for the Transformation agenda.

Key Responsibilities:

  • Leads execution of one complex workstream (or multiple, less complex workstreams) with limited oversight

  • Develops initiative-level workplans and manages outcome-based delivery

  • Solves problems creatively: produces strategies and executes against specific deliverables independently

  • Generates data-based insights and action plans

  • Creates compelling executive-level written communication

  • Establishes trust-based relationships with business; seen as an emerging expert in specific focus areas

  • Contributes to a positive and collaborative working and learning environment


Use your skills to make an impact

Required Qualifications:

  • Bachelor's degree with 5+ years of consulting firm and Strategy experience.

  • Or Master's degree with 2+ years' experience consulting firm and Strategy experience.; OR equivalent experience

  • Experience developing business recommendations using structured hypothesis-based problem solving

  • Delivery of complex or cross-functional workstreams, with ability to influence executive leaders to action

  • Experience using data and quantitative analysis, to interpretate and inform decision making

  • Exposure to technology-driven solutions, especially in healthcare environments

  • Creation and delivery of executive-level written and oral communications

  • Program management experience on driving large-scale, transformational change programs

Preferred Qualifications:

  • Experience supporting strategy, design, or implementation sprints within an organizational Transformation

  • Payor/provider experience, including product design, quality programs, risk adjustment, population health, member / patient engagement, value-based care, or care management

  • Successful implementation of strategy or change management initiatives

  • Provider partnership programs including contracting strategy or performance management with health systems, hospitals, physicians and specialty care providers

  • Exposure to AI technologies, such as machine learning, natural language processing, and data analytics, used to address complex business challenges

  • Leadership of small teams or workstreams

  • MBA, MPH, or other advanced degree(s)

Location: Working locations are Louisville, KY and Arlington, VA (Washington, DC metro area). The Transformation team operates on a hybrid work arrangement (in office expectation of 3 days per week). Relocation assistance available. Remote NY will be considered, preferred is DC Metro and Louisville, KY.

Travel: Occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


$126,700 - $174,200 per year


This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

What Humana employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Humana logo

About Humana

Sourced by ZipRecruiter

Humana Inc., headquartered in Louisville, KY., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Louisville, KY, US

Year founded

1961

Social media

FacebookTwitter

View All Humana Jobs

Apply