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Remote Risk Adjustment Coding Jobs in Ohio (NOW HIRING)

3E

Technical Project Manager (AI)

Canton, OH · On-site +1

This position supports remote work and should be based near one of our U.S. East Coast office ... Deploy forecasting and risk models to facilitate proactive delivery decisions. * Eliminate routine ...

3E

Technical Project Manager (AI)

Canton, OH · On-site +1

This position supports remote work and should be based near one of our U.S. East Coast office ... Deploy forecasting and risk models to facilitate proactive delivery decisions. * Eliminate routine ...

BSI Group

$176.50K - $199.80K/yr

Drive innovation in supply chain risk and assurance services to ensure market-leading ... any reasonable adjustments to the recruitment process. #LI-Remote #LI- VP1 About Us BSI is a ...

New

BSI Prof Serv EHS West

$176.50K - $199.80K/yr

Drive innovation in supply chain risk and assurance services to ensure market-leading ... any reasonable adjustments to the recruitment process. #LI-Remote #LI- VP1 About Us BSI is a ...

New

SAIC

Data Analyst - GEOINT Technical SME

Dayton, OH · Remote

$120K - $160K/yr

TS/SCI with Poly Potential for Remote Work: ORA_ON_SITE Description The Data Analyst - GEOINT ... Support the sustainment of risk scoring tools and other data analysis implementations by ...

SAIC

Data Analyst - GEOINT Technical SME

Dayton, OH · Remote

$120K - $160K/yr

TS/SCI with Poly Potential for Remote Work: ORA_ON_SITE Description The Data Analyst - GEOINT ... Support the sustainment of risk scoring tools and other data analysis implementations by ...

Relevante, Inc.

Financial Consultant

Cleveland, OH · On-site +1

$112.50K/yr

Discuss client investment goals with consideration given to risk tolerance, asset allocation ... Work with the advisory team to implement investment plans and coordinate adjustments * Monitor ...

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Remote Risk Adjustment Coding information

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

As of May 30, 2026, the average hourly pay for remote risk adjustment coding in Ohio is $20.44, according to ZipRecruiter salary data. Most workers in this role earn between $17.16 and $21.73 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.

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 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.

What are popular job titles related to Remote Risk Adjustment Coding jobs in Ohio? For Remote Risk Adjustment Coding jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coding jobs in Ohio look for? The top searched job categories for Remote Risk Adjustment Coding jobs in Ohio are:
What cities in Ohio are hiring for Remote Risk Adjustment Coding jobs? Cities in Ohio with the most Remote Risk Adjustment Coding job openings:
Remote Risk Adjustment Coding jobs near you
Patient Accounting Representative, PBO Follow Up, First Shift, Full Time

Patient Accounting Representative, PBO Follow Up, First Shift, Full Time

UC Health

Cincinnati, OH • On-site, Remote

$17.25 - $22.75/hr

Full-time

Posted 16 days ago

UC Health (Cincinnati) rating

6.8

Company rating: 6.8 out of 10

Based on 141 frontline employees who took The Breakroom Quiz

488th of 864 rated healthcare providers

Job description

Job Description
Under the direction of the Revenue Cycle Manager and Supervisor, the Patient Account Representative is responsible for monitoring insurance claims due to no response, pending response, denial and appeal, and proactively resolve balances billed to insurance carriers by way of accurate claim adjudication. This position may also evaluate and resolve under or over payments and requests for refund from insurance carriers.
LOCATION AND YEARS OF EXPERIENCE:
While the position is primarily remote (work from home), on occasion it may be required to work in a normal office environment or
travel to the various hospitals and work locations will be necessary. Work hours may vary from time to time depending upon the
needs of the business. Regular and predictable attendance is required for this position for both remote and in office duties
Responsibilities
Responsible for managing follow-up and resolution of professional billing accounts to ensure accurate and timely reimbursement. Conducts detailed research on claim denials, underpayments, and billing discrepancies using multiple systems, and takes appropriate action to optimize collections. Maintains assigned work queues within established productivity and quality standards. Requires solid knowledge of the healthcare revenue cycle, physician/professional billing, and payer reimbursement methodologies.
Qualifications
Minimum Required: High School Diploma or GED. Preferred: Associate's Degree. | LICENSE & CERTIFICATION: N/A. | Minimum Required: 3 - 5 years of relevant experience in Revenue Cycle and/or Epic Revenue Cycle applications.
• Minimum
  • 6 months experience in Medical claim follow up.
  • Or resolving credit balances
  • Or performing electronic or manual cash posting.
  • Basic skill with MS Office applications, such as Excel, Print to PDF, Outlook and Fax from mail.

• Preferred:
  • 12 months experience in Medical claim follow up.
  • Familiar with EPIC Resolute billing system, Claim Clearinghouse and Payer Websites (I.e., Waystar, Availity)

Knowledge Required:
  • Understanding of Healthcare Revenue Cycle, from intake to final payment.
  • Familiar with CMS-1500 claim form, required components & understanding of basic coding requirements
  • Understanding of Basic Payer adjudication concepts & Coordination of Benefits
  • Ability to read and understand the Insurance Explanation of Benefits, including interpretation and application of the Remittance Advice or Claim Adjustment reason codes.
  • Ability to access and perform functions on various Payer claim portals. (I.e., Availity, Navinet, Anthem, Medicaid, Medicare)
  • Familiar with the function of a claims Clearinghouse and the actions they perform (I.e., Zirmend/Waystar, ePremis, etc.)
  • Prior use of a claim operating system and it's basic functions. (I.e., EPIC, Athena, NextGen, Meditech)
  • Understand common Billing / Insurance acronyms

Skills Required:
  • Possess the ability to self-manage in a work from home environment using excellent communication and organizational skills. Ability to manage daily schedule & accurately report time and attendance.
  • Ability to prioritize and coordinate workload with a high degree of proficiency and accuracy.
  • Must have excellent analytical and problem-solving skills; possessing good judgement skills and capable of making independent decisions in accord with policy and procedure.
  • Ability to reference and apply workflow or other guidance to daily work.
  • Able to effectively respond to constantly changing Payer rules with ability to work well under pressure in a flexible, diplomatic and expeditious manner.
  • Ability to work professionally and cooperatively with peers and other departments by phone or electronic media. Must incorporate acceptable email and phone etiquette.
  • Must be accurate with attention to detail; documenting issue research and actions thoroughly in an abbreviated and comprehensive manner.
  • Willingness to learn new process and adjust common work practices when necessary.

At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering.
UC Health is an EEO employer.

What UC Health (Cincinnati) employees say

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About UC Health

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We believe in something different: a focus on the individuality of every person. In big ways and small, we exist to improve the extraordinary lives of all those we serve. As Colorado's largest and most innovative health care system, we as a team deliver on the commitment to provide the best possible experience for our patients and their families. We foster a true human connection and give people the freedom to live extraordinary lives. A career at UCHealth is more than a job, it's a passion.

Company size

10,000+ Employees

Headquarters location

Cincinnati, OH, US

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