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Remote Risk Adjustment Coding Jobs in Boca Raton, FL

RELX

Senior Site Reliability Engineer II

Boca Raton, FL · On-site +1

$125K - $209K/yr

LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Business ... If not, this role is fully remote. We do not restrict applicants based on job site or posting ...

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Remote Risk Adjustment Coding information

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$16

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$22

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

As of Aug 14, 2026, the average hourly pay for remote risk adjustment coding in Boca Raton, FL is $20.40, according to ZipRecruiter salary data. Most workers in this role earn between $17.12 and $21.68 per hour, depending on experience, location, and employer.

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 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.

Is remote risk adjustment coding a good career?

Remote risk adjustment coding is a growing field that offers flexibility and the potential for competitive salaries, especially for those with coding certifications and knowledge of healthcare documentation. It requires attention to detail, understanding of medical records, and proficiency with coding software. The demand for remote coders is increasing as healthcare organizations seek efficient ways to manage risk and compliance.

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 Boca Raton, FL?

For Remote Risk Adjustment Coding jobs in Boca Raton, FL, the most frequently searched job titles are:

What job categories do people searching Remote Risk Adjustment Coding jobs in Boca Raton, FL look for?

The top searched job categories for Remote Risk Adjustment Coding jobs in Boca Raton, FL are:

What cities near Boca Raton, FL are hiring for Remote Risk Adjustment Coding jobs?

Cities near Boca Raton, FL with the most Remote Risk Adjustment Coding job openings:

Remote Risk Adjustment Coding jobs near you
Infographic showing various Remote Risk Adjustment Coding job openings in Boca Raton, FL as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $42,441 per year, or $20.4 per hour.

Risk Adjustment Coordinator, Remote, Baptist Health Integrated Care, FT, 08A-4:30P

Baptist Health South Florida

Boca Raton, FL • Remote

$25.37 - $32.22/hr

Full-time

Posted 4 days ago

Baptist Health South Florida rating

8.1

Company rating: 8.1 out of 10

Based on 99 frontline employees who took The Breakroom Quiz

1st of 24 rated health and beauty retailers

Job description

The Risk coding Regional Auditor must support the Director of risk coding along with other team professionals working to provide pre and post visit review analysis for provider practices while providing risk coding education to healthcare providers to improve practice risk scores. He or she must relate in a professional manner to co-workers, hospital administrators, physicians, Medicare beneficiaries, and others to represent the department and the health system while working closely with other departments to achieve favorable outcomes. This position is responsible for chart review and up-coding workflows. The position will also require coordination of projects to ensure the success of the goals within the CIN organization. Supports the mission, vision, values and strategic goals of Baptist South Florida.Estimated pay range for this position is $25.37 - $32.22 / hour depending on experience.Degrees:
  • High School,Cert,GED,Trn,Exper.
Licenses & Certifications:
  • AAPC Certified Risk Adjustment Coder.
  • AAPC Certified Professional Coder.
  • AAPC Certified Professional Medical Auditor.
Additional Qualifications:
  • Bachelors of Science degree preferred.
  • Certified Professional Coder and/ or Certified Risk Adjustment Coder (CRC).
  • CPMA certification must be obtained within 1 year of Hire.
  • Required completion of an accredited certified coding specialist program.
  • 2 years of clinic or hospital experience and/ or managed care experience.
  • 1 years of experience in Risk Adjustment and HEDIS/Stars.
  • Ability to interpret, analyze and abstract data/documentation.
  • Comprehensive Knowledge of ICD-10-CM codes, Category II codes, COA measures, CMS documentation requirements, state and federal regulations including compliance and reimbursement and the impact of diagnosis coding on risk adjustment payment models.
  • Ability to identify HCC improvement opportunities and educate clinical providers on proper clinical documentation, compliance, and coding guidelines.
  • Intermediate level of proficiency in MS Office - Excel, PowerPoint, and Word.
  • Ability to defend coding decisions to both internal and external audits.
  • Strong organizational skills in multiple settings, as well as the ability to exercise judgement and initiative.
  • Ability to work in a continuously changing environment.
Minimum Required Experience: 5 Years

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About Baptist Health South Florida

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Baptist Health South Florida is the largest healthcare organization in the region, with 12 hospitals, more than 27,000 employees, 4,000 physicians and 100 outpatient centers, urgent care facilities and physician practices spanning across Miami-Dade, Monroe, Broward and Palm Beach counties. Baptist Health has internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences. A not-for-profit organization supported by philanthropy and committed to its faith-based charitable mission of medical excellence, Baptist Health has been recognized by Fortune as one of the 100 Best Companies to Work For in America and by Ethisphere as one of the World's Most Ethical Companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Miami, FL, US

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