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Remote Risk Adjustment Coding Jobs in Clermont, FL

CorVel Corporation

CareIQ Billing Specialist

Orlando, FL · Remote

$15.61 - $23.82/hr

This is a remote position but for continuity of business with our management team, candidate needs ... Complete administrative review of medical notes and bills (Bill Review or Coding experience is not ...

CorVel Corporation

CareIQ Billing Specialist

Orlando, FL · Remote

$15.61 - $23.82/hr

This is a remote position but for continuity of business with our management team, candidate needs ... Complete administrative review of medical notes and bills (Bill Review or Coding experience is not ...

CorVel Corporation

CareIQ Billing Specialist I

Orlando, FL · Remote

$15.61 - $23.82/hr

This is a remote role but for continuity of business with our management team, candidate must ... Completes administrative review of medical notes and bills (Bill Review or Coding experience is not ...

CorVel Corporation

CareIQ Billing Specialist

Orlando, FL · Remote

$15.61 - $23.82/hr

This is a remote position but for continuity of business with our management team, candidate needs ... Completes administrative review of medical notes and bills (Bill Review or Coding experience is not ...

Corvel

CareIQ Billing Specialist I

Orlando, FL · Remote

$15.61 - $23.82/hr

This is a remote role but for continuity of business with our management team, candidate must ... Completes administrative review of medical notes and bills (Bill Review or Coding experience is not ...

Actalent

Remote Pediatric Case Manager Role

Orlando, FL · On-site +1

$40 - $44/hr

Conduct outreach to high-risk members and provide disease-specific education. * Empower patients ... If you would like to request a reasonable accommodation, such as the modification or adjustment of ...

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All JobsRisk Adjustment Coding JobsRemote Risk Adjustment Coding JobsRemote Risk Adjustment Coding Jobs in Clermont, FL

Remote Risk Adjustment Coding information

See Clermont, FL salary details

$15

$19

$21

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

As of Jun 9, 2026, the average hourly pay for remote risk adjustment coding in Clermont, FL is $19.18, according to ZipRecruiter salary data. Most workers in this role earn between $16.11 and $20.38 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 job categories do people searching Remote Risk Adjustment Coding jobs in Clermont, FL look for? The top searched job categories for Remote Risk Adjustment Coding jobs in Clermont, FL are:
What cities near Clermont, FL are hiring for Remote Risk Adjustment Coding jobs? Cities near Clermont, FL with the most Remote Risk Adjustment Coding job openings:
Remote Risk Adjustment Coding jobs near you
Provider Performance & Coding Consultant

Provider Performance & Coding Consultant

UCF Health

Maitland, FL • Remote

Other

Posted yesterday

Job description

Provider Performance & Coding Consultant

Transform healthcare. Empower providers. Improve lives.

Position Description

Are you passionate about improving healthcare delivery and helping providers succeed in a changing landscape? As a Provider Performance & Coding Consultant, you play a key role in guiding medical practices toward better performance, accurate coding, and optimized workflows. You will help providers transition from traditional fee-for-service models to value-based care, ensuring they deliver high-quality care while maintaining financial health.

This is a hands-on, client-facing role where you lead projects, educate providers, and support healthcare transformation. Youll work with a diverse team of professionals who are committed to making a difference in patient outcomes and provider success.

Job Functions and Duties

Client Engagement and Project Leadership

  • Manage the full lifecycle of client projects, from kickoff to completion
  • Develop customized work plans with clear goals, timelines, and deliverables
  • Coordinate resources and activities across multiple practices
  • Ensure projects meet quality standards and deadlines

Provider Education and Support

  • Train providers and staff on documentation, coding, and billing best practices
  • Prepare practices for audits and regulatory reviews
  • Present performance insights and improvement strategies
  • Serve as a trusted advisor on healthcare regulations and payer requirements

Workflow Optimization and Technology Integration

  • Act as liaison between practices and electronic health record (EHR) vendors
  • Support EHR adoption, configuration, and optimization
  • Recommend workflow improvements to enhance efficiency and compliance
  • Help practices align with MIPS, Promoting Interoperability, and other programs

Regulatory and Program Guidance

  • Stay current with healthcare regulations, trends, and payer programs
  • Educate clients on changes affecting coding, billing, and performance metrics
  • Support practices in meeting public health agency requirements

Reporting and Communication

  • Create and maintain weekly/monthly performance dashboards and reports
  • Communicate project updates and recommendations clearly and professionally
  • Collaborate with supervisors to review goals, progress, and challenges

Business Development and Revenue Support

  • Assist with client acquisition and retention strategies
  • Support Fee-for-Service consulting and other revenue-generating activities
  • Promote services and solutions that enhance client performance

Knowledge, Skills, and Abilities

Required Knowledge and Experience

  • Medical coding experience (certification from AAPC or AHIMA required)
  • HEDIS knowledge and Medicare Advantage familiarity
  • Experience with EHR systems and chart auditing
  • Understanding of healthcare revenue cycles and quality improvement methods

Preferred Knowledge and Experience

  • Certified Risk Adjustment Coder (HCC coding)
  • Experience with practice transformation or process improvement
  • Familiarity with Patient-Centered Medical Home models
  • Knowledge of MIPS, Promoting Interoperability, and clinical operations
  • Bachelors degree in Health Informatics, Health Services Administration, or related field

Skills and Abilities

  • Strong project management and organizational skills
  • Ability to work independently and manage multiple priorities
  • Excellent written and verbal communication skills
  • Comfortable with public speaking and client presentations
  • Proficient in Microsoft Office (Outlook, Excel, PowerPoint, Word)
  • Self-motivated, proactive, and adaptable in a fast-paced environment
  • Knowledge of medical terminology and ability to apply it appropriately

Licenses, Certifications, and Legal Requirements

  • Certified Professional Coder (CPC), Certified Coding Specialist (CCS)
  • Certified Risk Adjustment Coder (CRC) preferred
  • Must meet all legal requirements for healthcare consulting roles

Work Schedule

  • Monday to Friday, 8:00 AM 5:00 PM
  • Occasional variations may include early mornings, evenings, or overnight travel based on client location/needs

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