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Remote Risk Adjustment Coding Jobs in Garner, NC

Danaher

Senior Software Engineer - USA Remote

Raleigh, NC · Remote

$119K - $157K/yr

Participate in project definition phase establishing project risk profile and defining project ... Demonstrated ability to use AI-powered coding assistants (like GitHub Copilot andCursor) to ...

Danaher

Senior Software Engineer - USA Remote

Durham, NC · Remote

$118K - $156K/yr

Participate in project definition phase establishing project risk profile and defining project ... Demonstrated ability to use AI-powered coding assistants (like GitHub Copilot andCursor) to ...

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Remote Risk Adjustment Coding information

See Garner, NC salary details

$15

$19

$21

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

As of Jun 22, 2026, the average hourly pay for remote risk adjustment coding in Garner, NC is $19.17, according to ZipRecruiter salary data. Most workers in this role earn between $16.06 and $20.34 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 Garner, NC look for? The top searched job categories for Remote Risk Adjustment Coding jobs in Garner, NC are:
What cities near Garner, NC are hiring for Remote Risk Adjustment Coding jobs? Cities near Garner, NC with the most Remote Risk Adjustment Coding job openings:
Remote Risk Adjustment Coding jobs near you
RCS Medical Coding Auditor (CPC, CPMA)

RCS Medical Coding Auditor (CPC, CPMA)

Veradigm

Raleigh, NC • On-site, Remote

$57K - $80K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 12 days ago

Job description

Position Summary
The RCS Medical Coding Auditor is responsible for auditing professional (ProFee) medical coding to ensure accuracy, compliance, and alignment with AMA CPT, CMS, NCCI and payer guidelines. This role supports coding integrity, mitigates compliance risk, and drives continuous quality improvement through targeted education and audit-based feedback.
The ideal candidate brings strong hands-on experience with professional fee coding, deep knowledge of E/M, surgical, and modifier use, and the ability to translate audit findings into actionable insights.
Key Responsibilities
  • Perform daily QA to ensure accuracy of completed coding and provide targeted coding education and feedback
  • Validate ICD-10-CM, CPT®, HCPCS, and modifier assignment against clinical documentation to ensure accuracy and compliance with AMA CPT, ICD-10, CMS, NCCI, and payer-specific guidelines
  • Conduct medical chart audits of professional services across multiple specialties
  • Identify coding discrepancies, compliance risks, trends, root causes, and documentation gaps
  • Support coding education through feedback, targeted training, and reference materials
  • Prepare clear, defensible audit documentation including rationale and references
  • Provide actionable recommendations to address audit findings and reduce future risk
  • Track audit outcomes and trends to support leadership reporting and risk mitigation strategies
  • Support denial prevention, resolution and appeal strategies
  • Collaborate across teams to assist with coding support
  • Maintain confidentiality and comply with HIPAA and organizational policies

Required Qualifications
  • CPC (Required) and CPMA (Required/In Process)
  • 2+ years of ProFee auditing experience
  • Knowledge of:
    • E/M documentation guidelines
    • Modifier rules and NCCI edits
    • CPT, ICD-10-CM, HCPCS Level II
  • High attention to detail with strong analytical and critical-thinking skills
  • Excellent written and verbal communication skills for audit reporting and education
  • Proficiency with EHRs, coding and auditing tools
  • Proficiency with Microsoft Office Suite

Preferred Qualifications
  • Multi-specialty coding and auditing experience with preferred background in E/M Coding, Orthopedics, Pain Management, Urology
  • Background in coding quality programs or compliance teams
  • Advanced reporting skills for audit tracking and trend analysis
  • Prior consulting or client-facing audit experience

Compensation Range:
$57,728-$80,243
Compensation for this job is subject to market conditions, geographic considerations, the candidate's unique skills and experience, state and local laws, and budget. Our commitment to pay transparency is a testament to our dedication to creating a fair, equitable, and inclusive workplace. By continuously analyzing market trends, staying abreast of changes in state laws, and making budgetary adjustments accordingly, we strive to ensure that our compensation practices reflect the value we place on our associates' unique contributions and support their professional growth.
Enhancing Lives and Building Careers
Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work and to further their professional development. Together, we are In the Network. Interested in learning more?
Take a look at our Culture, Benefits, Early Talent Program, and Additional Openings.
Visa Sponsorship is not offered for this position.
At Veradigm, our greatest strength comes from bringing together talented people with diverse perspectives to support the needs of healthcare providers, life science companies, health plans, and the patients they serve. The Veradigm Network is a dynamic, open community of solutions, external partners, and cutting-edge artificial intelligence technologies that provide advanced insights, technology, and data-driven solutions. Veradigm offers a comprehensive compensation and benefits package, including holidays, vacation, medical, dental, and vision insurance, company paid life insurance and retirement savings.
Veradigm's policy is to provide equal employment opportunity and affirmative action in all of its employment practices without regard to race, color, religion, sex, national origin, ancestry, marital status, protected veteran status, age, individuals with disabilities, sexual orientation or gender identity or expression or any other legally protected category. Applicants for North American based positions with Veradigm must be legally authorized to work in the United States or Canada. Verification of employment eligibility will be required as a condition of hire. Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce.
From a "VEVRAA Federal Contractor" We request Priority Referral of Protected Veterans
This is an official Veradigm Job posting. To avoid identity theft, please only consider applying to jobs posted on our official corporate site.
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