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Remote Risk Adjustment Coding Jobs in Hialeah, FL

Ideagen

Enterprise Account Executive

Fort Lauderdale, FL · Remote

... Remote Benefits - Benefits at Ideagen Americas | Remote | HighGrowth, PEBacked SaaS Let's be clear ... We help some of the world's most regulated, complex organizations manage risk, compliance, safety ...

Ideagen

Enterprise Account Executive

Fort Lauderdale, FL · Remote

... Remote | HighGrowth, PEBacked SaaS Let's be clear: This is not a maintenance sales role. This is ... We help some of the world's most regulated, complex organizations manage risk, compliance, safety ...

Ideagen

Enterprise Account Executive

Fort Lauderdale, FL · Remote

... Remote Benefits - Benefits at Ideagen Americas | Remote | HighGrowth, PEBacked SaaS Let's be clear ... We help some of the world's most regulated, complex organizations manage risk, compliance, safety ...

Canals

Senior Software Engineer - USA

Miami, FL · Remote

$125.40K - $165.30K/yr

About Canals Canals is a fully remote, profitable startup transforming the industrial supply chain ... Balance hands-on coding with guiding the team's technical direction. * Help shape the future of ...

Worth AI

Head of Quality Assurance

Miami, FL · Remote

You must be comfortable writing automation, reviewing test code, designing frameworks, and stepping ... Implement risk-based testing strategies to prioritize coverage effectively. * Drive reduction in ...

Worth AI

Head of Quality Assurance

Miami, FL · Remote

You must be comfortable writing automation, reviewing test code, designing frameworks, and stepping ... Implement risk-based testing strategies to prioritize coverage effectively. * Drive reduction in ...

Maximus

Assoc SW Engineer - Java, Spring Boot, AWS

Miami, FL · Remote

$49.50 - $67.75/hr

This is a remote position. Essential Duties and Responsibilities: - Design systems and programs to ... programs are developed and coded. - Ensure that programs meet standards and technical ...

New

Chewy

Security Engineer II

Plantation, FL · On-site +1

$100K - $160K/yr

... monitoring and remote access solutions) and providers, partnering with other security ... Provide security guidance and risk management through architecture design reviews, code reviews and ...

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Remote Risk Adjustment Coding information

See Hialeah, FL salary details

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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 Hialeah, FL is $19.47, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.67 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 Hialeah, FL? For Remote Risk Adjustment Coding jobs in Hialeah, FL, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coding jobs in Hialeah, FL look for? The top searched job categories for Remote Risk Adjustment Coding jobs in Hialeah, FL are:
What cities near Hialeah, FL are hiring for Remote Risk Adjustment Coding jobs? Cities near Hialeah, 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 Hialeah, FL as of May 2026, with employment types broken down into 82% Full Time, 14% Part Time, and 4% Contract. Highlights an 9% Physical, 4% Hybrid, and 87% Remote job distribution, with an average salary of $40,504 per year, or $19.5 per hour.

Patient Account Representative

Pediatric Associates

Plantation, FL • On-site, Remote

$17.25 - $22.75/hr

Full-time

Posted 11 days ago

Job description

Fully remote opportunity! 

Schedule: Monday - Friday 8am to 5pm EST 

PRIMARY FUNCTION 

Patient Account Representative is responsible for managing and monitoring all tasks and communication related to the intake of information from guarantors and/or delinquent accounts to solicit payment. Other duties include keeping records of collections and status of accounts and taking incoming and making outbound calls to assist with patient account balances. 

ESSENTIAL DUTIES AND RESPONSIBILITIES 

This list may not include all the duties that may be assigned. 

  1. Monitor queue to ensure calls are being handled professionally and appropriately.  

  1. Perform analysis, research, and making decisions to appropriately handle phone inquiries.  

  1. Review accounts and responsible for completing adjustments to ensure correct reimbursement as instructed by Manager.  

  1. Identify delinquent accounts, aging period, payment sources, and correct any claim processing (data entry, verification, coding and/or posting) errors identified.  

  1. Manage requests for medical records, correspondence, and/or Explanation of Benefits (EOB). Research proper processing and/or payment of accounts from patients with or without insurance.  

  1. Responsible for collection efforts and for taking the appropriate steps to have claims processed for payment (i.e., re-submitting claims or filing claims appeal for payment or additional payment).  

  1. Keeps Manager abreast of any changes, and documents any problems related to work methodology procedural and recommends actions.  

  1. Identify and resolve patient billing disputes by evaluating patients’ financial status, establishing budget payment plans, collecting payments, and refunding patient credits.   

  1. Demonstrate good judgement and read and abides by the company’s code of conduct, ethics, employee handbook, policies and procedures and other corporate mandates.  

  1. Accountable for limiting the use and disclosure of Protected Health Information (PHI) for patients and employee’s information to the Minimum Necessary to perform the job.   

  1. Other various duties as assigned, including cross training in other functional areas. 

QUALIFICATIONS 

EDUCATION:  

  • High School Diploma or equivalent required. 

  • Experience may commensurate education.  

EXPERIENCE:  

  • Minimum 1 year of customer service experience in a healthcare setting required.  

KNOWLEDGE, SKILLS, AND ABILITIES 

  • Knowledge of billing and collection policies and procedures, all types of insurance (HMO, PPO, POS, Medicaid etc.) Skill in defining problems, interpreting billing information.   

  • Ability to multi-task in a face paced environment while meeting established production and quality goals/metrics.   

  • Strong organizational skills, with ability to effectively prioritize work and daily basis and follow up on open items in a timely manner.   

  • Must have strong verbal, written, and interpersonal communication skills.   

  • Demonstrates ability to work well in a team environment.   

  • General PC knowledge including Microsoft Office, Internet, and Email.  

TYPICAL WORKING CONDITIONS 

  • Non-patient facing 

  • May be either full time remote/telework or rotate working in the office and remote/telework. 

  • This job must be U.S. based. 

  • Indoor Work  

  • Operating Computer  

  • Reach Outward  

  • Manual Dexterity  

  • Lift/Carry 10 lbs. or less.  

  • Sitting  

OTHER PHYSICAL REQUIREMENTS 

  • Vision 

  • Sense of sound 

  • Sense of touch 

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