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Remote Risk Adjustment Coding Jobs in Lakeland, FL

Imagenet

Claims Examiner - Remote

Tampa, FL · Remote

Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of ... claim adjustments is highly preferred. * Understanding of health claims processing/adjudication

ImageNetLLC

Claims Examiner - Remote

Tampa, FL · Remote

Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of ... claim adjustments is highly preferred. * Understanding of health claims processing/adjudication

ImagenetLLC

Claims Examiner - Remote

Tampa, FL · Remote

Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of ... claim adjustments is highly preferred. * Understanding of health claims processing/adjudication

Imagenet

Claims Examiner - Remote

Tampa, FL · On-site +1

Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of ... claim adjustments is highly preferred. * Understanding of health claims processing/adjudication

USAA

Tax Analyst Senior

Tampa, FL · On-site +1

$93K - $179K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... adjustments, and completing required forms and schedules. * Leads high-risk tax audit issues in ...

paradigm

Clinical Budgeting Specialist

Tampa, FL · Remote

... remote Clinical Budgeting Specialist. This position is responsible for the accuracy of risk-based ... Medical coding certification preferred. * Medical billing in workers compensation industry ...

paradigm

Clinical Budgeting Specialist

Tampa, FL · Remote

... remote Clinical Budgeting Specialist. This position is responsible for the accuracy of risk-based ... Medical coding certification preferred. * Medical billing in workers compensation industry ...

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Remote Risk Adjustment Coding information

See Lakeland, FL salary details

$16

$20

$22

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

As of Jul 24, 2026, the average hourly pay for remote risk adjustment coding in Lakeland, FL is $20.04, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $21.30 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.
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What cities near Lakeland, FL are hiring for Remote Risk Adjustment Coding jobs? Cities near Lakeland, 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 Lakeland, FL as of July 2026, with employment types broken down into 1% As Needed, 76% Full Time, 16% Part Time, and 7% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $41,693 per year, or $20 per hour.
Manager Risk Adjustment Program

Manager Risk Adjustment Program

BayCare Health System

Tampa, FL • On-site, Remote

Full-time

Posted 5 days ago

BayCare Health System rating

7.5

Company rating: 7.5 out of 10

Based on 398 frontline employees who took The Breakroom Quiz

230th of 890 rated healthcare providers

Job description

At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that's built on a foundation of trust, dignity, respect, responsibility and clinical excellence.
Position details:
Location: Tampa, FL (Remote - Must Reside in the State of Florida)
Status: Full Time, Salaried
Shift Hours: M-F, 8:00 am - 5:00 pm
The Manager Risk Adjustment Program:
  • Leads and implements risk adjustment strategies, operations and program development across BayCare PHSO and BayCare Plus consistent with BayCare goals and objectives.
  • Uses provider performance metrics and data to identify program/provider opportunities and gaps.
  • Works with physician/facility practices and key stakeholders to provide measurable and actionable solutions to meet and maintain best-practice documentation and HCC (Hierarchical Condition Category) and ICD-10 coding practices.
  • As a subject matter expert and preceptor, provides on-going supervision, education and training of risk adjustment team members related to coding and documentation responsibilities.
  • Works with BayCare Leadership to evaluate and adopt risk adjustment technology solutions.

Minimum Qualifications:
Required Education and Credentials: Bachelor's degree in business, technology, healthcare OR related disciplines required; and at least one of the following active certifications: Certified Professional Coder (CPC); Certified Risk Adjustment Coder (CRC); Certified Coding Specialist (CCS); or Registered Health Information Technician (RHIT).
Preferred Education and Credentials: Master's degree in business, technology, healthcare OR related disciplines
Required Experience: Minimum of three (3) years of relevant experience managing a risk adjustment program OR department with direct supervisory responsibility and budgetary accountability required, and minimum of five (5) years of management/leadership experience for a healthcare organization.
Preferred Experience: Two (2) or more years of experience in a lead risk adjustment role working with OR for Medicare Advantage health plans.
*Any equivalent combination of education and experience that provides the required knowledge, skills, and abilities to perform the essential duties and responsibilities of the position.
BayCare Values: Demonstrate a consistent commitment to BayCare Health System's core values of trust, respect, and dignity in all interactions with patients, families, team members, and the community, supporting our shared responsibility to achieve excellence in the communities we serve.
Leadership Competencies
  • Communication: Communicates in a clear, authentic, and transparent manner to meet the needs of others to ensure messages are received and mutually understood.
  • Emotional Intelligence: Demonstrates self-awareness and manages one's emotions. Recognizes and responds constructively to others' emotions and builds meaningful relationships.
  • Talent and Team Development: Develops team members and teams by empowering them, setting clear expectations, providing learning opportunities, and supporting ongoing growth.
  • Change Champion: Demonstrates a commitment to enhance performance by engaging and promoting change, continuous improvement, adaptability, and innovation.
  • Collaboration: Collaborates by sharing responsibility, transparent exchange of information, and collective problem-solving to achieve mutually beneficial solutions.
  • Results Driven: Takes ownership of outcomes by setting clear, measurable goals and aligning team efforts and resources to achieve them.
  • Inclusion and Belonging: Creates an inclusive environment that values all perspectives, respects individuality, and fosters an environment where all feel a sense of belonging.

Equal Opportunity Employer Veterans/Disabled

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