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Remote Risk Adjustment Coding Jobs in Merrillville, IN

YO AI Labs

Pharmacovigilance Expert - Remote

Chicago, IL · Remote

$70 - $80/hr

Remote Job Overview We are seeking experienced Pharmacovigilance Experts to contribute their drug ... Benefit-Risk Assessment * MedDRA Coding * Seriousness & Causality Assessment * Expectedness ...

Origami Risk LLC

Site Reliability Engineer

Chicago, IL · On-site +1

$100K - $120K/yr

All full-time positions are hybrid, with many eligible to be completely remote * Fully Paid by ... Dais Technology, a subsidiary of Origami Risk, provides a no-code platform that revolutionizes ...

NinjaTrader

GRC Analyst

Chicago, IL · On-site +1

$130K - $145K/yr

... code and integrating systems as you do reviewing controls. You'll serve as the bridge between ... Support risk assessments, including likelihood and impact scoring, treatment planning, and ...

Baba

Virtual Nurse Practitioner

Chicago, IL · Remote

Telehealth Nurse Practitioner | Remote 1099 | Structured Intake & Care Navigation About Baba Baba ... SDOH Z-codes, diagnoses, and risk factors. * Validate care plans. Develop and approve ...

Baba

Virtual Physician

Chicago, IL · Remote

Telehealth Physician - Remote 1099 | Structured Intake & Care Navigation About Baba Baba is ... SDOH Z-codes, diagnoses, and risk factors. * Validate care plans. Develop and approve ...

Northern Base

ServiceNow Architect

Chicago, IL · Remote

$73 - $91.75/hr

Remote (USA) Employment Type: Full-Time Experience Required: 10-15 Years Visa Type: USC / GC Only ... GRC - Policy & Compliance, Risk, Audit & Vendor Risk * ServiceNow Data Models, CSDM & CMDB ...

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Remote Risk Adjustment Coding information

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

As of Aug 29, 2026, the average hourly pay for remote risk adjustment coding in Merrillville, IN is $21.09, according to ZipRecruiter salary data. Most workers in this role earn between $17.69 and $22.40 per hour, depending on experience, location, and employer.

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 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.

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 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 Merrillville, IN?

For Remote Risk Adjustment Coding jobs in Merrillville, IN, the most frequently searched job titles are:

What job categories do people searching Remote Risk Adjustment Coding jobs in Merrillville, IN look for?

The top searched job categories for Remote Risk Adjustment Coding jobs in Merrillville, IN are:

What cities near Merrillville, IN are hiring for Remote Risk Adjustment Coding jobs?

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Remote Risk Adjustment Coding jobs near you

Director, Coding

Chicago, IL • Remote

Zing Health Holdings, Inc.
See more jobs at Zing Health Holdings, Inc.external

Full-time

Re-posted 6 days ago

Job description

COMPANY OVERVIEW

Zing Health is a tech-enabled insurance company making Medicare Advantage the best it can be for those 65-and-over. Zing Health has a community-based approach that recognizes the importance of the social determinants of health in keeping individuals and communities healthy. Zing Health aims to return the physician and the member to the center of the health care equation. Members receive individualized assistance to make their transition to Zing Health as easy as possible. Zing Health offers members the ability to personalize their plans, access to facilities designed to help them better meet their healthcare needs and a dedicated care team. For more information on Zing Health, visit www.myzinghealth.com.

SUMMARY DESCRIPTION:

As the Director of Coding, you will maintain responsibility for accurate coding and abstracting of clinical information from the medical record. You will also set coding guidelines and maintain highest coding data quality and integrity. You will work to set up a coding team as the team expands to support prospective and retrospective chart reviews. You will continuously track and train the staff to ensure accuracy and completion of coding. You will work with contracted provider groups to provide training and guidance for coding. Experience working with Medicare Health plans is a must.

ESSENTIAL FUNCTIONS: 

  • Ensure coding practices and health plan coding guidelines meet national coding and compliance guidelines
  • Hire and train new coding staff members in the team
  • Provides necessary education for coding staff including ICD10, CPT2 and other necessary standards
  • Continuously monitor and audit team's work on coding accuracy and completion metrics.
  • Build training and audit framework to support provider organizations managing our members
  • Work closely with full risk provider organizations to ensure highest quality charts and adherence to plan's coding guidelines
  • Work closely with vendors providing chart extraction or health assessment capabilities to ensure highest quality adherence to coding guidelines
  • Help other departments with coding reviews, questions and clarifications.


QUALIFICATIONS AND REQUIREMENTS:

JOB REQUIREMENTS:

Required Qualifications

  • Thorough knowledge of ICD-10-CM and CPT coding principles and rules
  • Must be Certified Coder (AAPC or AHIMA)
  • Experience with encoders and computerized abstracting systems
  • Capacity to work independently
  • Effective written and verbal communication skills
  • Minimum 15+ years of coding experience
  • Knowledge and experience of Medicare Risk Adjustment guidelines

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