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Remote Risk Adjustment Coding Jobs in Nashville, TN

Vertek Staffing

HCC Risk Adjustment Coder

Franklin, TN · Remote

$18 - $24/hr

... Remote Risk Adjustment / HCC Coding Experience Required Required Education * High School Diploma required with submission Required Certifications Online certification verification required with ...

Humana

Medical Coder Educator

Brentwood, TN · On-site +1

$17.75 - $23.75/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

Humana

Medical Coder Educator

Hermitage, TN · On-site +1

$16.50 - $22/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

Humana

Medical Coder Educator

Hendersonville, TN · On-site +1

$17.50 - $23.25/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

Humana

Medical Coder Educator

Hermitage, TN · On-site +1

$16.50 - $22/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

Humana

Medical Coder Educator

Lebanon, TN · On-site +1

$18 - $24.25/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

Humana

Medical Coder Educator

Hermitage, TN · On-site +1

$16.50 - $22/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

Humana

Medical Coder Educator

Smyrna, TN · On-site +1

$17.50 - $23.25/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

Humana

Medical Coder Educator

Bellevue, TN · On-site +1

$17.75 - $23.75/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

Humana

Medical Coder Educator

Nashville, TN · On-site +1

$18 - $24.25/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

Humana

Medical Coder Educator

Smyrna, TN · On-site +1

$17.50 - $23.25/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

Humana

Medical Coder Educator

Bellevue, TN · On-site +1

$17.75 - $23.75/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

Humana

Medical Coder Educator

Hendersonville, TN · On-site +1

$17.50 - $23.25/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

Humana

Medical Coder Educator

Mount Juliet, TN · On-site +1

$17.75 - $23.50/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

Humana

Medical Coder Educator

Lebanon, TN · On-site +1

$18 - $24.25/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

Humana

Medical Coder Educator

Brentwood, TN · On-site +1

$17.75 - $23.75/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

Humana

Medical Coder Educator

Murfreesboro, TN · On-site +1

$16.50 - $22/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

Humana

Medical Coder Educator

Madison, TN · On-site +1

$17.25 - $23.25/hr

Risk Adjustment knowledge * Familiar with coding guidelines * Live in NC, SC, GA, VA, MD or TN ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

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All JobsRisk Adjustment Coding JobsRemote Risk Adjustment Coding JobsRemote Risk Adjustment Coding Jobs in Nashville, TN

Remote Risk Adjustment Coding information

See Nashville, TN salary details

$16

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$22

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

As of Jul 19, 2026, the average hourly pay for remote risk adjustment coding in Nashville, TN is $20.77, according to ZipRecruiter salary data. Most workers in this role earn between $17.40 and $22.07 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 are popular job titles related to Remote Risk Adjustment Coding jobs in Nashville, TN? For Remote Risk Adjustment Coding jobs in Nashville, TN, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coding jobs in Nashville, TN look for? The top searched job categories for Remote Risk Adjustment Coding jobs in Nashville, TN are:
What cities near Nashville, TN are hiring for Remote Risk Adjustment Coding jobs? Cities near Nashville, TN 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 Nashville, TN as of July 2026, with employment types broken down into 1% As Needed, 76% Full Time, 17% Part Time, and 6% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $43,198 per year, or $20.8 per hour.
HCC Risk Adjustment Coder

HCC Risk Adjustment Coder

Vertek Staffing

Franklin, TN • Remote

$18 - $24/hr

Contractor

Posted 25 days ago

Job description

HCC / Risk Adjustment Coder - Remote

Risk Adjustment / HCC Coding Experience Required

Required Education
  • High School Diploma required with submission
Required Certifications

Online certification verification required with submission.

Candidates must possess one of the following certifications:

  • Certified Professional Coder (CPC) - AAPC
  • Certified Risk Adjustment Coder (CRC) - AAPC
  • Certified Coding Specialist (CCS) - AHIMA
  • Registered Health Information Technician (RHIT) - AHIMA
  • Registered Health Information Administrator (RHIA) - AHIMA

CRC Certification is highly preferred.

Schedule
  • Monday - Friday
  • Occasional weekend coverage may be required based on client needs
Position Summary

The HCC / Risk Adjustment Coder is responsible for reviewing medical records and clinical documentation to accurately identify, validate, and code chronic and acute conditions impacting patient risk scores and reimbursement.

The coder will ensure accurate assignment of ICD-10-CM diagnosis codes in accordance with CMS Risk Adjustment guidelines, Official ICD-10-CM Coding Guidelines, and client-specific requirements. This role supports Risk Adjustment initiatives through retrospective chart reviews, prospective reviews, coding validation, provider education support, and quality assurance activities.

The HCC Coder will collaborate with providers, CDI professionals, quality teams, population health departments, and coding leadership to ensure complete and accurate capture of chronic conditions and disease burden.

Key Responsibilities
  • Review medical records to identify and code HCC-eligible diagnoses.
  • Assign ICD-10-CM diagnosis codes in accordance with CMS and Risk Adjustment guidelines.
  • Validate chronic conditions and ensure documentation supports code assignment.
  • Perform retrospective and prospective chart reviews.
  • Identify missed HCC opportunities and documentation gaps.
  • Assist with coding validation and quality assurance audits.
  • Support provider education initiatives regarding Risk Adjustment documentation requirements.
  • Maintain productivity and quality standards established by the client.
  • Participate in internal and external audit activities.
  • Stay current on CMS Risk Adjustment regulations, coding updates, and industry best practices.
  • Assist leadership with special projects and additional duties as assigned.
Required Experience
  • Risk Adjustment / HCC coding experience required
  • Strong understanding of ICD-10-CM coding guidelines
  • Experience reviewing outpatient and provider documentation
  • Knowledge of CMS-HCC Risk Adjustment methodologies
  • Experience validating chronic conditions and disease burden
  • Strong attention to detail and coding accuracy
Preferred Experience
  • CRC certification
  • Experience with Medicare Advantage populations
  • Experience with value-based care programs
  • Experience performing coding audits and quality reviews
  • Experience with Epic, Cerner, Athena, eClinicalWorks, NextGen, or other EMR systems
  • Experience educating providers on Risk Adjustment documentation
 
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About Vertek Solutions

Sourced by ZipRecruiter

Vertek Solutions is a boutique staffing firm that specializes in recruiting top level IT talent who can enhance our clients’ teams. Our team works every day to foster relationships with both our consultants and clients to understand their needs and ensure that we are providing a solution that is mutually beneficial.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Franklin, TN, US

Year founded

2006

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