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Remote Risk Adjustment Coding Jobs in Richmond, VA

Ennoble Care

Actuary

Richmond, VA · Remote

$150/hr

Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health ... Thorough understanding of and hands-on experience with Medicare risk adjustment and CMS-HCC models

Corvel

Medical Only Claims Specialist

Glen Allen, VA · Remote

$16.74 - $26.92/hr

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Corvel

Claims Specialist

Glen Allen, VA · Remote

$52K - $85K/yr

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Corvel

Claims Specialist

Glen Allen, VA · Remote

$52K - $85K/yr

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives auto and general ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Corvel

Telehealth Coordinator Lead

Glen Allen, VA · On-site +1

$19.24 - $31.04/hr

This is a remote role but requires residency in Arizona or Virginia. The work schedule for this ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Corvel

Telehealth Coordinator Lead

Glen Allen, VA · Remote

$19.24 - $31.04/hr

This is a remote role but requires residency in Arizona or Virginia. The work schedule for this ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Deloitte

Accounts Receivable Analyst

Richmond, VA · Remote

$23.75 - $30.25/hr

... remote client service delivery. Recruiting for this role ends on 08/01/2026 Work you'll do As an ... Rebill corrected claims and route issues to coding, billing, credentialing, denials, and/or ...

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Remote Risk Adjustment Coding information

See Richmond, VA salary details

$17

$21

$23

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 Richmond, VA is $21.28, according to ZipRecruiter salary data. Most workers in this role earn between $17.84 and $22.60 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 Richmond, VA? For Remote Risk Adjustment Coding jobs in Richmond, VA, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coding jobs in Richmond, VA look for? The top searched job categories for Remote Risk Adjustment Coding jobs in Richmond, VA are:
What cities near Richmond, VA are hiring for Remote Risk Adjustment Coding jobs? Cities near Richmond, VA 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 Richmond, VA as of July 2026, with employment types broken down into 94% Full Time, and 6% Contract. Highlights an 100% Remote job distribution, with an average salary of $44,260 per year, or $21.3 per hour.
Actuary

Actuary

Ennoble Care

Richmond, VA • Remote

$150/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago

Ennoble Care rating

4.2

Company rating: 4.2 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

Job description

About Us

Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania, Texas, Florida, and Georgia. Ennoble Care's clinicians go to the home of the patient, providing continuum of care for those with chronic conditions and limited mobility. Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health management, and chronic care management, to ensure that our patients receive the highest quality of care by a team they know and trust. We seek individuals who are driven to make a difference and embody our motto, "To Care is an Honor." Join Ennoble Care today!

Position Overview

We are seeking an experienced Actuary (5+ years of experience) for our value-based care (VBC) team. This role requires a seasoned professional in medical economics, actuarial, or equivalent data analytics experience who can navigate the complex landscape of Medicare risk models, value-based care arrangements, and population health analytics. The ideal candidate will play a critical role in optimizing our organization's performance under CMS total cost of care models while ensuring sustainable financial outcomes. Candidates will ideally have their ASA certification or have passed at least the first three exams.

This role is currently scoped as an individual contributor, with a growth trajectory toward leadership over time.

Key ResponsibilitiesData Management & Medicare Analytics
  • Analyze VBC performance under various CMS and CMMI total cost-of-care models.
  • Monitor and forecast financial performance across assigned patient populations.
  • Conduct comprehensive claims analysis using CCLF (Claims and Claims Line Feed) and BCDA (Beneficiary Claims Data API) datasets.
  • Refine key reporting and projection methodologies, including IBNR and Risk Score projections.
  • Process and analyze large healthcare datasets, combining multiple data sources including EHR systems and Medicare claims data.
  • Ensure data quality and integrity across all analytical processes.
  • Develop and maintain SQL-based data structures to support population experience studies and VBC program analytics.
Business Intelligence & Reporting
  • Create fit-for-purpose analytical reports that translate complex actuarial findings into actionable business insights.
  • Develop executive dashboards and performance metrics aligned with organizational strategic goals.
  • Present findings and recommendations to leadership teams and clinical stakeholders.
  • Support budget planning and financial forecasting processes.
Regulatory Compliance & Process Improvement
  • Stay current with evolving CMS and CMMI program requirements and quality measures.
Required QualificationsEducation & Certification
  • Bachelor's degree in Actuarial Science, Statistics, Mathematics, Data Science, or related quantitative field
  • ASA credentials preferred for Actuarial candidates
Experience Requirements
  • Strong healthcare data analytics experience in Medicare-focused or Medicare Advantage environments (5+ years of experience)
  • Thorough understanding of and hands-on experience with Medicare risk adjustment and CMS-HCC models
  • Experience working with CMS and CMMI total cost of care (ACO) programs
  • Proven track record spearheading claims analytics using Medicare claims data
  • In-depth knowledge of healthcare billing processes from both provider and CMS perspectives
Technical Proficiency
  • Advanced proficiency in Microsoft Excel and model building
  • Strong SQL skills with the ability to write complex queries
  • Experience with the Microsoft Azure cloud platform and related analytics tools preferred
  • Experience with integrating data across multiple large, nuanced data sources (e.g., integration of EHR data with claims datasets)
  • Experience developing/integrating AI-forward workflows into analytics
Core Competencies
  • Exceptional analytical and problem-solving capabilities
  • Strong business acumen with the ability to translate technical findings into strategic recommendations
  • Excellent written and verbal communication skills for both technical and non-technical audiences
  • Proven team player with a collaborative approach to cross-functional projects
  • Demonstrated capability to understand and respond to evolving business needs
Compensation
  • The salary range is $150- 170k with a $30- 40k bonus range

Full-time employees qualify for the following benefits:

  • Medical, Dental, Vision and supplementary benefits such as Life Insurance, Short Term and Long Term Disability, Flexible Spending Accounts for Medical and Dependent Care, Accident, Critical Illness, and Hospital Indemnity.
  • Paid Time Off
  • Paid Office Holidays

All employees qualify for these benefits:

  • Paid Sick Time
  • 401(k) with up to 3% company match
  • Referral Program
  • Payactiv: pay-on-demand. Cash out earned money when and where you need it!

Candidates must disclose any current or future need for employment-based immigration sponsorship (including, but not limited to, OPT, STEM OPT, or visa sponsorship) before an offer of employment is extended.

Ennoble Care is an Equal Opportunity Employer, committed to hiring the best team possible, and does not discriminate against protected characteristics including but not limited to - race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status.

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