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Remote Risk Adjustment Coding Jobs in Round Rock, TX

TOC

Coding Specialist -Remote

Austin, TX · On-site +1

... adjustments based on contract, modifiers or appeal denials. § Works to understand the procedures billed in OP notes or bundling issues to maximize the value of submitted appeals. § Utilizes the ...

YO AI Labs

Pharmacovigilance Expert - Remote

Austin, TX · 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 ...

DivIHN

Lead UX Designer (Remote)

Austin, TX · On-site +1

$107K - $140K/yr

... therapy adjustments. * You'll work with a variety of stakeholders including Product Management ... needs, support risk mitigation, and define next steps. * You'll lead presentations to cross ...

DivIHN

Senior UX Designer (Remote)

Austin, TX · On-site +1

... therapy adjustments. * You'll work with a variety of stakeholders including Product Management ... needs, support risk mitigation, and define next steps. * You'll lead presentations to cross ...

Enterprise Electrical

Senior Estimator

Austin, TX · On-site +1

Remote or Hybrid (with occasional travel to the headquarters in Cedar Rapids, IA) Compensation ... Conduct thorough risk analysis and identify areas for cost savings. * Prepare and submit ...

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All JobsRisk Adjustment Coding JobsRemote Risk Adjustment Coding JobsRemote Risk Adjustment Coding Jobs in Round Rock, TX

Remote Risk Adjustment Coding information

See Round Rock, TX salary details

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

As of Aug 15, 2026, the average hourly pay for remote risk adjustment coding in Round Rock, TX is $20.05, 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?

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.

Is remote risk adjustment coding a good career?

Remote risk adjustment coding is a growing field that offers flexibility and the potential for competitive salaries, especially for those with coding certifications and knowledge of healthcare documentation. It requires attention to detail, understanding of medical records, and proficiency with coding software. The demand for remote coders is increasing as healthcare organizations seek efficient ways to manage risk and compliance.

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 Round Rock, TX?

For Remote Risk Adjustment Coding jobs in Round Rock, TX, the most frequently searched job titles are:

What job categories do people searching Remote Risk Adjustment Coding jobs in Round Rock, TX look for?

The top searched job categories for Remote Risk Adjustment Coding jobs in Round Rock, TX are:

What cities near Round Rock, TX are hiring for Remote Risk Adjustment Coding jobs?

Cities near Round Rock, TX 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 Round Rock, TX as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $41,706 per year, or $20.1 per hour.

Coding Specialist -Remote

TOC

Austin, TX • On-site, Remote

Full-time

Posted 4 days ago

Job description

Position Summary:
Under direct supervision of the Revenue Cycle Manager, this position reviews and resolves coding issues related to billing; researches coding issues and participates in process improvements related to coding and AR management. This position may also provide education to providers and staff on correct documentation, coding, and billing of medical claims.
• Work with accuracy and ensure changes are within the scope of the policies.
• Check that claims are passing internal edits in a timely fashion.
• Ensure that denied claims, are corrected or appealed in a timely manner.
• Provide appropriate feedback to management.
Qualifications:
§ High School Diploma or general education degree (GED)
§ CPC, CPC-A, RHIT or CCS Certification required.
§ 2 - 4 years of .
§ Knowledge of ICD10, CPT HCPCS and the use of modifiers preferred.
§ Surgical coding experience preferred.
§ Knowledge of Medicare Part B and commercial insurance products and plans.
§ Familiar with CMS 1500 completion preferred.
§ Advanced understanding of medical terminology and anatomy.
§ Familiar with NCCI guidelines.
§ Athena experience preferred.
§ Excellent communication skills both written and verbal.
§ Must be detail oriented and a self-starter
§ Requires comprehensive knowledge of computer skills including Microsoft Office Suite
§ Comfortable in a fast-paced working environment of a growing practice.
Key Responsibilities
§ Determine that appropriate information is submitted to insurance companies.
§ Ensure that the actions taken on denied claims are paid on the first follow-up call or appeal.
§ Maintains up to date knowledge of billing and reimbursement.
§ Identify and communicate AR trends and denial issues impacting AR or daily production
§ Ability to meet productivity and accuracy standards.
§ Request appropriate adjustments based on contract, modifiers or appeal denials.
§ Works to understand the procedures billed in OP notes or bundling issues to maximize the value of submitted appeals.
§ Utilizes the coding resources (CPT, ICD-10, AAOS books, Decision Health and Select Coder) to understand denied procedures.
§ Corrects accounts that are billed incorrectly in the PM.
§ Helps the Revenue Cycle Specialists understand and complete their correction requests.
§ Assure compliance with all company plans, policies and procedures set forth by the Florida Orthopaedic Institute
§ All other duties as assigned.
MONDAY - FRIDAY - Full Time
Orthopaedic Solutions Management is a Drug Free Workplace
We are committed to maintaining a safe, healthy, and productive work environment. As part of this commitment, we operate as a drug-free workplace. All candidates will be required to undergo pre-employment drug screening and/or be subject to random drug testing in accordance with applicable laws and company policy.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.
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About TOC

Sourced by ZipRecruiter

We believe that physical activity is essential to a healthy lifestyle. With this, the promotion of safety education is crucial in order to prevent injury. It is important to treat injuries as early as possible to achieve optimal recovery and avoid the development of a chronic condition. At TOC, we strive to provide patient-centered care – giving our patients immediate and convenient access to the latest in treatment protocols and procedures. Our goal is to minimize delays and maintain the flow of a patient’s care. Patients can take advantage of complete orthopedic medical diagnosis, treatment and/or surgery, rehabilitation, and assistance with orthotics care all in one building

Industry

Outpatient health care

Headquarters location

Tallahassee, FL, US

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