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Remote Risk Adjustment Manager Jobs (NOW HIRING)

HCC Risk Adjustment Coder

Franklin, TN Β· Remote

$18 - $24/hr

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

We are currently looking for multiple Remote Risk Adjustment / HCC Coders (Coder 1) for full-time ... Skills in organization and time management. * Ability to read and understand medical record ...

We are currently looking for multiple Remote Risk Adjustment / HCC Coders (Coder 1) for full-time ... Skills in organization and time management. * Ability to read and understand medical record ...

Remote Contract Length: 5 Months Shift: Start time is flexible, need to log 40 hours. M-F Pay: $18-$22/hr Day-to-Day Responsibilities Insight Global is seeking experienced HCC Risk Adjustment Medical ...

This is a remote position with a work schedule of Monday - Friday 8am - 5pm. Candidates must live ... Information Management Association (AHIMA) or a Certified Professional Coder (CPC) with active ...

Remote Company Description Greater Good Health is a fast-growing organization delivering care to ... Support Care Services leadership with open condition management and risk adjustment workflows ...

... Managed Care Organization as a medical coder 2+ years of experience in coding with knowledge of ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

GeBBS Healthcare Solutions is a leading provider of Revenue Cycle Management (RCM) and Risk Adjustment services, helping healthcare organizations optimize operations, improve financial performance ...

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Remote Risk Adjustment Manager information

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$111.6K

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How much do remote risk adjustment manager jobs pay per year?

As of Sep 14, 2026, the average yearly pay for remote risk adjustment manager in the United States is $111,556.00, according to ZipRecruiter salary data. Most workers in this role earn between $90,000.00 and $129,000.00 per year, depending on experience, location, and employer.

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For Remote Risk Adjustment Manager jobs, the most frequently searched job titles are:

Infographic showing various Remote Risk Adjustment Manager job openings in the United States as of September 2026, with employment types broken down into 87% Full Time, 12% Part Time, and 1% Contract. Highlights an 79% Physical, 2% Hybrid, and 19% Remote job distribution, with an average salary of $111,556 per year, or $53.6 per hour.

HCC Risk Adjustment Coder

Franklin, TN β€’ Remote

Vertek Staffing
Recruiting and Staffing ServicesΒ β€’Β 11 - 50 employees

$18 - $24/hr

Contractor

Re-posted 22 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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