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Remote Risk Adjustment Provider Educator Jobs (NOW HIRING)

TEKsystems

Risk Adjustment Coding Auditor

Saint Louis, MO · Remote

$32 - $37/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Provider education experience * Prior RADV experience * CPMA or other coding credentials * NLP ... remote position. Application Deadline This position is anticipated to close on Aug 11, 2026. About ...

Humana

Provider Data Validation (PDV) Manager

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Experience in Risk Adjustment, Provider Data Validation, Medical Coding, Provider Education, or ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

New

Humana

Provider Data Validation (PDV) Manager

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Experience in Risk Adjustment, Provider Data Validation, Medical Coding, Provider Education, or ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

New

Humana

Provider Data Validation (PDV) Manager

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Experience in Risk Adjustment, Provider Data Validation, Medical Coding, Provider Education, or ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

HealthEdge

Director, Risk Adjustment Products

Provide strategic recommendations and decision frameworks when trade-offs between revenue ... Remote - US Travel required for client sessions, workshops, and internal collaboration. HealthEdge ...

HealthEdge

Director, Risk Adjustment Products

Provide strategic recommendations and decision frameworks when trade-offs between revenue ... Remote - USTravel required for client sessions, workshops, and internal collaboration. HealthEdge ...

Mercor

HCC Coding Leader - Risk Adjustment

New York, NY · Remote

$110/hr

Remote Role Responsibilities * Lead risk adjustment and HCC coding operations across Medicare Advantage , Medicaid , and ACA risk adjustment programs. * Evaluate AI-generated HCC coding assignments ...

Minnesota Jobs

Risk Adjustment Coding Professional 1

$53K - $72K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

May participate in provider education programs on coding compliance. Understands own work area ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

New

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Remote Risk Adjustment Provider Educator information

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How much do remote risk adjustment provider educator jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for remote risk adjustment provider educator in the United States is $43.95, according to ZipRecruiter salary data. Most workers in this role earn between $33.65 and $52.40 per hour, depending on experience, location, and employer.

What is the difference between Remote Risk Adjustment Provider Educator vs Remote Risk Adjustment Analyst?

AspectRemote Risk Adjustment Provider EducatorRemote Risk Adjustment Analyst
CredentialsCertifications in risk adjustment, healthcare coding, or related fieldsCertifications in data analysis, healthcare analytics, or coding
Work EnvironmentRemote, educational, training-focusedRemote, data analysis, reporting
Employer & IndustryHealth plans, healthcare providers, education companiesHealth plans, analytics firms, healthcare organizations

The Remote Risk Adjustment Provider Educator primarily focuses on training healthcare providers and staff on risk adjustment processes, requiring educational skills and certifications. In contrast, the Remote Risk Adjustment Analyst analyzes data to identify trends and improve risk scores. Both roles are remote and industry-specific but differ in their core functions and skill sets.

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Remote Risk Adjustment Provider Educator jobs near you
Infographic showing various Remote Risk Adjustment Provider Educator job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 76% Full Time, 15% Part Time, and 6% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $91,418 per year, or $44 per hour.

Risk Adjustment Coding Specialist - Remote / Telecommute

Cynet Systems

Remote

$31.03 - $36.03/hr

Other

Re-posted 12 days ago

Job description

Job Overview:
Pay Range: $31.03hr - $36.03hr
Requirement/Must Have:
  • Associate's degree in Health Information Technology, Business, or a related field.
  • Instead of an Associate's degree, an additional 2 years of relevant work experience is required in addition to the required work experience.
  • 3 years of risk adjustment and/or hierarchical condition category coding experience.
  • Strong knowledge of diagnosis code validation, coding guidelines, and documentation standards.
  • Ability to verify the accuracy, completeness, and appropriateness of diagnosis codes based on medical documentation.
  • Ability to identify coding discrepancies and recommend updates based on chart review.
  • Ability to maintain coding accuracy levels greater than 90 percent.
  • Strong communication and collaboration skills when working with vendors, providers, hospital staff, and internal leadership.
  • Ability to work independently with limited direction and exercise sound judgment.
  • Ability to mentor and guide less experienced coding specialists.
Experience:
  • Experience supporting retrospective risk adjustment supplemental filing.
  • Experience supporting HHS-Risk Adjustment Data Validation audit activities.
  • Experience reviewing and coding moderately complex medical records.
  • Experience working with vendors, providers, and hospital staff to coordinate record access.
  • Experience identifying coding discrepancies and supporting quality and provider education initiatives.
  • Experience negotiating agreement on complex medical record diagnoses with leadership and third-party vendors.
  • Experience developing and conducting coding orientation and education for physicians or other healthcare practitioners.
  • Experience developing and maintaining Commercial Risk Adjustment coding guidelines.
  • Experience guiding junior coding specialists on complex chart reviews.
Responsibilities:
  • Perform medical record review and coding for retrospective risk adjustment supplemental filing, HHS-Risk Adjustment Data Validation audit support, and other chart coding functions.
  • Verify the accuracy, completeness, and appropriateness of diagnosis codes based on medical documentation.
  • Apply appropriate coding guidelines and recommend changes to diagnosis codes based on chart review findings.
  • Achieve and maintain coding accuracy levels greater than 90 percent.
  • Coordinate with vendors, providers, and hospital staff to obtain and manage record access.
  • Identify and document coding observations or discrepancies.
  • Provide findings and recommendations to management to enhance quality and provider education.
  • Work with leadership and third-party vendors to resolve complex medical record diagnosis questions and determine compliance with coding guidelines accepted by the federal government.
  • Develop and conduct coding orientation and education sessions for physicians and other healthcare practitioners.
  • Develop and maintain Commercial Risk Adjustment coding guidelines and update them based on changes in industry standards.
  • Provide guidance and direction to Coding Specialists when reviewing complex medical records.
  • Assist in mentoring less experienced staff and may lead matrixed resources as needed.
  • Plan and manage work independently, escalating only unusual cases when necessary.
Should Have:
  • Experience working in a highly regulated healthcare environment.
  • Strong analytical and problem-solving skills.
  • Ability to adapt to changing coding standards and industry requirements.
  • Ability to manage multiple tasks that may take from short-term turnaround to several weeks to resolve.
  • Strong customer service skills with internal and external stakeholders.
Skills:
  • Risk adjustment coding.
  • HCC coding.
  • Medical record review.
  • Diagnosis code validation.
  • Chart review.
  • Coding compliance.
  • Coding discrepancy identification.
  • Provider education.
  • Coding guideline development and maintenance.
  • Audit support.
  • Mentoring and guidance.
  • Adobe Acrobat Professional.
  • Microsoft Word.
  • Microsoft Excel.
  • Microsoft Outlook.
  • Claims processing systems.
  • EMR systems.
  • EHR systems.
  • Coding documentation platforms.
  • Customer service and communication.
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About Cynet Systems

Sourced by ZipRecruiter

Cynet Systems Inc is a staffing and recruiting corporation nestled in Ashburn, VA, USA. Established in 2010, the company operates within the Information Technology and Services sector, specializing in providing effective workforce solutions to different business needs, including IT consulting, direct hire, and contract staffing services. Through the years, Cynet Systems has built an impressive portfolio, going beyond borders and expanding its operations internationally in Canada and India. Rooted in its core values of teamwork, leadership, and commitment, Cynet Systems helps businesses unlock their full potential by providing versatile and competent professionals that perfectly align with their needs. Fueled by their unwavering mission to deliver top-tier talent to businesses worldwide, Cynet Systems garnered various recognitions including SIA's fastest-growing staffing firms and Best Place to Work in Virginia for 2019.

Industry

It services

Company size

501 - 1,000 Employees

Headquarters location

Sterling, VA, US

Year founded

2010

Social media

Twitter

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