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Work From Home Medicare Risk Adjustment Jobs (NOW HIRING)

Urrly

Telehealth Nurse Practitioner

$600 - $720/day

Telehealth Nurse Practitioner Work from home and earn $600-$720 per day delivering telehealth ... Familiar with HEDIS and risk adjustment workflows * Medicare and Medicaid provider enrollment ...

Urrly

Telehealth Nurse Practitioner (Remote)

Madison, WI · Remote

$600 - $720/hr

Work from home and earn $600$720 per day delivering telehealth visits on your schedule. Active ... Familiar with HEDIS and risk adjustment workflows * Medicare and Medicaid provider enrollment ...

Urrly

Telehealth Nurse Practitioner

$600 - $720/day

Telehealth Nurse Practitioner Work from home and earn $600-$720 per day delivering telehealth ... Familiar with HEDIS and risk adjustment workflows * Medicare and Medicaid provider enrollment ...

Urrly

Telehealth Nurse Practitioner

$600 - $720/day

Work from home and earn $600-$720 per day delivering telehealth visits on your schedule. Active ... Familiar with HEDIS and risk adjustment workflows * Medicare and Medicaid provider enrollment ...

Urrly

Telehealth Nurse Practitioner

Madison, WI · Remote

$600 - $720/day

Work from home and earn $600-$720 per day delivering telehealth visits on your schedule. Active ... Familiar with HEDIS and risk adjustment workflows * Medicare and Medicaid provider enrollment ...

HealthEdge

Director, Risk Adjustment Products

The Director will work closely with technical and operations teams, both internally and externally ... Partner with Legal, Compliance, and Policy teams to interpret and operationalize updates from CMS ...

US Tech Solutions

Medical Billing Coder

Wellesley, MA · Remote

$20.50 - $27.50/hr

... support of the Medicare risk adjustment retrospective initiative and Risk Adjustment Data ... Prepare reports of the data gathered and received from Client's providers/members, ensuring reports ...

DaVita, Inc.

Clinical Support Auditor (IKC)

Denver, CO · On-site +1

$35.75 - $48/hr

Coding certification from AAPC or AHIMA professional coding association or additional coursework ... with Medicare Advantage programs and CMS Risk Adjustment model. * Previous work experience in ...

TEKsystems

Risk Adjustment Coding Auditor

Saint Louis, MO · Remote

$32 - $37/hr

All relevant experience including work, education, transferable skills, and military experience ... Intermediate level of knowledge in risk adjustment Medicare, ACA Commercial and Medicaid models ...

DaVita, Inc.

Clinical Support Auditor (IKC)

Denver, CO · On-site +1

$35.75 - $48/hr

Coding certification from AAPC or AHIMA professional coding association or additional coursework ... with Medicare Advantage programs and CMS Risk Adjustment model. * Previous work experience in ...

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Showing results 41-60

All JobsMedicare Risk Adjustment JobsWork From Home Medicare Risk Adjustment Jobs

Work From Home Medicare Risk Adjustment information

See salary details

$12

$22

$40

How much do work from home medicare risk adjustment jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for work from home medicare risk adjustment in the United States is $22.42, according to ZipRecruiter salary data. Most workers in this role earn between $16.11 and $27.16 per hour, depending on experience, location, and employer.

What is the difference between Work From Home Medicare Risk Adjustment vs Work From Home Medicare Coding Specialist?

AspectWork From Home Medicare Risk AdjustmentWork From Home Medicare Coding Specialist
Required CredentialsCertifications in risk adjustment, healthcare complianceMedical coding certifications (CPC, CCS)
Work EnvironmentRemote, collaborative with healthcare teamsRemote, focused on coding documentation
Employer & Industry UsageHealth plans, Medicare Advantage organizationsHospitals, billing companies, healthcare providers
Common Search & ComparisonYesNo

Work From Home Medicare Risk Adjustment involves analyzing patient data to predict healthcare costs and ensure accurate reimbursements, requiring risk adjustment certifications. In contrast, Work From Home Medicare Coding Specialists focus on reviewing medical records and assigning appropriate codes, primarily needing coding certifications. Both roles are remote and essential in the healthcare industry but serve different functions within Medicare services.

What are the key skills and qualifications needed to thrive as a work from home Medicare risk adjustment specialist?

To excel as a Work From Home Medicare Risk Adjustment Specialist, you need a deep understanding of ICD-10 coding, risk adjustment methodologies, and relevant healthcare regulations, often supported by a coding certification such as CPC, CRC, or CCS. Familiarity with electronic health record (EHR) systems, coding software, and secure remote communication platforms is crucial. Strong attention to detail, self-motivation, and effective written communication help you accurately review and document patient data while working independently. These skills ensure accurate risk score calculations, regulatory compliance, and effective collaboration with healthcare teams from a remote setting.

What are some common challenges faced when working from home in a Medicare risk adjustment role, and how can they be addressed?

One of the main challenges in a work-from-home Medicare Risk Adjustment role is maintaining effective communication with team members and providers, as much of the collaboration is virtual. Staying updated on frequently changing CMS guidelines and documentation requirements can also be demanding. To address these challenges, it's important to establish regular check-ins with your team, utilize secure digital platforms for information sharing, and dedicate time each week to review new regulations. Staying organized and building strong virtual relationships with colleagues can help ensure accuracy and efficiency in risk adjustment processes.

What is a work from home Medicare risk adjustment job?

Work From Home Medicare Risk Adjustment jobs involve evaluating and documenting patient health records to ensure accurate risk scoring for Medicare Advantage plans. Professionals in these roles typically review medical charts, identify diagnoses, and ensure documentation meets regulatory requirements, all from a remote setting. These positions help healthcare organizations receive proper reimbursement from Medicare by accurately reflecting the health status of enrollees. Strong attention to detail, knowledge of ICD-10 coding, and experience with healthcare regulations are usually required.
More about Work From Home Medicare Risk Adjustment jobs
What cities are hiring for Work From Home Medicare Risk Adjustment jobs? Cities with the most Work From Home Medicare Risk Adjustment job openings:
What states have the most Work From Home Medicare Risk Adjustment jobs? States with the most job openings for Work From Home Medicare Risk Adjustment jobs include:
What job categories do people searching Work From Home Medicare Risk Adjustment jobs look for? The top searched job categories for Work From Home Medicare Risk Adjustment jobs are:
Work From Home Medicare Risk Adjustment jobs near you
Infographic showing various Work From Home Medicare Risk Adjustment job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, and 4% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $46,633 per year, or $22.4 per hour.

Telehealth Nurse Practitioner

Urrly

Remote

$600 - $720/day

Other

Re-posted 4 days ago

Job description

Telehealth Nurse Practitioner

Work from home and earn $600–$720 per day delivering telehealth visits on your schedule. Active Wisconsin Nurse Practitioner license required. Multi-state licenses preferred.

Role Snapshot
  • Role: Telehealth Nurse Practitioner
  • Location/Type: Wisconsin • Remote (No travel)
  • Pay: $600–$720/day (1099 contractor, based on efficiency)
  • Schedule: Minimum 24 hours/week • Flexible scheduling

Preferred Availability: We are looking for providers who can consistently work weekday/daytime hours, with Thursday and Friday availability strongly preferred.

Our client is a fast-growing healthcare organization supporting Medicare and Medicaid populations through virtual care.

What You'll Do
  • Conduct comprehensive health assessments via telehealth
  • Document risk adjustment (HCC coding) during patient visits
  • Close HEDIS care gaps during visits
  • Review medical history, medications, and preventive needs
  • Document visits using ICD-10 and CPT II codes
  • Deliver clear care plans and follow-up guidance
  • Maintain accurate visit documentation for quality programs
Must-Haves
  • Active Wisconsin Nurse Practitioner license
  • Multi-state NP licenses preferred
  • 1+ year Family Medicine or Internal Medicine experience
  • Experience with Medicare and Medicaid populations
  • Familiar with HEDIS and risk adjustment workflows
  • Medicare and Medicaid provider enrollment required
  • Comfortable delivering care through telehealth platforms
  • Ability to consistently work weekday/daytime hours, with Thursday and Friday availability preferred
Nice to Have
  • Value-based care model experience
  • Annual Wellness Visit experience
  • HCC risk adjustment documentation experience
Perks & Pay
  • Pay: $600–$720 daily earning potential
  • 1099 contractor flexibility
  • Fully remote work — no commute
  • Consistent visit flow and structured workflows
  • Clear documentation processes
Schedule & Setup
  • Minimum 24 hours weekly
  • Flexible scheduling based on availability
  • Weekday/daytime availability preferred, especially Thursdays and Fridays
  • Fully remote telehealth delivery
  • No on-call and no travel
Impact & Growth

Your work expands preventive care access for Medicare and Medicaid members.

You help close care gaps and improve quality scores across populations.

You like pace and ownership. You start, finish, follow through.

At Urrly, fairness matters. We use AI to review every application against the same clear requirements for the role. This means every candidate is evaluated on job-related factors like skills, certifications, and experience—not on personal attributes such as gender, race, age, or background. Our goal is to create a more objective, consistent, and equal opportunity hiring process for all applicants.

Apply today to work from home, set your own schedule, and earn strong daily pay delivering telehealth visits across Wisconsin.

Apply