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Remote Risk Adjustment Coder Jobs in Columbus, OH

Certified Coder

Westerville, OH · On-site

$22 - $29.25/hr

The Certified Coder reviews CPT, HCPCS and ICD-10 coding for Physician visits and procedures. This position assures that proper documentation is present to support the codes submitted for ...

Certified Coding Specialist (CCS) OR Certified In-patient Professional Coder (CIC) * Familiarity with medical terminology * Strong data entry skills * An understanding of computer applications

Data Engineer - Healthcare

Columbus, OH · Remote

$107K - $128.50K/yr

... Risk Adjustment, and quality metrics (such as HEDIS). * Experience working with Snowflake Cloud ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

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Remote Risk Adjustment Coder information

See Columbus, OH salary details

$15

$26

$42

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

As of May 28, 2026, the average hourly pay for remote risk adjustment coder in Columbus, OH is $26.55, according to ZipRecruiter salary data. Most workers in this role earn between $18.37 and $33.41 per hour, depending on experience, location, and employer.

What Does a Remote Risk Adjustment Coder Do?

As a remote risk adjustment coder, your duties and responsibilities involve performing medical coding and reviewing medical codes for adherence to risk adjustment models. Employers may also expect you to audit medical record data to ensure accuracy. In this role, you work from home to apply codes and make assessments according to regulations and your employer’s operational policies. You also report the results of an audit to the relevant supervisor or coding service provider. It’s your job to ensure compliance with rules related to patient privacy and electronic medical record keeping.

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 ICD-10-CM coding, medical terminology, and risk adjustment models, often supported by a coding certification such as CPC, CRC, or CCS. Proficiency with electronic health record (EHR) systems, coding software, and data management tools is essential. Attention to detail, strong analytical skills, and effective communication are crucial soft skills for accurate code assignment and collaboration with healthcare teams. These skills ensure compliance, maximize reimbursement, and support quality healthcare outcomes in a remote environment.

What are the common challenges faced by Remote Risk Adjustment Coders and how can they be managed?

Remote Risk Adjustment Coders often encounter challenges such as interpreting complex medical records, ensuring coding accuracy under tight deadlines, and staying updated with evolving coding guidelines. Managing these challenges typically involves strong attention to detail, proactive communication with team members, and participating in ongoing training sessions or webinars. Utilizing supportive resources and adhering to standardized coding protocols can help coders maintain accuracy and efficiency in a remote setting.

What is a Remote Risk Adjustment Coder?

A Remote Risk Adjustment Coder is a healthcare professional who reviews patient medical records and assigns diagnostic codes from a remote location, typically from home. Their primary goal is to ensure accurate coding for risk adjustment purposes, which helps health plans predict patient healthcare costs and receive appropriate funding. These coders work with electronic health records and must be knowledgeable about coding standards like ICD-10-CM. They play a key role in supporting compliance and maximizing revenue for healthcare organizations. Attention to detail, confidentiality, and proficiency with coding software are essential skills for this remote position.

What is the difference between Remote Risk Adjustment Coder vs Remote Medical Coder?

AspectRemote Risk Adjustment CoderRemote Medical Coder
CertificationsAHIMA or AAPC Risk Adjustment certificationsAAPC CPC, CCS, or RHIT certifications
Work EnvironmentHealthcare insurance, payer organizations, risk adjustment teamsHospitals, clinics, physician offices, insurance companies
Industry UsagePrimarily in health insurance and risk adjustment programsBroad healthcare settings including hospitals and outpatient clinics

Remote Risk Adjustment Coders focus on analyzing patient data for insurance risk models, requiring specific risk adjustment certifications. Remote Medical Coders handle a wider range of medical records coding across various healthcare settings. While both roles involve medical coding, their industries, certifications, and primary tasks differ significantly.

What are popular job titles related to Remote Risk Adjustment Coder jobs in Columbus, OH? For Remote Risk Adjustment Coder jobs in Columbus, OH, the most frequently searched job titles are:
What cities near Columbus, OH are hiring for Remote Risk Adjustment Coder jobs? Cities near Columbus, OH with the most Remote Risk Adjustment Coder job openings:
Infographic showing various Remote Risk Adjustment Coder job openings in Columbus, OH as of May 2026, with employment types broken down into 86% Full Time, and 14% Part Time. Highlights an 100% Remote job distribution, with an average salary of $55,232 per year, or $26.6 per hour.
Certified Coder

$22 - $29.25/hr

Full-time

Posted 22 days ago


Central Ohio Primary Care rating

7.2

Company rating: 7.2 out of 10

Based on 34 frontline employees who took The Breakroom Quiz

326th of 864 rated healthcare providers


Job description

The Certified Coder reviews CPT, HCPCS and ICD-10 coding for Physician visits and procedures. This position assures that proper documentation is present to support the codes submitted for reimbursement. The Certified Coder reviews claims prior to submission to ensure necessary modifiers are included to provide optimal reimbursement. The responsibilities also include assisting the Insurance Claims Specialists with filing appeals when needed and the Patient Account Representatives when patients may have questions related to coding.
  • Full-Time/Benefits Eligible
  • Monday-Friday - 8a-5p
  • Westerville, OH

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
• Review physician progress notes for necessary documentation prior to locking of notes.
• Work claims prior to submission to ensure that the codes are correct and necessary modifiers have been appended.
• Work actions from sites and other teams in Revenue Cycle to assist in coding queries.
• Assist Physicians in learning how to do correct coding.
• Act as resource to Physicians and Revenue Cycle team on coding related questions and issues.
• Participate in education activities such as courses and seminars, both within the company and outside.
QUALIFICATIONS:
Preferred: Minimum 1 year of experience as a certified coder
Education, Licensures & Certifications
Required: High School diploma or GED
Required: Certification from either AAPC or AHIMA for Medical Coding
Required: Maintain coding certification
Knowledge, Skills & Abilities
• Extensive knowledge of CPT, ICD-10 and HCPCS coding
• Ability to demonstrate a high level of confidentiality
• Ability to learn and use new software programs
• Ability to examine documents for accuracy and completeness
• Ability to communicate both verbally and written clearly and precisely
• Working knowledge of Microsoft Teams, Word, Excel and Outlook
• Self-motivated with the ability to work independently or as a team member
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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