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Remote Risk Adjustment Coding Jobs in Columbus, OH

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Senior OSP Regulatory & Territory Analyst (RFP & Permitting Risk)

Plain City, OH · Remote

$50 - $57/hr

Phoenix, AZ; or Golden, CO), but highly qualified fully remote candidates will be considered. Job ... Exceptional written and verbal communication skills; ability to distill complex municipal codes ...

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Remote Risk Adjustment Coding information

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

As of Jun 19, 2026, the average hourly pay for remote risk adjustment coding in Columbus, OH is $20.09, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $21.35 per hour, depending on experience, location, and employer.

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 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.

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 Columbus, OH? For Remote Risk Adjustment Coding jobs in Columbus, OH, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coding jobs in Columbus, OH look for? The top searched job categories for Remote Risk Adjustment Coding jobs in Columbus, OH are:
What cities near Columbus, OH are hiring for Remote Risk Adjustment Coding jobs? Cities near Columbus, OH with the most Remote Risk Adjustment Coding job openings:
Remote Risk Adjustment Coding jobs near you
Lead IP Coding Quality Analyst

Lead IP Coding Quality Analyst

The Ohio State University

Columbus, OH • On-site, Remote

Full-time

Posted 8 days ago

Job description

Screen reader users may encounter difficulty with this site. For assistance with applying, please contact hr-accessibleapplication@osu.edu. If you have questions while submitting an application, please review these frequently asked questions.
Current Employees and Students:
If you are currently employed or enrolled as a student at The Ohio State University, please log in to Workday to use the internal application process.
Welcome to The Ohio State University's career site. We invite you to apply to positions of interest. In order to ensure your application is complete, you must complete the following:
  • Ensure you have all necessary documents available when starting the application process. You can review the additional job description section on postings for documents that may be required.
  • Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as it will transfer to your application.

Job Title:
Lead IP Coding Quality Analyst
Department:
Health System Shared Services | MIM CDI and Coding
Remote Position
Scope of Position
The Lead Inpatient Coding Quality Analyst serves as an advanced subject matter expert and operational lead responsible for the integrity, consistency, and defensibility of inpatient coding quality, audit execution, and regulatory compliance.
This role provides day-to-day leadership of coding quality review activities, ensuring alignment between audit findings, coding guidance, education, and enterprise priorities. The Lead supports the development and execution of a structured inpatient coding audit program, including audit tracking, reporting, corrective action planning, and follow-up validation of sustained improvements.
The position functions as a key liaison across Coding, Clinical Documentation Integrity (CDI), Quality, Revenue Cycle, and Compliance to mitigate regulatory risk, prevent DRG downgrades, and ensure accurate representation of patient severity, reimbursement, and publicly reported outcomes.
Position Summary
The Lead Inpatient Coding Quality Analyst performs advanced inpatient coding audits while providing functional leadership and oversight of coding quality analysts. This role ensures consistency in audit methodology, interpretation of coding guidelines, and application of regulatory requirements.
The Lead is responsible for coordinating audit workflows, validating audit accuracy through secondary reviews, and translating audit findings into actionable insights, education strategies, and performance improvement initiatives.
This position contributes to enterprise audit governance through structured reporting, trend analysis, and participation in compliance and quality initiatives. The role plays a critical part in supporting denial prevention, risk adjustment accuracy, and performance across quality programs including mortality, PSIs, HACs, Vizient, and U.S. News & World Report.
Minimum Qualifications
For Hire
Required
  • Associate degree in Health Information Management, Health Information Technology, or a related field.
  • Minimum of 4-8 years of recent inpatient hospital coding experience in an academic medical center or complex acute-care hospital setting.
  • Demonstrated proficiency in ICD-10-CM and ICD-10-PCS coding, including validation of principal diagnosis, CCs/MCCs, procedures, POA indicators, and MS-DRG/APR-DRG assignment.
  • Experience reviewing complex inpatient medical records for coding accuracy, compliance, and DRG integrity, including high-severity and high-risk cases.
  • Working knowledge of CMS IPPS regulations, OIG compliance expectations, payer audits, DRG validation, and advanced inpatient claim edit frameworks.
  • Experience using electronic health records (EHRs) and health information management systems, including encoder, abstracting, and audit/reporting applications.
  • Ability to apply independent judgment in evaluating coding, documentation, compliance risk, and audit findings.
  • Strong written and verbal communication skills, including the ability to provide clear, educational feedback to coding staff and collaborate with CDI, Revenue Cycle, Quality, and Compliance partners.

Preferred
  • Bachelor's degree in Health Information Administration, Health Information Management, or a related healthcare discipline.
  • Prior experience in inpatient coding quality review, auditing, denial management, or compliance-focused roles.
  • Experience in:
    • Academic medical center or large health system
    • Mortality review and quality metrics (PSI, HAC, Vizient, USNWR)
    • Denial management and appeals
    • Coding education, training, or onboarding
    • Audit program development or standardization efforts
  • Demonstrated informal leadership experience (lead, mentor, SME, or preceptor role)

Certification Requirements
One of the following credentials required:
  • Registered Health Information Administrator (RHIA)
  • Registered Health Information Technician (RHIT)
  • Certified Coding Specialist (CCS)
  • Certification must be maintained in good standing.

Ongoing Requirements
  • Maintain required continuing education credits (CEUs) in accordance with AHIMA credential standards.
  • Participate in required coding, quality, audit, and departmental meetings.
  • Complete all mandatory health system training and hospital-based learning modules (CBLs) in a timely manner.
  • Maintain current knowledge of inpatient coding guidelines, regulatory updates, and compliance initiatives.

Additional Information:
Location:
Remote Location
Position Type:
Regular
Scheduled Hours:
40
Shift:
First Shift
Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.
Thank you for your interest in positions at The Ohio State University and Wexner Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the Candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status. For answers to additional questions please review the frequently asked questions.
The university is an equal opportunity employer, including veterans and disability.

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