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Remote Risk Adjustment Coding Jobs in Columbus, OH

Huntington

Consumer Card Product Director

Columbus, OH · On-site +1

$225.10K - $235.70K/yr

Works closely with Risk Administration, Underwriting, Compliance, Legal, Ops, Phone Bank, and ... Remote roles will also have the opportunity to come together in our offices for moments that matter.

Huntington

Consumer Card Product Director

Columbus, OH · On-site +1

$218.90K - $229.20K/yr

Works closely with Risk Administration, Underwriting, Compliance, Legal, Ops, Phone Bank, and ... Remote roles will also have the opportunity to come together in our offices for moments that matter.

Huntington

Consumer Card Product Director

Columbus, OH · On-site +1

$218.90K - $229.20K/yr

Works closely with Risk Administration, Underwriting, Compliance, Legal, Ops, Phone Bank, and ... Remote roles will also have the opportunity to come together in our offices for moments that matter.

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Remote Risk Adjustment Coding information

See Columbus, OH salary details

$16

$20

$22

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

As of May 31, 2026, the average hourly pay for remote risk adjustment coding in Columbus, OH is $20.77, according to ZipRecruiter salary data. Most workers in this role earn between $17.40 and $22.07 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.

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 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.

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
Infographic showing various Remote Risk Adjustment Coding job openings in Columbus, OH as of May 2026, with employment types broken down into 82% Full Time, 14% Part Time, and 4% Contract. Highlights an 32% Physical, 4% Hybrid, and 64% Remote job distribution, with an average salary of $43,199 per year, or $20.8 per hour.
Manager, IT Solution Delivery

Manager, IT Solution Delivery

Blue Cross and Blue Shield of North Carolina

Columbus, OH

Other

Medical, Dental, Vision, Retirement, PTO

Posted 10 days ago

Blue Cross and Blue Shield of North Carolina rating

7.8

Company rating: 7.8 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

163rd of 259 rated insurance

Job description

Job Description

As a Domain expert in IT Healthcare Integrations and Interoperability solutions with an understanding of Healthcare Payer/Provider clinical data exchange you will own and lead valuable deliveries that improve the health experience of our members.
You will lead and manage IT teams through successful delivery of solutions to address business needs. Manage on-going maintenance of related systems. Manage relationships with business and technology partners. Performs all people leader tasks. Maintain and enforce ideal architecture for applications under your domain.
With communication needs varying from technical and detailed to business focused and "C" suite consumable, you will be centered in the heart of making the bi-directional data exchange between payers and providers a reality.

WhatYou'llDo

  • Leads an IT Solution Delivery team responsible for the successful delivery of enterprise-wide projects.

  • Align and guideyour business partners and collaborate on Deliveryroadmapto meet KPIsand Milestones.

  • Aligntechnology stack, delivery team,delivery partnerplanningand vendorpartnersto themulti-year delivery roadmap.

  • Stay up to date on the Interoperability standards, versions, ImplementationGuidesand industrymovement to keep BCBSNCin a forward position within the Interoperabilityspace.

  • Contribute and steerarchitecturesolutions and/orcollaborateswith architecture on solutions for applications under his/her domain.

  • Manage and guide the detailed design,developmentandintegrationactivities for IT solutions.

  • Provides concurrent oversight to multiple projectsgenerally accountableto a single business division.

  • Delivers complex communication of status and issues to senior leadership, VPs, and stakeholders in a clear and concise manner.

  • Accountable for managingrelationshipswithinternal and externalbusinessstakeholders,vendorsand other delivery partners.

  • Accountable for implementing technical solutions to adherewithIT guiding principles and imperatives.

  • Contribute to the evolution and delivery of the ITstrategy inclusive ofarchitectural patterns,standardsand best practices.

  • Accountable tomaintainapplicationhealth and performance through enforcement of architecture decisions that enable Blue Cross NC to better serve its members and constituents.

  • Perform analytic functions and coach team members in technical and analytical production.

  • Guides team through assessment of alternative systems approaches for workability and economic feasibility.

  • Responsible for end-to-end vendor management for IT partners.

  • Assistdepartments with strategic analysis to provide recommendations that ensure quality, cost effectiveness, goals, regulatoryrequirementsand mandates are met through IT solutions ina timelyfashion.

  • Provide direct reports with well-defined job expectations, ongoing performance feedback,accurateandtimelyperformance appraisals, coaching, mentoring, training, conflict resolution

  • Play a key role in definition of the Solution Delivery Methodology and enforce the adherence of associated procedures

What You Bring

  • Must be knowledgeable in interoperability and HL7 FHIR,FHIR work groupsand governing bodies(Da Vinci, Carin,Sequoia, NCQA, CMS, etc.).

  • Bachelor's degree or advanced degree (whererequired)

  • 3+ yearsplus ofleading IT deployment teams.

  • 8+ years of experience in relatedfield.

  • In lieu of degree, 10+ years of experience in related field.

Bonus Points

  • Payer/Provider clinical data exchange use-cases

  • background in SMART on FHIR Applications and strategies,

  • Electronic Prior Authorization (ePA), Quality Care Gaps, Risk Adjustment (HCCs) HEDIS, FHIR Implementation Guides,

  • Epic Payer Platform integration and operations,

  • or similar experiences on the Hospital Information Systems roles for the same criteria.

WhatYou'llGet

  • The opportunity to work at thecutting edgeof health care delivery with a teamthat'sdeeply invested in the community

  • Work-life balance, flexibility, and the autonomy to dogreat work

  • Medical, dental, and vision coverage along withnumeroushealth and wellness programs

  • Parental leave and support plus adoption and surrogacyassistance

  • Career development programs and tuition reimbursement for continued education

  • 401k match including an annual company contribution

  • Learn more

WhereYou'llWork

Our Hybrid Flex approach is builton presencewith a purpose - giving you flexibility to work remotely with intentional in-person connection - that supports a workplacethat'sflexible, connected, and future focused.

In a Hybrid-Flex role,you'llwork in the office at least two days a week for collaboration and connection. In a Remote Flex role,you'llwork virtually, with a few in-office visits each year formeaningfulmoments that matter.

Whether your role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in anystateslistedonthis job posting. Onsite expectations will be discussed during the interview process.

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs.Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.

*Based on annual corporate goal achievement and individual performance.

$130,560.00 - $208,896.00

Skills

Data Integration, Data Solutions, Data Warehousing (DW), Enterprise Data, Information Technology (IT), Information Technology (IT) Projects, Information Technology (IT) Services, Information Technology Infrastructure Library (ITIL), Information Technology Management, IT Leadership, IT Service Management (ITSM), People Management, Performance Analysis, Solutions Delivery, Technical Solutions, Technology Solution Delivery

_____________________________________________________________________
JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.

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