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Sarah Jenkins
Remote Risk Adjustment Coder jobs in the United States
Job type
Min. salary, $/year
Level
The demand for skilled medical coding professionals continues to rise as healthcare organizations across the USA seek accuracy and compliance in risk adjustment reporting. We currently have 187 risk adjustment coder remote jobs open, offering motivated professionals a chance to join a dynamic, fully remote team. This opportunity suits candidates who thrive on precision and want flexibility without sacrificing career growth.
Success in this role requires a strong command of ICD-10-CM coding guidelines, HCC methodology, and CMS compliance standards. Employers hiring a risk adjustment coder look for professionals with certification such as CPC or CRC, sharp analytical skills, and the ability to interpret clinical documentation with precision. Familiarity with electronic health record systems and a keen eye for compliance details also set top candidates apart in this competitive field.
Remote risk adjustment coder positions have become increasingly common nationwide, allowing professionals to collaborate with healthcare teams from anywhere in the USA. This flexible setup supports a healthy work-life balance while meeting the growing need for accurate coding and scoring across insurance and provider networks. As telehealth and value-based care expand, hiring outlook for remote coding talent remains strong throughout the country.
If you're ready to advance your coding career, explore the latest risk adjustment coder vacancies available through Global Work AI. Our platform connects dedicated professionals with employers eager to hire a risk adjustment coder who values accuracy, integrity, and remote flexibility. Take the next step today and find the role that matches your expertise.
Allstate
Grant settlement authority on complex claims, provide recommendations for trial cases, and oversee large losses. Perform file reviews, analyze data, and support field teams with coverage issues. Collaborate with various teams to share trends and develop claim bulletins for new products.
remote, United States$85k/yrFull TimeJunior (<2 years)
WVU Medicine
Lead the enterprise risk adjustment strategy and operations, ensuring compliance and accuracy in member risk data capture and submission. Oversee coding standards, quality assurance, and performance management across the risk adjustment lifecycle.
remote, United StatesFull TimeDirector
Jobgether
Oversee complex homeowner property losses, identify recovery opportunities, and drive investigations from assessment to resolution. Manage relationships with external vendors and legal counsel, ensuring evidence preservation and liability establishment.
remote, United States$81k – $96k/yrFull TimeSenior (5+ years)Jobgether
Develop and maintain financial models, oversee monthly revenue and expense forecasts, and produce management reporting packages. Act as a financial business partner, translating complex data into clear recommendations for executive audiences.
remote, United States$100k – $112k/yrFull TimeSenior (5+ years)Jobgether
Manage complex environmental liability and toxic tort claims, ensuring accurate coverage assessments and effective resolutions. Investigate pollution incidents and related claims, evaluate liability and financial exposure, and negotiate settlements.
remote, United States$124k – $160k/yrFull TimeSenior (5+ years)
Oscar Health
Lead ACA risk adjustment financial reporting and forecasting, including monthly close and audits. Develop strategic insights on risk scores and market morbidity analysis. Manage executive-facing reporting and deliver presentations to senior leadership.
remote, United States$197k – $287k/yrFull TimeDirectorOscar Health
Develop predictive models for risk scores and ACA market morbidity, collaborating with actuaries and data scientists. Maintain and enhance risk adjustment reporting and forecasting models. Conduct analyses on risk adjustment performance drivers and lead quarterly audit deliverables.
remote, United States$148k – $215k/yrFull TimeSenior (5+ years)Oscar Health
Conduct daily operations related to Risk Adjustment, including medical record reviews and reporting ICD-10-CM diagnosis codes. Ensure compliance with national coding standards and participate in CMS audits.
remote, United States$68k – $99k/yrFull TimeJunior (<2 years)
HealthEdge
Support financial planning and analysis for the Risk Adjustment organization, building financial models for P&L, preparing monthly forecasts, and management reporting. Develop financial analyses and presentation materials for executive reviews, translating complex data into clear insights.
remote, United States$100k – $112k/yrFull TimeSenior (5+ years)
Reveleer
Ensure clinical resources meet quality scores based on QA standards. Support the clinical QA and Training team in achieving quality and productivity outcomes. Oversee coding processes, provide feedback on error trends, and assist in creating action plans.
remote, United StatesFull TimeLead / Manager
Franciscan Medical Group
Conduct comprehensive audits of financial records and regulatory compliance. Identify risks, evaluate internal controls, and provide recommendations to enhance performance and mitigate fraud.
remote, Tacoma, WA, United StatesFull TimeJunior (<2 years)
Highmark Health
Manage and deliver Risk Adjustment Programs, ensuring alignment with strategic objectives. Lead project teams, develop business cases, and oversee engagement deliverables. Collaborate with executive leadership and stakeholders to communicate project status and evaluate risks.
remote, United States$103k – $165k/yrFull TimeLead / Manager
Centauri Health Solutions
Conduct coding quality reviews on internal and external coders to ensure accurate assignment of diagnoses based on clinical documentation. Provide formal reports on audit findings and conduct education for coders.
remote, United StatesFull TimeSenior (5+ years)Health Choice Network
Conduct medical record reviews to ensure documentation quality and coding accuracy. Develop and deliver education programs for providers and clinical teams on documentation best practices. Collaborate with health plans on risk adjustment initiatives and support auditing activities.
remote, United StatesFull TimeMiddle (2-4 years)
EXL
Conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure accuracy in DRG assignment and reimbursement. Utilize advanced DRG encoder tools to drive efficiency and accuracy in audits. Craft clear audit findings backed by coding guidelines and regulations.
remote, United States$73k – $99k/yrFull TimeMiddle (2-4 years)
TEKsystems
Evaluate risk adjustment codes for accuracy and compliance with coding standards. Conduct retrospective and prospective chart reviews to ensure accurate reporting. Verify provider-reported diagnosis codes against medical records and maintain compliance with regulatory mandates.
remote, IL, United States$65k – $75k/yrFull TimeSenior (5+ years)
Centene Corporation
Manage risk adjustment and quality improvement processes for assigned products. Develop action plans and operational workflows, collaborating with various departments. Evaluate risk adjustment strategies and prepare dashboards for senior management to identify improvement opportunities.
remote, AZ, United States$88k – $158k/yrFull TimeLead / ManagerCentene Corporation
Conduct medical record audits and analyze practice coding patterns. Provide education and training on risk adjustment to ensure accurate CMS payments. Collaborate with departments to ensure compliance with CMS guidelines and develop interventions based on MRA data analysis.
remote, NV, United States$56k – $101k/yrFull TimeSenior (5+ years)
OU Health
Perform complex professional coding for various medical encounters and procedures, ensuring accurate sequencing and documentation alignment. Resolve coding-related denials and edits, applying payer policies and coding rules.
remote, KS, United StatesFull TimeMiddle (2-4 years)
Cano Health
Identify, collect, assess, and document claims and encounter coding information. Review medical records for accurate coding based on CMS HCC categories, prepare medical charts, and track patient information.
remote, Jupiter, FL, United StatesFull TimeJunior (<2 years)
Bluestone Physician Services
Conduct thorough patient chart reviews to identify documentation gaps and opportunities for risk adjustment coding improvement. Collaborate with providers to educate on accurate documentation for risk adjustment. Provide ongoing training and support to enhance understanding of coding guidelines.
remote, FL, United States$60k – $75k/yrFull TimeJunior (<2 years)
Greater Good Health
Conduct retrospective CDI chart reviews to ensure compliant and optimized coding. Design and execute coding audits, identify documentation gaps, and support claim corrections. Collaborate with clinical and revenue teams to resolve coding queries and develop educational content for clinical staff.
remote, United StatesFull TimeJunior (<2 years)
CenterWell
Manage a team of consultative coders to ensure accurate clinical documentation and coding. Collaborate with Divisional Coding Leaders to develop strategies for documentation improvement.
remote, FL, United States$86k – $119k/yrFull TimeLead / Manager
ArchWell Health
Analyze HCC submissions and rejections, manage chart-retrieval workflows, and ensure accurate data ingestion for care-gaps and clinical documentation. Perform monthly validation of HCC submissions and track payer acceptance trends.
remote, Nashville, TN, United StatesFull TimeMiddle (2-4 years)Centene Corporation
Plan, organize, and oversee risk adjustment projects, tracking monthly goals and assigning tasks to Risk Adjustment Coordinators. Manage the full project life cycle, including requirements gathering, project plans, and resource management.
remote, United States$70k – $126k/yrFull TimeMiddle (2-4 years)
ClinDCast LLC
Conduct medical record reviews to identify and validate reportable diagnoses. Perform coding reviews and audits, ensuring accurate diagnosis code assignment per ICD-10-CM and CMS guidelines. Identify discrepancies and compliance issues, maintaining audit documentation and records of findings.
remote, United StatesFull TimeJunior (<2 years)
Astrana Health, Inc.
Coordinate Medicare Administrative Contractor (MAC) portal access, facilitate communication between practices and coding teams, and support documentation corrections and diagnosis code updates. Maintain tracking logs for medical record requests and assist with quality audits and coding reviews.
remote, MD, United States$44k – $56k/yrFull TimeEntry with Degree
AnewHealth
Review and analyze medical records to code diagnostic and procedural information accurately. Ensure compliance with CMS and HIPAA regulations while optimizing reimbursement. Perform risk adjustment data validations and maintain strong partnerships with clients and co-workers.
remote, United StatesFull TimeJunior (<2 years)
Elevance Health
Audit diagnosis data from physician and hospital medical records for ICD-9/ICD-10 coding compliance. Assist with National and Targeted Risk Adjustment Data Validation audits. Represent the department in business leadership groups and identify training opportunities.
remote, MO, United StatesFull TimeSenior (5+ years)
Altais
The Senior Coding Analyst will code medical records for HCC coding, support risk adjustment and data validation efforts, and provide analytics and education to provider offices.
remote, United States$50k – $60k/yrFull TimeSenior (5+ years)
Datavant
Build and maintain pacing trackers for project progress, develop forecasting models for volume and resourcing needs, and partner with Finance for capacity planning. Design dashboards for real-time project visibility, analyze vendor performance, and support scenario planning.
remote, United States$103k – $121k/yrFull TimeSenior (5+ years)
Lumeris
Manage and implement Risk Adjustment strategies for clients, developing educational programs and training materials. Collaborate with internal teams to enhance Clinical Documentation Improvement and Coding Education.
remote, United States$98k – $132k/yrFull TimeSenior (5+ years)Highmark Health
Conduct coding audits, reviewing medical records for accuracy in coding, billing, and documentation. Develop and deliver training programs to address deficiencies, and provide written audit guidance.
remote, PA, United States$56k – $89k/yrFull TimeSenior (5+ years)
Devoted Health
Lead clinical documentation integrity initiatives, ensuring compliance with ICD-10-CM coding guidelines and CMS regulations. Design and maintain clinical documentation guidance and educational materials for providers.
remote, United States$73k – $115k/yrFull TimeMiddle (2-4 years)
Wellbe Senior Medical
Conduct clinical documentation audits, evaluate medical records for compliance, and identify documentation risks. Deliver peer-level education to improve documentation practices and escalate complex cases to leadership.
remote, United StatesFull TimeMiddle (2-4 years)Wellbe Senior Medical
Lead and manage the coding team, setting goals and monitoring performance. Oversee documentation and coding operations, ensuring compliance with quality standards. Implement operational controls and audit protocols, and analyze performance data to drive improvements.
remote, United StatesFull TimeLead / Manager
Community Care Cooperative
Design and deliver provider education programs on risk adjustment documentation and coding accuracy. Analyze performance data to identify trends and educational opportunities. Collaborate with health centers to enhance documentation practices and coding outcomes.
remote, United StatesFull TimeMiddle (2-4 years)
company
Oversee daily operations of the Risk Adjustment Quality Assurance Auditor team, ensuring compliance with regulatory standards. Conduct audits, monitor coding accuracy, and manage audit staff performance.
remote, Albany, NY, United States$72k – $129k/yrFull TimeLead / Manager
U.S. Renal Care, Inc.
Support the Risk Adjustment Department by coding charts and queries for the Chronic Disease Managed Visit Program. Collaborate with the Lead Coder and Nurse Practitioners to review progress notes, track completed charts, and maintain communication regarding coding queries.
remote, United States$50k – $71k/yrFull TimeJunior (<2 years)
Molina Healthcare
Investigate and resolve healthcare fraud and abuse cases by reviewing medical claims and records. Ensure compliance with CPT guidelines and regulatory requirements while managing caseloads.
remote, Long Beach, CA, United StatesFull TimeJunior (<2 years)10,000,000+ more jobs available!
