Remote Risk Adjustment Coder

HealthCare Support; Remote; USD 65,000 - 78,000; Full time

Job summary

A healthcare staffing company is seeking a Remote Risk Adjustment Coder II to support its Virginia market. This position involves accurate HCC risk adjustment coding, provider education, and collaboration with clinical teams to enhance documentation quality. The role requires certification as a CPC and CRC, along with 3 years of risk adjustment coding experience. Benefits include medical coverage, paid time off, and a 401(k) plan. This is a remote position with quarterly travel required.

Benefits

Medical, Dental, and Vision Coverage

Complimentary access health plan option

Paid Time Off

401(k) with Company Match

Employee Stock Purchase Plan

Qualifications

• 3+ years of hands-on risk adjustment coding experience.
• Must be open to traveling to provider sites within Virginia at least once per quarter.
• Reliable transportation and valid Driver’s License.

Responsibilities

• Review and audit medical records for accurate HCC risk adjustment coding.
• Educate providers on documentation improvement and coding accuracy.
• Collaborate with physicians and clinical staff to address coding and compliance questions.
• Support audits, quality initiatives, and process improvement efforts.
• Track productivity and performance metrics.

Skills

Certified Professional Coder (CPC)

Certified Risk Adjustment Coder (CRC)

Proficient in Excel

Proficient in PowerPoint

Tools

EHR systems

Healthcare coding software

Job description

Remote Risk Adjustment Coder (Virginia): up to $78,000/year!

HealthCare Support is actively seeking a Remote Risk Adjustment Coder II to support a growing healthcare organization’s Virginia market. This role focuses on accurate HCC risk adjustment coding, provider education, and collaboration with clinical teams to improve documentation quality and compliance across Medicare Advantage, ACO, and Commercial populations. This is a remote position with quarterly travel to provider offices within Virginia.

Shift

Monday – Friday 8:00am – 5:00pm EST

Compensation Notes

$65,000 – $78,000+/year

Daily Responsibilities For Remote Risk Adjustment Coder II

• Review and audit medical records for accurate HCC risk adjustment coding (ICD-10).
• Educate providers through 1:1 and group sessions (in-person and virtual) on documentation improvement and coding accuracy.
• Collaborate directly with physicians and clinical staff to address coding, compliance, and audit-related questions.
• Support internal and external audits, quality initiatives, and process improvement efforts.
• Track productivity and performance metrics, including coding volume and chart review targets.
• Review an average of 50 complete member records per day.
• Utilize reporting tools and systems to generate, manipulate, and present data related to coding outcomes.
• Maintain accurate documentation within CRM and tracking systems.
• Stay current on CMS, payer, and regulatory guidelines related to risk adjustment.
• Serve as a senior resource by supporting training, mentoring, and project-based initiatives.

Benefits For Remote Risk Adjustment Coder II

• Medical, Dental, and Vision Coverage
• Complimentary access health plan option for employees
• Paid Time Off
• 401(k) with Company Match
• Employee Stock Purchase Plan

Required Qualifications For Remote Risk Adjustment Coder II

• Certified Professional Coder (CPC) AND Certified Risk Adjustment Coder (CRC) through AAPC.
• 3+ years of hands‑on risk adjustment coding experience.
• Must be open to traveling to provider sites within Virginia at least once per quarter (travel reimbursed).
• Reliable transportation and valid Driver’s License.
• Strong proficiency in Excel (reports, pivot tables, VLOOKUP) and PowerPoint.
• Experience using EHR systems and healthcare coding software.

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Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.