Remote Risk Adjustment Coder Jobs
Remote risk adjustment coder jobs are in strong demand across the U.S., with remote-first payers, distributed health plan teams, and risk adjustment vendors actively hiring coders who can work independently. Employers hiring remotely right now include AnewHealth, Oscar Health, and HealthPartners. Scan the live roles below and apply to whichever ones fit.
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See related jobsHi, we're Oscar. We're hiring a Risk Adjustment Coder Specialist to join our Risk Adjustment team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.
About the role:
The Senior Specialist, Risk Adjustment for Medicare Advantage (MA) and Affordable Care Act (ACA) lines of business will work closely with management to meet communicated individual and departmental goals, deadlines set forth by Centers for Medicare & Medicaid Services (CMS) and Health and Human Services (HHS) , and be active and engaged in establishing effective Risk Adjustment processes.
You will report into the Manager, Risk Adjustment.
Work Location: This position is fully remote and open to candidates residing in the U.S., excluding Alaska; Delaware; Hawaii; Louisiana; Montana; North Dakota; Oklahoma; West Virginia; Wyoming; and U.S. Territories. Daily work is completed from your home office, with occasional travel required for team meetings and company events. #LI-Remote
Pay Transparency: The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $75,348 - $98,894 per year. The base pay for this role in all other locations is: $67,813 - $89,005 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities:
- Responsible for daily operations pertaining to Risk Adjustment including but not limited to: medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential CMS audits and medical record retrieval efforts.
- Maintain compliance with national standards and coding practices set by the ICD-10-CM coding guidelines for accuracy, as well as compliance with Risk adjustment production standards.
- Participate in CMS audits of Risk Adjustment activities, including but not limited to Risk Adjustment Data Validation audits.
- Develop relationships with key individuals to foster an increased understanding of the Risk Adjustment process.
- Support in the identification of document improvement opportunities for provider education in both MA and ACA line of business.
- Identify process improvements to enhance medical encounter review efficiency.
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements:
- Bachelor's degree in a relevant field of study or commensurate work experience.
- Certified professional coder (CPC)
- 2+ year(s) retrospective risk adjustment coding experience.
Bonus points:
- Certified Risk Adjustment Coder (CRC) or similar certification
- Experience coding in a variety of different Electronic Medical Record (EMR) systems.
Travel required - upto 5%
This is an authentic Oscar Health job opportunity.
At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care - an experience made whole by our unique backgrounds and perspectives.
Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.
California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.
Hi, we're Oscar. We're hiring a Risk Adjustment Coder Specialist to join our Risk Adjustment team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.
About the role:
The Senior Specialist, Risk Adjustment for Medicare Advantage (MA) and Affordable Care Act (ACA) lines of business will work closely with management to meet communicated individual and departmental goals, deadlines set forth by Centers for Medicare & Medicaid Services (CMS) and Health and Human Services (HHS) , and be active and engaged in establishing effective Risk Adjustment processes.
You will report into the Manager, Risk Adjustment.
Work Location: This position is fully remote and open to candidates residing in the U.S., excluding Alaska; Delaware; Hawaii; Louisiana; Montana; North Dakota; Oklahoma; West Virginia; Wyoming; and U.S. Territories. Daily work is completed from your home office, with occasional travel required for team meetings and company events. #LI-Remote
Pay Transparency: The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $75,348 - $98,894 per year. The base pay for this role in all other locations is: $67,813 - $89,005 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities:
- Responsible for daily operations pertaining to Risk Adjustment including but not limited to: medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential CMS audits and medical record retrieval efforts.
- Maintain compliance with national standards and coding practices set by the ICD-10-CM coding guidelines for accuracy, as well as compliance with Risk adjustment production standards.
- Participate in CMS audits of Risk Adjustment activities, including but not limited to Risk Adjustment Data Validation audits.
- Develop relationships with key individuals to foster an increased understanding of the Risk Adjustment process.
- Support in the identification of document improvement opportunities for provider education in both MA and ACA line of business.
- Identify process improvements to enhance medical encounter review efficiency.
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements:
- Bachelor's degree in a relevant field of study or commensurate work experience.
- Certified professional coder (CPC)
- 2+ year(s) retrospective risk adjustment coding experience.
Bonus points:
- Certified Risk Adjustment Coder (CRC) or similar certification
- Experience coding in a variety of different Electronic Medical Record (EMR) systems.
Travel required - upto 5%
This is an authentic Oscar Health job opportunity.
At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care - an experience made whole by our unique backgrounds and perspectives.
Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.
California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.
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Find JobsRemote Risk Adjustment Coder Job Market
Who's Hiring
What Employers Look For
The qualifications that appear most often in remote risk adjustment coder jobs.
- CRC (Certified Risk Adjustment Coder) or CPC credential required or strongly preferred
- Proficiency with CMS-HCC model and hierarchical condition category coding
- Experience with prospective or retrospective medical record review and chart abstraction
- Knowledge of ICD-10-CM coding guidelines as they apply to chronic condition documentation
- Familiarity with risk adjustment data validation (RADV) audit processes
- High school diploma or associate degree, with two or more years of coding experience
Tips for Your Remote Risk Adjustment Coder Job Search
Apply early to remote roles that fit
Migrate Mate lists remote risk adjustment coder openings from across the U.S. in one place, so you can find roles that match your credentials and apply directly without sifting through unrelated postings.
Lead your resume with HCC coding accuracy
Remote risk adjustment employers screen resumes for HCC capture rates, audit accuracy percentages, and specific risk adjustment models you have coded against, such as CMS-HCC or HHS-HCC. Put those numbers above your credentials, not below.
Show async communication skills in your application
Remote risk adjustment teams coordinate almost entirely through written channels. Use your cover message to demonstrate clear, concise writing and reference your experience querying providers or escalating coding questions through documentation rather than in-person conversation.
List the EHR and coding platforms you know
Remote employers want coders who can operate independently in their existing tech stack from day one. Name every EHR, encoder, and risk adjustment platform you have used, including Epic, Optum360, or any proprietary payer system, in a dedicated skills section.
Remote Risk Adjustment Coder Jobs: Frequently Asked Questions
How do I get a remote risk adjustment coder job?
Remote risk adjustment coder roles go to candidates who can demonstrate accurate, unsupervised coding and clear written communication from day one. Remote employers screen for proficiency in HCC coding, strong knowledge of ICD-10-CM, and experience with risk adjustment models like CMS-HCC or HHS-HCC. A current CPC, CRC, or CPMA credential gives you a concrete edge, and showing a home office setup and experience with EHR platforms reinforces that you can deliver without in-person oversight.
Which companies hire remote risk adjustment coders?
Companies hiring remote risk adjustment coders right now include AnewHealth, Oscar Health, and HealthPartners, based on current remote listings on Migrate Mate as of November 2026. Remote openings for this role concentrate at managed care organizations, Medicare Advantage health plans, and third-party risk adjustment vendors that run distributed coding teams.
Can you get a remote risk adjustment coder job with no experience?
Yes, but remote entry-level risk adjustment coder roles are harder to land because employers expect you to work through chart reviews and coding queries without direct supervision from day one. Candidates who break in remotely typically hold a CRC or CPC credential, have completed a risk adjustment coding practicum, and can show sample audit work or mock HCC coding projects that demonstrate accuracy without needing hands-on guidance.
Do you need a degree for remote risk adjustment coder jobs?
Not always. Remote employers in risk adjustment weight active coding credentials like the CRC, CPC, or CPMA heavily alongside demonstrated HCC coding accuracy. A health information management or related degree helps, but candidates who hold current credentials, show clean audit rates, and have hands-on experience with risk adjustment platforms routinely land remote roles without a four-year degree.
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