Remote Risk Adjustment Coding Jobs
Remote risk adjustment coding jobs are open across the U.S. at remote-first health plans, distributed managed care organizations, and outsourced HCC coding vendors. Employers hiring remotely right now include Oscar Health, Health Care Service Corporation, and Alignment Healthcare. See the openings below and apply to the ones that match your experience.
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We are hiring a Risk Adjustment Medical Record Coder at BCBST!
In this role, you will support accurate and compliant coding practices by performing first-pass reviews of member medical records to identify and capture active conditions that map to risk values. You’ll play an important role in ensuring documentation accuracy while contributing to overall quality and compliance within the Risk Adjustment & Quality Division.
You will contribute to team success by working collaboratively in a remote environment, engaging in team chats, and supporting peers as needed. Your proactive mindset and commitment to continuous learning will help you stay current in an evolving healthcare landscape while strengthening overall team capability.
To be successful in this position, you’ll bring strong attention to detail, coding expertise, and the ability to work independently. Ideal candidates will have experience in HCC (Hierarchical Condition Category) coding, particularly within Medicare Advantage, ACA programs, and Medicaid programs.
We foster a culture where innovation is encouraged. That includes using AI-enabled tools responsibly to support everyday work—guided by proven workflows, templates, and policies. As roles become more advanced, we expect employees to leverage AI more broadly to enhance accuracy, efficiency, and outcomes.
Note:
- This is a remote, day-shift position working standard shift hours; 8am-5pm ET
- Candidates should be comfortable working independently while maintaining strong engagement with the team
Job Responsibilities
- Maintain compliance with CMS risk adjustment diagnosis coding guidelines.
- Perform comprehensive 1st pass reviews of medical records and physician assessment forms (HCC coding).
- Assist with the intake and quality assurance of medical records as necessary.
- Perform or participate in special projects as directed by management.
- ICD-10 Coding assessment is required.
Job Qualifications
Education
Associates degree or equivalent work experience required. Equivalent experience is defined as 2 years of professional work experience.
Experience
1 year - Progressive medical coding and health care experience required.
Skills\Certifications
- Professional coding certification from AHIMA or AAPC (CPC, CCS, RHIT, RHIA).
- Must acquire the Certified Risk Adjustment Coder (CRC) certificate from AAPC within one year, after completed training.
- Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
- Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint).
- Proven analytical and problem-solving skills and ability to perform non-routine analytical tasks.
- Must be a team player, be organized and have the ability to handle multiple projects.
- Excellent oral and written communication skills.
- Strong interpersonal and organizational skills.
- Understanding of ICD-10 coding standards required.
Number of Openings Available
1
Worker Type:
Employee
Company:
BCBST BlueCross BlueShield of Tennessee, Inc.
Applying for this job indicates your acknowledgement and understanding of the following statements:
BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.
Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:
BCBST's EEO Policies/Notices
BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.
We are hiring a Risk Adjustment Medical Record Coder at BCBST!
In this role, you will support accurate and compliant coding practices by performing first-pass reviews of member medical records to identify and capture active conditions that map to risk values. You’ll play an important role in ensuring documentation accuracy while contributing to overall quality and compliance within the Risk Adjustment & Quality Division.
You will contribute to team success by working collaboratively in a remote environment, engaging in team chats, and supporting peers as needed. Your proactive mindset and commitment to continuous learning will help you stay current in an evolving healthcare landscape while strengthening overall team capability.
To be successful in this position, you’ll bring strong attention to detail, coding expertise, and the ability to work independently. Ideal candidates will have experience in HCC (Hierarchical Condition Category) coding, particularly within Medicare Advantage, ACA programs, and Medicaid programs.
We foster a culture where innovation is encouraged. That includes using AI-enabled tools responsibly to support everyday work—guided by proven workflows, templates, and policies. As roles become more advanced, we expect employees to leverage AI more broadly to enhance accuracy, efficiency, and outcomes.
Note:
- This is a remote, day-shift position working standard shift hours; 8am-5pm ET
- Candidates should be comfortable working independently while maintaining strong engagement with the team
Job Responsibilities
- Maintain compliance with CMS risk adjustment diagnosis coding guidelines.
- Perform comprehensive 1st pass reviews of medical records and physician assessment forms (HCC coding).
- Assist with the intake and quality assurance of medical records as necessary.
- Perform or participate in special projects as directed by management.
- ICD-10 Coding assessment is required.
Job Qualifications
Education
Associates degree or equivalent work experience required. Equivalent experience is defined as 2 years of professional work experience.
Experience
1 year - Progressive medical coding and health care experience required.
Skills\Certifications
- Professional coding certification from AHIMA or AAPC (CPC, CCS, RHIT, RHIA).
- Must acquire the Certified Risk Adjustment Coder (CRC) certificate from AAPC within one year, after completed training.
- Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
- Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint).
- Proven analytical and problem-solving skills and ability to perform non-routine analytical tasks.
- Must be a team player, be organized and have the ability to handle multiple projects.
- Excellent oral and written communication skills.
- Strong interpersonal and organizational skills.
- Understanding of ICD-10 coding standards required.
Number of Openings Available
1
Worker Type:
Employee
Company:
BCBST BlueCross BlueShield of Tennessee, Inc.
Applying for this job indicates your acknowledgement and understanding of the following statements:
BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.
Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:
BCBST's EEO Policies/Notices
BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.
See All 10 Remote Risk Adjustment Coding Jobs
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Find JobsRemote Risk Adjustment Coding Job Market
Who's Hiring
- Oscar Health4
- Health Care Service Corporation2
- Alignment Healthcare1
- Mass General Brigham1
- BayCare Health System1
Top Industries Hiring
- Insurance7
- Healthcare & Medical Services2
What Employers Look For
The qualifications that appear most often in remote risk adjustment coding jobs.
- CPC, CRC, or equivalent AAPC/AHIMA coding certification required
- Proficiency in ICD-10-CM diagnosis coding and HCC mapping
- Experience with Medicare Advantage or Medicaid managed care risk adjustment
- Familiarity with coding software and electronic health record platforms
- Strong knowledge of clinical documentation and medical terminology
- Associate or bachelor's degree in health information management or a related field
Tips for Your Remote Risk Adjustment Coding Job Search
Apply early to remote roles that fit
Migrate Mate lists remote risk adjustment coding openings from across the U.S. in one place, so you can find roles that match your HCC experience and payer background and apply directly without sorting through unrelated postings.
Signal async productivity in your resume
Remote hiring managers want proof you meet productivity targets without supervision. Quantify your daily or weekly coding volume, chart audit accuracy rates, and name the remote coding platforms you've used, such as Optum360 or 3M CodeFinder, to show you're already set up to work independently.
Earn a remote-relevant credential before applying
The CRC from AAPC is the credential remote risk adjustment teams screen for first. Pairing it with payer-specific training in CMS-HCC or HHS-HCC risk models makes your application stand out in distributed team hiring, where self-sufficiency is assumed from the start.
Prepare for virtual coding assessments upfront
Most remote risk adjustment employers require a live or timed ICD-10-CM coding assessment during the interview process. Practice under timed conditions using the same code sets your target companies use, so you can demonstrate accuracy on screen without the support of an on-site reference library.
Build a remote-ready home office setup early
Remote risk adjustment roles typically require HIPAA-compliant workspaces, a wired internet connection, and dual monitors. Documenting your home office setup in your application or during the interview shows employers you're prepared for compliance and productivity requirements before your first day.
Remote Risk Adjustment Coding Jobs: Frequently Asked Questions
How do I get a remote risk adjustment coding job?
Target employers that run fully remote coding teams, such as national health plans, risk adjustment service organizations, and value-based care companies with distributed workforces. Remote employers screen for strong knowledge of HCC coding guidelines, ICD-10-CM accuracy, and the ability to meet productivity benchmarks without on-site supervision. Proficiency with cloud-based coding platforms and clear written communication give candidates a concrete edge over in-office applicants making the switch.
Which companies hire remote risk adjustment codings?
Employers currently hiring remote risk adjustment codings include Oscar Health, Health Care Service Corporation, and Alignment Healthcare, per current remote listings on Migrate Mate as of June 2026. Most are remote-first health plans, managed care organizations, and outsourced risk adjustment vendors that rely on distributed coding teams to process large volumes of medical records across multiple payer markets.
Can you get a remote risk adjustment coding job with no experience?
Yes, but remote entry-level risk adjustment coding roles are harder to land because you must demonstrate independent work habits from day one without on-site mentorship. Companies that outsource high-volume HCC coding sometimes hire entry-level coders remotely. Completing a formal coding program, earning a CRC or CPC credential, and showing documented practice audits or mock coding projects can substitute for direct employer experience when applying remotely.
Do you need a degree for remote risk adjustment coding jobs?
Not always. Remote employers in risk adjustment coding typically weight industry credentials, such as the CRC, CPC, or COC, alongside demonstrated HCC coding accuracy far more heavily than a four-year degree. What opens doors remotely is a verifiable record of coding productivity, payer-specific documentation experience, and familiarity with risk adjustment models like CMS-HCC or HHS-HCC rather than any particular academic credential.
Which industries hire the most remote risk adjustment codings?
Most remote risk adjustment coding openings sit in Insurance and Healthcare & Medical Services, per current remote listings on Migrate Mate as of June 2026. These sectors depend on distributed coding teams because their operations, member populations, and payer contracts are spread across multiple states, making remote coders a practical and cost-effective staffing model.
See All 10 Remote Risk Adjustment Coding Jobs
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