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Freelance Remote Risk Adjustment Coder Jobs in New York

eTeam

Medical Coder

Newark, NJ · Remote

$40 - $42/hr

Professional Coder I Duration: 6+ Months Location: Newark, NJ 07105 Pay Rate: $40 - $42/hr on W2 ... This position supports Annual Commercial (ACA) and Medicare Advantage Risk Adjustment Data ...

EmblemHealth

Staff Actuary - Valuation

New York, NY · Remote

REMOTE Summary of Position * Provide the analytical resources necessary for the development of ... Work closely with Risk Adjustment and other areas to optimize risk adjustment and related programs ...

EmblemHealth

Staff Actuary - Medicare

New York, NY · On-site +1

REMOTE Summary: * Provide the analytical resources necessary for the development of overall pricing ... Work closely with Risk Adjustment and other areas to optimize risk adjustment and related programs ...

EmblemHealth

Lead Audit Specialist - Remote

New York, NY · On-site +1

$77K - $149K/yr

... risk adjustment. Manage vendor relationships and contracts to ensure audit vendors follow best ... and reducing coding errors; manage efforts to enhance RADV audit coordination workflows.

Advanced Medical Management

Medical Assistant

New York, NY · Remote

$21 - $23/hr

... risk adjustment. Pre-Visit Planning • Prepare and maintain Pre-Visit Checklists for upcoming ... coding and compliance. VBC Screening & Quality Support • Proactively identify patients due for ...

Catholic Health

CDI Educator

Melville, NY · On-site +1

$115K - $165K/yr

This will be a Hybrid on-site/remote position. Job Responsibilities * Lead and maintain a formal ... Knowledge of software regarding risk adjustment Desired Attributes * Passion for teaching and ...

Catholic Health

CDI Educator

Melville, NY · On-site +1

$115K - $165K/yr

This will be a Hybrid on-site/remote position. Job Responsibilities * Lead and maintain a formal ... Knowledge of software regarding risk adjustment Desired Attributes * Passion for teaching and ...

Catholic Health

CDI Educator

Melville, NY · On-site +1

$115K - $165K/yr

This will be a Hybrid on-site/remote position. Job Responsibilities * Lead and maintain a formal ... Knowledge of software regarding risk adjustment Desired Attributes * Passion for teaching and ...

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Freelance Remote Risk Adjustment Coder information

What are Freelance Remote Risk Adjustment Coders?

Freelance Remote Risk Adjustment Coders are healthcare professionals who work independently from various locations to review medical records and assign codes that reflect patients’ health conditions and treatments, focusing on risk adjustment models. Their primary role is to ensure accuracy in coding so that healthcare organizations receive appropriate reimbursement and maintain compliance with regulatory standards. These coders typically work on a contract basis, using secure digital platforms to access records and submit their coding work. They must be highly knowledgeable in ICD-10-CM coding guidelines, risk adjustment methodologies (such as HCC), and HIPAA regulations.

What are the key skills and qualifications needed to thrive as a Freelance Remote Risk Adjustment Coder, and why are they important?

Thriving as a Freelance Remote Risk Adjustment Coder requires deep knowledge of medical coding (especially ICD-10-CM), risk adjustment models, and compliance standards, typically verified by certifications like CRC, CPC, or CCS. Proficiency with coding software, EHR systems, and secure remote work platforms is essential for accurate and efficient coding. Strong attention to detail, self-motivation, and reliable communication are vital soft skills for managing independent workloads and collaborating with clients remotely. These abilities ensure accurate risk score calculations, regulatory compliance, and successful client relationships in a virtual work environment.

How do Freelance Remote Risk Adjustment Coders typically manage communication and workflow with healthcare clients and team members?

Freelance Remote Risk Adjustment Coders commonly use secure online platforms and project management tools to receive assignments, submit coded charts, and communicate with healthcare providers or project managers. Maintaining clear and prompt communication via email or dedicated messaging systems is crucial to clarify documentation, resolve coding queries, and ensure deadlines are met. Coders must be proactive in scheduling regular check-ins and staying updated on client-specific guidelines, as workflows can be fast-paced and require strong organizational skills. Collaboration often involves working independently but also participating in virtual meetings or training sessions to stay aligned with team quality standards.
What are the most commonly searched types of Remote Risk Adjustment Coder jobs in New York? The most popular types of Remote Risk Adjustment Coder jobs in New York are:
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Freelance Remote Risk Adjustment Coder jobs near you
Medical Coder

Medical Coder

eTeam

Newark, NJ • Remote

$40 - $42/hr

Other

Posted 5 days ago

Job description

Job: Professional Coder I

Duration: 6+ Months

Location: Newark, NJ 07105

Pay Rate: $40 - $42/hr on W2


Job Description:

Summary:

This position is accountable for accurately reviewing, interpreting, auditing, coding and analyzing medical record documentation for diagnosis accuracy, correct documentation, and Hierarchical Coding Condition (HCC) abstraction. Review may include inpatient, outpatient treatment and/or professional medical services, according to ICD-9/ICD-10 CM coding guidelines and risk adjustment model regulations. This position supports Annual Commercial (ACA) and Medicare Advantage Risk Adjustment Data Validation Audits (RADV) along with the annual Risk Adjustment life cycle for the Medicare, Medicaid, and Commercial lines of business.


Responsibilities:

• Can understand and translate CPT, HCPC, ICD-9/ICD-10 codes for HCC abstraction.

• Review medical records for completeness, accuracy and compliance with applicable coding guidelines and regulations.

• Identify, compile and code member/patient data, using ICD-9/ICD 10-CM and other standard classification coding systems.

• Support the collection and distribution of documentation and coding improvement tools for designated practice units as applicable.

• Support educational activities for internal stakeholders as necessary as subject matter expert on coding review/guidelines.

• Actively participate & engage in program improvement discussions and activities.

• Maintains department productivity and accuracy standards.


Qualifications:

• Requires current Registered Health Information Technologies (RHIT) or Certified Professional Coder designation from the American Academy of Professional Coders or a Certified Coding Specialist , P from the American Health Information Management (AHIMA)

• Requires 2 - 5 years of Medical Coding experience

• Requires a minimum of 2 years’ experience in Health Insurance/quality chart audits and/or Utilization Review

• Bachelor's degree preferred


Knowledge

Requires proficiency in the CPT-4, HCPC, ICD-9/ICD-10 coding

Requires knowledge of medical terminology of medical procedures, abbreviations and terms

Requires knowledge of the health care delivery system

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