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Freelance Remote Risk Adjustment Coder Jobs in Rochester, NY

Coder - Lead

Rochester, NY · On-site +1

$23.10 - $33.60/hr

Remote Hours Per Week: 40 hours/week Schedule: Day shift SUMMARY: The Lead Coder, under the ... Maintains regular hands-on coding responsibilities and supports complex or high-risk case review as ...

Freelance Remote Risk Adjustment Coder information

See Rochester, NY salary details

$15

$22

$33

How much do freelance remote risk adjustment coder jobs pay per hour?

As of Jun 17, 2026, the average hourly pay for freelance remote risk adjustment coder in Rochester, NY is $22.12, according to ZipRecruiter salary data. Most workers in this role earn between $17.79 and $23.70 per hour, depending on experience, location, and employer.

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 Rochester, NY? The most popular types of Remote Risk Adjustment Coder jobs in Rochester, NY are:
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What cities near Rochester, NY are hiring for Freelance Remote Risk Adjustment Coder jobs? Cities near Rochester, NY with the most Freelance Remote Risk Adjustment Coder job openings:
Coder - Lead

Coder - Lead

Rochester Regional Health

Rochester, NY • On-site, Remote

$23.10 - $33.60/hr

Full-time

Posted 20 days ago


Rochester Regional Health rating

7.4

Company rating: 7.4 out of 10

Based on 212 frontline employees who took The Breakroom Quiz

253rd of 872 rated healthcare providers


Job description

Job Title: Lead Coder
Location: Remote
Hours Per Week: 40 hours/week
Schedule: Day shift
SUMMARY:
The Lead Coder, under the direction of the HIM Coding Manager, provides leadership and subject matter expertise to the coding team across inpatient and/or outpatient care settings. This role ensures daily operational functions are met, supports coding quality and compliance, and provides continuity during the training and onboarding of staff. The Lead Coder serves as a super user and resource for both internal and external stakeholders, assisting with complex coding questions, workflow improvements, and regulatory compliance. This position balances hands-on coding responsibilities with mentoring, auditing, and operational oversight to ensure accuracy, timeliness, and compliance in coding practices.
RESPONSIBILITIES:
  • Adheres to the Standards of Ethical Coding as set forth by AHIMA and/or AAPC and remains current with official coding guidelines, regulatory updates, and payer requirements
  • Works collaboratively with HIM management to support coding audit processes that promote quality, accuracy, and compliance
  • Monitors daily activity of coding work queues to support productivity benchmarks and turnaround times; communicates trends, barriers, or risks to HIM management
  • Provides technical guidance, recommendations, and feedback regarding workflow efficiencies, process improvements, and denial prevention opportunities
  • Serves as a mentor and resource to coding staff; assists with onboarding, training, and cross-training to support departmental coverage needs
  • Collaborates with Patient Financial Services, Revenue Integrity, Compliance, CDI, and other stakeholders to identify and resolve coding-related issues impacting reimbursement or compliance
  • Demonstrates advanced technical expertise in ICD-10-CM, CPT/HCPCS, and PCS coding, as well as applicable reimbursement methodologies (e.g., DRG, APC/E-APG)
  • Formulates compliant coding queries when provider documentation is incomplete, ambiguous, or unclear
  • Assists with review and correction of claim edits, error reports, and denials; identifies error patterns and partners with management on corrective actions
  • Provides education and guidance to providers and clinical teams related to documentation, coding, and reimbursement best practices
  • Maintains regular hands-on coding responsibilities and supports complex or high-risk case review as assigned
  • Escalates operational, compliance, or performance-related concerns to the Coding Supervisor and/or HIM Coding Manager
  • Performs other duties as assigned by HIM leadership

REQUIRED QUALIFICATIONS:
  • Minimum of 3 years of professional coding experience in inpatient and/or outpatient settings.
  • RHIA, RHIT, CCS, or CPC credential.

PREFERRED QUALIFICATIONS:
  • Associate's degree.
  • Demonstrated knowledge of State, Federal, and payer-specific regulations pertaining to documentation, coding, and billing.
  • Advanced knowledge of ICD-10-CM, CPT, and PCS coding guidelines.
  • Strong understanding of reimbursement methodologies (DRG, APC/E-APG, etc.) and revenue cycle workflows.
  • Proficiency in EHR and coding systems (e.g., Care Connect, UDS, Clintegrity).
  • Demonstrated ability to mentor, train, and support staff in coding best practices.
  • Excellent problem-solving, communication, and collaboration skills.

EDUCATION:
LICENSES / CERTIFICATIONS:
PHYSICAL REQUIREMENTS:
S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.
Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations.
PAY RANGE:
$23.10 - $33.60
CITY:
Rochester
POSTAL CODE:
14617
The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.
Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.

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