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Freelance Remote Risk Adjustment Coder Jobs in Somerville, MA

Trivelta

Lead DevOps Engineer (Remote)

Boston, MA · Remote

$57.25 - $78.50/hr

... risk management, and built-in social features that help operators create world-class product ... Infrastructure as Code (IaC) best practices. * Architect highly available, multi-tenant cloud ...

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Freelance Remote Risk Adjustment Coder information

See Somerville, MA salary details

$17

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$37

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

As of Sep 8, 2026, the average hourly pay for freelance remote risk adjustment coder in Somerville, MA is $24.47, according to ZipRecruiter salary data. Most workers in this role earn between $19.66 and $26.25 per hour, depending on experience, location, and employer.

What is a freelance remote risk adjustment coder?

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?

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.

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Freelance Remote Risk Adjustment Coder jobs near you
Infographic showing various Freelance Remote Risk Adjustment Coder job openings in Somerville, MA as of June 2026, with employment types broken down into 2% Internship, 6% As Needed, 59% Full Time, 10% Part Time, 2% Temporary, and 21% Contract. Highlights an 38% Physical, 3% Hybrid, and 59% Remote job distribution, with an average salary of $50,895 per year, or $24.5 per hour.

Clinical Documentation Specialist II- RN- Remote

Beth Israel Lahey Health

Burlington, MA • Remote

$125K - $160K/yr

Full-time

Re-posted 23 days ago

Beth Israel Lahey Health rating

6.9

Company rating: 6.9 out of 10

Based on 150 frontline employees who took The Breakroom Quiz

452nd of 898 rated healthcare providers

Job description

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

**This position is remote. Candidates must be local to New England States for consideration**
The Clinical Documentation Improvement (CDI) Specialist II assists with the appropriate identification of diagnoses, conditions, and/or procedures that are representative of the patient’s hospital stay and care provided including Severity of Illness (SOI), Risk of Morality (ROM), during an inpatient hospitalization. CDI Specialist II initiates concurrent queries to providers as supported by medical record documentation to improve the accuracy, integrity, and quality of patient data, and drive improvement toward quality physician documentation within the body of the medical record. The CDI Specialist II works under the direction of the Manager of CDI and collaborates with coding, clinicians, medical staff, and physician advisors to improve documentation and the importance of complete and accurate documentation.

Job Description:

  • Concurrently reviews inpatient records to ensure completeness, accuracy, and clinical validation.
  • Evaluates documentation for assignment of working and possible DRG.
  • Recognizes opportunities for documentation improvement, including severity of illness, risk of mortality, core measures, and patient safety/quality.
  • Identify opportunities to query physicians regarding missing, unclear, or conflicting documentation.
  • Interacts directly with physicians to request and obtain additional documentation when needed.
  • Timely follow-up on all unanswered queries based on the query escalation policy.
  • Facilitates modifications to physician documentation to reflect the complexity of care of the patient and appropriate reimbursement.
  • Maintains a collaborative working relationship with the Health Information Coding staff and serves as a clinical resource.
  • Collaborates with and educates members of the patient care team regarding documentation guidelines, including physicians, allied health practitioners, nursing, and case management.
  • Performs mortality reviews and optimizes the risk of mortality.
  • Maintains review worksheet on all records using CDI software.
  • Ensures the accuracy of clinical information used for measuring and reporting physician and hospital quality outcomes.
  • Reviews, evaluates, analyzes, and interprets data related to documentation on an ongoing basis. Identifies trends or potential problems and assists in developing action plans to address.
  • Participates in additional projects such as developing physician education materials, CDI week advertisements, etc.
  • Adheres to ethical and professional business practices.
  • All other duties as assigned.
  • It is understood that this is a summary of key job functions and does not include every detail of the job that may reasonably be required.

Minimum Qualifications:

Education:

Bachelor’s in Nursing, required

Licensure, Certification & Registration:

  • RN License
  • Clinical Documentation Specialist Certification via ACDIS or AHIMA

Experience:

  • 2-5 years of medical/surgical nursing experience in the acute hospital setting.
  • Experienced Clinical Documentation Specialist with minimum of 2 years recent experience in CDI role
  • Critical Care and/or Emergency Nursing experience required

Skills, Knowledge & Abilities:

  • Proficient skill in query writing to physicians
  • Knowledge to accurately complete chart audits
  • Organizational and critical thinking skills required
  • Experience with computer systems required, including web-based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint, or Access

Pay Range:

$125,000.00 USD - $160,000.00 USD

The pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. 

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled

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