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From Home Hcc Risk Adjustment Coder Jobs in Pitman, NJ

Finance Tutor

Chester, PA ยท Remote

$18 - $40/hr

All from the comfort of your home. Why Join Our Platform? * Earn incrementally higher pay for each ... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ...

Showing results 21-40

From Home Hcc Risk Adjustment Coder information

See Pitman, NJ salary details

$15

$26

$41

How much do from home hcc risk adjustment coder jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for from home hcc risk adjustment coder in Pitman, NJ is $26.20, according to ZipRecruiter salary data. Most workers in this role earn between $18.08 and $32.98 per hour, depending on experience, location, and employer.

What is a from home HCC risk adjustment coder?

From Home HCC Risk Adjustment Coders are health information professionals who work remotely to review medical records and assign appropriate codes based on Hierarchical Condition Categories (HCC) for risk adjustment purposes. Their work ensures that healthcare providers receive accurate reimbursement from insurance companies, particularly Medicare Advantage plans. These coders must have a strong understanding of ICD-10-CM coding guidelines, clinical documentation, and risk adjustment models. Working from home allows for flexibility, but still requires strict attention to detail and adherence to privacy regulations.

What are the key skills and qualifications needed to thrive as a from home HCC risk adjustment coder?

To thrive as a From Home HCC Risk Adjustment Coder, you need a thorough understanding of ICD-10-CM coding, risk adjustment models, and medical terminology, usually backed by a coding certification such as CPC, CRC, or CCS. Familiarity with electronic health record (EHR) systems, coding software, and secure remote work platforms is essential. Strong attention to detail, time management, and self-motivation are vital soft skills for ensuring accuracy and productivity while working independently. These skills are crucial for maintaining compliance, optimizing reimbursement, and ensuring data integrity in a remote environment.

What are some common challenges faced by from home HCC risk adjustment coders, and how can they be managed?

From Home HCC Risk Adjustment Coders often face challenges such as interpreting complex medical records, staying updated with evolving coding guidelines, and managing productivity without in-person supervision. To overcome these, coders should prioritize ongoing education, use reliable coding resources, and maintain clear communication with their remote team. Setting a structured daily routine and participating in virtual team check-ins can also help maintain focus and ensure consistent quality in code assignments.
Infographic showing various From Home Hcc Risk Adjustment Coder job openings in Pitman, NJ as of August 2026, with employment types broken down into 100% Full Time. Highlights an 50% In-person, and 50% Remote job distribution, with an average salary of $54,497 per year, or $26.2 per hour.

Manager, Revenue Cycle Management

Daymark Health

Philadelphia, PA โ€ข On-site

$120K - $135K/yr

Full-time

Re-posted 21 days ago


Job description

Daymark Health is a value-based oncology company redefining the cancer care experience for patients, providers, and health plans. Daymark's comprehensive, personalized cancer care platform empowers patients with dedicated care navigation, symptom-focused support, behavioral health care, and social resources. Combined with evidence-based health interventions and a hybrid in-person + virtual care model, Daymark is improving the overall cancer experience for patients, providers, and health plans – and setting a new standard in cancer care.

Daymark's groundbreaking approach is led by CEO Dr. Justin Bekelman, a pioneer in transforming cancer care, alongside some of the nation's foremost leaders in oncology and value-based care. Daymark Health is backed by Maverick Ventures, Yosemite, Oncology Ventures, Healthier Capital, Blue Venture Fund, and Healthcare Foundry.

Be cautious of recruitment fraud, and always confirm that communications are coming from an official Daymark Health email.

ABOUT THE ROLE

We are seeking a highly capable operator to build and lead Revenue Cycle Management at Daymark. You will own the end-to-end revenue cycle function, including professional billing, third-party billing vendor management, claims operations, and risk adjustment, while partnering closely with Clinical Operations, Finance, Product, and Data.

The right candidate brings deep technical fluency in billing and claims processing end to end, hands-on experience managing billing vendors and clearinghouse platforms, and a forward-thinking orientation toward AI-enabled RCM. This role is ideal for someone who wants to build a function from the ground up and grow with it.

WHAT YOU'LL DO

Own Daymark's Revenue Cycle Operations

  • Lead end-to-end RCM across all payer types, with primary focus on Original Medicare and value-based contract populations
  • Establish patient billing workflows including statement generation, cost-sharing communication, and collections processes; ensure workflows are sensitive to the patient experience while maintaining collection integrity
  • Manage the third-party billing vendor relationship, including performance monitoring, issue escalation, contract compliance, and ongoing optimization
  • Own the claims and clearinghouse platform, including submission workflows, rejection and denial management, and resubmission processes
  • Establish and track RCM KPIs: clean claim rate, denial rate, days in AR, net collection rate, and others
  • Partner with Finance on revenue recognition, cash flow forecasting, and month-end close support

Risk Adjustment

  • Support accurate risk adjustment operations aligned with our care model and payer contracts
  • Partner with Clinical Operations, Product and Data to ensure risk adjustment workflows are reflected in tooling and supported from pre-chart prep to documentation and through billing and claim submission

Credentialing

  • Support end-to-end enrollment workflows for new providers, including NPI registration, CAQH profile maintenance, and payer-specific credentialing applications
  • Track credentialing status and expiration timelines across the provider panel to ensure no gaps in billing eligibility
  • Partner with Clinical Operations and People to build onboarding workflows that sequence credentialing milestones with provider start dates
  • Identify and manage credentialing vendors or delegated credentialing arrangements where applicable

AI and Technology in RCM

  • Identify and evaluate AI-enabled tools across the RCM workflow, including automated coding assistance, denial prediction, and other capabilities
  • Partner with Product and Data to pilot and implement capabilities that improve throughput and accuracy

Operational Infrastructure

  • Translate billing and compliance requirements into scalable operational workflows
  • Establish audit and QA processes to ensure coding accuracy and billing integrity
  • Identify execution gaps and drive resolution across cross-functional teams

WHAT WE ARE LOOKING FOR

Experience

  • Direct experience managing a third-party billing vendor and a claims/clearinghouse platform
  • Experience with HCC coding, risk adjustment suspecting, and chart review workflows
  • Familiarity with AI applications in RCM and a genuine interest in applying them
  • Experience at a startup or high-growth healthcare company is a plus

Qualities

  • You are both strategic and highly execution-oriented; you can design the system and work within it
  • You bring strong analytical instincts and are comfortable working with billing data directly
  • You can partner effectively across clinical, operational, finance, and technical teams
  • You are energized by building from scratch
  • You have high standards for compliance and billing integrity

ADDITIONAL INFORMATION

This role is fully remote, but will be expected to work on either Eastern or Central time zone hours. We are unable to sponsor work visas for this role.

Compensation: $120,000 - $135,000 annually, depending on location & experience.