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Full Time Remote Risk Adjustment Coder Jobs in Philadelphia, PA

Monogram Health

Market Physician Executive

Trenton, NJ · Remote

This position will be remote within the designated market with occasional in-home patient treatment ... risk adjustment. * Current state medical license without restrictions to practice and free of ...

Bing Recruitment

Chief Risk Officer

Philadelphia, PA · On-site +1

$185K - $250K/yr

Chief Risk Officer DEPT: Executive REPORTS TO: President CLASSIFICATION ... Exempt, Full-Time Location: Remote; AL; CA; IL; FL; MA; NC; NJ; NY; PA; TX; UT; VA Pay Salary: $185 ...

Ennoble Care

Actuary

Philadelphia, PA · Remote

$150/hr

Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health ... Thorough understanding of and hands-on experience with Medicare risk adjustment and CMS-HCC models

Ennoble Care

Actuary

Marlton, NJ · Remote

$150/hr

Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health ... Thorough understanding of and hands-on experience with Medicare risk adjustment and CMS-HCC models

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All JobsRisk Adjustment Coder JobsFull Time Remote Risk Adjustment Coder JobsFull Time Remote Risk Adjustment Coder Jobs in Philadelphia, PA

Full Time Remote Risk Adjustment Coder information

See Philadelphia, PA salary details

$17

$21

$24

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

As of Aug 9, 2026, the average hourly pay for full time remote risk adjustment coder in Philadelphia, PA is $21.70, according to ZipRecruiter salary data. Most workers in this role earn between $18.17 and $23.03 per hour, depending on experience, location, and employer.

What is the difference between Full Time Remote Risk Adjustment Coder vs Full Time Remote Medical Coder?

AspectFull Time Remote Risk Adjustment CoderFull Time Remote Medical Coder
CertificationsRHIT, RHIA, CCS, CPCCPC, CCS, RHIT
Work EnvironmentRemote, healthcare insurance companies, risk adjustment teamsRemote, hospitals, clinics, healthcare facilities
Industry UsageHealth insurance, risk adjustment programsHospitals, clinics, healthcare providers
Job FocusAnalyzing diagnoses for risk scores, coding for risk adjustmentMedical record coding, billing, and documentation

The main difference is that Full Time Remote Risk Adjustment Coders focus on analyzing diagnoses to support risk scores for insurance reimbursement, often requiring specific certifications like RHIT or CCS. Full Time Remote Medical Coders handle general medical coding for billing and documentation, with certifications like CPC or CCS. Both roles are remote but serve different purposes within the healthcare industry.

What are the most commonly searched types of Remote Risk Adjustment Coder jobs in Philadelphia, PA? The most popular types of Remote Risk Adjustment Coder jobs in Philadelphia, PA are:
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Full Time Remote Risk Adjustment Coder jobs near you

Remote Nurse Practitioner

Purposelink Recruitment

Wilmington, DE • Remote

Full-time

Posted 2 days ago

New

Job description

Qualifications

Required: 2 Years Triage experience AND leadership experience.
  • Master's degree or higher in Nursing or a related clinical field
  • 2+ years of experience in any of the following:
    • Telemedicine Care
    • Care Management
  • Active clinical licensure — any of the following:
    • Nurse Practitioner (NP) – Delaware (DE)
    • Family Nurse Practitioner (FNP) – Delaware (DE)
  • OR any of the following nationally recognized NP certifications:
    • Family Nurse Practitioner (FNP)
    • Nurse Practitioner (NP)
    • Gerontological Nurse Practitioner (GNP)
Preferred
  • 1+ years of Medicaid or Dual Eligible (D‑SNP) populations
  • Experience working in interdisciplinary care teams
  • Familiarity with HCC coding, risk adjustment, STAR ratings, and HEDIS quality measures
  • Background in home‑based care, transitional care, or chronic disease management
Overview

Join our client's innovative healthcare team to deliver virtual, physician‑led care for medically complex Medicaid and Dual Eligible patients across Delaware. This role offers flexibility, autonomy, and the opportunity to help launch a new market focused on proactive, home‑based care that improves patient outcomes and reduces avoidable hospitalizations.

Key Responsibilities
  • Provide comprehensive care management for medically complex Medicaid and D‑SNP patients through telehealth and remote monitoring
  • Collaborate with physicians, RNs, social workers, therapists, caregivers, PCPs, managed care organizations, and community partners
  • Guide patients and caregivers through care transitions, including hospital‑to‑home coordination and advance care planning
  • Support quality initiatives through accurate clinical documentation, including HCC coding, risk adjustment, and closure of STAR/HEDIS gaps
  • Contribute to the development of care pathways, workflows, and best practices as the Delaware program expands
  • Build strong, trusting relationships with patients, families, caregivers, and interdisciplinary team members
Schedule & Shift Details
  • Participate in a shared 24/7 clinical triage rotation to prevent avoidable emergency department visits and hospitalizations