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Full Time Remote Risk Adjustment Coder Jobs in Rochester, NY

Rochester Regional Health

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 ...

Rochester Regional Health

Coder - Inpatient

Rochester, NY · On-site +1

$21.50 - $26/hr

... Full-time LOCATION: Riedman- Remote SCHEDULE: Day shift ATTRIBUTES * Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA), adheres ...

Quora

iOS Engineer -Remote

Geneseo, NY · Remote

$166K - $191K/yr

Own the entire software development process from timeline estimation to coding, testing and release ... * 2+ years of full-time experience in iOS development with Swift * Strong knowledge of iOS ...

Quora

iOS Engineer -Remote

Rochester, NY · Remote

$166K - $191K/yr

Own the entire software development process from timeline estimation to coding, testing and release ... * 2+ years of full-time experience in iOS development with Swift * Strong knowledge of iOS ...

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Full Time Remote Risk Adjustment Coder information

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

As of Jun 17, 2026, the average hourly pay for full time remote risk adjustment coder in Rochester, NY is $21.22, according to ZipRecruiter salary data. Most workers in this role earn between $17.79 and $22.55 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 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 Full Time Remote Risk Adjustment Coder jobs? Cities near Rochester, NY with the most Full Time Remote Risk Adjustment Coder job openings:
Full Time Remote Risk Adjustment Coder jobs near you
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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