ZipRecruiter

Log In

2

Internship Remote Risk Adjustment Coder Jobs in Pennsylvania

Urrly

Telehealth Nurse Practitioner

Harrisburg, PA · Remote

$600 - $720/day

Complete risk adjustment documentation (HCC coding) * Close HEDIS care gaps during patient visits ... Fully remote - no commute, no travel * Consistent visit flow and structured workflows Schedule ...

Solventum

OP CDI Product Manager

Pittsburgh, PA · On-site +1

Strong knowledge of outpatient CDI, ICD-10-CM coding, HCC risk adjustment, quality risk ... Remote Travel: May include up to 10-% Relocation Assistance: Not authorized Must be legally ...

Clark Associates

Director of Risk

Lancaster, PA · On-site +1

... adjustments. * Oversee reserving practices, claim strategies, and root-cause assessments. Risk ... Remote Work Qualifications * Access to a reliable and secure high-speed internet connection. Cable ...

The Pennsylvania State University

$15/hr

Approval of remote and hybrid work is not guaranteed regardless of work location.For additional ... They will document all code according to common development best practices and create technical ...

next page

Showing results 1-20

All JobsRisk Adjustment Coder JobsInternship Remote Risk Adjustment Coder JobsInternship Remote Risk Adjustment Coder Jobs in Pennsylvania

Internship Remote Risk Adjustment Coder information

What are some typical challenges faced by remote risk adjustment coding interns, and how can they effectively overcome them?

Remote risk adjustment coding interns often face challenges such as limited direct supervision, adapting to coding software, and maintaining accuracy while working independently. To overcome these, it's important to proactively seek feedback from mentors, participate in virtual team meetings, and utilize available training resources. Keeping organized notes and establishing a consistent work routine also help interns manage their workload and ensure coding quality. Engaging with the team through regular check-ins fosters a sense of connection and support, which is vital for professional development in a remote environment.

What is the difference between Internship Remote Risk Adjustment Coder vs Remote Risk Adjustment Coder?

AspectInternship Remote Risk Adjustment CoderRemote Risk Adjustment Coder
CredentialsTypically in training, may have basic coding certificationsUsually certified, such as CPC or CCS
Work EnvironmentRemote, internship setting, supervised learningRemote, full-time professional role
Employer UsageTraining programs, entry-level positionsEstablished companies, healthcare organizations
Search IntentLearning, entry-level opportunitiesProfessional coding, risk adjustment tasks

The Internship Remote Risk Adjustment Coder is an entry-level, supervised role designed for training and gaining experience in risk adjustment coding. In contrast, the Remote Risk Adjustment Coder is a full-fledged professional responsible for accurate coding and risk adjustment tasks independently. The internship offers a stepping stone into the industry, while the full role requires certification and experience.

What is an Internship Remote Risk Adjustment Coder?

An Internship Remote Risk Adjustment Coder is a trainee position where individuals learn to review and code medical records from a remote location to support risk adjustment programs. These coders assign diagnosis codes to patient records to ensure accurate documentation for health plans, which impacts reimbursement and compliance. Interns typically gain hands-on experience with coding guidelines, electronic health records, and industry software while working under the supervision of experienced coders. The remote aspect allows flexibility and access to positions regardless of geographic location.

What are the key skills and qualifications needed to thrive as an Internship Remote Risk Adjustment Coder, and why are they important?

To thrive as an Internship Remote Risk Adjustment Coder, you need a solid understanding of medical coding, anatomy, and healthcare documentation, usually supported by coursework in medical coding or a related certification such as CPC or CRC. Familiarity with coding software, electronic health records (EHRs), and risk adjustment systems is commonly required. Attention to detail, strong analytical skills, and effective communication are essential soft skills for interpreting complex records and collaborating remotely. These competencies ensure accurate coding, regulatory compliance, and effective risk adjustment processes critical to healthcare reimbursement.
What are the most commonly searched types of Remote Risk Adjustment Coder jobs in Pennsylvania? The most popular types of Remote Risk Adjustment Coder jobs in Pennsylvania are:
What are popular job titles related to Internship Remote Risk Adjustment Coder jobs in Pennsylvania? For Internship Remote Risk Adjustment Coder jobs in Pennsylvania, the most frequently searched job titles are:
What job categories do people searching Internship Remote Risk Adjustment Coder jobs in Pennsylvania look for? The top searched job categories for Internship Remote Risk Adjustment Coder jobs in Pennsylvania are:
What cities in Pennsylvania are hiring for Internship Remote Risk Adjustment Coder jobs? Cities in Pennsylvania with the most Internship Remote Risk Adjustment Coder job openings:
Internship Remote Risk Adjustment Coder jobs near you
Certified Coding Specialist I (Risk Adjustment)

Certified Coding Specialist I (Risk Adjustment)

UPMC Health Plan

Pittsburgh, PA • Remote

Other

Posted 8 days ago

Job description

At UPMC Health Plan, we're looking for a detail-oriented Certified Coding Specialist I to join our Medicare HCC team. If you enjoy digging into medical records, applying your coding expertise, and making a meaningful impact on data accuracy and patient care-you'll feel right at home here.

This is a full-time, remote role working either 6:00 AM - 2:00 PM or 7:00 AM - 3:00 PM EST. If you're located in another time zone, you'll just need to be comfortable working these Eastern Time hours.

What You'll Do

In this role, you'll play a critical part in ensuring accurate coding and documentation across a variety of care settings. On a typical day, you'll:

  • Review inpatient, outpatient, physician, and emergency department records to assign accurate diagnosis and procedure codes
  • Apply your expertise in ICD-10-CM, CPT, and HCC risk adjustment coding to ensure proper classification of diagnoses
  • Analyze documentation such as discharge summaries, H&Ps, progress notes, consults, and operative reports
  • Identify and validate diagnoses submitted through claims by comparing them against clinical documentation
  • Audit coding for accuracy and completeness before submission-and make corrections when needed
  • Consistently meet quality (95% accuracy) and productivity standards
  • Track and maintain your daily coding productivity and time logs
  • Use coding tools, systems, and resources to work efficiently and accurately
How You'll Make an Impact

Your work will directly support accurate risk adjustment and data integrity across the health plan. You'll help ensure that diagnoses are properly captured, which ultimately supports better care planning, reporting, and outcomes.

What Helps You Succeed
  • Strong knowledge of medical terminology, anatomy, physiology, and pathology
  • Confidence working across multiple documentation types and care settings
  • A keen eye for detail and commitment to accuracy
  • The ability to manage your time independently in a remote environment
  • A proactive mindset-you're comfortable identifying issues and helping improve processes
What Else to Expect
  • Ongoing learning opportunities including coding education, seminars, and updated guidelines
  • A collaborative team environment where your input and ideas are valued
  • Monthly coding meetings to stay aligned and continuously improve
  • A structured, process-driven environment with clear expectations and support

If you're ready to bring your coding expertise to a team that values accuracy, collaboration, and continuous improvement-we'd love to hear from you.

  • Graduate of an AHIMA or AAPC Certified Coding Program that includes Anatomy & Physiology, Pharmacology and Medical Terminology.
  • 5 years of total experience required.
  • Five for more years or risk adjustment experience highly preferred.
  • Knowledge of Microsoft Office.
    Licensure, Certifications, and Clearances:
  • Certified Coding Specialist (CCS) OR Certified Professional Coder (CPC) required.
  • Act 34


UPMC is an Equal Opportunity Employer/Disability/Veteran

Apply