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Remote Hcc Risk Adjustment Coder Jobs in Pennsylvania

Humana

Records Retrieval Specialist

Lancaster, PA · Remote

$40K - $52K/yr

This is a remote role with field-based responsibility, requiring travel to provider offices to ... As the Medical Records Retrieval Specialist (Risk Adjustment Representative 2) you will: * Collect ...

Humana

Records Retrieval Specialist

Carlisle, PA · Remote

$40K - $52K/yr

This is a remote role with field-based responsibility, requiring travel to provider offices to ... As the Medical Records Retrieval Specialist (Risk Adjustment Representative 2) you will: * Collect ...

Humana

Records Retrieval Specialist

Mechanicsburg, PA · Remote

$40K - $52K/yr

This is a remote role with field-based responsibility, requiring travel to provider offices to ... As the Medical Records Retrieval Specialist (Risk Adjustment Representative 2) you will: * Collect ...

Humana

Records Retrieval Specialist

Harrisburg, PA · Remote

$40K - $52K/yr

This is a remote role with field-based responsibility, requiring travel to provider offices to ... As the Medical Records Retrieval Specialist (Risk Adjustment Representative 2) you will: * Collect ...

Humana

Records Retrieval Specialist

Mechanicsburg, PA · Remote

$40K - $52K/yr

This is a remote role with field-based responsibility, requiring travel to provider offices to ... As the Medical Records Retrieval Specialist (Risk Adjustment Representative 2) you will: * Collect ...

Humana

Records Retrieval Specialist

Harrisburg, PA · Remote

$40K - $52K/yr

This is a remote role with field-based responsibility, requiring travel to provider offices to ... As the Medical Records Retrieval Specialist (Risk Adjustment Representative 2) you will: * Collect ...

Humana

Records Retrieval Specialist

York, PA · Remote

$40K - $52K/yr

This is a remote role with field-based responsibility, requiring travel to provider offices to ... As the Medical Records Retrieval Specialist (Risk Adjustment Representative 2) you will: * Collect ...

Humana

Records Retrieval Specialist

Harrisburg, PA · Remote

$40K - $52K/yr

This is a remote role with field-based responsibility, requiring travel to provider offices to ... As the Medical Records Retrieval Specialist (Risk Adjustment Representative 2) you will: * Collect ...

Humana

Records Retrieval Specialist

Mechanicsburg, PA · Remote

$40K - $52K/yr

This is a remote role with field-based responsibility, requiring travel to provider offices to ... As the Medical Records Retrieval Specialist (Risk Adjustment Representative 2) you will: * Collect ...

Humana

Records Retrieval Specialist

Lancaster, PA · Remote

$40K - $52K/yr

This is a remote role with field-based responsibility, requiring travel to provider offices to ... As the Medical Records Retrieval Specialist (Risk Adjustment Representative 2) you will: * Collect ...

Humana

Records Retrieval Specialist

York, PA · Remote

$40K - $52K/yr

This is a remote role with field-based responsibility, requiring travel to provider offices to ... As the Medical Records Retrieval Specialist (Risk Adjustment Representative 2) you will: * Collect ...

Humana

Records Retrieval Specialist

Lancaster, PA · Remote

$40K - $52K/yr

This is a remote role with field-based responsibility, requiring travel to provider offices to ... As the Medical Records Retrieval Specialist (Risk Adjustment Representative 2) you will: * Collect ...

Humana

Records Retrieval Specialist

Carlisle, PA · Remote

$40K - $52K/yr

This is a remote role with field-based responsibility, requiring travel to provider offices to ... As the Medical Records Retrieval Specialist (Risk Adjustment Representative 2) you will: * Collect ...

Humana

Records Retrieval Specialist

Carlisle, PA · Remote

$40K - $52K/yr

This is a remote role with field-based responsibility, requiring travel to provider offices to ... As the Medical Records Retrieval Specialist (Risk Adjustment Representative 2) you will: * Collect ...

Humana

Records Retrieval Specialist

York, PA · Remote

$40K - $52K/yr

This is a remote role with field-based responsibility, requiring travel to provider offices to ... As the Medical Records Retrieval Specialist (Risk Adjustment Representative 2) you will: * Collect ...

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

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Remote Hcc Risk Adjustment Coder information

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$14

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$32

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

As of Aug 18, 2026, the average hourly pay for remote hcc risk adjustment coder in Pennsylvania is $20.38, according to ZipRecruiter salary data. Most workers in this role earn between $16.54 and $21.73 per hour, depending on experience, location, and employer.

What is a Remote HCC Risk Adjustment Coder?

A Remote HCC Risk Adjustment Coder is a medical coding professional who works from home or another remote location, reviewing patient medical records to assign Hierarchical Condition Category (HCC) codes. These codes are used by healthcare organizations to accurately reflect the severity of patient illnesses for risk adjustment and reimbursement purposes, especially in Medicare Advantage programs. The coder analyzes clinical documentation to ensure that diagnoses are coded correctly and in compliance with regulatory guidelines. Their work is essential for ensuring healthcare providers receive appropriate compensation and for maintaining accurate patient risk profiles.

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

To thrive as a Remote HCC Risk Adjustment Coder, you need a solid understanding of ICD-10-CM coding guidelines, risk adjustment models, and extensive experience in medical record review, typically supported by a relevant coding certification such as CPC or CRC. Proficiency with electronic health record (EHR) systems, coding software, and risk adjustment platforms is essential. Exceptional attention to detail, analytical thinking, and strong communication skills help coders excel in remote settings and ensure coding accuracy. These skills and qualifications are vital for optimizing risk scores, ensuring compliance, and supporting accurate reimbursement in healthcare organizations.

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

Remote HCC Risk Adjustment Coders often encounter challenges such as interpreting incomplete or ambiguous medical documentation, staying updated with evolving coding guidelines, and managing communication across dispersed teams. To address these challenges, it's important to proactively seek clarification from providers, participate in ongoing training, and utilize collaboration tools to stay connected with peers and supervisors. Establishing a structured daily workflow and leveraging available resources can also help maintain coding accuracy and productivity in a remote setting.

What are the most commonly searched types of Hcc Risk Adjustment Coder jobs in Pennsylvania?

The most popular types of Hcc Risk Adjustment Coder jobs in Pennsylvania are:

What are popular job titles related to Remote Hcc Risk Adjustment Coder jobs in Pennsylvania?

For Remote Hcc Risk Adjustment Coder jobs in Pennsylvania, the most frequently searched job titles are:

What job categories do people searching Remote Hcc Risk Adjustment Coder jobs in Pennsylvania look for?

The top searched job categories for Remote Hcc Risk Adjustment Coder jobs in Pennsylvania are:

What cities in Pennsylvania are hiring for Remote Hcc Risk Adjustment Coder jobs?

Cities in Pennsylvania with the most Remote Hcc Risk Adjustment Coder job openings:

Remote Hcc Risk Adjustment Coder jobs near you

Regional Medical Director- (Philadelphia/Baltimore)

CareAllies

Philadelphia, PA • On-site, Remote

$191K - $355K/yr

Full-time

Medical, Life, Retirement, PTO

Re-posted 29 days ago

Job description

At CareAllies, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Job Summary
This position is responsible for assigned aspects of medical policies and programs. Performs medical reviews and interacts with the provider communities for assigned areas. Provides advanced clinical leadership across medical management programs, integrating traditional utilization review with strategic population health, value-based care, and provider-performance initiatives. Aligns medical policy expertise with forward-leaning clinical strategy to influence quality, Stars-related performance, affordability, risk adjustment accuracy, and market-level outcomes.
Required Job Qualifications:
  • Physician with a current and unrestricted physician license in a state or territory of the United States.
  • Maintain Board Certification as a M.D. or D.O. (by a specialty board approved by the American Board of Medical Specialties (doctors of medicine); or the Advisory Board of Osteopathic Specialists (doctors of osteopathic medicine)
  • 5 years of clinical experience
  • Analytical and communication skills
  • Strategic thinking skills

Preferred Job Qualifications:
  • Ability to travel
  • 3 years Managed Care experience
  • IPA (independent Physician Association) MSO or Value Based Enablement Organization Experience
  • Advanced skills in clinical interpretation, communication, data-driven strategy, and collaborative leadership
  • Experience with Stars performance, risk adjustment education, or provider engagement
  • Experience in matrixed environments and cross-functional clinical leadership.

Remote work located in Philadelphia and Baltimore.
INAK
#LI-MG1
#LI-Remote
EEO Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Pay Transparency Statement:
At CareAllies, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, a minimum of 15 days' of paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for full-time employees.
The salary offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
Min to Max Range:
$191,500.00 - $355,600.00
Exact compensation may vary based on skills, experience, and location.

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