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Remote Hcc Risk Adjustment Coding 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 ...

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 ...

Victaulic

VDC Project Manager- Scheduling

Easton, PA · On-site +1

... remote. Ensure project pods are aligned with customer requirements, workflow priorities, and ... updates, risk mitigation strategies, and timeline adjustments as needed. Maintain dashboards ...

Mondo

Sr. Staff AI Security Architect

Horsham, PA · On-site +1

$95 - $110/hr

Remote Duration: Contract-to-Hire Compensation Range: $95-110/hour Benefits: Eligible for Health ... code practices and automated security gates within CI/CD pipelines. • AI governance and risk ...

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

As of May 31, 2026, the average hourly pay for remote hcc risk adjustment coding in Pennsylvania is $21.55, according to ZipRecruiter salary data. Most workers in this role earn between $18.08 and $22.88 per hour, depending on experience, location, and employer.

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

To thrive as a Remote HCC Risk Adjustment Coder, you need in-depth knowledge of ICD-10-CM coding guidelines, HCC risk adjustment models, and 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. Attention to detail, analytical thinking, and strong organizational skills help coders ensure accuracy and compliance. These skills are vital for precise diagnosis coding, optimizing risk scores, and supporting reimbursement and quality initiatives in healthcare organizations.

What are some common challenges faced by remote HCC Risk Adjustment Coders, and how can they be addressed?

Remote HCC Risk Adjustment Coders often encounter challenges such as interpreting complex medical records without direct access to providers for clarification, staying updated on frequent coding guideline changes, and managing productivity expectations in a home-based environment. To address these, coders benefit from strong communication skills to clarify documentation through digital channels, participating in ongoing education and training, and utilizing coding software or company-provided resources efficiently. Employers typically support coders with regular team meetings, access to compliance specialists, and robust knowledge-sharing platforms to help overcome these hurdles.

What is remote HCC risk adjustment coding?

Remote HCC risk adjustment coding involves reviewing patient medical records from a remote location to identify and assign Hierarchical Condition Category (HCC) codes. These codes help determine the risk score of patients, which affects healthcare reimbursements for organizations. HCC coders must have a strong understanding of medical terminology, coding guidelines, and compliance regulations. They typically work from home, using secure software to ensure patient data privacy and accuracy in coding.

What is the difference between Remote Hcc Risk Adjustment Coding vs Remote Hcc Risk Adjustment Coding?

AspectRemote Hcc Risk Adjustment Coding

Since the comparison is with itself, the roles are identical. Both involve coding for HCC risk adjustment, require similar credentials like coding certifications, and are performed remotely within healthcare insurance environments. The primary difference lies in specific employer requirements or specialization, but generally, these roles are the same in scope and industry usage.

What are the most commonly searched types of Hcc Risk Adjustment Coding jobs in Pennsylvania? The most popular types of Hcc Risk Adjustment Coding jobs in Pennsylvania are:
What are popular job titles related to Remote Hcc Risk Adjustment Coding jobs in Pennsylvania? For Remote Hcc Risk Adjustment Coding jobs in Pennsylvania, the most frequently searched job titles are:
What job categories do people searching Remote Hcc Risk Adjustment Coding jobs in Pennsylvania look for? The top searched job categories for Remote Hcc Risk Adjustment Coding jobs in Pennsylvania are:
What cities in Pennsylvania are hiring for Remote Hcc Risk Adjustment Coding jobs? Cities in Pennsylvania with the most Remote Hcc Risk Adjustment Coding job openings:
Remote Hcc Risk Adjustment Coding jobs near you
Infographic showing various Remote Hcc Risk Adjustment Coding job openings in Pennsylvania as of May 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, 1% Temporary, and 2% Contract. Highlights an 87% Physical, and 13% Remote job distribution, with an average salary of $44,831 per year, or $21.6 per hour.

Physician Educator HPL- Remote- Clearfield County, PA & Surrounding Area!

UPMC Senior Communities

Pittsburgh, PA • On-site, Remote

$29.92 - $51.79/hr

Full-time

Posted 17 days ago

Job description

UPMC Health Plan has an exciting opportunity for a Physician Educator position in the HCC Risk Adjustment Department. This is a full-time position working Monday through Friday variable daytime hours. This will be a remote position based in Clearfield County requiring 50-75% travel primarily in the North Central region of PA, and surrounding areas as needed.
*Travel to US Steel Tower (Pittsburgh, PA) for mandatory meetings as needed.
The Physician Educator serves as a liaison between the Health Plan and the participating providers of the UPMC Health Plan Network. The Physician Educator is the primary resource for participating providers to address issues, questions and learning needs related to coding and documentation in the medical record and the various risk adjustment models of payment.
The Physician Educator is responsible for education of the participating providers and their staff. This includes assessment of learning needs, assessment of workflow processes and identification of barriers that impact correct coding documentation. The Physician Educator is responsible for implementation of strategic plans and coordination of all aspects of provider and practice education, including but not limited to scheduling, tracking, follow-up, workflow integration, medical record documentation, coding, and electronic health records. The Physician Educator distributes provider reports to physicians and practice management staff to assist them in improving their outcomes related to risk adjustment. In addition, the Physician Educator is responsible for evaluating medical record documentation through the medical record review process and providing feedback and recommendations for improvement. The Physician Educator will provide feedback to Operations-Risk Adjustment management and work collaboratively and cooperatively with Network Management, Reimbursement and other Health Plan department as required. The Physician Educator maintains a positive and helpful attitude as a liaison to the participating providers of the UPMC Health Plan.
A general understanding of Health care insurance and Medicare managed care is highly preferred for this position,
Responsibilities:
  • Develop and maintain collaborative relationships with assigned providers/practices within the UPMC Health Plan Network.
  • Coordinate and present education of providers/practices related to risk adjustment, coding, and clinical documentation improvement.
  • Assess workflow processes in physician practices that impact the ability to maximize Health Plan revenue achieved through the various risk adjustment payment models.
  • Identify trends and barriers that interfere with correct coding and documentation practices in the physician practice sites, including but not limited to workflow, electronic health records, and clearinghouses.
  • Adhere to CMS coding and documentation guidelines.
  • Analyze medical record documentation and coding through a chart review process that identifies incorrect coding, coding lacking supporting documentation, and missed opportunities to capture risk adjustment diagnoses and associated revenue.
  • Analyze and distribute reports to providers that summarize their performance related to coding and documentation and risk adjustment.
  • Develop and implement strategic action plans based on findings of assessment of physician practice workflows and medical record documentation reviews.
  • Maintain confidentiality of chart review results and member information.
  • Maintain a current and in-depth knowledge of CMS guidelines related to risk adjustment, coding, documentation, as well as knowledge of new models of risk adjustment that impact Health Plan revenue.
  • Track all educational activities and trends and patterns of providers/practices.
  • Assist practice with integration of correct coding and documentation standards into workflow.
  • Troubleshoot issues that impact the integration of correct coding and documentation and maximization of Health Plan revenue.
  • Monitor on-going performance of physicians and practices and report findings to the providers, practice administrators, and Risk Adjustment management. Identify sites within the network to offer public education on coding and documentation and provide classes on a regular basis.
  • Identify and document best practices related to coding, documentation, and workflow and share with practice administrators and risk adjustment physician educator staff.
  • Collaborate with practices that have entered into shared savings arrangements with UPMC Health Plan and assist them with identifying strategies that will improve their quality of patient care and maximize risk adjustment revenue.
  • Assist Senior Manager in development of education objectives and programs.
  • Collaborate with Risk Adjustment management staff in the development and implementation of the annual Risk Adjustment prospective campaigns.
  • Collaborates with Network Management, Reimbursement, Claims, and other Health Plan departments as required.

Qualifications:
  • Bachelor's Degree required or comparable work experience will be considered.
  • Minimum 5 years of experience in professional services, including practice management, nursing, clinical documentation improvement or quality audit.
  • 2-3 years of teaching experience in a clinical setting preferred.
  • 2-3 years of progressive leadership experience preferred.
  • Extensive knowledge of coding and documentation requirements including ICD-10-CM, CPT-4, and HCPCS. In-depth knowledge of medical terminology, anatomy and physiology, pharmacology, and pathology required.
  • Excellent verbal and written communication skills, analytical skills, and organization skills required.
  • Extensive problem-solving experience is required.
  • Experience working with physicians and physician practices. Goal-oriented and experience with development and implementation of action plans.
  • Excellent customer service required.
  • Ability to interact with public in a diplomatic and tactful manner and represent the Health Plan effectively.
  • Ability to manage relationships with assigned practices and maintain records of all activities.
  • Ability to develop action plans as required.
  • Proficient computer skills.
  • Self-motivated with the ability to work with minimal supervision.

Licensure, Certifications, and Clearances:
Licensure/certification required CRC, CCS, CPC-P, CPMA, CPPM within 6 months of hire.
  • Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran

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