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Remote Hcc Risk Adjustment Coding Jobs in Pennsylvania

Actuary

Philadelphia, PA ยท 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

... 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 ...

Electrical Designer | Remote

Pittsburgh, PA ยท On-site +1

$48.08 - $67.31/hr

Working knowledge of the National Electrical Code (NEC) * Ability to manage multiple projects and ... If you would like to request a reasonable accommodation, such as the modification or adjustment of ...

New

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

Senior Cybersecurity Engineer

Philadelphia, PA ยท On-site +1

$115K - $158K/yr

... remote option.) Job Summary The CONNECT Cybersecurity & Privacy team partners across Comcast ... secure code review, threat modeling, application security testing, and risk-based remediation.

Senior Cybersecurity Engineer

Philadelphia, PA ยท On-site +1

$115K - $158K/yr

... remote option.) Job Summary The CONNECT Cybersecurity & Privacy team partners across Comcast ... secure code review, threat modeling, application security testing, and risk-based remediation.

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Remote Hcc Risk Adjustment Coding information

See Pennsylvania salary details

$17

$21

$23

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

As of Aug 7, 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 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 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 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 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 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 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:
Infographic showing various Remote Hcc Risk Adjustment Coding job openings in Pennsylvania as of August 2026, with employment types broken down into 1% As Needed, 88% Full Time, 8% Part Time, and 3% Contract. Highlights an 88% Physical, 4% Hybrid, and 8% Remote job distribution, with an average salary of $44,831 per year, or $21.6 per hour.

Regional Medical Director- (Philadelphia/Baltimore)

CareAllies

Philadelphia, PA โ€ข On-site, Remote

$191K - $355K/yr

Full-time

Medical, Life, Retirement, PTO

Re-posted 18 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.