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Remote Risk Adjustment Coder Jobs in Pennsylvania

WellSpan Health

Coder II- Podiatry

York, PA · Remote

$18.50 - $24.50/hr

General Summary Collects, reviews, retrieves and codes Evaluation & Management codes, and major procedures (surgical procedures, anesthesia reports, radiology reports/procedures) and other services ...

UHS

Manager - Coding (REMOTE)

Wayne, PA · Remote

POSITION OVERVIEW The Coding Manager is responsible for driving consistency across IPM, related to medical record documentation and the correct use of CPT-4 and ICD-10 codes to ensure adherence to ...

UHS

Manager - Coding (REMOTE)

Wayne, PA · Remote

POSITION OVERVIEW The Coding Manager is responsible for driving consistency across IPM, related to medical record documentation and the correct use of CPT-4 and ICD-10 codes to ensure adherence to ...

Geisinger Health

Medical Coder - DRG Inpatient

Danville, PA · On-site +1

$21.50 - $28.50/hr

Coders are responsible for translating diagnostic and procedural phrases utilized by healthcare providers into coded form procedure codes that can be utilized for submitting claims to payers for ...

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 ...

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All JobsRemote Risk Adjustment Coder JobsRemote Risk Adjustment Coder Jobs in Pennsylvania

Remote Risk Adjustment Coder information

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$15

$27

$43

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

As of Jun 8, 2026, the average hourly pay for remote risk adjustment coder in Pennsylvania is $27.56, according to ZipRecruiter salary data. Most workers in this role earn between $19.04 and $34.71 per hour, depending on experience, location, and employer.

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

To thrive as a Remote Risk Adjustment Coder, you need a solid understanding of ICD-10-CM coding, medical terminology, and risk adjustment models, often supported by a coding certification such as CPC, CRC, or CCS. Proficiency with electronic health record (EHR) systems, coding software, and data management tools is essential. Attention to detail, strong analytical skills, and effective communication are crucial soft skills for accurate code assignment and collaboration with healthcare teams. These skills ensure compliance, maximize reimbursement, and support quality healthcare outcomes in a remote environment.

What is a Remote Risk Adjustment Coder?

A Remote Risk Adjustment Coder is a healthcare professional who reviews patient medical records and assigns diagnostic codes from a remote location, typically from home. Their primary goal is to ensure accurate coding for risk adjustment purposes, which helps health plans predict patient healthcare costs and receive appropriate funding. These coders work with electronic health records and must be knowledgeable about coding standards like ICD-10-CM. They play a key role in supporting compliance and maximizing revenue for healthcare organizations. Attention to detail, confidentiality, and proficiency with coding software are essential skills for this remote position.

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

AspectRemote Risk Adjustment CoderRemote Medical Coder
CertificationsAHIMA or AAPC Risk Adjustment certificationsAAPC CPC, CCS, or RHIT certifications
Work EnvironmentHealthcare insurance, payer organizations, risk adjustment teamsHospitals, clinics, physician offices, insurance companies
Industry UsagePrimarily in health insurance and risk adjustment programsBroad healthcare settings including hospitals and outpatient clinics

Remote Risk Adjustment Coders focus on analyzing patient data for insurance risk models, requiring specific risk adjustment certifications. Remote Medical Coders handle a wider range of medical records coding across various healthcare settings. While both roles involve medical coding, their industries, certifications, and primary tasks differ significantly.

What are the common challenges faced by Remote Risk Adjustment Coders and how can they be managed?

Remote Risk Adjustment Coders often encounter challenges such as interpreting complex medical records, ensuring coding accuracy under tight deadlines, and staying updated with evolving coding guidelines. Managing these challenges typically involves strong attention to detail, proactive communication with team members, and participating in ongoing training sessions or webinars. Utilizing supportive resources and adhering to standardized coding protocols can help coders maintain accuracy and efficiency in a remote setting.

What Does a Remote Risk Adjustment Coder Do?

As a remote risk adjustment coder, your duties and responsibilities involve performing medical coding and reviewing medical codes for adherence to risk adjustment models. Employers may also expect you to audit medical record data to ensure accuracy. In this role, you work from home to apply codes and make assessments according to regulations and your employer’s operational policies. You also report the results of an audit to the relevant supervisor or coding service provider. It’s your job to ensure compliance with rules related to patient privacy and electronic medical record keeping.

More about Remote Risk Adjustment Coder jobs
What are the most commonly searched types of Risk Adjustment Coder jobs in Pennsylvania? The most popular types of Risk Adjustment Coder jobs in Pennsylvania are:
What are popular job titles related to Remote Risk Adjustment Coder jobs in Pennsylvania? For Remote Risk Adjustment Coder jobs in Pennsylvania, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coder jobs in Pennsylvania look for? The top searched job categories for Remote Risk Adjustment Coder jobs in Pennsylvania are:
What cities in Pennsylvania are hiring for Remote Risk Adjustment Coder jobs? Cities in Pennsylvania with the most Remote Risk Adjustment Coder job openings:
Remote Risk Adjustment Coder jobs near you
Infographic showing various Remote Risk Adjustment Coder job openings in Pennsylvania as of May 2026, with employment types broken down into 89% Full Time, 4% Part Time, and 7% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $57,319 per year, or $27.6 per hour.

Coder II, Profee

Corporate Revenue Cycle

Pittsburgh, PA • Remote

Other

Posted 23 hours ago

Job description

UPMC Corporate Revenue Cycle is hiring a Coder II- Profee to join our Coding Department! This position will be a work-from-home position working Monday through Friday during business hours.

In this role, you will be working on claim edits across all specialties. As the Coder II, you will review all pertinent physician, nursing, and ancillary documentation. Depending on the type of service and place of service, you will determine the level of acuity, procedure(s) performed, billable supplies, and diagnosis to substantiate medical necessity. As well as review and sequence all codes to maximize reimbursement and address any potential bundling issues. The position will also handle LMRP/CCI edit and coding denial resolution.
Responsibilities:

  • Utilize computer applications and resources essential to completing the coding process efficiently.
  • Meet and maintain charge lag and appropriate coding productivity standards within the time frame established by management staff.
  • Refer problem accounts to appropriate coding or management personnel for resolution.
  • Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification to accurately complete the coding process.
  • Monitor and resolve coding edits and denials in a timely manner to ensure optimal reimbursement.
  • Make forward progress within the period toward meeting coding accuracy standards of the departments within the first year of employment. Meet appropriate coding productivity standards within the time frame established by management staff.
  • Utilize standard coding guidelines, principles and coding clinics to assign the appropriate ICD and CPT codes for all record types to ensure accurate reimbursement. (i.e. use of coding clinics, CPT Assistant, etc) and to determine the level of acuity. Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits.
  • Adhere to internal department and system-wide competencies, behaviors, policies and procedures to ensure efficient work processes. Actively participate in monthly coding meetings and share ideas and suggestions for operational improvements. Maintain continuing education by reviewing updated CPT assistant guidelines and updated coding clinics.
  • Complete work assignments in a timely manner and understand the workflow of the department. Maintain daily productivity statistics and submit a weekly productivity sheet to management.
  • High school graduate or equivalent.
  • Graduate of an approved certified coding program preferred with a curriculum that includes Anatomy and Physiology, Pharmacology, Pathophysiology, Medical Terminology, ICD-9-CM/ICD-10 and CPT Coding Guidelines and Procedures.
  • In lieu of 2 years of coding experience with schooling, a minimum of 3 years experience or CPC certification required.
  • Experience with claim edits is preferred.

  • Proficient computer skills with MS excel knowledge preferred.


Licensure, Certifications, and Clearances:

  • Eligible for CPC or CPC specialty certification.
  • Act 34


UPMC is an Equal Opportunity Employer/Disability/Veteran

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