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Remote Risk Adjustment Coder Jobs in Blairsville, PA

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Remote Risk Adjustment Coder information

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$14

$25

$40

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

As of Aug 30, 2026, the average hourly pay for remote risk adjustment coder in Blairsville, PA is $25.32, according to ZipRecruiter salary data. Most workers in this role earn between $17.50 and $31.88 per hour, depending on experience, location, and employer.

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 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.

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

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 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 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.

More about Remote Risk Adjustment Coder jobs

What cities near Blairsville, PA are hiring for Remote Risk Adjustment Coder jobs?

Cities near Blairsville, PA 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 Blairsville, PA as of June 2026, with employment types broken down into 91% Full Time, 7% Part Time, and 2% Contract. Highlights an 37% Physical, 2% Hybrid, and 61% Remote job distribution, with an average salary of $52,666 per year, or $25.3 per hour.

Software Engineer III - AI/ML Platform Operations - Remote

CSAA

Indiana, PA • Remote

Full-time

Retirement

Posted 11 days ago

Job description

External candidates: In order for your application to be correctly processed please sign-in before you apply

Internal candidates: Please go to Workday and click "Find Jobs" link under Career

Thank you for considering opportunities with us!

Job Title

Software Engineer III - AI/ML Platform Operations - Remote

Requisition Number

R7739 Software Engineer III - AI/ML Platform Operations - Remote (Open)

Location

Arizona - Home Teleworkers

Additional Locations

Job Information

CSAA Insurance Group (CSAA IG), a AAA insurer, is one of the leading personal lines property and casualty insurance groups in the United States. Here, every employee shapes our mission. We build innovative, human-centered solutions that help AAA members prevent, prepare for, and recover from life's uncertainties. You will join a collaborative, inclusive culture where your strengths have room to grow and your ideas can drive real impact. Step into a role where you can contribute to our shared success through meaningful work.

We are actively hiring for a Software Engineer - AI/ML Platform Operations - Remote

Your Role: We are seeking a Software Engineer - AI/ML Platform Operations to lead the operational excellence, reliability, and support of our enterprise AI and data platforms. This role is responsible for ensuring the stability, scalability, observability, governance, and operational readiness of AI/ML solutions that power critical business capabilities.

This is not a traditional software application development role. While strong software engineering skills are essential, the primary focus is on AI platform operations, MLOps, automation, reliability engineering, deployment support, observability, governance, and continuous improvement of enterprise AI capabilities.

Your Work: You will work across a modern technology ecosystem that includes Palantir Foundry, AWS Bedrock, Amazon SageMaker, cloud-native services, and emerging Generative AI technologies. You will partner with Data Engineering, Data Science, Architecture, Infrastructure, Security, and Product teams to support production AI workloads and enable the successful adoption of AI capabilities across the organization.

AI Platform Operations & Reliability

  • Provide technical leadership for AI/ML platforms including Palantir, AWS Bedrock, Amazon SageMaker, and related cloud-native technologies.

  • Ensure platform reliability, scalability, performance, security, and operational readiness for production AI workloads.

  • Support deployment, monitoring, maintenance, and lifecycle management of AI/ML solutions and Generative AI services.

  • Establish operational standards, support models, service-level objectives (SLOs), and platform governance practices.

MLOps, Automation & Observability

  • Design and implement automation, monitoring, observability, and operational tooling to improve platform reliability and efficiency.

  • Develop and maintain dashboards, health metrics, alerts, logging frameworks, and operational runbooks.

  • Enhance CI/CD pipelines, deployment automation, infrastructure-as-code, and model release processes.

  • Implement best practices for MLOps, model monitoring, model lifecycle management, and AI operational governance.

Incident Management & Problem Resolution

  • Serve as a senior escalation point for complex production issues involving AI platforms, machine learning workloads, cloud infrastructure, and data integrations.

  • Lead root cause analysis efforts and drive corrective and preventive actions to improve platform stability.

  • Solve performance, availability, deployment, and integration issues across AI and data ecosystems.

  • Partner with engineering and business teams to rapidly restore service and minimize operational risk.

Technical Leadership & Collaboration

  • Provide mentorship, technical guidance, and operational expertise to engineers and platform teams.

  • Influence platform strategy, architecture decisions, operational processes, and technology adoption.

  • Collaborate with team members to align platform capabilities with business priorities and AI adoption goals.

  • Communicate complex technical concepts effectively to both technical and non-technical audiences.

Continuous Improvement & Innovation

  • Remain current with advancements in AI/ML, Generative AI, cloud technologies, platform engineering, and reliability practices.

  • Identify opportunities to improve operational efficiency, governance, security, and developer experience.

  • Champion modern engineering practices including automation, observability, DevOps, Site Reliability Engineering (SRE), and AI Operations (AIOps).

Required Experience, Education and Skills

  • 3+ years of progressive experience in software engineering, platform engineering, cloud operations, MLOps, DevOps, or related technical disciplines.

  • Bachelor's degree in Computer Science, Engineering, Information Technology, or a related field, or equivalent practical experience.

  • Experience supporting production cloud-based applications and services in AWS environments.

  • Strong experience with software engineering and automation using languages such as Python, Java, JavaScript/TypeScript, or Node.js.

  • Experience with CI/CD, build, integration, and deployment tools such as Jenkins, Maven, GitHub Actions, or equivalent.

  • Experience with cloud-native services including compute, storage, networking, databases, and serverless architectures.

  • Experience building and maintaining operational monitoring, observability, and alerting solutions.

  • Strong troubleshooting, incident response, and root cause analysis skills.

  • Excellent communication, collaboration, and technical leadership capabilities.

What would make us excited about you?

  • Experience with AI/ML platforms such as Palantir Foundry, Amazon SageMaker, AWS Bedrock, Databricks, or similar ecosystems.

  • Experience supporting Generative AI applications, LLM-based solutions, prompt orchestration frameworks, and Retrieval-Augmented Generation (RAG) architectures.

  • Knowledge of MLOps practices including model deployment, monitoring, governance, experimentation, and lifecycle management.

  • Experience with observability and monitoring platforms such as Datadog, Splunk, Grafana, Prometheus, CloudWatch, or OpenTelemetry.

  • Familiarity with AI governance, responsible AI principles, model risk management, and operational controls.

  • Relevant cloud, AI/ML, DevOps, or platform engineering certifications

  • Actively shapes our company culture (e.g., participating in employee resource groups, volunteering, etc.)

  • Lives into cultural norms (e.g., willing to have cameras when it matters: helping onboard new team members, building relationships, etc.)

  • Travels as needed for role, including divisional / team meetings and other in-person meetings

  • Fulfills business needs, which may include investing extra time, helping other teams, etc

Please note we are hiring for this role remote anywhere in the United States with the following exceptions: Hawaii and Alaska.

Why Choose a Career at CSAA IG?

At CSAA IG, we are a mission-driven organization proudly committed to empowering our members, our employees, and our communities to thrive.

Recognition: We offer a total compensation package, annual bonus eligibility for most roles, 401(k) with a company match, and so much more! Read more about what we offer and what it is like to be a part of our dynamic team at https://careers.csaainsurance.aaa.com/us/en/benefits.

Career Growth: We believe in growth for everyone. Here at CSAA IG, leaders and mentors partner with employees to align interests, unlock development opportunities, and support longterm success.

Flexible Workplace: We embrace a remote-first culture through our Flexible Workplace. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including CSAA offices. Our flexible workplace empowers you to balance remote work with intentional inperson moments that deepen connection and collaboration.

Inclusion and Belonging: An inclusive and welcoming workplace is the cornerstone of our success. By fostering an environment where people feel valued and heard, we deepen our ability to understand and meet the unique needs of our members. This strengthens innovation and enhances our products and services, giving us a competitive edge in the market.

Sustainability: As climate change leads to more frequent and severe weather events, we are taking bold action to build more resilient communities and reduce our environmental impact. Submit your application to be considered. We communicate via email, so check your inbox and/or your spam folder to ensure you don't miss important updates from us.

CSAA is committed to providing reasonable accommodations to qualified applicants and employees with disabilities or other limitations. If you would like to request an accommodation to participate in the job application or interview process, please contact TalentAcquistion@csaa.com

If you apply and are selected to continue in the recruiting process, we will schedule a preliminary call with you to discuss the role and will disclose during that call the available salary/hourly rate range based on your location. Factors used to determine the actual salary offered may include location, experience, or education.

CSAA does not provide visa sponsorship for this role. Applicants must have authorization to work indefinitely in the US. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).

CSAA Insurance Group is an equal opportunity employer.

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The national average salary range for this position is $105,345.00-$117,050.00. However, we have a location-based compensation structure. Our salary ranges vary and are calculated based on work location. The starting pay range for this position across all the states we hire in is $105,345.00-$140,550.00. This role also includes an opportunity for a company-wide annual discretionary bonus, through our Annual Incentive Plan (AIP), of up to 8% of eligible pay.This job posting will be unposted on Fri, 28 Aug 2026.

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