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Remote Risk Adjustment Coder Jobs in Buffalo, NY

Excelsior Orthopaedics

Certified Medical Coder

Amherst, NY · Remote

$21 - $35.64/hr

We know Coders are looking for more than just a job - you want growth, support, and the tools to ... Opportunity to work fully remote after training * Opportunity to become a part of organization that ...

acv

Director, Product Security

Buffalo, NY · Remote

... code-based risks within a fast-paced, technology-driven environment. You will build and lead a high ... Lead security risk assessments, threat modeling, and tabletop exercises specific to product ...

acv

Director, Product Security

Buffalo, NY · Remote

... code-based risks within a fast-paced, technology-driven environment. You will build and lead a high ... Lead security risk assessments, threat modeling, and tabletop exercises specific to product ...

acv

Director, Product Security

Buffalo, NY · Remote

... code-based risks within a fast-paced, technology-driven environment. You will build and lead a high ... Lead security risk assessments, threat modeling, and tabletop exercises specific to product ...

Acara Solutions

Data Solution Architect

Buffalo, NY · Remote

Remote, NY Employment: Contract (6 months) Industry: Banking Compensation: $ 80.00/hour Schedule ... Identify risk-related issues needing escalation to management. * Promote an environment that ...

New

Moog

Contracts Manager

Buffalo, NY · On-site +1

$110K - $155K/yr

Fully Remote or Hybrid if Local - Buffalo, NY We are seeking a Contracts Manager in Moog's Central ... Includes contract change and risk management, including requirements to maintain documentation ...

Moog

Solutions Architect

Buffalo, NY · On-site +1

$150K - $180K/yr

Fully Remote or Hybrid if Local - Buffalo, NY Moog's Corporate Group is looking for a Solutions ... Infrastructure-as-Code (Terraform, ARM) * CI/CD pipelines in regulated environments * Must be ...

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Remote Risk Adjustment Coder information

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$42

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

As of Jun 17, 2026, the average hourly pay for remote risk adjustment coder in Buffalo, NY is $26.63, according to ZipRecruiter salary data. Most workers in this role earn between $18.41 and $33.51 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 Buffalo, NY? The most popular types of Risk Adjustment Coder jobs in Buffalo, NY are:
What are popular job titles related to Remote Risk Adjustment Coder jobs in Buffalo, NY? For Remote Risk Adjustment Coder jobs in Buffalo, NY, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coder jobs in Buffalo, NY look for? The top searched job categories for Remote Risk Adjustment Coder jobs in Buffalo, NY are:
What cities near Buffalo, NY are hiring for Remote Risk Adjustment Coder jobs? Cities near Buffalo, NY 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 Buffalo, NY as of June 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $55,390 per year, or $26.6 per hour.

Certified Medical Coder

EXCELSIOR ORTHOPAEDICS GROUP

Amherst, NY • On-site, Remote

$21 - $35.64/hr

Full-time

Retirement

Posted 10 days ago

Job description

Join Our Growing Coding Team - Where Orthopaedics Meets Opportunity!
Why Join Our Coding Team?
We know Coders are looking for more than just a job - you want growth, support, and the tools to succeed.
What Sets Us Apart:
  • Company-issued laptop for streamlined documentation
  • Collaborative environment
  • Opportunity to work fully remote after training
  • Opportunity to become a part of organization that is team-focused!

Retirement Benefits:
  • Guaranteed 3% company contribution to your 401(k)
  • Discretionary profit-sharing contribution annually (after 1 year of service and meeting eligibility requirements)

Job Summary
The Coder is responsible for reviewing, interpreting, and assigning appropriate CPT, ICD-10, and HCPCS codes, and ensuring compliance with federal regulations and payer policies. This position is responsible for reviewing operative reports for all procedures performed by Excelsior Orthopaedic Physicians for completeness and to abstract and code clinical data, using standard classification systems.
Duties and Responsibilities
  • Demonstrate our core values of being patient centered, team focused, service driven, accountable, and innovative every day.
  • Review and audit physician documentation and surgical reports to accurately assign diagnosis and procedure codes for orthopedic services, including office visits, imaging, physical therapy, and surgical procedures.
  • Ensuring coding practice meets federal and state guidelines, payer-specific requirements, and company policies.
  • Communicate with providers and clinical staff to ensure accurate documentation to produce accurate coding.
  • Monitor coding edits, denials, and rejections; assist in appeals and corrections as needed.
  • Collaborate with the billing team to resolve coding and reimbursement issues.
  • Stay current with coding guidelines, orthopedic-specific regulations, and payer updates.
  • Accurately enter and itemize charge data into the billing system, ensuring completeness and adherence to internal policies.
  • Assist with verifying and applying correct CPT, ICD-10, and HCPCS codes based on provider documentation; escalate complex coding issues to certified coders when needed.
  • Prepare, process, and transmit insurance claims (electronic and paper) in accordance with payer requirements and deadlines.
  • Collect and verify all the information necessary to complete the billing process, including patient demographics, insurance coverage, and provider charge details.
  • Evolve in your role when performing supplemental responsibilities as assigned.

Requirements and Qualifications
  • Associates degree preferred; HS diploma or GED required.
  • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent coding certification is required.
  • Proven experience (1+ years) as a Coder or in a similar role required.
  • Demonstrated ability and understanding of an electronic health record (EHR/EMR) and coding software is preferred.
  • Knowledge of orthopedic, physical therapy, or podiatry medical terminology is desirable.
  • Ability to work independently and collaboratively in a fast-paced, team-oriented environment.
  • Computer skills required with minimum proficiency in Microsoft Word, Excel, Outlook, and Teams.

Physical Demands
  • Manual and finger dexterity and eye-hand coordination to enter data and operate office equipment
  • Corrected vision and hearing within normal range to observe and communicate with patients, providers, and staff.
  • Frequently remaining in a stationary position, often sitting for prolonged periods working on a computer, telephone, copy/fax machine, and other office equipment
  • Occasional standing and walking required
  • Occasional lifting and carrying items weighing up to 10 pounds.

The pay range for this position is determined based on several factors, including the candidate's years of experience, qualifications, training, licenses, designations, and the overall market conditions.
This job description does not state or imply that the duties and responsibilities listed are the only ones required of this position. Team members in this role will be required to perform other job-related duties at the discretion of the employer and may have additional duties assigned as necessary.
Excelsior Orthopaedics and Buffalo Surgery Center are committed to the full inclusion of all applicants. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information.

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