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Remote Risk Adjustment Coder Jobs in Carnegie, PA

North American Dental Group

Contract Analyst

Pittsburgh, PA · On-site +1

$63K - $77K/yr

Overview Contract Analyst (Remote) Contract Analyst is part of the NADG Resource Center that ... adjustment (COLA) * Assist with the entry of new rates into the Fee Schedule tables and perform ...

North American Dental Group

Contract Analyst

Pittsburgh, PA · On-site +1

$63K - $77K/yr

Contract Analyst (Remote) Contract Analyst is part of the NADG Resource Center that supports The ... adjustment (COLA) * Assist with the entry of new rates into the Fee Schedule tables and perform ...

North American Dental Group

Contract Analyst

Pittsburgh, PA · On-site +1

$63K - $77K/yr

Overview Contract Analyst (Remote) Contract Analyst is part of the NADG Resource Center that ... adjustment (COLA) * Assist with the entry of new rates into the Fee Schedule tables and perform ...

BillionToOne

Account Executive

Pittsburgh, PA · Remote

$184K - $248K/yr

Responsibilities: * Increasing utilization of UNITY Fetal Risk Screen and driving market ... Demonstrated values and ethics that support BillionToOne's mission, goals, and professional code of ...

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All JobsRemote Risk Adjustment Coder JobsRemote Risk Adjustment Coder Jobs in Carnegie, PA

Remote Risk Adjustment Coder information

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$15

$26

$41

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

As of Jun 30, 2026, the average hourly pay for remote risk adjustment coder in Carnegie, PA is $26.36, according to ZipRecruiter salary data. Most workers in this role earn between $18.22 and $33.17 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
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Remote Risk Adjustment Coder jobs near you
Senior Distributed Systems Engineer

Senior Distributed Systems Engineer

DomainTools

Pittsburgh, PA • On-site, Remote

$101K - $138K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 21 days ago

Key responsibilities

  • Design, prototype, construct, and maintain real-time telemetry and telemetry processing platforms.

  • Maintain, extend, and scale the passive DNS database and its in-house storage engine.

  • Collaborate with stakeholders throughout the company to execute a smooth process from idea to product.

Job description

DomainTools is looking for a Senior Distributed Systems Engineer (Sr. DSE) to join our Real-Time Engineering team. This role is a key contributor to maintaining, extending, building, and evolving products based on high volume, real-time telemetry data from a worldwide network of data contributors and collectors. A Sr. DSE is an experienced technologist adept at systems design, prototyping / proof of concept development, and developing and deploying production quality systems and code.
As a Sr. DSE, you will maintain and extend core systems software and assist operations in evolving the infrastructure for delivering high volume realtime telemetry, develop requirements, prototypes, and ultimately production implementations of new products based on the data. You will maintain, extend, and scale our industry-leading passive DNS database and its in-house storage engine. You will work with product management to design new products based on this data, and prototype, develop, and ultimately deploy them. Solving interesting problems and navigating tradeoffs are a core part of this engineering role, in addition to writing and configuring code.
Job Responsibilities
  • Design, prototype, construct, and maintain real-time telemetry and telemetry processing platforms
  • Collaborate with multiple stakeholders throughout the company to execute a smooth process from idea to product
  • Maintain security, including best practices for secure coding standards, on all development projects and processes
  • Keep current with new technology
  • Write complete and effective documentation for your projects
  • Ensure that the team only produces the highest quality of code by acting as a peer reviewer and providing in-depth review along with detailed and thoughtful comments
  • Support sales and solutions engineering as a subject matter expert on team supported products and systems.

Requirements
  • 5+ years of experience working and developing software for Linux or similar systems.
  • 5+ years of experience developing software and/or designing systems in a team environment.
  • Working familiarity with modern CI/CD systems and practices and cloud deployment.
  • Ability to write and review expert-level systems and application code in C, Rust, or Go.
  • Familiarity with multiple systems design approaches (e.g., Cloud-native, monolithic, and microservices) and their respective tradeoffs.
  • Familiarity with multiple programming paradigms (e.g., functional, object oriented, concurrent vs. parallel vs. event-driven) and their respective tradeoffs.
  • Self-starter with a high level of initiative, commitment and energy.
  • Excellent organizational and time management skills, ability to prioritize multiple tasks and organize work to meet deadlines.
  • Ability to understand the needs of the business and evaluate solutions to recommend to leadership.

Preferred Qualifications
  • Working familiarity with Python, and Python integration with C or Rust.
  • Experience working remotely with distributed teams across multiple time zones.
  • Familiarity with software packaging and release engineering tools and infrastructure.
  • Understanding of core Internet technologies such as TCP/IP, DNS, or BGP.

Benefits
DomainTools is the global leader for Internet intelligence and the first place security practitioners go when they need to know. The world's most advanced security teams use our solutions to identify external risks, investigate threats, and proactively protect their organizations in a constantly evolving threat landscape. DomainTools constantly monitors the Internet and brings together the most comprehensive and trusted domain, website and DNS data to provide immediate context and machine-learning driven risk analytics delivered in near real-time. Although we are a remote friendly organization and provide great benefits and outstanding perks.
DomainTools offers a comprehensive benefits package to our employees that includes fully paid medical, dental and vision insurance premiums, a 401k retirement plan with company matching, basic life insurance, flexible PTO and additional well-being benefits.
DomainTools embraces diversity, equity and inclusion to its fullest as an equal opportunity employer. We build our teams so creativity and innovation can flourish. We believe inclusivity and equity fosters innovation and growth; and we harness this mindset to drive a culture that serves our employees and our customers. We encourage people of all backgrounds, ages, perspectives, and skill sets to apply; and do not discriminate based on age, religion, color, national origin, gender, sexual orientation, gender identity, marital status, veteran status, disability or any other characteristic protected by law.

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