ZipRecruiter

Log In

2

Remote Risk Adjustment Coder Jobs in Carnegie, PA

Integrity Resources

Be Seen First

Senior Devops Engineer -

Pittsburgh, PA · Remote

$100K - $149K/yr

THIS IS A REMOTE 3 MONTH CONTRACT OPPORTUNITY · The Senior DevOps Engineer is responsible for ... Code, reliability engineering, monitoring and alerting, security operations, and continuous ...

Legrand AV, Inc.

Lead AI Engineer

Canonsburg, PA · Remote

$94K - $124K/yr

This is a remote position. This is a senior, hands-on leadership role at the intersection of ... Conduct substantive code reviews for all team members, providing technical feedback that raises ...

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 ...

next page

Showing results 1-20

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

Remote Risk Adjustment Coder information

See Carnegie, PA salary details

$15

$26

$41

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 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
What are popular job titles related to Remote Risk Adjustment Coder jobs in Carnegie, PA? For Remote Risk Adjustment Coder jobs in Carnegie, PA, the most frequently searched job titles are:
What cities near Carnegie, PA are hiring for Remote Risk Adjustment Coder jobs? Cities near Carnegie, PA with the most Remote Risk Adjustment Coder job openings:
Remote Risk Adjustment Coder jobs near you
Technical Project Manager (Contract)

Technical Project Manager (Contract)

Rimsys

Pittsburgh, PA • On-site, Remote

$65/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 26 days ago

Job description

About Rimsys
Rimsys is on a mission to improve global health. Our Regulatory Information Management (RIM) software digitizes and automates regulatory activities, helping MedTech companies establish and secure global compliance and bring life-saving products to market more quickly. Rimsys is headquartered in Pittsburgh, PA (position can be in-office, hybrid or remote) and is growing rapidly with an expanding list of large enterprise customers.
We are extraordinarily proud of the company we've built so far not to mention humbled to be recognized as a Best Place to Work in Pittsburgh. Our people are Rimsys' biggest competitive advantage and we'll continue to invest in our team and people-first culture.
Why Rimsys?
Rimsys is at the forefront of digital transformation in the medical device industry with our pioneering SaaS platform. We streamline global regulatory compliance, making it faster and more efficient for medical devices to reach the market. Joining our team means you're helping to accelerate healthcare innovation, directly impacting patient care and safety across the globe.
About the role
  • We are seeking an experienced and dedicated Technical Project Manager (PM) to lead and manage technical deployments.
  • This role combines traditional project management responsibilities with hands-on client workshopping and technical discovery. The ideal candidate will own end-to-end delivery of complex enterprise client implementations, acting as both a project leader and functional consultant to ensure customers successfully deploy and adopt the Rimsys platform.
What you'll do
  • Project Planning and Initiation:
    • Oversee multiple, simultaneous projects, ensuring project expectations/timelines are met, within budget, and issues are addressed.
    • Collaborate with stakeholders to define project scope, objectives, and deliverables.
    • Develop and maintain comprehensive project documentation (e.g., charters, project plans, RAID log, etc.) based on client requirements and resource availability.
    • Identify potential risks and create mitigation strategies.
  • Project Implementation:
    • Act as a functional consultant for clients. Understand and analyze client business requirements, provide mentorship on efficient configuration/data options to meet client needs, and prepare clients for deployment.
    • Manage technical discovery sessions to gather customer requirements on the product to achieve their business goals.
    • Keep abreast of new releases and product functionality to ensure successful implementation for clients.
    • Assist in training and educating clients' Super User/Admin teams on platform functionality and configuration.
    • Collaborate with Customer Success and Support to ensure successful onboarding.
  • Team Coordination:
    • Facilitate team meetings and maintain documentation that is shared with clients, internal team members, and management.
    • Lead, and collaborate with cross-functional teams, including development/operations, product management, regulatory, sales, and other relevant experts to ensure the product exceeds customer expectations.
    • Foster strong relationships with internal team members and client team members to develop a collaborative and productive team environment.
    • Assign tasks, set clear expectations, and ensure each team member understands their role and responsibilities.
  • Progress Monitoring and Reporting:
    • Own delivery against timelines and milestones, proactively correcting course when needed.
    • Keep stakeholders informed through regular status updates, reports, and presentations.
  • Communication and Stakeholder Engagement:
    • Establish clear and timely lines of communication to effectively communicate project status, progress, risks, and issues to clients, colleagues, and project stakeholders keeping everyone informed and aligned.
    • Escalate and support exceptional client situations.
  • Risk Management:
    • Identify potential risks and issues that could impact project success, and make necessary adjustments.
    • Develop and implement risk mitigation and contingency plans.
    • Address challenges as they arise, making data-driven decisions to keep the project on track.
  • Change Management:
    • Manage changes to project scope, timeline, or resources, ensuring that changes are documented, communicated, and approved.
  • Resource Management:
    • Manage project resources, including budgets, and external vendors or contractors.
    • Optimize resource allocation to ensure efficient project execution.
  • Quality Assurance:
    • Define and enforce quality standards for project deliverables.
    • Conduct regular reviews and testing to ensure that the project meets technical and functional requirements.
  • Continuous Improvement:
    • Conduct post-project evaluations to identify lessons learned and areas for improvement.
    • Apply insights from previous projects to enhance project management processes and practices.
Who You Are
  • Bachelor's degree in a related field such as computer science, engineering, or business administration.
  • 5+ years of proven track record of successful project management, including managing multiple projects simultaneously.
  • Solid understanding of project management methodologies, tools (e.g., JIRA, MS Project, Tempo, etc.), and techniques, as well as experience in managing cross-functional teams.
  • Eagerness to develop a solid understanding of the Rimsys platform and a working knowledge of MedTech Regulatory Affairs to help complex enterprise clients connect their business requirements to their Rimsys implementation.
  • Experience with database technologies such as Postgres, Oracle, and MySQL.
  • Experience with complex Excel data workbooks.
  • Ability to understand data structure, transformation, and quality.
  • Experience with implementing customer systems on a cloud-based SaaS infrastructure (one of AWS, Azure, or GCE), with working knowledge of SSO and APIs.
  • Ability to quickly grasp customer requirements and propose creative solutions.
  • Experience with Agile/Scrum methodologies.
  • Outstanding communication and organizational skills.
  • Excellent analytical, leadership, and problem-solving skills.
  • Ability to build and foster good relationships.
  • Ability to balance competing priorities.
  • Self-motivated and directed individual.
Preferred education and experience
  • Experience in (or exposure to) the medical device industry; with an ability to understand the unique needs of enterprise customers in this space.
  • Knowledge of SaaS business models and best practices, with a focus on delivering value and driving growth.
  • Knowledge of troubleshooting methodologies (similar to support desk/QA experience).
  • Knowledge of eQMS/PLM/Enterprise ERP software tools.
  • Knowledge of MedTech Regulatory Affairs.
  • PMP Certification.
Other duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Travel Requirements
May require occasional travel as needed for client site visits.
Benefits
In addition to base salary, this job is eligible to receive equity in the form of restricted stock units, and depending on the position offered, it may also be eligible to receive an annual bonus or commission.
Rimsys offers a wide range of benefits to U.S.-based team members. Benefits available to Rimsys team members include, but are not limited to:
  • Flexible working options (in our Pittsburgh office, remote or hybrid)
  • Competitive Compensation (base + commission + equity)
  • Comprehensive medical, dental and vision coverage
  • Training and resources for personal and career growth
  • Life insurance benefits
  • 401(k) plan
  • Generous vacation policy (Unlimited PTO with a minimum 3 weeks OOO)
  • Weekly social events
  • Convenient office location with on-site parking for team members in our Pittsburgh office

Rimsys is a proud Equal Opportunity Employer. We are committed to embracing diversity and inclusion in our hiring practices and our employees' experience. We celebrate all cultures, backgrounds, perspectives, and experiences and know that we can only become better together.
This job posting may span more than one career level.
To provide greater transparency to candidates, we share base pay ranges for all US-based job postings regardless of state. We set standard base pay ranges for all roles based on function, level, and country location, benchmarked against similar-stage growth companies. Final offers are determined by multiple factors, including skills, depth of work experience, and relevant credentials.
Please note that this job description is not designed to cover or contain a comprehensive listing of the activities, duties, or responsibilities required of the team member for this job. Duties, responsibilities, and activities may change at any time, with or without notice.
The pay range for this role is:
65 - 65 USD per hour (Remote)

Apply