This role is remote. The Risk, Quality, and Performance Analyst serves as the Risk, Quality, and ... Maximus TCS (Technology and Consulting Services) Internal Job Profile Code: TCS015, P3, Band 6 Job ...
This role is remote. The Risk, Quality, and Performance Analyst serves as the Risk, Quality, and ... Maximus TCS (Technology and Consulting Services) Internal Job Profile Code: TCS015, P3, Band 6 Job ...
This role is remote. The Risk, Quality, and Performance Analyst serves as the Risk, Quality, and ... Maximus TCS (Technology and Consulting Services) Internal Job Profile Code: TCS015, P3, Band 6 Job ...
This role is remote. The Risk, Quality, and Performance Analyst serves as the Risk, Quality, and ... Maximus TCS (Technology and Consulting Services) Internal Job Profile Code: TCS015, P3, Band 6 Job ...
This role is remote. The Risk, Quality, and Performance Analyst serves as the Risk, Quality, and ... Maximus TCS (Technology and Consulting Services) Internal Job Profile Code: TCS015, P3, Band 6 Job ...
This role is remote. The Risk, Quality, and Performance Analyst serves as the Risk, Quality, and ... Maximus TCS (Technology and Consulting Services) Internal Job Profile Code: TCS015, P3, Band 6 Job ...
This role is remote. The Risk, Quality, and Performance Analyst serves as the Risk, Quality, and ... Maximus TCS (Technology and Consulting Services) Internal Job Profile Code: TCS015, P3, Band 6 Job ...
This role is remote. The Risk, Quality, and Performance Analyst serves as the Risk, Quality, and ... Maximus TCS (Technology and Consulting Services) Internal Job Profile Code: TCS015, P3, Band 6 Job ...
This role is remote. The Risk, Quality, and Performance Analyst serves as the Risk, Quality, and ... Maximus TCS (Technology and Consulting Services) Internal Job Profile Code: TCS015, P3, Band 6 Job ...
This role is remote. The Risk, Quality, and Performance Analyst serves as the Risk, Quality, and ... Maximus TCS (Technology and Consulting Services) Internal Job Profile Code: TCS015, P3, Band 6 Job ...
This role is remote. The Risk, Quality, and Performance Analyst serves as the Risk, Quality, and ... Maximus TCS (Technology and Consulting Services) Internal Job Profile Code: TCS015, P3, Band 6 Job ...
This role is remote. The Risk, Quality, and Performance Analyst serves as the Risk, Quality, and ... Maximus TCS (Technology and Consulting Services) Internal Job Profile Code: TCS015, P3, Band 6 Job ...
Inpatient Medical Coder - FT - Up to $5,000 Sign on Bonus
New York, NY · Remote
$32 - $42/hr
This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! What You Will Do: * Assign diagnostic and procedural codes using ICD ...
Quick apply
Inpatient Medical Coder - FT - Up to $5,000 Sign on Bonus
New York, NY · Remote
$32 - $42/hr
This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! What You Will Do: * Assign diagnostic and procedural codes using ICD ...
Inpatient Medical Coder - PRN - Up to $1,000 Sign on Bonus
New York, NY · Remote
$32 - $42/hr
This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! What You Will Do: * Assign diagnostic and procedural codes using ICD ...
Quick apply
Inpatient Medical Coder - PRN - Up to $1,000 Sign on Bonus
New York, NY · Remote
$32 - $42/hr
This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! What You Will Do: * Assign diagnostic and procedural codes using ICD ...
Certified Coding Specialist (CCS) OR Certified In-patient Professional Coder (CIC) REQUIRED * Familiarity with medical terminology * Strong data entry skills * An understanding of computer ...
Certified Coding Specialist (CCS) OR Certified In-patient Professional Coder (CIC) REQUIRED * Familiarity with medical terminology * Strong data entry skills * An understanding of computer ...
... code samples, blog posts and other material to share knowledge both inside and outside the ... Our Mission in Risk Technology We establish the foundational technology that allows Capital One to ...
... code samples, blog posts and other material to share knowledge both inside and outside the ... Our Mission in Risk Technology We establish the foundational technology that allows Capital One to ...
Virtual Physician - Remote 1099 | Structured Intake & Care Navigation About Baba Baba is rebuilding ... SDOH Z-codes, diagnoses, and risk factors. * Validate care plans. Develop and approve ...
Quick apply
Apply Early
Virtual Physician - Remote 1099 | Structured Intake & Care Navigation About Baba Baba is rebuilding ... SDOH Z-codes, diagnoses, and risk factors. * Validate care plans. Develop and approve ...
Apply Early
... code samples, blog posts and other material to share knowledge both inside and outside the ... This role is part of the Risk Technology organization. In Risk Technology, we provide the ...
... code samples, blog posts and other material to share knowledge both inside and outside the ... This role is part of the Risk Technology organization. In Risk Technology, we provide the ...
... code samples, blog posts and other material to share knowledge both inside and outside the ... This role is part of the Risk Technology organization. In Risk Technology, we provide the ...
... code samples, blog posts and other material to share knowledge both inside and outside the ... This role is part of the Risk Technology organization. In Risk Technology, we provide the ...
Senior Site Reliability Engineer II
Manhattan, NY · On-site +1
$125K - $209K/yr
LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Business ... If not, this role is fully remote. We do not restrict applicants based on job site or posting ...
Senior Site Reliability Engineer II
Manhattan, NY · On-site +1
$125K - $209K/yr
LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Business ... If not, this role is fully remote. We do not restrict applicants based on job site or posting ...
Cyber Command Software Security Assurance Project Manager
New York, NY · Remote
$113K - $153K/yr
Remote Location: Remote Duration: 12+ months (35 hrs/week) Seek a Software Security Assurance ... including risk assessments, architecture reviews, and code review for internal and third-party ...
Quick apply
Cyber Command Software Security Assurance Project Manager
New York, NY · Remote
$113K - $153K/yr
Remote Location: Remote Duration: 12+ months (35 hrs/week) Seek a Software Security Assurance ... including risk assessments, architecture reviews, and code review for internal and third-party ...
Senior or Executive Risk Consultant - Northeast/MidAtlantic Property
Morristown, NJ · On-site +1
$162K/yr
Familiarity with usage and applications of NFPA codes and OSHA standards * NLE and MFL calculations ... Remote Employment Type: FULL_TIME
Senior or Executive Risk Consultant - Northeast/MidAtlantic Property
Morristown, NJ · On-site +1
$162K/yr
Familiarity with usage and applications of NFPA codes and OSHA standards * NLE and MFL calculations ... Remote Employment Type: FULL_TIME
Senior or Executive Risk Consultant - Northeast/MidAtlantic Property
Morristown, NJ · On-site +1
$162K/yr
Familiarity with usage and applications of NFPA codes and OSHA standards * NLE and MFL calculations ... Remote
Senior or Executive Risk Consultant - Northeast/MidAtlantic Property
Morristown, NJ · On-site +1
$162K/yr
Familiarity with usage and applications of NFPA codes and OSHA standards * NLE and MFL calculations ... Remote
Senior or Executive Risk Consultant - Northeast/MidAtlantic Property
Morristown, NJ · On-site +1
$162K/yr
Familiarity with usage and applications of NFPA codes and OSHA standards * NLE and MFL calculations ... Remote
Senior or Executive Risk Consultant - Northeast/MidAtlantic Property
Morristown, NJ · On-site +1
$162K/yr
Familiarity with usage and applications of NFPA codes and OSHA standards * NLE and MFL calculations ... Remote
Senior Machine Learning Engineer, Model Risk Management
New York, NY · Remote
$114K - $157K/yr
This role is remote-friendly within approved US locations. You Will * Independently challenge model ... Claude Code, Cursor, Copilot; agent skills and frameworks for building LLM-powered tooling * MLflow ...
Senior Machine Learning Engineer, Model Risk Management
New York, NY · Remote
$114K - $157K/yr
This role is remote-friendly within approved US locations. You Will * Independently challenge model ... Claude Code, Cursor, Copilot; agent skills and frameworks for building LLM-powered tooling * MLflow ...
Be Seen First
PIP Adjuster
Newark, NJ · Remote
$55K - $65K/yr
Certified Professional Coder (CPC) - PIP Medical Bill Review Expert Location: Remote (Nationwide, excluding CA) Schedule: Monday - Friday, Standard EST Business Hours Employment Type: Full-Time, ...
Quick apply
Be Seen First
PIP Adjuster
Newark, NJ · Remote
$55K - $65K/yr
Certified Professional Coder (CPC) - PIP Medical Bill Review Expert Location: Remote (Nationwide, excluding CA) Schedule: Monday - Friday, Standard EST Business Hours Employment Type: Full-Time, ...
Remote Risk Adjustment Coder information
See Carteret, NJ salary details
$18.59 is the 25th percentile. Wages below this are outliers.
$16.10 - $18.64
26% of jobs
$18.64 - $21.19
9% of jobs
$21.19 - $23.74
12% of jobs
The median wage is $25.02 / hr.
$23.74 - $26.29
9% of jobs
$26.29 - $28.84
11% of jobs
$28.84 - $31.39
5% of jobs
$33.30 is the 75th percentile. Wages above this are outliers.
$31.39 - $33.94
6% of jobs
$33.94 - $36.49
5% of jobs
$36.49 - $39.04
5% of jobs
$39.04 - $41.59
3% of jobs
$41.59 - $44.14
10% of jobs
$16
$27
$44
How much do remote risk adjustment coder jobs pay per hour?
What are the key skills and qualifications needed to thrive as a Remote Risk Adjustment Coder, and why are they important?
What is a Remote Risk Adjustment Coder?
What is the difference between Remote Risk Adjustment Coder vs Remote Medical Coder?
| Aspect | Remote Risk Adjustment Coder | Remote Medical Coder |
|---|---|---|
| Certifications | AHIMA or AAPC Risk Adjustment certifications | AAPC CPC, CCS, or RHIT certifications |
| Work Environment | Healthcare insurance, payer organizations, risk adjustment teams | Hospitals, clinics, physician offices, insurance companies |
| Industry Usage | Primarily in health insurance and risk adjustment programs | Broad 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?
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.
Full-time
Medical, Life, Retirement, PTO
This job post has expired today. Applications are no longer accepted.
Maximus rating
6.9
Based on 292 frontline employees who took The Breakroom Quiz
243rd of 437 rated business services
Job description
Description & Requirements
Maximus is a trusted federal partner supporting mission‑critical programs across national security, defense, and public service delivery. Our work focuses on sustaining, operating, and improving essential government systems and services, with proven operational excellence, and a commitment to mission success for our customers.
Joining Maximus means becoming part of a collaborative, mission‑driven organization where teamwork, accountability, and professional growth are core to how we operate. We invest in our workforce through training, education, and career development, empowering professionals to deliver high‑impact solutions while contributing to outcomes that matter at a national scale.
This position is contingent upon contract award and position availability. Selected candidates will receive a contingent offer of employment, which will become final only upon successful contract award to Maximus, availability of the position, and receipt of authorization to proceed.
Ability to obtain and maintain a Public Trust is required. An active Public Trust and/or DHS suitability is preferred. Must be a U.S. Citizen without dual citizenship. This role is remote.
The Risk, Quality, and Performance Analyst serves as the Risk, Quality, and Performance Analyst supporting an enterprise IT services contract. This role is responsible for monitoring and reporting on service quality, performance metrics, and risk management activities to ensure compliance with contract requirements and federal standards. The analyst supports continuous improvement initiatives, validates deliverables and operational processes, and contributes to performance reviews, SLA tracking, and governance reporting. The position also provides backup support for onboarding and administrative compliance functions as required by the contract.
Maximus TCS (Technology and Consulting Services) Internal Job Profile Code: TCS015, P3, Band 6
Job-Specific Essential Duties and Responsibilities:
- Serve as the Risk, Quality, and Performance Analyst, ensuring compliance with service quality, performance metrics, and governance requirements.
- Develop, monitor, and report on performance metrics, KPIs, and SLAs, supporting continuous service improvement and operational transparency.
- Conduct quality assurance reviews of operational processes, deliverables, and reporting artifacts to ensure alignment with agency standards and federal best practices.
- Support risk identification, tracking, and mitigation activities, including operational risks, compliance risks, and performance risks across functional areas.
- Assist with audit readiness, process documentation, and quality controls, ensuring artifacts meet agency and federal oversight expectations.
- Coordinate with program management, operations, and cybersecurity teams to support service reviews, performance reporting, and corrective action plans.
- Provide support for onboarding, administrative, and compliance functions, including documentation tracking, training verification, and access readiness as required.
Job-Specific Minimum Requirements:
- Ability to obtain and maintain a Public Trust is required. An active Public Trust and/or DHS suitability is preferred. Must be a U.S. Citizen without dual citizenship.
- Bachelor’s degree in Business, Information Systems, Computer Science, Engineering, or a related field.
- 5+ years of experience in quality assurance, performance management, risk management, or IT service management in a federal or enterprise IT environment.
- Demonstrated experience performing quality assurance, performance analysis, or risk management functions in a federal or enterprise IT environment, including validation of deliverables, processes, and reporting artifacts.
- Proven ability to develop, monitor, and report Key Performance Indicators (KPIs), Service Level Agreements (SLAs), and performance metrics in support of continuous service improvement.
- Experience supporting risk identification, tracking, mitigation, and reporting, including maintenance of risk registers and corrective action plans.
- Knowledge of IT Service Management (ITSM) concepts and operational governance, including quality controls, performance reviews, and compliance monitoring.
- Ability to review, assess, and validate documentation for accuracy, completeness, and compliance with federal standards, policies, and contract requirements.
- Experience producing clear, accurate written reports and briefings for program management and government stakeholders.
- Familiarity with federal information security and compliance environments, sufficient to support quality and performance oversight activities.
Preferred Skills and Qualifications:
- Knowledge of IT Service Management (ITSM), SLA monitoring, and performance reporting frameworks.
- Familiarity with ServiceNow, SharePoint, or similar enterprise reporting and workflow tools.
- Experience supporting risk registers, quality management plans, and continuous improvement initiatives.
- Strong written and verbal communication skills for executive‑level reporting and stakeholder coordination.
#techjobs #clearance #veteransPage #LI-remote
Minimum Requirements
TCS015, P3, Band 6
#TSTECH
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com .