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Remote Risk Adjustment Coder Jobs in Closter, NJ

Fractal

Business Analyst

New York, NY · Remote

Remote Role Overview: We are seeking an experienced Business Analyst (BA) with strong expertise in ... Experience supporting HEDIS, Stars, Risk Adjustment, or Quality programs. * Exposure to FHIRbased ...

Highmark Health

Coder - Inpatient

New York, NY · Remote

$37.14/hr

Certified Coding Specialist (CCS) OR Certified In-patient Professional Coder (CIC) * Familiarity with medical terminology * Strong data entry skills * An understanding of computer applications

Baba

Physician - Remote (MD/DO) 1099

New York, NY · Remote

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 ...

Icon Health

Senior Data Analyst

Stamford, CT · Remote

$88K - $111.10K/yr

Remote Reports To: SVP, Data and Technology Who We Are Icon Health is a leading provider of value ... Experience working with healthcare data (e.g., claims, eligibility, HCCs, risk adjustment)

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$16

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$45

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

As of May 31, 2026, the average hourly pay for remote risk adjustment coder in Closter, NJ is $28.47, according to ZipRecruiter salary data. Most workers in this role earn between $19.66 and $35.87 per hour, depending on experience, location, and employer.

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, 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 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 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.

More about Remote Risk Adjustment Coder jobs
What are the most commonly searched types of Risk Adjustment Coder jobs in Closter, NJ? The most popular types of Risk Adjustment Coder jobs in Closter, NJ are:
What cities near Closter, NJ are hiring for Remote Risk Adjustment Coder jobs? Cities near Closter, NJ with the most Remote Risk Adjustment Coder job openings:
Remote Risk Adjustment Coder jobs near you
Med Records Coder III, Complex

Med Records Coder III, Complex

University of Rochester

New York, NY • On-site, Remote

$23.06 - $32.29/hr

Full-time

Posted 11 days ago

University Of Rochester rating

8.3

Company rating: 8.3 out of 10

Based on 178 frontline employees who took The Breakroom Quiz

93rd of 530 rated colleges and universities

Job description

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.
Job Location (Full Address):
Remote Work - New York, Albany, New York, United States of America, 12224
Opening:
Worker Subtype:
Regular
Time Type:
Full time
Scheduled Weekly Hours:
40
Department:
900370 Health Info Mgmt-Coding
Work Shift:
UR - Day (United States of America)
Range:
UR URG 107 H
Compensation Range:
$23.06 - $32.29
The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.
Responsibilities:
GENERAL PURPOSE
Functions as an advanced coder in the abstraction and in-depth analysis of a variety of medical documentation and assigns appropriate procedural terminology and medical codes in accordance with applicable coding rules and policies. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information.
ESSENTIAL FUNCTIONS
  • Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes through medical record documentation in accordance with universally recognized coding guidelines.
  • Reviews and resolves coding denials.
  • Resolves problems with claims having errors related to improper coding and provides feedback for correction and follow-up.
  • Abstracts data and reviews codes for accuracy.
  • Performs system edit checks and corrects errors as needed.
  • Responds to coding information requests from various sources.
  • Communicates document improvement opportunities and coding issues to providers, department, and/or designated leader for follow up and resolution.
  • Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete.

Other duties as assigned.
MINIMUM EDUCATION & EXPERIENCE
  • High School diploma or equivalent and 2 years of experience as a medical coder required
  • Associate's degree preferred
  • Or equivalent combination of education and experience

KNOWLEDGE, SKILLS AND ABILITIES
  • Knowledge of ICD-10CM, CPT and HCPSC required
  • Working knowledge of medical terminology and anatomy required

LICENSES AND CERTIFICATIONS
  • American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS) preferred or
  • Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from Practice Management Institute preferred

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.

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