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Remote Risk Adjustment Coder Jobs in Hartford, CT

This role is remote with the expectation that candidates are based near one of the following Voya ... Risk, Governance & Collaboration * Translate technical findings into actionable risk insights ...

Expert SalesForce Developer

Hartford, CT · On-site +1

$56.50 - $74.75/hr

... IT risk and maximize their IT performance. E xpert SalesForce Developer Hartford , CT 06107 ... Remote until COVID situation. Candidate must be willing to relocate or work on site in CT for 5 ...

Remote Workers Wanted! Are you looking for professional work you can do from your home office ... Davies Risk Services is an industry leader and premier provider of premium audit and loss control ...

Remote in CT area with occasional site visits to East Hartford, CT Start Date: Right Away Job type ... Familiarity with international trade compliance and supply chain risk mitigation is preferred

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Remote Risk Adjustment Coder information

See Hartford, CT salary details

$16

$27

$43

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

As of Jul 3, 2026, the average hourly pay for remote risk adjustment coder in Hartford, CT is $27.73, according to ZipRecruiter salary data. Most workers in this role earn between $19.13 and $34.90 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.

What are the most commonly searched types of Risk Adjustment Coder jobs in Hartford, CT? The most popular types of Risk Adjustment Coder jobs in Hartford, CT are:
What are popular job titles related to Remote Risk Adjustment Coder jobs in Hartford, CT? For Remote Risk Adjustment Coder jobs in Hartford, CT, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coder jobs in Hartford, CT look for? The top searched job categories for Remote Risk Adjustment Coder jobs in Hartford, CT are:
What cities near Hartford, CT are hiring for Remote Risk Adjustment Coder jobs? Cities near Hartford, CT with the most Remote Risk Adjustment Coder job openings:
Risk, Quality and Performance Analyst

Risk, Quality and Performance Analyst

Maximus

Springfield, MA • Remote

Full-time

Medical, Life, Retirement, PTO

Posted 3 days ago


Maximus rating

6.9

Company rating: 6.9 out of 10

Based on 291 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 .


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