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Remote Risk Adjustment Coder Jobs in Lake Grove, NY

Catholic Health

CDI Second Level Reviewer

Melville, NY · On-site +1

$145K - $180K/yr

Identify and act on missed documentation opportunities impacting severity, risk adjustment, and ... Collaborate with coding and CDI Physician Advisors, as needed, on cases with potential ...

Icon Health

Senior Data Analyst

Stamford, CT · Remote

$88K - $111K/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)

Icon Health

Senior Data Analyst

Stamford, CT · On-site +1

$91K - $115K/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)

Hirani Group

Director of Innovation

Hicksville, NY · Remote

$110K - $150K/yr

Innovate, Pilot & Scale Evaluate emerging technologies-AI/ML, low-code/no-code platforms, and other ... Risk, Security & Compliance Oversight Embed rigorous security, privacy, and compliance protocols ...

LOVESAC COMPANY

Sr. Director, Commercialization

Stamford, CT · Remote

$248K - $260K/yr

... risk, or changes in launch scope. The ideal candidate brings strong commercial instincts, executive ... This position is remote and will report into Lovesac Corporate HUB based in Stamford, CT.

All JobsRisk Adjustment Coder JobsRemote Risk Adjustment Coder JobsRemote Risk Adjustment Coder Jobs in Lake Grove, NY

Remote Risk Adjustment Coder information

See Lake Grove, NY salary details

$16

$28

$45

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

As of Jul 14, 2026, the average hourly pay for remote risk adjustment coder in Lake Grove, NY is $28.81, according to ZipRecruiter salary data. Most workers in this role earn between $19.90 and $36.25 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 job categories do people searching Remote Risk Adjustment Coder jobs in Lake Grove, NY look for? The top searched job categories for Remote Risk Adjustment Coder jobs in Lake Grove, NY are:
What cities near Lake Grove, NY are hiring for Remote Risk Adjustment Coder jobs? Cities near Lake Grove, NY with the most Remote Risk Adjustment Coder job openings:
Remote Risk Adjustment Coder jobs near you
Infographic showing various Remote Risk Adjustment Coder job openings in Lake Grove, NY as of July 2026, with employment types broken down into 83% Full Time, 12% Part Time, and 5% Contract. Highlights an 100% Remote job distribution, with an average salary of $59,921 per year, or $28.8 per hour.
CDI Second Level Reviewer

CDI Second Level Reviewer

Catholic Health

Melville, NY • On-site, Remote

$145K - $180K/yr

Other

Medical, Retirement

Re-posted 8 days ago

Catholic Health rating

7.9

Company rating: 7.9 out of 10

Based on 176 frontline employees who took The Breakroom Quiz

105th of 884 rated healthcare providers

Job description

Overview
Catholic Health is one of Long Island's finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island.
At Catholic Health, our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes - to every patient, every time.
We are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace!
Job Details
The CDI Second Level Reviewer is an experienced Clinical Documentation Specialist responsible for performing advanced, targeted case reviews on potentially high-impact encounters. This role focuses on identifying documentation opportunities in complex or high-risk cases to ensure accurate representation of patient acuity, quality outcomes (such as expected mortality), and financial performance. This role serves as an escalation and quality layer beyond concurrent review. This role will coordinate closely with CDI leadership and the CDI Educator to identify trends and provide feedback to the concurrent review team on findings.
Job Responsibilities
  • Perform secondary reviews of cases with a high potential impact, including but not limited to:
    • Length of stay variance from expected (GMLOS) without documented comorbidities
    • Low acuity diagnoses with longer than expected length of stay
    • Unexpected mortalities and hospice discharges
    • Mortality risk variable opportunity cases
    • Other quality reviews such as PSIs or HACs
  • Identify and act on missed documentation opportunities impacting severity, risk adjustment, and reimbursement
  • Send queries to clarify documentation when appropriate
  • Deliver feedback and education to concurrent CDI staff on findings in coordination with CDI Educator and/or CDI leadership
  • Analyze trends and patterns to support quality and performance improvement initiatives
  • Partner with CDI leadership to refine review criteria and escalation processes
  • Ensure alignment with coding guidelines and organizational priorities
  • Collaborate with coding and CDI Physician Advisors, as needed, on cases with potential opportunities identified in second level reviews

Required Qualifications
  • Licensed in NYS, RN, NP or PA who is a credentialed Clinical Documentation Specialist CCDS, or CDIP
  • Experience - minimum of 5 years recent CDI experience.
  • Demonstrated advanced CDI knowledge and strong clinical foundation
  • Proven experience in concurrent CDI review
  • Strong understanding of DRG methodology, quality metrics, and documentation impact
  • Excellent critical thinking and communication skills
  • Preferred Epic EMR and 3M 360 application proficiency

Desired Attributes
  • High level of clinical and coding expertise
  • Ability to identify nuanced documentation gaps in complex cases
  • Detail-oriented with strong problem-solving skills
  • Collaborative mindset with ability to educate and influence peers
  • Comfortable working independently in a specialized review workflow
  • Strong sense of accountability and ownership for high-impact work

Deliverables
  • Completion of timely, high-quality second-level reviews for prioritized cases
  • Identification and capture of documentation opportunities that impact quality and financial outcomes
  • Feedback provided to CDI team based on review findings in coordination with CDI Educator and CDI leadership
  • Contribution to improved documentation and quality metrics
  • Regular reporting of trends, opportunities, and outcomes from second-level reviews

Posted Salary Range
USD $145,000.00 - USD $180,000.00 /Yr.
This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate's qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, or other forms of compensation that may be applicable to this job and it does not include the value of benefits.
At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.

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About Catholic Health

Sourced by ZipRecruiter

Formed in 1998 under four religious sponsors, Catholic Health in Buffalo, NY is a non-profit healthcare system that provides care to Western New Yorkers across a network of hospitals, nursing homes, home care agencies, physician practices, and other community based ministries. Today, the system has two religious sponsors, the Diocese of Buffalo and the Franciscan Sisters of St. Joseph, who carried on its Mission across the Buffalo-Niagara region. Our mission sets us apart. It's the human side of healthcare – the touch, smile or comforting word that can help make your healthcare experience better. It's treating all people with respect and dignity, and providing comfort in times of greatest need. Catholic Health is making the largest investment in its history, dedicating more than $100 million in state-of-the- art technology that will connect our hospitals, home care, long-term care, clinician offices, health centers and ancillary services with patients throughout the area. This transformational investment marks a major milestone for our healing ministry, which dates back more than 165 years.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Buffalo, NY, US

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