ZipRecruiter

Log In

2

Remote Risk Adjustment Coder Jobs in Latrobe, PA

Summit

Underwriting Specialist

Indiana, PA · Remote

$62K - $94K/yr

Monitors and evaluates underwriting practices, assisting with implementing strategic adjustments to ... Remote Job Requirements Education: Bachelor's Degree in Business, Economics, Risk Management and ...

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

Remote Risk Adjustment Coder information

See Latrobe, PA salary details

$14

$24

$38

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

As of Aug 10, 2026, the average hourly pay for remote risk adjustment coder in Latrobe, PA is $24.34, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $30.62 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a remote risk adjustment coder?

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 Latrobe, PA look for? The top searched job categories for Remote Risk Adjustment Coder jobs in Latrobe, PA are:
What cities near Latrobe, PA are hiring for Remote Risk Adjustment Coder jobs? Cities near Latrobe, PA 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 Latrobe, PA as of August 2026, with employment types broken down into 1% As Needed, 88% Full Time, 8% Part Time, and 3% Contract. Highlights an 88% Physical, 4% Hybrid, and 8% Remote job distribution, with an average salary of $50,629 per year, or $24.3 per hour.

Senior Underwriter

Great American Insurance Group

Indiana, PA • Remote

$62K - $94K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 23 days ago

Great American Insurance Group rating

8.8

Company rating: 8.8 out of 10

Based on 31 frontline employees who took The Breakroom Quiz

57th of 304 rated insurance

Job description

Summit provides independent insurance agents and their clients with market-leading workers' comp insurance and elite customer service. We're growing and currently serve more than 7,000 independent agents and 31,000 policyholders across the South, Midwest, and Mid-Atlantic.

Our strength comes from a single-minded focus on workers' comp and a commitment to long-term customer relationships. Summit is who you turn to when you need a specialist who not only knows workers' comp but also gets to know your business and your priorities.

Our field team members are located in every state in which we operate.

Summit is a member of the Great American Insurance Group where our highest goal is for all employees to feel included, respected, and empowered to perform at their best.

Essential Job Functions and Responsibilities

  • Evaluates and underwrites new and renewal business in accordance with Company underwriting guidelines and risk appetite.
  • Develops and implements risk assessment models to make informed decisions on coverage, pricing, and terms.
  • Collaborates with actuaries, agents, brokers, and clients to obtain necessary information and provide guidance.
  • Procures and analyzes supplementary reports and screenings, such as motor vehicle reports, loss history reports, and external inspections, to support underwriting decisions.
  • Ensures proper documentation of underwriting decisions and compliance with state and federal insurance regulations.
  • Evaluates complex policy renewals and modifications, identifying opportunities for policy enhancements and risk mitigation.
  • Communicates underwriting strategies and decisions effectively to internal teams, agents, and brokers.
  • Stays updated on industry trends, regulatory changes, and market conditions.
  • Maintains effective business relationships with internal and external customers/coworkers, focusing on generating new business and retaining profitable business.
  • Monitors and evaluates underwriting practices, assisting with implementing strategic adjustments to improve overall effectiveness and outcomes.
  • May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports.
  • Performs other duties as assigned.
  • Great American's culture is built on connection, shared learning, and strong relationships. To support this, employees in this role are expected to be on-site four days a week, with the flexibility to work one day remotely. Core in-office days are Tuesday-Thursday, with the fourth day determined by business needs.
  • The person hired for this position will work out of the Gainesville, GA office.

#LI-Remote

Job Requirements

Education: Bachelor's Degree in Business, Economics, Risk Management and Insurance, or a related field or equivalent experience.Experience: Generally, a minimum of 9 years of experience in Underwriting or a related field. Completion of or continuing progress toward a professional designation preferred, such as Associate in Underwriting (AU), Chartered Property Casualty Underwriter (CPCU), Certified Insurance Counselor (CIC), Program in General Insurance (INS) or Associate of Risk Management (ARM), or a marketing designation.Scope of Job/Qualifications: Performs work under limited supervision and technical direction. Works with significant latitude and authority on complex assignments. Maintains advanced knowledge of company policies and industry laws and regulations. Excellent interpersonal and communication skills. Demonstrates advanced analytical, risk assessment, and problem-solving skills. Strong negotiation and decision-making ability. Familiarity with marketing strategies and tools is beneficial. Viewed as a senior resource on the Underwriting team. Provides technical advice and support to lower-level positions. Position requires occasional travel.

Company:

SCI Summit Consulting, LLC


Salary Range:

$62,700.00 -$94,620.00

Benefits:

We offer competitive benefits packages for full-time and part-time employees*. Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits.

Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process. Learn more at http://www.gaig.com/careers.

*Excludes seasonal employees and interns.

What Great American Insurance Group employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply