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Remote Risk Adjustment Coder Jobs in New York, NY

FOCUSPOINT

Certified Outpatient / ED Medical Coder

Bronx, NY · Remote

$23 - $31.50/hr

Certified Outpatient/ED Coder (Remote with Initial Onsite Training) Position Overview We are seeking an experienced, credentialed Outpatient/ED Coder to join our team. This role begins with 1-2 weeks ...

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 ...

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 ...

Jzanus Consulting

Inpatient Coder

Garden City, NY · Remote

$50K/yr

Full-time Remote Inpatient Coder JOB REQUIREMENTS The Jzanus Inpatient Coder will be responsible for accurately coding and abstracting diagnoses, procedures and clinical information from the medical ...

RightWay ABA

Medical Billing Specialist ABA

Clifton, NJ · Remote

$21 - $28/hr

Medical Billing Specialist (Remote) Pay: $21-$28 per hour (DOE) About RightWay ABA RightWay ABA is ... Experience working with denial and adjustment codes and clearinghouse workflows. * Excellent ...

WithCoverage

Risk Advisor - Construction

New York, NY · On-site +1

Risk Advisor - Construction New York, NY Los Angeles, CA Philadelphia, PA Remote About WithCoverage ... Help manage ongoing program administration including audits, adjustments, endorsements, and claims ...

University of Rochester

Med Records Coder III

New York, NY · On-site +1

$21.78 - $30.53/hr

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 ...

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Remote Risk Adjustment Coder information

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

As of Aug 19, 2026, the average hourly pay for remote risk adjustment coder in New York, NY is $30.08, according to ZipRecruiter salary data. Most workers in this role earn between $20.77 and $37.88 per hour, depending on experience, location, and employer.

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 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?

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 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.

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Remote Risk Adjustment Coder jobs near you
Infographic showing various Remote Risk Adjustment Coder job openings in New York, NY as of August 2026, with employment types broken down into 10% As Needed, 70% Full Time, 10% Part Time, and 10% Contract. Highlights an 100% Remote job distribution, with an average salary of $62,559 per year, or $30.1 per hour.

Contracts Manager - Payor, MCO, and Medicaid Focus

Intuition Robotics

New York, NY • On-site, Remote

$97K - $130K/yr

Full-time

Posted 23 days ago

Job description

Description
Intuition Robotics is on a mission to empower older adults to live happier, healthier, and more independent lives at home. The company's award-winning product, ElliQ®, is an AI proactive care companion. ElliQ, which was designed with and for older adults, helps keep them healthy, engaged, and more independent while alleviating the effects of loneliness and social isolation. The company was founded in 2016 and is based in Tel Aviv, with offices in San Francisco and Athens. Intuition Robotics' investors include Toyota
Ventures, Samsung NEXT, iRobot, and Venture Capital firms from California, Israel, Japan, and Asia.
We are rapidly expanding our customer base in the US through partnerships with health plans, health systems, state governments, and local area agencies on aging (AAA). Our team operates in a fast-paced and agile environment. We all place a heavy emphasis on creative problem-solving and personal accountability to ensure we're delivering excellence for our customers and the older adults and customers we serve.
The Contracts Manager will oversee the full lifecycle of healthcare-related contracts, ensuring alignment with regulatory requirements, organizational strategy, and financial objectives. This role combines expertise in contract negotiation and management, healthcare industry compliance, and cross-functional project leadership.
Key Responsibilities
• Participates in contract negotiations with payors, MCOs, Medicare Advantage, and government programs in partnership with sales.
• Coordinate internally with legal, finance, compliance, and business development teams to ensure contracts align with organizational strategy.
• Maintain a repository of executed contracts and track key terms, renewal dates, and deliverables.
• Monitor ongoing compliance with contract terms and assist in resolving disputes or audits.
• Partner with product and commercial teams to support market access strategies.
Requirements
1. Contracts Management Experience
• 5-8+ years of progressive experience managing healthcare-related contracts.
• Proven track record negotiating, drafting, and managing payor, MCO, and Medicare Advantage agreements.
• In-depth knowledge of Medicare and Medicaid programs, reimbursement methodologies, and regulatory frameworks.
• Familiarity with value-based care, capitation models, and fee-for-service contracts.
2. Healthcare Industry Expertise
• Direct experience in healthcare contracting, ideally with health plans, provider networks, or healthcare technology companies.
• Knowledge of CMS guidelines, HIPAA compliance, and state Medicaid regulations.
• Understanding of Medicare Advantage, MCO's, including Stars, CAHPS, and risk adjustment programs.
3. Project Management Capabilities
• Ability to lead cross-functional contract implementation projects from initiation through execution.
• Experience developing timelines, managing stakeholders, and reporting status to leadership.
• Proficiency in project management tools (e.g., Jira, Asana, MS Project, or similar).
4. Technical & Analytical Skills
• Strong understanding of contract lifecycle management.
• Proficient in Excel and legal/financial modeling related to reimbursement or contract terms.
• Ability to analyze and interpret legal and financial risk in contract terms.
4. Education & Certifications
• Bachelor's degree required; JD, MBA, or Master's in Health Administration (MHA) preferred.
• Certification in Contract Management (e.g., CCCM, CPCM, or PMI-PMP) is a plus.
5. Soft Skills & Communication
• Excellent communication and negotiation skills.
• Strong attention to detail and risk mitigation mindset.
• Ability to work autonomously and collaboratively in a fast-paced, innovative environment.
• Experience working in start-up or high-growth environments is highly valued.
6. Nice to have
• Understanding of elder care markets, digital health, or assistive robotics.
• Familiarity with AI-enabled healthcare solutions or remote care delivery models.
• Experience working with Medicare Advantage, Medicaid, or Dual Eligible Special Needs Plans (D-SNPs).
This position is fully remote and may be performed from any location within the United States.
In a nutshell
We are seeking to hire a Contracts Manager to oversee the full lifecycle of healthcare-related contracts, ensuring alignment with regulatory requirements, organizational strategy, and financial objectives.

Apply