Remote Risk Adjustment Coder Jobs in Pelham, NH (NOW HIRING)

Withings is a global leader in connected health devices - from smart blood pressure monitors and scales to sleep and activity trackers. Withings Medical Group extends this mission into clinical care. The ACCESS program integrates device-generated data, AI-driven insights, and a dedicated virtual care team to manage cardiometabolic conditions - hypertension, dyslipidemia, CKD, obesity, and diabetes - meeting patients where they are, in their homes, across up to 50 states.

As our first clinical hire, you won't just fill a role - you will help shape it. This is a rare opportunity for a forward-thinking NP to work at the intersection of virtual care, digital health, and value-based medicine, partnering directly with the Medical Director to build the workflows, protocols, and care standards that will define how ACCESS delivers outcomes at scale.

This is a part-time 1099 independent contractor role, designed to convert to a full-time salaried position as the ACCESS program scales. We expect this transition to occur as the program grows toward 1,000+ patients, contingent on program growth and mutual fit.

• Conduct virtual medical evaluations via video, phone, and asynchronous forms - confirming diagnoses, assessing for target organ damage, and documenting baseline metrics.
• Create and manage holistic, evidence-based care plans for patients with ACCESS-defined conditions: obesity, dyslipidemia, hypertension, ASCVD, mild-to-moderate CKD, and pre/diabetes.
• Act as the primary prescriber in Full Practice Authority states, including medication titration and renewal per clinical protocol. In non-FPA states, prescribe under Collaborative Practice Agreements with the Medical Director.
• Manage device-triggered Red Alerts (e.g., BP >180/110) - triaging patients for ER referral or immediate titration adjustment during business hours.
• Provide warm handoffs to referring clinicians in urgent situations, including new renal failure presentations.

• Document all patient interactions - synchronous and asynchronous - in the EHR with accurate ICD-10 coding.
• Capture comorbidities accurately (e.g., CKD Stage 3b) to ensure correct reimbursement at the CKM rate rather than the standard eCKM rate.
• Prepare PCP care coordination reports to maintain the ACCESS-model partnership with referring physicians.

• Collaborate with the Medical Director to develop and refine evidence-based titration algorithms and clinical protocols.
• Contribute to building scalable workflows that can support rapid patient volume growth.
• Provide feedback on app-based care tools, behavioral support content, and remote monitoring integration to continuously improve the patient experience.

Requirements

• Active NP license in good standing in your home state; IMLC/eNLC compact license strongly preferred. Willingness to obtain licensure in target states within 90 days of start.
• Board certification through ANCC or AANP as a Family, Adult-Gerontology Primary Care, or Adult-Gerontology Acute Care NP.
• Minimum 2 years of post-licensure clinical experience in primary care, internal medicine, endocrinology, cardiology, or geriatrics with a strong command of cardiometabolic conditions.
• Demonstrated comfort with telehealth or digital care delivery - you thrive in a screen-based, asynchronous-forward environment.
• Strong documentation discipline and familiarity with EHR systems.
• Excellent independent clinical judgment - you are comfortable making decisions without a physician in the room.
• US residency (all 50 states and US territories).

• Experience with value-based care, CMS quality measures, or ACO/care management programs.
• Familiarity with CKM (Cardiovascular-Kidney-Metabolic) conditions and GLP-1 therapy management.
• Comfort prescribing under Collaborative Practice Agreements in non-Full Practice Authority states.
• Spanish language proficiency - our platform serves both English and Spanish speakers.
• Prior experience building or launching a new clinical program or service line.

Benefits

• Part-time 1099 contract to start, estimated at 20 hours per week, with a competitive hourly or project-based rate.
• A structured path to full-time conversion as ACCESS scales toward 1,000+ patients - this is a ground-floor opportunity, not a permanent contractor role.
• Open to candidates anywhere in the US - this role is fully remote. We have a preference for candidates based in or near Boston, as occasional in-office collaboration at our Boston headquarters is a plus, though not required.
• Direct access to senior leadership and real ownership over how ACCESS is built - your decisions will shape the program from day one.
• Upon conversion to full-time: full Withings benefits package including health coverage, 401(k) match, wellness reimbursements, and access to Withings products.