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Remote Risk Adjustment Coder Jobs in Philadelphia, PA

Cooper University Hospital

Coder (PER DIEM)

Voorhees, NJ · Remote

$42.50/hr

Short Description THIS IS A REMOTE POSITION Examines the complete medical record to accurately ... Assigns ICD-10 and CPT Codes. Performs charge reconciliation to ensure all submitted charges are ...

Cooper University Hospital

Coder (PER DIEM)

Voorhees, NJ · Remote

$42.50/hr

Short Description THIS IS A REMOTE POSITION Examines the complete medical record to accurately ... Assigns ICD-10 and CPT Codes. Performs charge reconciliation to ensure all submitted charges are ...

Highmark Health

Coder - Inpatient

Trenton, NJ · Remote

$37.14/hr

Certified Coding Specialist (CCS) OR Certified In-patient Professional Coder (CIC) * Familiarity with medical terminology * Strong data entry skills * An understanding of computer applications

UHS

Manager - Coding (REMOTE)

Wayne, PA · Remote

POSITION OVERVIEW The Coding Manager is responsible for driving consistency across IPM, related to medical record documentation and the correct use of CPT-4 and ICD-10 codes to ensure adherence to ...

UHS

Manager - Coding (REMOTE)

Wayne, PA · Remote

POSITION OVERVIEW The Coding Manager is responsible for driving consistency across IPM, related to medical record documentation and the correct use of CPT-4 and ICD-10 codes to ensure adherence to ...

CenterWell

Data Engineer - Healthcare

Trenton, NJ · Remote

$114.80K - $137.90K/yr

... Risk Adjustment, and quality metrics (such as HEDIS). * Experience working with Snowflake Cloud ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

M&T Bank

Lead Software Engineer - mainframe

Wilmington, DE · On-site +1

$128.10K - $213.50K/yr

... risk through clean, resilient code. Review and approve designs and pull requests, and oversee ... Experience working in small, remote engineering teams with deep system ownership * Expert ...

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Remote Risk Adjustment Coder information

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$16

$27

$43

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

As of Jun 1, 2026, the average hourly pay for remote risk adjustment coder in Philadelphia, PA is $27.74, according to ZipRecruiter salary data. Most workers in this role earn between $19.18 and $34.95 per hour, depending on experience, location, and employer.

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, 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 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 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.

More about Remote Risk Adjustment Coder jobs
What are popular job titles related to Remote Risk Adjustment Coder jobs in Philadelphia, PA? For Remote Risk Adjustment Coder jobs in Philadelphia, PA, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coder jobs in Philadelphia, PA look for? The top searched job categories for Remote Risk Adjustment Coder jobs in Philadelphia, PA are:
What cities near Philadelphia, PA are hiring for Remote Risk Adjustment Coder jobs? Cities near Philadelphia, 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 Philadelphia, PA as of May 2026, with employment types broken down into 78% Full Time, 15% Part Time, and 7% Contract. Highlights an 25% Physical, and 75% Remote job distribution, with an average salary of $57,702 per year, or $27.7 per hour.

Sr. Risk Control Consultant

The Mutual Group

Philadelphia, PA • On-site, Remote

$98K - $120K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago

Job description

Department:
Field Underwriting
Job Description:
As the Senior Risk Control Consultant, you will play a key role in supporting The Mutual Group (TMG), GuideOne Insurance, and future members by providing comprehensive risk assessment and safety consulting services to large non-profit, health and human services organizations, educational institutions, and religious facilities with the goal of reducing losses and improving overall risk quality. This role supports underwriting and client service objectives by conducting on-site evaluations, identifying hazards, recommending controls, and partnering with clients to strengthen risk management practices. The consultant serves as a technical resource to both internal teams and insureds, delivering detailed analysis of exposures, partners with insureds to implement strong risk management practices tailored to their operations and assisting organizations reduce loss potential while supporting their mission-driven operations.
Work Arrangement:
This role is home- or field position based in the Pennsylvania, Maryland, New Jersey, Washington D.C. areas and requires regular travel for on-site surveys, combining in-person facility inspections with remote consultations and virtual meetings, and it also requires the physical ability to access and evaluate buildings, mechanical rooms, and large facilities as needed.
Accountabilities:
Risk Assessment & Surveys
  • Conduct on-site loss control surveys for non-profit, education, and religious accounts, evaluating property, liability, and operational exposures.
  • Assess conditions such as life-safety systems, facility maintenance, security practices, playground safety, transportation risks, and special events.
  • Identify potential hazards and develop practical, mission-appropriate risk control recommendations.
  • Prepare clear, detailed reports summarizing findings, risk quality, and underwriting considerations.
  • Service large accounts by developing ongoing service plans and conducting regular claim-trend analysis to identify areas for improvement and support comprehensive risk management strategies

Client Consultation & Support
Support organizations in developing or improving policies related to:
  • Abuse prevention and child protection
  • Volunteer management
  • Emergency preparedness and crisis response
  • Fleet and driver safety
  • Facilities and maintenance protocols
  • Collaborate with clients to help them implement corrective actions and track progress.

Internal Collaboration
  • Work closely with underwriting teams to support account selection, renewal decisions, and risk improvement strategies.
  • Communicate survey outcomes, risk insights, and emerging trends to internal stakeholders.

Training & Education
Develop and deliver training for staff, volunteers, and leadership of insured organizations on topics such as:
  • General safety awareness
  • Fire prevention and life safety
  • Abuse prevention and boundary training
  • Risk management for schools, camps, and religious facilities
  • Conduct webinars, onsite workshops, and/or virtual training sessions as needed.

Program & Resource Development
Contribute to the creation and maintenance of risk management guides, safety checklists, toolkits, and policy templates tailored to the nonprofit, education, and religious sectors.
Stay current on regulatory changes, industry best practices, and emerging risks affecting mission-based organizations.
Qualifications:
  • Bachelor's degree in risk management, safety, engineering, insurance, or a related field preferred; equivalent experience considered.
  • 5+ years of experience in loss control, safety consulting, insurance risk assessment, or facility operations.
  • Strong understanding of safety practices, risk assessment techniques, and regulatory requirements.
  • Excellent communication, report writing, and interpersonal skills.
  • Ability to work independently, manage travel, and maintain strong client relationships.
  • Valid driver's license required.
  • Experience working with non-profits, schools, camps, churches, or religious organizations.
  • Designations such as ARM, CSP, ASP, CRM, or CFPS preferred.
  • Knowledge of life-safety codes, OSHA requirements, playground standards, and abuse prevention practices.
  • Strong analytical and problem-solving skills
  • Professional judgment and decision-making
  • Ability to communicate technical information in practical, accessible terms
  • Customer-service mindset with sensitivity to mission-driven environments
  • Project and time management
  • Ability to build trust and influence change

Pay Range:
Anticipated Hiring Range:
  • $85,000 - $105,000 annual base salary depending on experience, qualifications, and geographic location
  • $98,000 - $120,000 annual base salary depending on experience, qualifications, and geographic location in CA, CT, MA, NJ, NY, and PA

Benefits:
We are proud to offer our full-time regular employees a robust benefits suite that includes:
  • Competitive base salary plus incentive plans for eligible team members
  • 401(K) retirement plan that includes a company match of up to 6% of your eligible salary
  • Free basic life and AD&D, long-term disability and short-term disability insurance
  • Medical, dental and vision plans to meet your unique healthcare needs
  • Wellness incentives
  • Generous time off program that includes personal, holiday and volunteer paid time off
  • Flexible work schedules and hybrid/remote options for eligible positions
  • Educational assistance

Equal Opportunity Employer
The Mutual Group is an Equal Opportunity Employer. It is our policy to recruit, hire, train and promote individuals in all job classifications without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or any other characteristic protected by law.
  • Know Your Rights: Workplace Discrimination is Illegal
  • Your Rights Under USERRA

Applicants requiring a reasonable accommodation due to a disability at any stage of the employment application process should contact Talent@themutualgroup.com.
Employment Verification
The Mutual Group participates in the E-Verify program and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. You are protected from employment discrimination based on your citizenship status and national origin.
E-Verify Program Overview
E-Verify Participation Poster
All offers of employment are contingent upon the successful completion of a background check.
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