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Remote Risk Adjustment Coder Jobs in Philadelphia, PA

Certa

Sales Development Representative

Wilmington, DE · Remote

Certa is a leader in the innovative "no-code" SaaS workflow space, offering a platform that covers ... Professional development support, remote workspace setup bonus. * Team building: Annual company ...

Lancesoft INC

Senior Data Scientist

Titusville, NJ · Remote

$65 - $68/hr

... SUBMIT CODING EXAMPLES WITH RESUMES or they will be rejected out * Role can be HYBRID or REMOTE ... and risk evaluations, coordinate verification/validation activities, and compile evidence for ...

BAI

Advanced Software Engineer

Philadelphia, PA · On-site +1

$85K - $115K/yr

... risk management functions and BAI's knowledge in serving the retail banking and regulatory ... Participate in code reviews, technical guidance, and knowledge sharing. * Participate in efforts to ...

Novacore

Medical Review Nurse

Conshohocken, PA · Remote

Carbon's team of experts are known as the industry leader in delivering best-in-class risk ... Prior experience analyzing health care claims and coding. * Prior experience working with ...

Corvel

Telephonic Case Manager I

Norristown, PA · Remote

$63K - $95K/yr

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Provide medical case management to ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Corvel

Claims Supervisor

Norristown, PA · On-site +1

$73K - $113K/yr

This role is available for both remote and hybrid work arrangements. ESSENTIAL FUNCTIONS ... The level may impact the salary range and these adjustments would be clarified during the offer ...

HBK Engineering, LLC

Graduate Engineer

Norristown, PA · On-site +1

... project risk management compared to entry-level positions. Office Locations: Philadelphia or ... Design engineering systems in compliance with specifications, codes, and client requirements for ...

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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 Jul 21, 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 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
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Remote Risk Adjustment Coder jobs near you
Sales Development Representative

Sales Development Representative

Certa

Wilmington, DE • Remote

Full-time

Retirement, PTO

Posted 6 days ago

Job description

Certa is a leader in the innovative “no-code” SaaS workflow space, offering a platform that covers the full lifecycle for suppliers, third parties, and partners. Our clients range from global industry leaders to early-stage startups. We're on a mission to simplify complex processes, enabling faster, more efficient workflows with our automated and highly configurable solutions.

As a Sales Development Representative, you'll be the engine of our growth - acting as a strategic consultant who identifies high-value opportunities and translates complex product capabilities into tangible business outcomes.

You'll own the top of the funnel, driving adoption of Certa through sharp lead management and data-driven outbound. It's a high-impact role for someone who wants to master the art of sales in a fast-paced, evolving market.

What You'll Do

  • Strategic prospecting: Identify and research high-potential accounts using a multi-channel approach.

  • Full ownership: Own pipeline-generating activities in your territory, ensuring a seamless handoff to Account Executives.

  • Product expertise: Become an expert in our technical value proposition, running initial discovery and qualification calls for high-intent prospects.

  • Process optimization: Help document playbooks and automate GTM workflows to scale the sales organization.

What You'll Need

  • Experience: 1–3 years in a fast-growing startup, finance, consulting, or high-volume sales environment, with a proven track record of exceeding performance targets or quotas; bachelor's degree or equivalent professional experience.

  • Owner mentality: You take full accountability for your targets and constantly look for ways to improve your process.

  • Emotional intelligence: You navigate complex organizations and build rapport with diverse stakeholders quickly.

  • Analytical & technical: You have a passion for AI/SaaS and aren't afraid to dive into technical details.

  • Resilient & competitive: You thrive in a high-growth environment and view "no" as a data point, not a dead end.

  • Exceptional communicator: You distill complex ideas into clear, concise, and persuasive messaging.

  • Tools: Experience with modern sales stacks (Salesforce, LinkedIn Sales Navigator, etc.) is a major plus.

Compensation and Benefits

  • Compensation: Top of market salary + bonuses and equity

  • Time off: 49 days paid time off

  • Benefits: PTO, full benefits, retirement and wellness plans.

  • Growth: Professional development support, remote workspace setup bonus.

  • Team building: Annual company offsites in exciting locations around the world

Location

Certa is a remote-first company and we hire globally. We believe strongly in each team member working from the location that they choose. Should Certers wish to meet and work in person they have 3 lively office locations they can travel to:

  • London

  • San Francisco

  • Jaipur

The perfect place for Certers to collaborate, co-work and have face to face meetings.


Why Certa

  • Category leadership. Certa was named a Leader in the inaugural 2026 Gartner Magic Quadrant for Third-Party Risk Management Tools - recognition that we're defining the category, not following it.

  • Industry recognition. We've been honored across the analyst and awards landscape, including Top Tech and Customer Value distinctions in The Hackett Group's 2026 Risk Management SolutionMap, the ProcureTech100 (Advanced AI and Risk Management categories), and Best Overall eProcurement Software in the FinTech Breakthrough Awards.

  • A top place to work. Certa was named one of Forbes' Best Startup Employers in the US. We're a fast-growing company where you'll wear many hats, ship quickly, and shape decisions that matter.

  • Real scale with strong backing. We've processed over 10 million entities for 100,000+ users across 120+ countries. We're well-funded by leading investors including Fin Capital, Vertex Ventures, and Point72 Ventures, on the back of an oversubscribed Series B, headed towards Series C.

 

We're excited to meet you!