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Remote Risk Adjustment Coder Jobs in Philadelphia, PA

Corvel

Liability Claims Specialist

Norristown, PA · Remote

$52K - $85K/yr

This is a remote role. Heavy Auto Liability experience is required. ESSENTIAL FUNCTIONS ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Corvel

Liability Claims Specialist

Norristown, PA · Remote

$52K - $85K/yr

This is a remote role. Candidate residing in the Mid-Atlantic Region is preferred. ESSENTIAL ... The level may impact the salary range and these adjustments would be clarified during the offer ...

RELX

Senior Technical Consultant

Philadelphia, PA · Remote

$114K - $190K/yr

About LexisNexis Risk Solutions LexisNexis Risk Solutions harnesses the power of data ... Occasional travel may be required Location Remote - US Requirements * Minimum 5 years of total ...

Corvel

Senior Claims Specialist

Norristown, PA · Remote

$61K - $98K/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 ...

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

Remote Risk Adjustment Coder information

See Philadelphia, PA salary details

$16

$27

$43

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

As of Jun 8, 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
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 71% Full Time, 18% Part Time, and 11% Contract. Highlights an 88% Physical, 2% Hybrid, and 10% Remote job distribution, with an average salary of $57,702 per year, or $27.7 per hour.

Workers' Compensation Medical Only Claims Specialist

Corvel

Norristown, PA • Remote

$16.36 - $26.31/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 26 days ago

CorVel rating

7.9

Company rating: 7.9 out of 10

Based on 50 frontline employees who took The Breakroom Quiz

82nd of 138 rated financial services

Job description

The Workers’ Compensation Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims under close supervision, supporting the goals of the Claims Department and of CorVel. 

This is a remote role.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

  • Receives Workers’ Compensation claims, confirms policy coverage and acknowledgement of the claim
  • Determines the validity and compensability of the claim
  • Establishes reserves and authorizes payments within established reserving authority limits
  • Communicates claim status with the customer, claimant and client
  • Adheres to client and carrier guidelines and participates in claims review as needed
  • Assists other claims professionals with more complex or problematic claims as necessary
  • Additional duties as assigned

KNOWLEDGE & SKILLS:

  • Excellent customer service skills
  • Excellent written and verbal communication skills
  • Fast learner; develops knowledge and understanding of claims practice, relevant statutes, and medical terminology
  • Ability to identify, analyze and solve problems
  • Computer proficiency and technical aptitude to utilize Microsoft Office, including Excel spreadsheets
  • Strong interpersonal, time management, and organizational skills
  • Ability to work both independently and within a team environment

EDUCATION & EXPERIENCE:

  • Bachelor's degree or a combination of education and related experience
  • Minimum of 1 year industry experience and claim handling
  • Workers’ Compensation experience required
  • Licensed as required jurisdictionally

PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location.  Pay rates are established taking into account the following factors:  federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.  Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.  The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $16.36 - $26.31 per hour

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

ABOUT CORVEL:

CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.   CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients.  We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities.  Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

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