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Remote Risk Adjustment Coder Jobs in Pomona, NY (NOW HIRING)

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Remote Risk Adjustment Coder information

See Pomona, NY salary details

$15

$26

$42

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

As of Aug 24, 2026, the average hourly pay for remote risk adjustment coder in Pomona, NY is $26.86, according to ZipRecruiter salary data. Most workers in this role earn between $18.56 and $33.80 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.

More about Remote Risk Adjustment Coder jobs

What cities near Pomona, NY are hiring for Remote Risk Adjustment Coder jobs?

Cities near Pomona, NY with the most Remote Risk Adjustment Coder job openings:

Remote Risk Adjustment Coder jobs near you

Certified Professional Coder, Charge Review and Coding Edits Specialist III

Ambulatory Medical Practices MSO, Inc

Valhalla, NY • On-site, Remote

$31.40 - $36.06/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 3 days ago

Job description

ColumbiaDoctors Medical Group / Ambulatory Medical Practices MSO, Inc., is looking for experienced Medical Certified Professional Coder/Charge Review Billing Specialist III candidates:

  • CPC/Coding Certification is required
  • Minimum of 7 years’ experience
  • Epic EMR experience strongly preferred
  • Thorough knowledge and understanding of all current coding guidelines and competencies to include all types of insurance plans and their requirements
  • Knowledge of medical terminology and professional billing and coding to the highest level of specificity in both CPT, HCPCS and ICD-10
  • Knowledge of coding conventions and rules established by the American Medical Association (AMA) and the Center for Medicare and Medicaid Services (CMS) for diagnostic and procedural codes. (CCI and LCD’s)
  • Knowledge, compliance and understanding of HIPAA guidelines
  • Must complete Columbia University Code of Conduct and Billing Compliance new employee training
  • Must complete annual training for HIPAA and Billing Compliance required refresher training
  • Ability to communicate efficiently, effectively, and professionally.
  • Remote/hybrid options are accommodated according to team/dept. schedule
  • Must be professional, experienced, neat, mature, determined, responsible and reliable with proven track record and retention
  • Self-starter, ability to work independently, efficiently, and accurately meeting and maintaining daily productivity goals and expectations. Goal driven. Team players only!

These positions serve the multi-specialties of Cardiology, Interventional Cardiology, Internal Medicine, GI and Endocrine specialties. Flexible hours, excellent benefits, competitive salary, and a safe, friendly work environment. Columbia Cardiology, Columbia University Medical Center/NY Presbyterian Hospital. Valhalla, NY central office.

We are pleased to offer a Competitive Salary and Benefits Package including:

  • Paid Time Off
  • Medical / Dental / Vision
  • Flex Spending Account (FSA)
  • Health Savings Account (HSA)
  • 401K & Retirement Planning
  • Tuition Reimbursement
  • Employer-Paid Life and AD&D
  • Employer-Paid Short Term Disability
  • Employer-Paid Long Term Disability
  • Employee Discounts
  • Fringe Benefits and more!

The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered for this position at the time of this job ad and may be modified in the future. When determining a team member’s base salary and/or hourly rate, several factors may be considered as applicable (e.g., job type, location, years of relevant experience, education, credentials, budgets, and internal equity)

Job Type: Full-time

Application Question(s):

  • EPIC: 1 Year (Preferred)

Experience:

  • Medical Physician Office Billing: 7 years (Preferred)
  • Charge Entry Review: 7 years (Preferred)

License/Certification:

  • CPC Certification (Required)

Work Location: Hybrid remote in Valhalla, NY
Salary Range: $31.40 - $36.06 per hour

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