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Remote Risk Adjustment Coder Jobs in Reading, PA

Fulton Bank

Specialty Loan Servicing Manager

PA · On-site +1

Overview This is a full-time career opportunity that can be remote. Must have the ability to travel ... Perform and oversee accuracy of all transactions or activities impacting shadow balance adjustments ...

Fulton Bank

Specialty Loan Servicing Manager

PA · On-site +1

This is a full-time career opportunity that can be remote. Must have the ability to travel to our ... Perform and oversee accuracy of all transactions or activities impacting shadow balance adjustments ...

Fulton Bank

Specialty Loan Servicing Manager

PA · On-site +1

Overview This is a full-time career opportunity that can be remote. Must have the ability to travel ... Perform and oversee accuracy of all transactions or activities impacting shadow balance adjustments ...

DaVita

Specialist, Payor Partnerships

Bowers, PA · Remote

This role is 100% remote and can sit anywhere in the Continental United States.* Essential Duties ... Prioritize tasks based on risk and value (e.g., Fee For Service Agreements, Document Reviews ...

DaVita

Specialist, Payor Partnerships

Birdsboro, PA · Remote

This role is 100% remote and can sit anywhere in the Continental United States.* Essential Duties ... Prioritize tasks based on risk and value (e.g., Fee For Service Agreements, Document Reviews ...

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

Remote Risk Adjustment Coder information

See Reading, PA salary details

$15

$26

$41

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 Reading, PA is $26.40, according to ZipRecruiter salary data. Most workers in this role earn between $18.22 and $33.22 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

Dental Insurance Remote Billing Specialist

The Practice Mechanic

Reading, PA • Remote

$18 - $25/hr

Full-time

Medical, Dental, Vision, PTO

Posted 22 days ago

Job description

The Dental Practice Mechanics


Compensation:
 

  • With 5+ years dental practice experience: $18–$25/hour + BONUS 


Location:
Remote—8AM to 5PM in employee's local time zone.  


About the Role
 

Join our growing dental billing team! If you enjoy detail-oriented work, value accuracy, and want to support dental practices in providing excellent patient care, this role could be a great fit.   


Key Responsibilities
 

  • Understand the entire dental revenue cycle, ensuring timely and accurate posting of insurance payments, in compliance with industry standards and organizational policies.  
  • Provide extensive knowledge of laws and regulations of dental coding and posting.  
  • Apply necessary and required adjustments taken on insurance payments.  
  • Efficient knowledge and implementation of Coordination of Benefits.  
  • Prepare and submit clean claims to insurance companies on a daily basis, minimizing any timely filing denials.
     
  • Investigate and accurately resolve claim rejections promptly, reducing insurance aging reports numbers and simultaneously increasing insurance collections.  
  • Knowledge in proper account receivables, notation, and queueing of patient statements.  
  • Utilize HIPAA guidelines at all times.
     


Qualifications
 

  • Technical Competencies
     
  • Possess a deep understanding of Current Dental Terminology (CDT) coding.  
  • Demonstrates radiographic knowledge and interpretation relevant to dental procedures.  
  • Utilize insurance payer websites, both from retrieving EFT payments, claim submission, and leveraging websites to maximize claim payments.  
  • Utilize clearinghouse knowledge to facilitate seamless data exchange.  
  • Attention to Detail and Deadline Orientation
     
  • Maintain a high level of accuracy in insurance billing techniques and documentation.  
  • Meet deadlines consistently, ensuring timely completion of tasks.  
  • Relationship Management
     
  • Collaborate effectively with internal teams, external partners, and clients.  
  • Build and maintain positive relationships with payers, vendors, and internal
    teams to support the company’s mission.  
  • Client Management and Accountability
     
  • Provide exceptional service to client account load of 4-5 clients, addressing inquiries and concerns.  
  • Take accountability for the accuracy and integrity of client and patient data.  
  • 2+years
    dental insurance billing.   
  • Knowledge of dental terminology and effective dental revenue cycle techniques.  
  • High school diploma or GED; some college coursework preferred.  
  • Proficiency in Microsoft Office.  
  • Proficiency in Program Management systems of Eaglesoft, Open Dental and Dentrix. 


Success Criteria
 

  • Maintain a posting accuracy of 98%+.  
  • Maintain an overall audit score of 90%+.  


 

Benefits
 

  • $0 deductible Capital Blue health insurance plan with employer contribution  
  • Principal dental and vision plans  
  • 6 paid holidays per year  
  • PTO begins accruing on day one, with the potential to earn up to 4 weeks annually
     
  • Employee Assistance Program providing free mental health, financial planning, and legal resources  
  • Flexible Spending Account (FSA)
     
  • Dependent Care FSA (DCAP)
     


Learn More About Us
 

To explore our company culture and services, visit:  
The Practice Mechanic – Remote Dental Insurance Billing
 


Equal Opportunity Employer
 

The Dental Practice Mechanics is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other protected characteristic.