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Remote Risk Adjustment Coder Jobs in Reading, PA

... remote role! Candidate must live in CST or EST. DaVita is seeking a full-time Nurse Practitioner ... Experience with Medicare Advantage risk adjustment, documentation, coding, and Health Risk ...

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 ...

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 ...

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 ...

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 Aug 31, 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 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.

What are popular job titles related to Remote Risk Adjustment Coder jobs in Reading, PA?

For Remote Risk Adjustment Coder jobs in Reading, PA, the most frequently searched job titles are:

What cities near Reading, PA are hiring for Remote Risk Adjustment Coder jobs?

Cities near Reading, PA with the most Remote Risk Adjustment Coder job openings:

Manager, Nurse Practitioner (IKC)

Bernville, PA • On-site, Remote


DaVita
Health Care and Social Assistance • 10K+ employees

7.0

Company rating: 7.0 out of 10

Based on 1,183 frontline employees who took The Breakroom Quiz

422nd of 896 rated healthcare providers

People enjoy working here

Good employer

Recommended by students


Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 6 days ago


Job description

Posting Date

08/25/2026100 Spaulding DrSte 102,Marion,North Carolina,28752-5115,United States of America

Primarily remote role! Candidate must live in CST or EST.

DaVita is seeking a full-timeNurse Practitioner (NP) Managerto join ourIKCCare.This role provides clinical leadership and management for Nurse Practitioners within a designated region, ensuring the delivery of high-quality, cost-effective care for patients withChronic Kidney Disease(CKD) and End-Stage Kidney Disease (ESKD).

The NP Manager functions autonomously while partnering closely with clinical and operational leadership to support population health management, quality outcomes, and the overall financial sustainability of the program.

Work Schedule & Environment

  • Monday-Friday schedule

  • Hybrid role with work-from-home and regional travel responsibilities as this program will cover several states

  • Willingness to travel regionally to support meetings,trainings, and clinical initiatives

  • Flexibility to adjust start and stop times as needed to accommodate meetings,trainings, and business needs

  • Reliable high-speed internetrequired

  • Dedicated, quiet, private workspacerequiredfor work-from-home days

Key Responsibilities

Clinical Leadership & Team Management

  • Serve as the clinical leader for a team of Nurse Practitioners, providing oversight, coaching, supervision, and performance management.

  • Ensurehigh standardsof clinical quality and productivity, includingaccuratedocumentation,appropriate diagnoses, closure of Plan of Care gaps, and compliant coding practices.

  • Support NP hiring efforts and oversee onboarding of new NPs. Provide ongoing clinical guidance and training to NPs to improve understanding of CKD, ESKD, and commonly associated chronic conditions.

  • Provide ongoing clinical education and guidance to enhance NPexpertisein CKD, ESKD, and commonly associated chronic conditions.

Strategy, Quality & Population Health

  • Partner with Medical Officers and Operations Leadership to develop and execute clinical and operational strategies.

  • Identifyopportunities to streamline workflows and prioritize care for high-risk, high-utilization patient populations.

  • Lead complex case reviews and manage escalations involving high-risk or high-utilization patients, collaborating with interdisciplinary teams and external resources as needed.

  • Participate in population health initiatives and contribute to quality improvement efforts,outcomestracking, and performance measurement.

Compliance & Program Support

  • Ensure compliance with DaVita policies and procedures, as well as all applicable state and federal regulations, including CMS, HIPAA, OSHA, and accreditation standards (e.g., NCQA).

  • Support market Comprehensive Health Evaluations as needed.

  • Performadditionalduties as assigned.

Preferred Qualifications & Experience

  • Master's degree in Nursingwith current Nurse Practitioner licensure.

  • 4-6years of Nurse Practitioner experience; experience in population health, primary/family care, and/ornephrology stronglypreferred.

  • At least 2 years of leadership or supervisory experience.

  • Experience with Medicare Advantage risk adjustment, documentation, coding, and Health Risk Assessments for high-risk or chronically ill populations.

  • Demonstrated clinicalexpertisein assessment, diagnosis, care planning, implementation, documentation, and evaluation for chronic disease management.

  • Strong verbal and written communication skills.

  • Ability to handle confidential information with discretion and sound judgment.

  • Proficiencyin Microsoft Word, Excel, and Outlook; intermediate computer skillsrequired.

  • Excellent organizational skills with strong attention to detail.

What We'll Provide:

More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings.

  • Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out

  • Support for you and your family: Family resources, EAP counseling sessions, access Headspace, backup child and elder care, maternity/paternity leave and more

  • Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita's online training platform StarLearning.

#LI-BB3

At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.

This position will be open for a minimum of three days.

The Salary Range for the role is $141,000.00-$175,000.00 per year.If a candidate is hired, they will be paid at least the minimum wage according to their geographical jurisdiction and the exemption status for the position.New York Exempt: New York City and Long Island: $66,300.00/year, Nassau, Suffolk, and Westchester counties: $66,300.00/year, Remainder of New York state: $62,353.20/year New York Non-exempt: New York City and Long Island: $17.00/hour, Nassau, Suffolk, and Westchester counties: $17.00/hour, Remainder of New York state: $16.00/hourWashington Exempt: $80,168.40/year Washington Non-exempt: Bellingham: $19.13/hour, Burien: $21.71/hour, Everette: $20.77/hour, Unincorporated King County: $20.82/hour, Renton: $21.57/hour, Seattle: $21.30/hour, Tukwila: $21.65/hour, Remainder of Washington state: $17.13/hour

For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates

Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits

Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.


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About DaVita

Sourced by ZipRecruiter

DaVita is a healthcare company that provides compassionate, quality healthcare. The company’s mission is to be the Provider, Partner, and Employer of Choice. DaVita serves more than 200,000 dialysis patients in 10 countries outside the U.S. and has over 55,000 teammates in the U.S. Since 2011, DaVita teammates have donated $11 million to local nonprofits and have volunteered over 180,000 hours since 2006. DaVita has been on Fortune’s list of the world’s most admired companies for 15 years in a row.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Denver, CO, US

Year founded

1994


What DaVita employees say

Pay

Benefits

Hours and flexibility

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