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Remote Risk Adjustment Coder Jobs in Reisterstown, MD

Corvel

Telephonic Case Manager II

Nottingham, MD · Remote

$66.94K - $101.26K/yr

This is a remote role. California nursing license is required. ESSENTIAL FUNCTIONS ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Corvel

Telephonic Case Manager II

Nottingham, MD · Remote

$66.94K - $101.26K/yr

This is a remote role. California nursing license is required. ESSENTIAL FUNCTIONS ... The level may impact the salary range and these adjustments would be clarified during the offer ...

T Rowe Price

Lead Android Engineer

Owings Mills, MD · Remote

... as coding, testing, debugging, and implementing software solutions. This position requires ... You will leaddisciplinaryor cross-functional programs of significant complexity and risk,leveraging ...

Archesys Inc

AWS Solutions Architect

Towson, MD · Remote

$60.25 - $79.50/hr

This is a remote position. Residency Requirement: Candidates MUST have lived in the U.S. for at ... Help in developing and deploying Infrastructure as Code (IaC) using tools like Terraform or ...

Archesys Inc

AWS Solutions Architect

Towson, MD · Remote

$100K - $120K/yr

This is a remote position. Residency Requirement: Candidates MUST have lived in the U.S. for at ... Help in developing and deploying Infrastructure as Code (IaC) using tools like Terraform or ...

PathoMap

Be Seen First

Functional Medical Provider

Baltimore, MD · Remote

Greater Baltimore, MD area (or Remote with license in Maryland) Compensation: Competitive salary ... Here, you are not just managing symptoms or matching a drug to a disease code. Instead, you are ...

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Remote Risk Adjustment Coder information

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$40

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

As of May 29, 2026, the average hourly pay for remote risk adjustment coder in Reisterstown, MD is $25.67, according to ZipRecruiter salary data. Most workers in this role earn between $17.74 and $32.31 per hour, depending on experience, location, and employer.

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, 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 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 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.

More about Remote Risk Adjustment Coder jobs
What are popular job titles related to Remote Risk Adjustment Coder jobs in Reisterstown, MD? For Remote Risk Adjustment Coder jobs in Reisterstown, MD, the most frequently searched job titles are:
What cities near Reisterstown, MD are hiring for Remote Risk Adjustment Coder jobs? Cities near Reisterstown, MD with the most Remote Risk Adjustment Coder job openings:
Remote Risk Adjustment Coder jobs near you
Lead Engineer Software - Full Stack Technical Lead (Remote)

Lead Engineer Software - Full Stack Technical Lead (Remote)

CareFirst

Baltimore, MD • Remote

Other

Retirement

Posted 12 days ago

CareFirst BlueCross BlueShield rating

7.4

Company rating: 7.4 out of 10

Based on 30 frontline employees who took The Breakroom Quiz

204th of 259 rated insurance

Job description

Resp & Qualifications

PURPOSE:
Performs complex analysis, design, development, automated unit and integration testing, and debugging of computer software ranging from operating system architecture integration and software design to selection of computer systems, language, and/or equipment. Designs, codes, tests, develops, and documents application programs for computer systems. Works with end-users and project stakeholders to define system scope and objectives. Manages modifications to and maintenance of operational programs and procedures. Leads stakeholder and product owner meetings to define software requirements and creates highly complex systems. Acts as a mentor to junior engineers.

ESSENTIAL FUNCTIONS:

  • Lead a team of software engineers in the design, development, and implementation of multiple applications. 
  • Performs and leads the detail technical design, coding, code review and testing of new applications and enhancements of existing applications. 
  • Serves as a subject matter expert for specified systems and their subsequent applications. 
  • Develop and/or analyze interface design documentation. 
  • Comply with hardware and software systems standards and procedures. 
  • Deliver large systems for tens of thousands of users. Ensures compliance to the dev/sec/ops practices and policies. 
  • Understanding of architectural practices and design. 
  • Identifies gaps in requirements and solves problems for the supporting staff. Identifies sequencing of services and technologies that are integrated in later phases of the project. 
  • Leads the evaluation of risk and opportunity impacts to existing or proposed projects/programs and implements risk mitigation actions. 
  • Develops ways to improve performance and increase system availability. Provides recommendations to infuse new technology. Compile, assess, and report data results from software testing and analysis.
  • Supports the Project Manager as the technical team lead on the project. 
  • Estimates the technical costs of projects for clients and project managers. 
  • Confers with clients to identify requirements and determine desired outcomes to formulate the design of the system or offer alternatives. 
  • Demonstrated experience with front-end and back-end programing and integration frameworks and tools. 
  • Assist in the estimation of development of application features.
  • Leads software design and development teams. Identifies, analyzes, defines, and coordinates user, customer, and stakeholder needs and translates them into technical requirements.
  • Manages technical resources (hardware, software, licenses, and services). 
  • Plans and leads transformation initiatives to new software architectures. 
  • Extend open-source libraries and systems as necessary to meet the needs of the team. 
  • Play a crucial role in product scoping and roadmap / architecture discussions. 
  • Continually evaluate emerging technologies to identify opportunities, trends, and best practices. 
  • Ensure code quality, deployment standards and practices. Mentoring junior developers.

SUPERVISORY RESPONSIBILITY:
Position does not have direct reports but is expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources.

QUALIFICATIONS:

Education Level: Bachelor's Degree in Information Technology or Computer Science OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Experience: 8 years' Software design and development, software test and evaluation, software requirements management.

Knowledge, Skills and Abilities (KSAs)

  • Strong healthcare domain knowledge with deep understanding of ITS claims processing is a MUST.
  • Deep Understanding Facets integration components and Data models.
  • Deep understanding of API/Microservices, Facets FXI services.
  • Ability to troubleshoot Facets core Batch and Surround ETL jobs.
  • Knowledge of database technologies mainly Oracle and SQL server.
  • Good understanding of Facets Membership and Claims architecture.
  • Knowledge of programming languages (e.g. JavaScript, C, Python, etc.).
  • Knowledge of Java programming.
  • Knowledge on Microservices.
  • Basic knowledge of IBM MQ is a plus.
  • Basic knowledge of mainframe (AS400) formats and technologies is a plus.
  • Works closely with Architects, Product Owners, Scrum Masters, and Value Stream Managers to provide insight into delivering business value and meeting objectives.
  • Decomposes functional and technical requirements into project activities and tasks and provides conceptual design, prototype, and test cycles appropriate to a chosen technical solution.
  • Identifies technical risks and develops mitigation strategies; introduces and recommends industry best practices and standards for the project.
  • Evaluates and assists in the selection and procurement of hardware and software technologies and serves as a mentor for junior developers.
  • Work with stakeholders as well as technical and analytical counterparts to define constraints and develop requirements and concept of operations documentation.
  • Knowledge of cloud technologies ( e.g. AWS, Azure).
  • Knowledge of database technologies (e.g. cloud,  SQL, Oracle, Mongo DB, PostgreSQL, etc.).
  • Knowledge of software engineering best practices, agile methodologies, CI/CD pipelines.
  • Knowledge of test-first practices including Test-Driven Development (TDD) for unit tests and Behavior-Driven Development (BDD) for automated acceptance tests.
  • Experience with Deployment/Continuous Integration/ Continuous Testing/ Continuous Delivery processes and tools and have expertise in CI/CD tools and framework.
  • Experience with deploying a global application and configuration management.
  • Reviewing the work of other developers and providing feedback.
  • Ability to communicate technical requirements to all levels of expertise.
  • Proficient in establishing and maintaining good working relationships.
  • Knowledge and understanding of software development life cycle (SDLC).
  • Proficient with integrating complex and/or existing systems.
  • Participate in Agile ceremonies such as sprint planning, backlog refinement, and retrospective.
  • Excellent communication skills both written and verbal.

Salary Range: 115,128 - 228,657

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer.  It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Federal Disc/Physical Demand

Note:  The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position.  Occasional walking or standing is required.  The hands are regularly used to write, type, key and handle or feel small controls and objects.  The associate must frequently talk and hear.  Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship

#LI-MK1 

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