ZipRecruiter

Log In

2

Remote Risk Adjustment Coder Jobs in Ridgefield, CT

Icon Health

Senior Data Analyst

Stamford, CT · Remote

$88K - $111K/yr

Remote Reports To: SVP, Data and Technology Who We Are Icon Health is a leading provider of value ... Experience working with healthcare data (e.g., claims, eligibility, HCCs, risk adjustment)

Icon Health

Senior Data Analyst

Stamford, CT · On-site +1

$91K - $115K/yr

Remote Reports To: SVP, Data and Technology Who We Are Icon Health is a leading provider of value ... Experience working with healthcare data (e.g., claims, eligibility, HCCs, risk adjustment)

next page

Showing results 1-20

All JobsRemote Risk Adjustment Coder JobsRemote Risk Adjustment Coder Jobs in Ridgefield, CT

Remote Risk Adjustment Coder information

See Ridgefield, CT salary details

$15

$27

$43

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

As of Jul 4, 2026, the average hourly pay for remote risk adjustment coder in Ridgefield, CT is $27.38, according to ZipRecruiter salary data. Most workers in this role earn between $18.89 and $34.47 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 cities near Ridgefield, CT are hiring for Remote Risk Adjustment Coder jobs? Cities near Ridgefield, CT with the most Remote Risk Adjustment Coder job openings:
Remote Risk Adjustment Coder jobs near you
Remote Medical Billing Coder

Remote Medical Billing Coder

Fair Haven Community Health Care

New Haven, CT • On-site, Remote

$18.75 - $25.25/hr

Full-time

Posted 3 days ago

Job description

Fair Haven Community Health Care
For over 54 years, FHCHC has been an innovative and vibrant community health center, catering to multiple generations with over 165,000 office visits across 21 locations. Guided by a Board of Directors, most of whom are patients themselves, we take pride in being a healthcare leader dedicated to delivering high-quality, affordable medical and dental care to everyone, regardless of their insurance status or ability to pay. Our extensive range of primary and specialty care services, along with evidence-based programs, empowers patients to make informed choices about their health. As we expand our reach to underserved areas, our commitment to prioritizing patient needs remains unwavering. FHCHC's mission is to enhance the health and social well-being of the communities we serve through equitable, high-quality, and culturally responsive patient-centered care.
Remote in Connecticut, must be able to commute onsite.
Job purpose
Responsible for maintaining the professional reimbursement program. Ensure compliance with current payments and rules that impact billing and collection.
Duties and responsibilities
The Medical Billing Coder performs billing and computer functions, including patient & third party billing, data entry and posting encounters. Typical duties include but are not limited to:
  • Follow-up of any outstanding A/R all-payers, self-pay, and the resolution of denials
  • Prepares and submits clean claims to various insurance companies either electronically or by paper.
  • Handle the follow-up of outstanding A/R all-payers, including self-pay and /or the resolution of denials.
  • Answers question from patients, FHCHC staff and insurance companies.
  • Identifies and resolves patient billing complaints.
  • Prepares reviews and send patient statements and manage correspondence.
  • Handle all correspondence related to insurance or patient account, contacting insurance carriers, patients and other facilities as needed to get the maximum payments and accounts and identify issues or changes to achieve client profitability.
  • Take call from patients and insurance companies regarding billing and statement questions.
  • Process and post all patient and/or insurance payments.
  • Reviewing clinical documentation and provide coding support to clinical staff as needed.
Qualifications
  • High School diploma or GED with experience in medical billing is required.
  • A certified professional coding certificate (CPC AAPC), knowledge of third party billing requirements, ICD and CPT codes, and billing practices are also required.
  • Excellent interpersonal and communication skills and ability to work as a member of the team to serve the patients is essential.
  • Must be detail oriented and have the ability to work independently.
  • Bi-lingual in English and Spanish highly preferred.
  • FQHC/EPIC experience is desirable.

American with Disabilities Requirements:
External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job specific functions (listed within each job specific responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case by case basis.
Fair Haven Community Health Care is an Equal Opportunity Employer. FHCHC does not discriminate on the basis of race, religion, color, sex, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.

Apply