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Remote Risk Adjustment Coder Jobs in Rochester, PA

Healthcare

ENGR SR SOFTWARE DEVT

Pittsburgh, PA · Remote

$118K - $156K/yr

Contributing to Security and Risk assessments to aid in the deployment of application components in ... Remote Travel: May include up to 20% domestic Relocation Assistance: May be authorized Must be ...

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Remote Risk Adjustment Coder information

See Rochester, PA salary details

$14

$24

$39

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 Rochester, PA is $24.91, according to ZipRecruiter salary data. Most workers in this role earn between $17.21 and $31.35 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 Rochester, PA are hiring for Remote Risk Adjustment Coder jobs? Cities near Rochester, PA with the most Remote Risk Adjustment Coder job openings:
Remote Risk Adjustment Coder jobs near you
Data Entry Operator (Fulltime, Work from Home)

Data Entry Operator (Fulltime, Work from Home)

LexisNexis

Pittsburgh, PA • On-site, Remote

$30K - $50K/yr

Full-time

Medical, Life, Retirement

Posted 7 days ago

LexisNexis rating

7.6

Company rating: 7.6 out of 10

Based on 17 frontline employees who took The Breakroom Quiz

162nd of 451 rated business services

Job description

Accountabilities
1. Verifies data from source documents according to established procedures and rules.
2. Verifies data entered with source documents for typographical errors, missing or repeated data, correct use of composition codes, style rules and edits to make corrections, additions or deletions as appropriate.
3. Searches entire application while assembling file in a prescribed sequence, identifying and preparing all necessary Text, CWU and Drawings information while ensuring a product conforming to established rules and guidelines.
4. Complete timesheets on a weekly basis.
5. Follows standard procedures as outlined by current ISO requirements.
6. Performs other job related duties as required.
7. Works with clearly defined procedures
8. Acquires basic skills to perform routine task
9. Entry-level business support or operation role.
10. No prior training or related work experience required
Qualifications
1. High school graduate or equivalent.
2. Commitment of up to three weeks of full time remote training.
3. Commitment of a minimum of 40 productive at home hours per week.
4. Strong attention to detail.
5. Basic knowledge of computer applications.
6. Good verbal and written communication skills.
7. Ability to meet scheduled deadlines.
8. Availability for additional virtual training and meetings as needed.
9. Ability to pass all pre-employment assessments.
10. Ability to meet and maintain each applicable department's quantity and quality metrics.
11. High Speed Internet capability.
12. Must be a U.S. Citizen
Preferred Locations
Preference given to those currently living in the geographic regions (and surrounding areas) listed below;
  • Pittsburgh, PA
  • Aiken, SC
  • Des Moines, IA
  • Greater Philadelphia area

Part of RELX Group plc, LexisNexis Legal & Professional serves customers in more than 100 countries with 10,000 employees worldwide. LexisNexis, a division of RELX Group, is an equal opportunity employer: qualified applicants are considered for and treated during employment without regard to race, color, creed, religion, sex, national origin, citizenship status, disability status, protected veteran status, age, marital status, sexual orientation, gender identity, genetic information, or any other characteristic protected by law.
If a qualified individual with a disability or disabled veteran needs a reasonable accommodation to use or access our online system, that individual should please contact 1.877.734.1938 or accommodations@relx.com.
Additional Job Description
Conditions of Employment:
  • You must be a U.S. citizen to apply for this position.
  • You must successfully pass a background investigation and achieve Public Trust security clearance.

We promote a healthy work/life balance across the organization, with various flexible and remote working options available to employees.
Working with Us
LexisNexis Legal & Professional is proud to be an equal-opportunity employer. We are committed to equal opportunity employment regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. Together, we are building a diverse and inclusive workplace.
Working for you
We believe in a healthy work/life balance. We know that your well-being and happiness are key to a long and successful career. These are some of the benefits we are delighted to offer:
- Comprehensive, multi-carrier health plan benefits
- Disability insurance
- Dependent care and commuter spending accounts
- Life and accident insurance
- Retirement benefits (salary investment plan/employer stock purchase plan)
- Modern family benefits, including adoption and surrogacy
About our Team
LexisNexis is a data and analytics company with 10,500 colleagues serving customers in more than 150 countries. We're one of the largest information and analytics companies on the planet. We design solutions that help our customers increase productivity, improve decision-making and outcomes, and be more successful.
U.S. National Base Pay Range: $30,300 - $50,600. Geographic differentials may apply in some locations to better reflect local market rates.
We know your well-being and happiness are key to a long and successful career. We are delighted to offer country specific benefits. Click here to access benefits specific to your location.
We are committed to providing a fair and accessible hiring process. If you have a disability or other need that requires accommodation or adjustment, please let us know by completing our Applicant Request Support Form or please contact 1-855-833-5120.
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Please read our Candidate Privacy Policy.
We are an equal opportunity employer: qualified applicants are considered for and treated during employment without regard to race, color, creed, religion, sex, national origin, citizenship status, disability status, protected veteran status, age, marital status, sexual orientation, gender identity, genetic information, or any other characteristic protected by law.
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