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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 ...

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 Aug 11, 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?

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

AI Security Manager

Westinghouse Electric Company, LLC

Cranberry Township, PA • Remote

$130K - $163K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 14 days ago

Job description

Are you interested in being part of an innovative team that supports Westinghouse’s mission to provide clean energy solutions? At Westinghouse, we recognize that our employees are our most valuable asset and we seek to identify, attract and recruit the most qualified talent while recognizing and encouraging the value of diversity in the global workplace.

About the role:

As an AI Security Manager, you will lead an international team responsible for securing Westinghouse\'s AI platforms, AI-enabled digital solutions, data architecture, data fabric, and core data services. You will establish secure AI architecture standards and governance practices across the AI lifecycle. It will also establish risk assessment processes and operational controls, covering data pipelines, model development, integration patterns, inference services, monitoring, and cloud infrastructure. The AI Security Manager will work with Digital & Innovation, Information Technology, cybersecurity, product, and business leaders. This collaboration will ensure AI solutions are scalable, secure, reliable, and aligned with enterprise priorities, including Asset Management, Work Management, and Business Process Optimization.

You will report to the Director, AI Data Infrastructure and work remotely.

Key Responsibilities:

Assume responsibility for the security of the AI platforms, systems and required tooling to ensure Westinghouse AI solutions.

We will achieve this responsibility through:

  • Design end-to-end AI/ML security architectures (data, models, inference layers)
  • Lead threat modeling and risk assessments for AI systems
  • Implement AI security controls, monitoring, and guardrails
  • Build and operationalize AI security controls
  • Secure AI pipelines, models, and data
  • Lead teams across engineering and risk
  • Partner with CISOs and business leaders on AI security strategy
  • Align AI security controls with industry frameworks (e.g., NIST, ISO/IEC 27001) and organizational risk tolerance
  • Train teams on secure AI practices, including secure coding, MLOps hygiene, and cloud security
  • Monitor and respond to AI-driven threats using advanced analytics and cloud-native security tools
  • Develop AI-powered security solutions to detect cyber threats, including AI-powered malware and automated social engineering
  • Establish and maintain strategic partnerships with leaders in AI to increase capability of the Westinghouse digital products and use for staff augmentation
  • Promote research and development that aligns with the Westinghouse strategy and digital roadmaps to address technology gaps to achieve the desired end state
  • Forecast new technology needs based on an evolving technology landscape and promoting to leadership steering committees to obtain approval to integrate into the Westinghouse digital services
Qualifications:
  • B.S. degree in information security, computer science, data science, industrial engineering, statistics or equivalent
  • We prefer a Master\'s Degree in Business Administration.
  • 10+ years of experience in business, operations or consultation services with progression and complexity
  • Professional Certifications: CISSP, GCIH, CSSP, and CISM helpful
  • Technical knowledge of data management, data architecture, cloud platforms/infrastructure, and AI/ML architecture (including MLOps) to ensure scalable digital solutions

We are committed to transparency and equity in all of our people practices. The base salary range for this position, which is dependent upon experience, qualifications and skills, is estimated to be $130,400 to $163,000 per year.

#LI-Remote

Why Westinghouse?

Our benefits package is tailored to meet the diverse needs of our employees, while also promoting wellness and career growth. The following are representative of what we offer:

  • Comprehensive Medical benefits which could include medical, dental, vision, prescription coverage and Health Savings Account (HSA) with employer contributions options

  • Wellness Programs designed to support employees in maintaining their health and well-being including Employee Assistance Program providing support for our employees and their household members

  • 401(k) with Company Match Contributions to support employees\' retirement

  • Paid Vacations and Company Holidays

  • Opportunities for Flexible Work Arrangements to promote work-life balance

  • Educational Reimbursement and Comprehensive Career Programs to help employees grow in their careers

  • Global Recognition and Service Programs to celebrate employee accomplishments and service

  • Employee Referral Program

Westinghouse Electric Company is the global nuclear energy industry\'s first choice for safe, clean, and efficient energy solutions. We enable our delivery of this vision by living our value system:

  • Safety and Quality

  • Integrity and Trust

  • Customer Focus and Innovation

  • Speed and Passion to Win

  • Teamwork and Accountability

While our Global Headquarters are located in Cranberry Township, PA, we have over 11,000 employees working at locations in 19 different countries. You can learn more by visiting http://www.westinghousenuclear.com.

Westinghouse is an Equal Opportunity Employer including Veterans and Individuals with Disabilities

Get connected with Westinghouse on social media: Twitter | Facebook | LinkedIn| YouTube

Apply