Remote Risk Adjustment Coder Jobs in San Jose, CA

Our mission is to help seniors overcome intricate health and social challenges, improve their long-term well-being, and maximize their independence. We believe every senior deserves to have a dedicated advocate in their corner.

We are pioneering a new care model that goes beyond episodic treatment to provide continuous, longitudinal support. By prioritizing preventative care and addressing social determinants of health, our goal is to empower patients to remain independent, achieve optimal well-being, and stay out of the hospital whenever possible.

To achieve this, we are building an advocacy-first telehealth platform to democratize access to high-quality care and reach patients right where they are. Our physicians and Health Advocates work together to help patients untangle the U.S. healthcare system, overcome barriers, and make confident, informed decisions. By combining clinical expertise with hands-on navigation and resource linkage, we give every patient the knowledgeable ally they deserve.

As a Careway Physician, you will conduct brief, structured telehealth visits to establish care for our health advocacy programs. These intake visits are the foundation of our service, allowing us to identify high-risk conditions, uncover unmet social needs, and confirm patient eligibility for ongoing advocacy.

This role focuses on assessment and oversight rather than primary diagnosing or prescribing. You will evaluate patients holistically and collaborate seamlessly with our RN Health Advocates to ensure patients are enrolled safely and compliantly into the right level of support.

• Contract Type: 1099 Contractor.

• Location: 100% Remote, but must be physically located in California. (All patient interactions are via video or phone call).

• Time Commitment: Requires a minimum of 10-15 hours per week. Week-to-week availability remains flexible.

• Conduct initiating visits. Perform telehealth-based Evaluation and Management (E/M) visits to understand patient challenges, build initial rapport, and establish a foundation for ongoing care navigation.

• Support a vulnerable population. Work directly with seniors, navigating the complexities of their unique health challenges, SDOH barriers, and the frustrations that often accompany interacting with a broken healthcare system.

• Validate and oversee care plans. Partner with Careway Health Advocates to develop, approve, and oversee individualized plans that address both medical needs and social determinants of health (SDOH).

• Document with precision. Record findings accurately in the Careway platform, ensuring the proper use of SDOH Z-codes, diagnoses, and risk factors.

• Provide clinical leadership. Act as a clinical resource for our advocates, helping them navigate complex patient cases and ensuring a streamlined continuum of care.

• Drive innovation. Collaborate closely with our operations and technology teams to refine our care model and develop innovative AI tools that enhance the clinical experience.

• Credentials & Licensure: M.D. or D.O. with an active, unrestricted California medical license.

• Location: Must be physically located in the state of California.

• Licensing Flexibility: Must be willing and open to acquiring additional state medical licenses to support our growing patient population.

• Medicare Enrollment: Active PTAN/PECOS account (registration and enrollment with Medicare).

• Systems Knowledge: Familiarity with Medicare programs and SDOH documentation.

• Tech Fluency: Pride in your technical abilities. You are comfortable learning new EHRs, adopting AI tools, and navigating the rapid changes of an early-stage startup environment.

• Communication: Exceptional listening and interpersonal skills. Empathy is the foundation of every patient interaction at Careway.

• Multistate Licensure: Active member of an IMLC state with broad multi-state licensure.

• Telehealth Experience: Prior experience delivering care via telehealth platforms.

• Specialty: Board Certification in Internal Medicine, Family Medicine, or Geriatrics.

• Language Skills: Fluency in additional languages