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Remote Risk Adjustment Coder Jobs in Secaucus, NJ

PF Concepts

Professional Fee Coder

Fairfield, NJ · Remote

$29 - $35/hr

Remote Job Summary: The Professional Fee Coder (ProFee) is responsible for reviewing provider documentation and assigning accurate ICD-10-CM, CPT, and HCPCS codes for physician professional services.

RightWay ABA

Medical Billing Specialist ABA

Clifton, NJ · Remote

$21 - $28/hr

Medical Billing Specialist (Remote) Pay: $21-$28 per hour (DOE) About RightWay ABA RightWay ABA is ... Experience working with denial and adjustment codes and clearinghouse workflows. * Excellent ...

RightWay ABA

Medical Billing Specialist ABA

Clifton, NJ · Remote

$21 - $28/hr

Medical Billing Specialist (Remote) Pay: $21-$28 per hour (DOE) About RightWay ABA RightWay ABA is ... Experience working with denial and adjustment codes and clearinghouse workflows. * Excellent ...

WithCoverage

Risk Advisor - Construction

New York, NY · On-site +1

Risk Advisor - Construction New York, NY Los Angeles, CA Philadelphia, PA Remote About WithCoverage ... Help manage ongoing program administration including audits, adjustments, endorsements, and claims ...

Highmark Health

Coder - Outpatient

New York, NY · Remote

$34.39/hr

Successful completion of coding courses in anatomy, physiology and medical terminology * 1 year of Hospital and/or Physician Coding * 1 year coding at mid-level facilities or clinics * 1 year coding ...

Network ESC

Certified Medical Coders

Brooklyn, NY · Remote

$30 - $34/hr

... issues; competence in coder training; must have CCS and knowledgeable with 3M/HDS coding ... Remote Must be on site for two weeks training- Candidates must be comfortable working in the ...

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All JobsRisk Adjustment Coder JobsRemote Risk Adjustment Coder JobsRemote Risk Adjustment Coder Jobs in Secaucus, NJ

Remote Risk Adjustment Coder information

See Secaucus, NJ salary details

$16

$27

$44

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

As of Jul 7, 2026, the average hourly pay for remote risk adjustment coder in Secaucus, NJ is $27.95, according to ZipRecruiter salary data. Most workers in this role earn between $19.33 and $35.19 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 are popular job titles related to Remote Risk Adjustment Coder jobs in Secaucus, NJ? For Remote Risk Adjustment Coder jobs in Secaucus, NJ, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coder jobs in Secaucus, NJ look for? The top searched job categories for Remote Risk Adjustment Coder jobs in Secaucus, NJ are:
What cities near Secaucus, NJ are hiring for Remote Risk Adjustment Coder jobs? Cities near Secaucus, NJ with the most Remote Risk Adjustment Coder job openings:
Remote Risk Adjustment Coder jobs near you
Professional Fee Coder

Professional Fee Coder

PF Concepts

Fairfield, NJ • Remote

$29 - $35/hr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 27 days ago

Job description

Description

Required: Inpatient Neonatal, pediatric, and critical care professional fee coding experience 


Location: Remote


Job Summary: The Professional Fee Coder (ProFee) is responsible for reviewing provider documentation and assigning accurate ICD-10-CM, CPT, and HCPCS codes for physician professional services. This role supports compliant coding, timely charge capture, and clean claim submission in accordance with AMA, CMS, and payer guidelines.

Responsibilities include, but are not limited to:

  • Review provider documentation and assign ICD-10-CM, CPT, HCPCS Level II codes, and applicable modifiers for professional fee services.
  • Select appropriate Evaluation and Management (E/M) levels based on current guidelines (MDM and/or time and ensure documentation supports code selection.
  • Apply modifier and global surgery rules accurately (e.g., 25, 24, 57, 58, 59, 78, 79) and comply with NCCI edits and payer policies.
  • Ensure medical necessity and proper linkage of diagnoses to services; identify and resolve coding edits prior to claim submission when applicable.
  • Query providers for clarification when documentation is incomplete or ambiguous, following compliant query practices.
  • Meet established productivity, accuracy, and turnaround time standards to support billing and revenue cycle goals.
  • Collaborate with billing/denials teams to resolve coding-related rejections and provide supporting rationale for appeals as needed.
  • Maintain confidentiality and comply with HIPAA and organizational policies when handling protected health information.
  • Stay current with coding guideline updates, payer changes, and compliance requirements; complete required continuing education.
  • Participate in internal quality reviews and implement corrective actions to improve coding accuracy.

 Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Paid time off
  • Paid training
  • Tuition reimbursement
  • Vision insurance

Pay: $29.00 - $35/hour  

Requirements

Qualifications 

  • 3+ years of recent professional fee (physician) coding experience; multi-specialty experience preferred.
  • Strong knowledge of ICD-10-CM, CPT, HCPCS, modifiers, NCCI edits, and payer guidelines.
  • Experience applying current E/M coding guidelines and common professional fee compliance requirements.
  • Proficiency with EHR and encoder/coding tools (e.g., Epic, Cerner, 3M, Optum) and Microsoft Office.
  • Excellent attention to detail, analytical skills, and ability to manage multiple priorities.
  • Effective communication skills for provider/coder collaboration and documentation clarification.
  • Active coding certification required (CPC or CCS/CCA); CPMA or specialty credential is a plus.
  • Must be credentialed from AAPC or AHIMA, AAPC preferred.

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