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Remote Risk Adjustment Coder Jobs in Secaucus, NJ

Oscar Health

Associate, Actuarial

New York, NY · On-site +1

$111K - $145K/yr

This is a remote position, open to candidates who reside in: Arizona, Florida, Georgia, Illinois ... risk adjustment, reimbursement, and total cost of care. * Experience with SQL, Python, R, or other ...

Monogram Health

Market Physician Executive

Newark, NJ · Remote

Experience with NCQA, HEDIS, Medicaid, Medicare, quality improvement, medical utilization management, and risk adjustment. * This position will be remote within the designated market with occasional ...

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 ...

University of Rochester

Med Records Coder III

New York, NY · On-site +1

$21.78 - $30.53/hr

Remote Work - New York, Albany, New York, United States of America, 12224 Opening: Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 900370 Health Info Mgmt-Coding ...

IPolarity LLC

Architect GoLang Remote

Whippany, NJ · Remote

$50/hr

... Secure coding / Application Security Key Responsibilities: -Design end-to-end application ... risk assessments. -Guide development teams in building reusable, scalable Go services and React ...

Excellent Home Care Services, LLC

Be Seen First

OASIS Reviewer/Coder Home Health

New York, NY · Remote

$85K/yr

As an OASIS Reviewer/Coder in Home Health, you will be integral to ensuring accurate medical coding and documentation for patient care. Reporting to the Director of Patient Services, your role ...

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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 Sep 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 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 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.

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 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 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.

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For Remote Risk Adjustment Coder jobs in Secaucus, NJ, the most frequently searched job titles are:

What cities near Secaucus, NJ are hiring for Remote Risk Adjustment Coder jobs?

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Remote Risk Adjustment Coder jobs near you
Infographic showing various Remote Risk Adjustment Coder job openings in Secaucus, NJ as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $58,136 per year, or $27.9 per hour.

Associate, Actuarial

Oscar Health

New York, NY • On-site, Remote

$111K - $145K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago

Key responsibilities

  • Develop, maintain, and enhance actuarial models used to evaluate value-based care arrangements.

  • Forecast deal performance, calculate settlement outcomes, and assess the financial impact of reimbursement models.

  • Monitor provider and arrangement performance through reporting, benchmarking, attribution, and variance analysis, and identify opportunities for improvement.

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

264th of 315 rated insurance

Job description

Hi, we're Oscar. We're hiring an Associate, Actuarial to join our Actuarial team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

The Associate Actuary supports Oscar's Network Performance and Value-Based Care (VBC) strategy by developing actuarial analyses, financial models, and performance insights that inform provider arrangements and total cost of care (TCoC) initiatives. You will partner with Network Contracting, Actuarial, Finance, Clinical, and Claims Operations stakeholders to evaluate deal economics, monitor results, and translate complex healthcare data into clear recommendations. You will work independently on well-defined analyses, brings rigor to recurring processes, and helps improve the accuracy, automation, and documentation of VBC analytical outputs.

You will report into the Associate Director, Medical Economics.

Work Location: This is a remote position, open to candidates who reside in: Arizona, Florida, Georgia, Illinois, Iowa, Kansas, Michigan, Missouri, Nebraska, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas and Virginia. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area.

If you live within commutable distance to our New York City office (in Hudson Square) or our Tempe office (off the 101 at University Ave), you will be expected to come into the office at least three days each week. Otherwise, this is a remote / work-from-home role. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule.

Pay Transparency: The base pay for this role in the states of New Jersey and New York is: $123,372 - $161,925 per year. The base pay for this role in all other locations is: $111,034 - $145,733 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

  • Develop, maintain, and enhance actuarial models used to evaluate VBC arrangements, including shared savings, shared risk, and capitated payment structures.
  • Forecast deal performance, calculate settlement outcomes, and assess the financial impact of alternative reimbursement models on TCoC and affordability goals.
  • Monitor provider and arrangement performance through recurring reporting, benchmarking, attribution, and variance analysis; identify drivers of emerging results and opportunities for improvement.
  • Partner with Network Contracting, Actuarial, Finance, Clinical, and Claims Operations teams to support contract evaluation, negotiation strategy, and ongoing performance management.
  • Translate complex claims, utilization, and financial data into concise insights and recommendations for business partners and leadership.
  • Strengthen actuarial best practices by improving model documentation, QA controls, reproducibility, and automation of recurring analyses.
  • Support onboarding and knowledge sharing for analysts by documenting processes and helping teammates understand established analytical methods.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • College degree in a STEM field.
  • Associate or Fellow of the Society of Actuaries (SOA), or on the track to become one.
  • 4+ years of quantitative analysis experience.

Bonus points:

  • Experience in health insurance, value-based care, provider economics, medical economics, or network performance analytics.
  • Strong understanding of core health insurance concepts, including claims, utilization, risk adjustment, reimbursement, and total cost of care.
  • Experience with SQL, Python, R, or other analytical tools used to build repeatable models and reporting.
  • Excellent communication, collaboration, and relationship-building skills, including the ability to explain technical analyses to non-technical audiences.
  • Experience improving analytical processes through automation, documentation, and quality controls.

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. 

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency:  Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

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