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Remote Risk Adjustment Coder Jobs in Springfield, NJ

Fractal

Business Analyst

New York, NY · Remote

Remote Role Overview: We are seeking an experienced Business Analyst (BA) with strong expertise in ... Experience supporting HEDIS, Stars, Risk Adjustment, or Quality programs. * Exposure to FHIRbased ...

Highmark Health

Coder - Inpatient

New York, NY · Remote

$37.14/hr

Certified Coding Specialist (CCS) OR Certified In-patient Professional Coder (CIC) * Familiarity with medical terminology * Strong data entry skills * An understanding of computer applications

Baba

Physician - Remote (MD/DO) 1099

New York, NY · Remote

Virtual Physician - Remote 1099 | Structured Intake & Care Navigation About Baba Baba is rebuilding ... SDOH Z-codes, diagnoses, and risk factors. * Validate care plans. Develop and approve ...

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$45

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

As of May 31, 2026, the average hourly pay for remote risk adjustment coder in Springfield, NJ is $28.63, according to ZipRecruiter salary data. Most workers in this role earn between $19.76 and $36.06 per hour, depending on experience, location, and employer.

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, 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 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 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.

More about Remote Risk Adjustment Coder jobs
What cities near Springfield, NJ are hiring for Remote Risk Adjustment Coder jobs? Cities near Springfield, NJ with the most Remote Risk Adjustment Coder job openings:
Remote Risk Adjustment Coder jobs near you
Senior Manager, Fraud & Payments Risk

Senior Manager, Fraud & Payments Risk

Baselane

New York, NY • Remote

Full-time

Medical, Dental, Vision, Life, PTO

Posted 7 days ago

Job description

About Baselane

Baselane is a rapidly growing banking and financial management platform for individual landlords and real estate investors. We are backed by leading FinTech investors, including Matrix Partners, Activant Capital, Collaborative Fund, Conversion Capital, Diagram Ventures, ThomVest, and many FinTech leaders from PayPal, eBay, Google, and more.
 
We are building the future of financial services for the 12+ million individual landlords and real estate investors who own over 25 million homes in the United States. Our mission is to empower landlords with financial services, automated tools, and actionable insights to help them save time, increase their returns, and grow their investment portfolios.
 
We are a seasoned team with deep experience in financial services and technology. We have previously worked at companies including The Boston Consulting Group, Morgan Stanley, Plaid, Harry's, Better, WealthSimple, RBC Ventures, Affirm, NorthOne, Instawork, and more.
 
Learn more at baselane.com.
 

About the Role

We're hiring a Senior Manager, Fraud & Payments Risk to lead Baselane's fraud function: owning fraud operations, managing and developing the team, and executing cross-functionally on the long-term strategic initiatives that will take our risk program to the next level.

Baselane is growing quickly, and with that growth comes increasing complexity in the risks we face. Our current foundation is strong: solid processes built around our two major product lines - banking and rent collection. The opportunity ahead is to build on that foundation by increasing automation, maturing our detection approach, and scaling our team/processes with the business.

What You'll Do
  • Directly lead Baselane's Fraud & Payments Risk team: own performance, development, and coaching for Baselane's current two Risk Specialists and one Risk Lead
  • Operate as a player-coach: carry critical workstreams on complex investigations, escalations, and novel case types. Serve as a sounding board for the Lead and Specialists
  • Drive the evolution of the fraud systems: own and execute on the major strategic initiatives that mature our risk program - across detection tooling, decisioning infrastructure, and process scaling as the business grows
  • Partner cross-functionally: work with Product, Engineering, and CX to translate fraud insights into durable controls and act as the champion of risk within the Baselane organization
  • Own major fraud escalations: lead incident response on high-exposure cases ($50K), regulatory-adjacent situations, and bank partner coordination; author post-mortems with clear root cause analysis and preventive action
  • Manage the sponsor bank partnership: serve as Baselane's primary point of contact with our sponsor bank on fraud and risk program matters, including program guideline alignment, audits, and ongoing collaboration across shared workstreams like KYC/KYB signals, sanctions screening, and transaction monitoring
What We're Looking For
  • 10+ years of relevant experience: in fraud, payments risk, or financial crime, ideally with meaningful time at a fintech, payments company, or digital bank
  • Start-up / fintech experience: you've operated in fast-moving, resource-constrained environments where you've had to build, prioritize, and make calls without the safety net of a mature org behind you
  • An experienced people manager: you've directly led fraud or risk teams - ideally through periods of growth or scale at a start-up - developed individual contributors into stronger operators, and maintained a high execution bar
  • Domain expertise: you can look at an ID, a behavior pattern, or a complex case and offer sharp, experienced judgment
  • Fluency in payment rails and regulatory frameworks: deep working knowledge of ACH (NACHA rules, return codes), wire, debit card, and check fraud patterns, along with the regulatory frameworks that govern them (Reg E, Reg CC)
  • A builder: you're energized by maturing and scaling a function from an early stage, not just running what already exists
  • Analytically rigorous: you ground decisions in data, frame trade-offs clearly, and are comfortable partnering with a lean data team to drive insights
  • An operator's mindset: you thrive in ambiguity, move quickly but thoughtfully, and build without needing the full playbook handed to you - exactly the muscle a start-up environment demands
Nice to Have
  • Familiarity with compliance signals that feed fraud decisions: OFAC, PEP, and adverse media screening
  • Hands-on experience with modern fraud decisioning platforms (Taktile, Sigma, TLOxp, or similar)
  • Familiarity with real estate, property management, or rent payment fraud typologies
Benefits & Perks
  • Competitive compensation
  • Equity - ownership in what we're building
  • High-quality Medical, Vision, and Dental insurance
  • Life Insurance and Disability coverage
  • Generous paid time off and flexible hours
  • Remote-first work environment with a home office stipend
  • Regular social events
$140,000 - $190,000 a year
Base salary may vary depending on relevant experience, skills, location, and business needs.
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
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