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Remote Risk Adjustment Coder Jobs in Stamford, CT

Mercor

HCC Coding Leader - Risk Adjustment

New York, NY · Remote

$110/hr

Remote Role Responsibilities * Lead risk adjustment and HCC coding operations across Medicare Advantage , Medicaid , and ACA risk adjustment programs. * Evaluate AI-generated HCC coding assignments ...

EmblemHealth

Staff Actuary

New York, NY · Remote

REMOTE Summary of Position * Provide the analytical resources necessary for the development of ... Work closely with Risk Adjustment and other areas to optimize risk adjustment and related programs ...

EmblemHealth

Staff Actuary - Medicare

New York, NY · On-site +1

REMOTE Summary: * Provide the analytical resources necessary for the development of overall pricing ... Work closely with Risk Adjustment and other areas to optimize risk adjustment and related programs ...

Mercor

CDI Leader - Clinical Documentation

New York, NY · Remote

$84/hr

Experience with HCC risk adjustment and outpatient CDI programs. * Background in RN , RHIA , CCS ... coding credential. * Familiarity with AI-assisted CDI tools (e.g., Nuance DAX , 3M M*Modal ) and ...

EmblemHealth

Lead Audit Specialist - Remote

New York, NY · On-site +1

$77K - $149K/yr

... risk adjustment. Manage vendor relationships and contracts to ensure audit vendors follow best ... and reducing coding errors; manage efforts to enhance RADV audit coordination workflows.

Advanced Medical Management

Medical Assistant

New York, NY · Remote

$21 - $23/hr

... risk adjustment. Pre-Visit Planning • Prepare and maintain Pre-Visit Checklists for upcoming ... coding and compliance. VBC Screening & Quality Support • Proactively identify patients due for ...

Northwell

Senior Coder

Lake Success, NY · Remote

$24.25 - $32.25/hr

... and risk of mortality (if applicable), as documented in the medical record. 5.Codes and reports diagnoses and their associated present on Admission (POA) Indicator and procedures. 6.Accurately ...

Northwell Health

Senior Coder

Lake Success, NY · Remote

$24.25 - $32.25/hr

... and risk of mortality (if applicable), as documented in the medical record. 5.Codes and reports diagnoses and their associated present on Admission (POA) Indicator and procedures. 6.Accurately ...

Northwell

Senior Coder

Lake Success, NY · Remote

$66K - $108K/yr

... and risk of mortality (if applicable), as documented in the medical record. 5.Codes and reports diagnoses and their associated present on Admission (POA) Indicator and procedures. 6.Accurately ...

Catholic Health

CDI Educator

Melville, NY · On-site +1

$115K - $165K/yr

This will be a Hybrid on-site/remote position. Job Responsibilities * Lead and maintain a formal ... Knowledge of software regarding risk adjustment Desired Attributes * Passion for teaching and ...

Catholic Health

CDI Educator

Melville, NY · On-site +1

$115K - $165K/yr

This will be a Hybrid on-site/remote position. Job Responsibilities * Lead and maintain a formal ... Knowledge of software regarding risk adjustment Desired Attributes * Passion for teaching and ...

LumiJobs

Risk Consulting - Consultant

New York, NY · Remote

This role is completely remote ! Please Note: Candidates based in the New York/New Jersey area or ... Request and obtain payroll, class codes, hours, loss information, financial statements and other ...

New

FOCUSPOINT

Certified Outpatient / ED Medical Coder

Bronx, NY · Remote

$23 - $31.50/hr

Certified Outpatient/ED Coder (Remote with Initial Onsite Training) Position Overview We are seeking an experienced, credentialed Outpatient/ED Coder to join our team. This role begins with 1-2 weeks ...

Catholic Health

CDI Second Level Reviewer

Melville, NY · On-site +1

$145K - $180K/yr

Identify and act on missed documentation opportunities impacting severity, risk adjustment, and ... Collaborate with coding and CDI Physician Advisors, as needed, on cases with potential ...

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All JobsRemote Risk Adjustment Coder JobsRemote Risk Adjustment Coder Jobs in Stamford, CT

Remote Risk Adjustment Coder information

See Stamford, CT salary details

$16

$29

$46

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

As of Jul 4, 2026, the average hourly pay for remote risk adjustment coder in Stamford, CT is $29.31, according to ZipRecruiter salary data. Most workers in this role earn between $20.24 and $36.92 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.

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Remote Risk Adjustment Coder jobs near you
HCC Coding Leader - Risk Adjustment

HCC Coding Leader - Risk Adjustment

Mercor

New York, NY • Remote

$110/hr

Full-time

Posted 3 days ago

Job description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.

Position: Risk-adjustment / HCC coding leader
Type: Contract
Compensation: $110/hour
Location: Remote

Role Responsibilities

  • Lead risk adjustment and HCC coding operations across Medicare Advantage, Medicaid, and ACA risk adjustment programs.
  • Evaluate AI-generated HCC coding assignments and risk adjustment recommendations for clinical accuracy and regulatory compliance.
  • Review medical records to ensure complete and accurate capture of HCC-eligible conditions supported by clinical documentation.
  • Conduct and oversee retrospective and prospective chart reviews for risk score optimization.
  • Manage RADV audit preparation and response processes.
  • Collaborate with clinical, coding, and compliance teams to improve documentation and coding for risk adjustment purposes.

Qualifications

Must-Have

  • 5+ years of experience in risk adjustment coding, HCC coding, or Medicare Advantage coding operations, with at least 2 years in a leadership role.
  • Deep expertise in CMS-HCC, RxHCC, and/or ACA HHS-HCC risk adjustment methodologies.
  • Strong knowledge of ICD-10-CM coding guidelines as applied to HCC risk adjustment.
  • Experience with RADV audit preparation and CMS compliance requirements.
  • Familiarity with RAPS and EDGE submission processes.
  • Exceptional written and verbal English communication skills.
  • High attention to detail with the ability to identify coding inaccuracies and documentation gaps in AI-generated outputs.

Preferred

  • CRC (Certified Risk Coder), CCS, CPC, or RHIA credential.
  • Experience with risk adjustment analytics platforms and chart retrieval systems.
  • Background in health plan, Medicare Advantage organisation, or value-based care setting.
  • Familiarity with AI-assisted HCC coding tools and comfort evaluating AI-generated risk adjustment content.
  • Experience presenting risk adjustment performance to actuarial or executive teams.

Application Process (Takes 20–30 mins to complete)

  • Upload resume
  • AI interview based on your resume
  • Submit form

Resources & Support

  • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
  • For any help or support, reach out to: support@mercor.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.