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Remote Risk Adjustment Coder Jobs in Tobyhanna, PA

Remote Risk Adjustment Coder information

See Tobyhanna, PA salary details

$15

$26

$42

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

As of Aug 19, 2026, the average hourly pay for remote risk adjustment coder in Tobyhanna, PA is $26.55, according to ZipRecruiter salary data. Most workers in this role earn between $18.32 and $33.41 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.

What cities near Tobyhanna, PA are hiring for Remote Risk Adjustment Coder jobs?

Cities near Tobyhanna, PA with the most Remote Risk Adjustment Coder job openings:

Licensed Clinical Social Worker (Remote) - Community Health Focus

Altura Counseling Center, Inc

Scranton, PA • Remote

Full-time

Medical, PTO

Posted 22 hours ago

Posted today


Job description

Position Overview

We are seeking a dedicated Licensed Clinical Social Worker (LCSW) to join our team at Altura Counseling Center, Inc. This full-time, remote position is designed for a compassionate professional who is committed to enhancing the lives of individuals and families facing behavioral health challenges. The ideal candidate will play a crucial role in providing critical support to clients within a community health clinic environment, significantly contributing to our mission of fostering healthier communities.

About the Organization

Altura Counseling Center, Inc. is a leading community health provider dedicated to delivering comprehensive mental health services to individuals across Scranton, Pennsylvania, and its surrounding areas. Our team embodies empathy, professionalism, and a commitment to promoting wellness. We specialize in addressing a broad range of mental health issues, including but not limited to substance use disorders, anxiety, and depression. We value collaboration, continuous learning, and a client-centered approach in every aspect of our work.

Work Environment

Our remote work setting allows social workers to operate flexibly while maintaining connectivity with colleagues through digital platforms. You will work closely with an interdisciplinary team of practitioners, ensuring that clients receive multi-faceted support. This position gives you the freedom to create your own schedule while fostering meaningful relationships with clients from diverse backgrounds. We encourage a culture of open communication and professional development to keep our team's morale and productivity high.

Key Responsibilities
  • Provide therapeutic counseling to individuals, families, and groups dealing with a variety of emotional and behavioral issues, employing evidence-based practices to enhance client outcomes.
  • Conduct thorough psychosocial assessments and case management evaluations to tailor intervention strategies to meet identified client needs effectively.
  • Collaborate with the practitioner team to identify and de-escalate risk situations, ensuring client safety and adherence to mandatory reporting protocols.
  • Continuously monitor and evaluate client progress, adjusting treatment plans accordingly to reflect changes in circumstance or new insights.
  • Stay informed of safeguarding policies and actively participate in embedding these standards into daily operations and service delivery.
  • Utilize data collection and feedback mechanisms to assess the efficacy of interventions, recommending adjustments to improve service delivery.
  • Participate in regularly scheduled team meetings to discuss individual client cases, safeguarding issues, and service enhancements.
Patient Population / Client Focus

As a Licensed Clinical Social Worker at Altura Counseling Center, you will work with a diverse client base, including children, adolescents, and adults facing mental health challenges, including those dealing with substance use/abuse issues. You will empower clients to navigate their personal journeys through counseling and advocacy while providing access to valuable resources within the community.

Qualifications
  • Master's Degree in Social Work from an accredited university is required, ensuring a strong foundation in clinical practice.
  • Active Licensed Clinical Social Worker (LCSW) credential in the state of Pennsylvania is mandatory.
  • A minimum of two years of relevant experience in a behavioral health setting, demonstrating capability in case management and therapeutic interventions.
  • Proficient in conducting psychosocial histories and implementing case management evaluations, including expertise in interview techniques and suicide risk assessments.
Preferred Experience
  • Experience in community health settings or with populations affected by substance use disorders is highly desirable.
  • Familiarity with electronic health record (EHR) systems and data collection methodologies.
  • Demonstrated ability to collaborate across varied disciplines, showing flexibility and a client-centered approach in all initiatives.
Compensation and Benefits

Altura Counseling Center offers a competitive annual salary ranging from USD 90,000 to 100,000, commensurate with experience. In addition to a robust salary, our employees enjoy a suite of benefits including flexible working hours, comprehensive health insurance plans, and paid time off. A referral program is also available for team members who help us attract top talent.

Career Growth Opportunities

We believe in fostering a culture of growth and professional development. As a member of our team, you will have opportunities for continuing education and training to enhance your skills. Additionally, we encourage our social workers to explore leadership roles within the organization that align with their career goals.

Why Join Our Team

At Altura Counseling Center, you will be part of a supportive and vibrant workplace that values mental health and wellness not just for our clients, but for our team members too. We pride ourselves on providing a fun, professional culture where innovation and motivation are nurtured. If you are looking for a rewarding opportunity to make a meaningful difference in peoples' lives in a fast-growing organization, apply today!

Application Information

If you are interested in joining our team as a Licensed Clinical Social Worker, we invite you to submit your resume, along with a cover letter detailing your relevant experience and passion for community mental health. For more information about the position or to apply, please visit our website or contact our HR department directly.