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Remote Risk Adjustment Coder Jobs in Toronto, ON

Research Analyst

Toronto, ON · On-site +1

CA$80K - CA$100K/yr

Resolver is a high-growth SaaS company who's intuitive, no-code platform gives our customers a ... As a part of the Resolver team, your work will help transform risk management to risk intelligence ...

Make significant code contributions, focusing on setting up architectural scaffolding, CI/CD ... Job Location - Remote (USA & Canada) The expected base salary for this position is: CAD 145000/ USD ...

Understand how the Bank's risk appetite and risk culture should be considered in day-to-day ... Code (IaC) practices including modular design, remote state management, workspace strategy, CI/CD ...

Remote in Ontario/Alberta Compensation: CAD 100,000- 110,000 per annum ROLES & RESPONSIBILITIES ... Governance, Reporting & Risk Management * Own the final status reporting delivered to the client ...

Remote Role Responsibilities * Construct social work scenarios spanning complex case assessment ... NASW Code of Ethics ) and produce reference case plans, clinical documentation, and ...

Posted today

Knowledge of applicable codes and standards is required; knowledge of Russian design standard is an ... Ability to manage risk during the design process consistent with technical and commercial ...

Contract, Remote Vacancy Status: Immediate Opening: This position is currently available, and ... Participate in change management, release management, code promotion processes, and Agile delivery ...

Showing results 21-40

Remote Risk Adjustment Coder information

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 are the most commonly searched types of Risk Adjustment Coder jobs in Toronto, ON?

The most popular types of Risk Adjustment Coder jobs in Toronto, ON are:

What job categories do people searching Remote Risk Adjustment Coder jobs in Toronto, ON look for?

The top searched job categories for Remote Risk Adjustment Coder jobs in Toronto, ON are:

Research Analyst

Resolver

Toronto, ON • On-site, Remote

CA$80K - CA$100K/yr

Full-time

Medical, Dental

Posted 12 days ago


Job description

Resolver operates as a hybrid workforce with the option to work at home, in the office, or a mix of both.

To achieve our ambitious goals, we're looking for a Research Analyst to join our collaborative & fun Marketing team. The Research Analyst will provide data and insight that drives and enables optimal sales and marketing performance.

Did we mention you'll also be part of an amazing team? We have a collaborative full-scope marketing team who are committed to helping organizations protect what matters.

About Resolver:

Resolver is a high-growth SaaS company who's intuitive, no-code platform gives our customers a clear picture of their risks so they can make quick and effective decisions. As a part of the Resolver team, your work will help transform risk management to risk intelligence so organizations can protect people and assets and deliver on their purpose.

We are ambitious in both our mission and our culture. As a business within Kroll, we offer an innovative, non-hierarchical work environment blended with the stability and financial security of an enterprise. Resolver has also been named one of Canada's Great Places to Work eight years in a row!

What you'll be doing:

Insight Generation (70%)

Measures of Success: Deliver actionable market, buyer, competitor, and emerging trend insights that directly influence product strategy, messaging, or GTM decisions, with at least 3-5 documented instances of business impact annually. Maintain a proactive cadence of research and trend monitoring, ensuring stakeholders consistently leverage insights for decision-making.

  • Conduct primary and secondary market research across industries, buyers, competitors, and emerging trends.
  • Develop actionable insights from customer interviews, analyst reports, competitive intelligence, win/loss data, and internal product usage.
  • Produce market, competitor, and buyer insight reports that influence product strategy, messaging, segmentation, and go-to-market decisions.
  • Identify emerging security, risk, compliance, and AI trends relevant to enterprise customers.

Education & Enablement (30%)

Measures of Success: Develop and deliver clear, actionable enablement materials and presentations that are regularly adopted by Product Marketing, Sales, and Executive teams, with stakeholder feedback demonstrating improved decision-making and execution.

  • Translate research findings into clear presentations, battlecards, briefs, and enablement content.
  • Support Product Marketing, Sales, and Executive teams with evidence-based recommendations.
  • Present insights to cross-functional stakeholders and help teams incorporate findings into planning and execution.

What you will bring:

  • 3+ Years Experience in Product/Market Research
  • Bachelor's degree in marketing, communication, or analytics
  • Experience with B2B SaaS is valued
  • Experience using AI-assisted research tools (e.g., ChatGPT, Perplexity, Claude, Gemini) to accelerate research workflows.
  • Experience with competitive intelligence, analyst research (e.g., Gartner, Forrester), and voice-of-customer research.
  • Strong analytical skills with Excel/Sheets and visualization tools (Power BI, Tableau, or Looker) considered an asset.

What we'll give you in return:

  • Health and Wellness Benefits: 100% paid by us for health and dental from day one. And our vision care is every 12 months! We also offer a wellness/fitness reimbursement, that can go towards things like gym memberships, yoga classes, soccer membership fees or a bike.
  • Professional development: we have an external learning budget to help you grow and develop. We host a learning workshop about every 6 weeks on topics like Time Management, Self-Awareness, and Giving Feedback; we also have e-learning to meet the needs of our remote team. We offer a Career Development Program to help you identify and build your skillsets for internal growth opportunities and beyond. We also have a Coaching Program for all our managers. We know how important it is to have a good boss, so we invest in their development.
  • Vacation: it's open, which means we don't have to worry about an accrual clock. On average, we see most folks enjoying between 3-4 weeks off a year.
  • Parental leave: best-in-class-top-up for new parents -- 100% for 15 weeks for new parents and 5 additional weeks of pregnancy leave for birth mothers.
  • Flexibility & trust: we hire adults and we trust you to manage your outcomes. Day-to-day, everyone is given the option to decide whether they want to work remote or in-office depending on the needs of their role and in ways that best promote collaboration with your team.
  • Back in the Office: you will have access to snacks and beverages and in-office fun like ping pong, group lunches, karaoke & games. We provide lots of opportunity for team socials too, including the folks who are remote!
  • The salary range for this role $80,000-100,000.

Interested?
If you want to work in a highly collaborative environment and are committed to making a difference, click here to get the process rolling.
We truly appreciate all interest and will happily reply to qualified candidates.
Resolver is committed to providing accommodations for all persons with disabilities. If at any point in the recruitment process you require accommodation, please notify the applicable recruiter or contact us directly at[email protected]

#LI-Hybrid

Employment Type: Full-Time