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Remote Risk Adjustment Coder Jobs in Toronto, ON

Account Executive

Toronto, ON · On-site +1

CA$100K - CA$110K/yr

Resolver is a high-growth SaaS companywho'sintuitive, no-code platform gives our customers a clear ... 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 ...

Director of Business Development

Toronto, ON · Remote

CA$110K - CA$125K/yr

... risk. Our professionals serve as trusted advisors to organizations facing high stakes matters ... Ability to work independently and across business functions in a remote office setting * Ability to ...

Remote (Canada) We're looking for a Senior Software Engineer to join a correctness-critical ... Review designs and code to ensure high quality, correctness, and safety. * Diagnose and solve ...

Director, IT Operations & DevOps

Toronto, ON · Remote

CA$140K - CA$150K/yr

... operational risk and support the continued evolution of CanadaHelps' cloud and operational ... This position is GTA remote but may require to be in-office in Toronto for team collaborations. Key ...

Resolver is a high-growth SaaS company whose 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 ...

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 ...

Cloud Security Engineer

Toronto, ON · Remote

CA$100K - CA$110K/yr

Build reusable Terraform modules, reference architectures, policy-as-code guardrails, and self ... Drive remediation of cloud vulnerabilities and misconfigurations, balancing risk, engineering ...

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Remote Risk Adjustment Coder information

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.

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:

Quality Control Analyst/Tester

Farber Debt Solutions

North York, ON • Remote

CA$75K - CA$90K/yr

Full-time

Medical, Dental, Retirement, PTO

Posted 15 days ago


Job description

Company Information   
Farber is one of Canada’s oldest, largest and most respected debt solution providers. We help Canadians get out of debt and start rebuilding their lives again. Established in 1979, Farber has almost 300 employees working across the country and has helped well over 100,000+ Canadians get out of debt.   
And now, we’re embarking on our next stage of transformation & significant growth. To do that, we are hiring experienced, enthusiastic, motivated, innovative, and client-centric team members to play critical roles in helping us reach our ambitious goals.   
If this sounds exciting to you, come join us to better serve the growing number of Canadians who are in need of financial help. 
Position Summary 
We are seeking a Quality Control Analyst / Tester to work alongside a Business Analyst, Power Platform Architect / Lead Senior Developer, and cross-functional delivery team. This role is responsible for planning and executing manual and automated testing on business application software , ensuring high quality across apps, workflows, integrations, and data. 
The Tester will primarily use Azure DevOps for test management and defect tracking, building traceability from user stories through test cases to release sign-off. The ideal candidate is comfortable testing low-code solutions end-to-end and developing automation to scale regression coverage. 
Key Responsibilities  
•Define and maintain test strategy and test plans business application delivery (functional, regression, integration, data, security, performance). 
• Create and manage test suites, test cases, and test execution cycles in Azure DevOps Test Plans, ensuring traceability to backlog items. 
• Design and build automated test scripts to support regression and critical-path validation (UI and/or API level). 
• Validate acceptance criteria with the Business Analyst and technical feasibility with the Architect. 
• Perform end-to-end scenario testing across app → flow → data → integration surfaces. 
• Log, triage, and track defects in Azure DevOps, including severity/prioritization recommendations and retest confirmation. 
• Support release readiness by providing test completion reports, defect summaries, and go/no-go input. 
• Participate in agile ceremonies (planning, refinement, demos, retros) and advise on test effort and risk early. 
• Continuously improve QC practices: reusable test assets, automation coverage, and test data management. 
Qualifications  
• 4+ years in QC/testing roles with a blend of manual and automation testing. 
• Demonstrated experience with Azure DevOps Test Management (test plans, test suites, test cases, defects, reporting). 
• Experience testing low-code / SaaS / web applications with complex workflows and data rules. 
• Strong understanding of testing fundamentals: test design techniques, 
boundary/negative testing, regression approaches, and risk-based testing. 
• Familiarity with automation tools/frameworks such as Playwright, Selenium, 
Cypress, or similar (tool-agnostic; prove ability to automate). 
• Ability to validate data and integrations (REST APIs, JSON payloads, connector outputs) using Postman or equivalent API query, debug and dev tools. 
• Ability to validate outputs with independent queries using T-SQL, Fetch or 
equivalent data query methods 
• Solid communication skills and ability to work closely with developers and analysts. 
Preferred Skills 
• Direct Power Platform testing experience (Power Apps, Dataverse, Power Automate). 
• Experience with Microsoft tooling (e.g., EasyRepro, Power Platform Monitor, Dataverse Plugin Trace Logs). 
• API test automation experience (Postman/Newman, REST-assured, or similar). 
• Understanding of CI/CD and how tests fit into pipelines. 
• Exposure to performance testing concepts for apps/flows and delegation 
constraints in Power Apps. 
• Microsoft certifications (e.g., PL-400/PL-200, or relevant QA certs) are a plus. 
Key Competencies 
• Strong attention to detail with a structured, analytical mindset 
• Comfortable switching between manual exploration and automation building 
• Ownership of quality end-to-end, not just test execution 
• Clear, concise defect reporting and stakeholder communication 
• Proactive risk identification and continuous improvement orientation 
• PITA 
  

Benefits, and Perks 

  • Remote work model 

  • Vacation and wellness days 

  • Extended health and dental coverage, plus virtual doctor services 

  • Employee Assistance Program and mental health resources 

  • Company-matching retirement savings plan 

  • Financial support for professional development 

  • Annual company events 

  • Exclusive access to perks and discounts 

Position: Quality Control Analyst/Tester  
Location: Remote (Canada) 
Industry: Financial Services  
Department: IT 
Employment Type: Permanent/Fulltime  
Salary: $75,000-$90,000  

Our Culture at Farber  
At Farber, helping people is at the heart of everything we do—and that commitment extends to our employees, clients, and partners alike. We’re dedicated to building an inclusive, diverse, and equitable workplace where everyone feels valued, respected, and supported from day one. 
Our culture is grounded in recognition, growth, and connection. We celebrate our people through meaningful awards and recognition programs, invest in their development through training/learning academies, education reimbursement, and foster an environment of respect that is felt across the organization. We also take pride in celebrating the diverse communities we serve and work in, creating a workplace where everyone can show up as their authentic selves. 
Farber encourages applications from all qualified candidates who represent the diversity of Canada.   

  • If you require any accommodations throughout the recruitment process—including alternate interview formats, accessible materials, or any other accommodations—we encourage you to contact us at careers@farbergroup.com.  

We thank all candidates for submitting their resume, however, only those selected for an interview will be contacted.