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Remote Risk Adjustment Coder Jobs in Toronto, ON

Wood Plc

Project Manager

Oakville, ON · On-site +1

Developing and managing project-specific change and risk management systems * Ensuring project ... remote locations * Knowledge of applicable codes and standards. Knowledge of Russian design ...

d1g1t

Senior Software Engineer, Integrations

Toronto, ON · On-site +1

CA$120K - CA$140K/yr

As a Senior Engineer, you won't just be writing code-you will be a vital technical voice and ... Remote friendly position with occasional office time as needed. Ability to work abroad for up to 2 ...

Generac

Senior Mobile Engineer

Toronto, ON · On-site +1

Refactor and simplify complex or legacy code safely * Navigate unfamiliar areas of the codebase or ... risk - using AI as an accelerator, not an autopilot. This role follows a hybrid schedule, with in ...

Xello

Principal Software Engineer

Toronto, ON · Remote

Xello is looking for a Principal Engineer This role is a remote role, looking for candidates within ... code quality, architecture, and process. Join us and champion Xello's transformative technical ...

Derivative Path

Applied AI Engineer

Toronto, ON · Remote

CA$110K - CA$150K/yr

... risk management and drive operational performance. Through strategic partnerships with Goldman ... Writing code, building pipelines, running experiments: that is where you do your best thinking.

Gruntwork

Technical Customer Success Manager

Toronto, ON · Remote

$155K - $200K/yr

Mitigate Risk: Proactively monitor customer health, identify risks, and develop action plans to ... True Work-Life Balance: 100% remote work in a high-trust environment (US & Canada time zones)

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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.

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Remote Risk Adjustment Coder jobs near you

Director, Legal Counsel - Employment

Cronos Group Inc.

Toronto, ON • On-site, Remote

CA$180K - CA$200K/yr

Full-time

Re-posted 5 days ago

Job description

Cronos Group is an innovative global cannabinoid company committed to building disruptive intellectual property by advancing cannabis research, technology, and product development. With a passion to responsibly elevate the consumer experience, Cronos is building an iconic brand portfolio. Cronos’ diverse international brand portfolio includes Spinach®, PEACE NATURALS® and Lord Jones®. For more information about Cronos and its brands, please visit: https://thecronosgroup.com. 
 
At Cronos, we hire talented people who thrive on solving difficult problems and give them the opportunity to hone new skills and approaches. If you want to play a part in shaping an innovative industry and help build a historically significant company, we want to meet you.
  
If you are quick on your feet, collaborative and specialize in employment law then this is the job for you! As the Director, Legal Counsel - Employment you will provide practical, business-focused legal advice and guidance to senior leadership and cross-functional stakeholders on a wide range of employment matters in Canada and the U.S. 
 
This position reports to the Deputy General Counsel, Head of Litigation. The position is based out of Ontario, Canada and is currently remote. 
  
What you’ll be doing: 
    • Provide legal advice on employment matters, including hiring, performance management, discipline, terminations, restructurings, and compliance with Canadian and U.S. employment laws and regulations 
    • Partner with senior leadership on executive employment matters, including executive compensation and employment-related issues  
    • Manage employment-related disputes and claims, including overseeing external counsel and coordinating strategy, risk assessment, and resolution 
    • Lead or oversee workplace investigations; review investigative plans and reports to ensure thoroughness, completeness, and defensibility 
    • Draft and review employment documentation and related materials (e.g., employment agreements, separation agreements, policies, templates)
    • Monitor changes in employment laws and regulations; provide updates and recommend improvements to company policies and practices
    • Prepare responses to regulatory, audit, and third-party requests, including document production and related submissions
    • Research and prepare legal briefs and memoranda on employment law issues 
    • Monitor changes in employment laws and regulations and advise on updates to company policies and practices  
    • Collaborate with Human Resources to develop and implement policies, processes, and provide guidance on employment matters  
    • Work closely with the broader Legal team and cross-functional partners to support business objectives 
    • Manage the Company’s Conflict of Interest policy and Code of Business Conduct and Ethics  
    • Deliver annual training on the Code for all employees 
    • Provide advice and guidance on compliance with employee privacy laws and related issues  
You’ll need to have: 
    • LLB/JD and admitted to the Bar of Ontario (or significant experience with Ontario employment laws and procedures)
    • At least 5 years of in-house or law firm experience (in-house experience in a mixed manufacturing, agricultural, and professional environment is a plus)
    • Subject matter expertise in Canadian and U.S. employment and labor law 
    • Working knowledge of Canadian and E.U. privacy laws is a plus
    • Excellent interpersonal, organizational, writing and communication skills 
    • Demonstrated ability to work independently in a fast-paced environment with minimal supervision 
    • Willingness to travel moderately, as needed 
    • Perform multiple tasks, work on short lead times and meet tight deadlines
Salary range: $180,000 - $200,000 (Ontario*) per year
 
The actual compensation offered will be based on factors such as the candidate’s experience, skills, qualifications, geographic location, applicable market data, internal equity, and business needs, and may vary within the stated range. This role may be eligible for bonus, incentive compensation, or other variable pay in accordance with applicable company plans.
 
Cronos does not use artificial intelligence or automated decision-making tools in the screening or selection of applicants.
 
We are committed to fostering a diverse and inclusive work environment, and we welcome and encourage applications from people with disabilities and people with diverse backgrounds, identities, and cultures. For candidates with disabilities, accommodations are available upon request in all phases of the selection process.
 
 

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