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Remote Risk Adjustment Coder Jobs in Wilmington, MA

US Tech Solutions

Medical Billing Coder

Wellesley, MA · Remote

$20.50 - $27.50/hr

... on-site, remote and/or in-house) in support of the Medicare risk adjustment retrospective ... Collect and document chart and coding information as required for Commercial Risk Adjustment and ...

Devoted Health

Risk Adjustment Program Manager

Waltham, MA · Remote

$73K - $125K/yr

This role is fully remote and must be located within the 50 U.S. states. Preference for residence ... This commitment is embodied in Devoted's Code of Conduct, our company values and the way we do ...

DRC Systems

Technical Lead - Data Analysis

Boston, MA · Remote

$50 - $54/hr

Strong understanding of medical economics, risk adjustment, quality measures, and population health ... Experience integrating or validating AI-powered coding or analytics tools * Exposure to model QA, ...

TaraVista

Medical Coder, 40hrs

Devens, MA · Remote

$20.75 - $27.75/hr

Join us as a Medical Coder! Full Time 40 Hours - Remote Massachusetts Residents Preferred As a Medical Coder for MiraVista in Holyoke, Massachusetts, you'll bring your experience and knowledge where ...

TaraVista

Medical Coder, 40hrs

Devens, MA · Remote

$20.75 - $27.75/hr

Join us as a Medical Coder! Full Time 40 Hours - Remote Massachusetts Residents Preferred. As a Medical Coder for TaraVista in Devens, Massachusetts, you'll bring your experience and knowledge where ...

CodaMetrix

Medical Coder II/III

Boston, MA · Remote

$90K - $105K/yr

CodaMetrix's autonomous coding drives efficiency under fee-for-service and value-based care models ... Boston, MA Hybrid/Remote Job Type: Full-time, exempt, regular What CodaMetrix can offer you: Learn ...

CodaMetrix

Medical Coder II/III

Boston, MA · Remote

$90K - $105K/yr

CodaMetrix's autonomous coding drives efficiency under fee-for-service and value-based care models ... Boston, MA Hybrid/Remote Job Type: Full-time, exempt, regular What CodaMetrix can offer you: Learn ...

Beth Israel Lahey Health

Outpatient Coder 3

Charlestown, MA · Remote

$20.50 - $27.25/hr

The OP coder will work closely with the Coding leadership, and OP Coding Validators to ensure ... remote location to work in compliance with HIPPA guidelines · Internet access to support BILH ...

Beth Israel Lahey Health

Outpatient Coder 2

Charlestown, MA · Remote

$20.50 - $27.25/hr

The OP coder will work closely with the Coding leadership, and OP Coding Validators to ensure coding uniformity, consistency, and accuracy with ICD-10-CM, CPT, Official Coding Guidelines, Federal and ...

Beth Israel Lahey Health

Outpatient Coder 2

Charlestown, MA · Remote

$20.50 - $27.25/hr

The OP coder will work closely with the Coding leadership, and OP Coding Validators to ensure coding uniformity, consistency, and accuracy with ICD-10-CM, CPT, Official Coding Guidelines, Federal and ...

UnitedHealth Group

Senior Medical Coder

Chelmsford, MA · Remote

$24 - $43/hr

Codes a variety of medical records using CPT, HCPCS and ICD-10 codes for office, outpatient, inpatient, surgical, hospital ancillary, nursing facility, urgent care, ambulatory surgery center and ...

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All JobsRisk Adjustment Coder JobsRemote Risk Adjustment Coder JobsRemote Risk Adjustment Coder Jobs in Wilmington, MA

Remote Risk Adjustment Coder information

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

As of Jul 28, 2026, the average hourly pay for remote risk adjustment coder in Wilmington, MA is $30.06, according to ZipRecruiter salary data. Most workers in this role earn between $20.77 and $37.84 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.

More about Remote Risk Adjustment Coder jobs
What are popular job titles related to Remote Risk Adjustment Coder jobs in Wilmington, MA? For Remote Risk Adjustment Coder jobs in Wilmington, MA, the most frequently searched job titles are:
What cities near Wilmington, MA are hiring for Remote Risk Adjustment Coder jobs? Cities near Wilmington, MA with the most Remote Risk Adjustment Coder job openings:
Remote Risk Adjustment Coder jobs near you
Infographic showing various Remote Risk Adjustment Coder job openings in Wilmington, MA as of June 2026, with employment types broken down into 93% Full Time, 4% Part Time, and 3% Contract. Highlights an 48% Physical, 3% Hybrid, and 49% Remote job distribution, with an average salary of $62,519 per year, or $30.1 per hour.
Medical Billing Coder

Medical Billing Coder

US Tech Solutions

Wellesley, MA • Remote

$20.50 - $27.50/hr

Full-time

Posted yesterday

Job description

Company Description

US Tech Solutions is a global staff augmentation firm providing a wide-range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit our website www.ustechsolutions.com.

We are constantly on the lookout for professionals to fulfill the staffing needs of our clients, sets the correct expectation and thus becomes an accelerator in the mutual growth of the individual and the organization as well.

Keeping the same intent in mind, we would like you to consider the job opening with US Tech Solutions that fits your expertise and skillset.

Job Description

Medical Record Reviewer will primarily be responsible for completing medical record reviews (on-site, remote and/or in-house) in support of the Medicare risk adjustment retrospective initiative and Risk Adjustment Data Validation (RADV) Audits. This role will also assist with building the medical chart review program at Client's

Duties and Responsibilities

  • Utilize comprehensive knowledge American Hospital Association (AHA) coding principles of CPT, HCPCS, ICD9-CM/ICD10-CM diagnosis and procedure codes to evaluate medical record documentation for HCC risk adjustment related activities including Medicare Advantage and Commercial Risk adjustment supplemental diagnosis capture, Medicare and Commercial RADV support, and the auditing of Client's medical chart retrieval and coding vendors.
  • Collect and document chart and coding information as required for Commercial Risk Adjustment and Medicare Advantage Risk Adjustment Client's data collection procedures and systems. 
  • Assist with building the medical chart review program at Client's including defining the operating policies and procedures, mentoring team members and input into infrastructure needs and organization. 
  • Utilize coding expertise to inform Revenue Management strategy development activities and may support initiatives related to coding such as provider office education.
  • Responsible for developing and maintaining internal and vendor based coding guidelines.
  • Provide subject matter expertise on projects related to coding practices including provider education and communications.
  • Prepare reports of the data gathered and received from Client's providers/members, ensuring reports are completed with the highest quality and integrity and that all work is in full compliance with Client's and Regulatory requirements.
  • Participate in all required training - maintaining of coding certification or other professional credentials
  • Completing inter-rater reliability testing as requested 
  • Abide by all HIPAA and associated patient confidentiality requirements.
  • Coordinate with third party and internal auditors as required.
  • Other duties and projects as needed.
Qualifications

Minimum Requirements

  1. Bachelor's Degree; Clinical experience or licensed nursing professional and 3-5 years related experience. RHIA, RHIT, CCS or CPC-H with demonstrated outpatient coding experience required. ICD -9/ICD-10 certification required. 
  2. Experience in performing HEDIS chart abstractions; Experience in Risk Adjustment audit HCC extraction.
  3. Experience of healthcare delivery systems is preferred. Proven project leadership skills and ability to mentor and motivate others in the team. 
  4.  Advanced PC skills (e.g., Excel, Access, etc.) required; Excellent written and verbal communication skills, customer service skills, organization and problem solving skills, research skills, and the ability to work independently.
Additional Information

Thanks & Regards

Dishant

781-684-9064

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About US Tech Solutions

Sourced by ZipRecruiter

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.

Industry

It services

Company size

1,001 - 5,000 Employees

Headquarters location

Jersey City, NJ, US

Year founded

2000

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