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Remote Risk Adjustment Coding Jobs in Connecticut

LOVESAC COMPANY

Sr. Director, Commercialization

Stamford, CT · Remote

$248K - $260K/yr

... risk, or changes in launch scope. The ideal candidate brings strong commercial instincts, executive ... This position is remote and will report into Lovesac Corporate HUB based in Stamford, CT.

NYGCI

Expert SalesForce Developer

Hartford, CT · On-site +1

$56.50 - $74.75/hr

... IT risk and maximize their IT performance. E xpert SalesForce Developer Hartford , CT 06107 ... Remote until COVID situation. Candidate must be willing to relocate or work on site in CT for 5 ...

Davies North America

Phone Premium Auditor

Cheshire, CT · On-site +1

Remote Workers Wanted! Are you looking for professional work you can do from your home office ... Davies Risk Services is an industry leader and premier provider of premium audit and loss control ...

Icon Health

Financial Controller

Stamford, CT · On-site +1

$135K - $145K/yr

Remote (Stamford, CT) Reports To: CEO Who We Are Icon Health is a leading provider of value-based ... The company partners with health plans and risk-bearing providers to assume accountability for ...

Newcastle

Junior IBMi Software Developer

Cobalt, CT · On-site +1

$68K - $88K/yr

... coding, testing,implementationand ongoing support. You'llwork closely with colleagues across the ... managed risk framework would also beadvantageous. About Us The Newcastle Building Society ...

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Remote Risk Adjustment Coding information

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

As of Jul 18, 2026, the average hourly pay for remote risk adjustment coding in Connecticut is $20.45, according to ZipRecruiter salary data. Most workers in this role earn between $17.16 and $21.73 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 medical coding, anatomy, and healthcare regulations, typically backed by a coding certification such as CPC, CRC, or CCS. Familiarity with coding software, electronic health record (EHR) systems, and risk adjustment models like HCC is essential. Attention to detail, critical thinking, and strong written communication are crucial soft skills for interpreting clinical documentation and ensuring coding accuracy. These skills and qualifications are vital to accurately capture patient risk, ensure compliance, and optimize reimbursement for healthcare organizations.

What is remote risk adjustment coding?

Remote risk adjustment coding is the process of reviewing and assigning medical codes to patient diagnoses and procedures from a remote location, usually at home. The purpose is to ensure that healthcare organizations accurately report the health status of their patients, which affects reimbursement from health plans. Coders use specialized knowledge of ICD-10-CM coding and risk adjustment models, such as HCC (Hierarchical Condition Category) coding, to capture all relevant chronic conditions. This position requires attention to detail, compliance with regulations, and strong analytical skills.

What is the difference between Remote Risk Adjustment Coding vs Remote Medical Coding?

AspectRemote Risk Adjustment CodingRemote Medical Coding
CertificationsRHIA, RHIT, CPC, CCSCPC, CCS, CCS-P
Work EnvironmentHealthcare organizations, insurance companiesHospitals, clinics, insurance companies
Industry UsageHealth insurance, risk adjustment programsMedical billing, claims processing

Remote Risk Adjustment Coding focuses on analyzing patient data for insurance risk assessments, requiring specific risk adjustment certifications. Remote Medical Coding involves coding diagnoses and procedures for billing purposes. While both roles require coding certifications, Risk Adjustment Coding emphasizes risk analysis within insurance, whereas Medical Coding centers on billing accuracy.

How does working remotely as a Risk Adjustment Coder impact collaboration with healthcare teams and ongoing professional development?

As a remote Risk Adjustment Coder, you'll often collaborate with clinical staff, auditors, and other coders through secure digital platforms and regular virtual meetings. While remote work offers flexibility, it also means that proactive communication is essential to ensure accurate coding and compliance with regulations. Many organizations provide virtual training sessions, access to coding forums, and ongoing education to help you stay updated on industry changes and coding standards. Building relationships with your team and participating in online professional communities can further support your growth and help overcome the isolation that sometimes comes with remote work.
What are popular job titles related to Remote Risk Adjustment Coding jobs in Connecticut? For Remote Risk Adjustment Coding jobs in Connecticut, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coding jobs in Connecticut look for? The top searched job categories for Remote Risk Adjustment Coding jobs in Connecticut are:
What cities in Connecticut are hiring for Remote Risk Adjustment Coding jobs? Cities in Connecticut with the most Remote Risk Adjustment Coding job openings:
Remote Risk Adjustment Coding jobs near you
Infographic showing various Remote Risk Adjustment Coding job openings in Connecticut as of July 2026, with employment types broken down into 1% As Needed, 77% Full Time, 16% Part Time, and 6% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $42,545 per year, or $20.5 per hour.
RN Clinical Documentation Integrity - Onsite at DKH, in Putnam, CT

RN Clinical Documentation Integrity - Onsite at DKH, in Putnam, CT

Ensemble Health Partners

Putnam, CT • Remote

$80K/yr

Full-time

Posted 29 days ago

Ensemble Health Partners rating

6.5

Company rating: 6.5 out of 10

Based on 239 frontline employees who took The Breakroom Quiz

140th of 148 rated financial services

Job description

CAREER OPPORTUNITY OFFERING: 

  • Bonus Incentives 

  • Paid Certifications 

  • Tuition Reimbursement 

  • Comprehensive Benefits 

  • Career Advancement 

  • The base pay for this position is $80,000

***Must be able to work Full-time on-site at DKH - Day Kimball Healthcare in Putnam, CT***

The CDI Specialist facilitates and obtains appropriate physician documentation for any patient clinical condition or procedure to support the appropriate severity of illness, expected risk of mortality, and complexity of care as documented in patient medical records. Extensive medical record review and interaction with physicians, nursing staff, other patient care givers and HIM coding professionals is done to ensure the documentation is complete and accurate.

Job Responsibilities:

  • Completes initial patient medical record review within 24-48 hours of patient's admission; completes subsequent reviews of patient's medical record reviews every 24-48 hours and enters review findings in CDE software system

  • Assigns Principal diagnosis, CC/MCC (complication and comorbidity/major complication and comorbidity), evaluate for Severity of Illness (SOI) and Risk of Mortality (ROM) on all patients while in-house. Assigns working ICD-10-CM and PCS codes and DRG (Diagnosis Related Group) using encoder in CDE software.

  • Clarifies with physicians regarding missing, unclear, unsupported or conflicting health record documentation by requesting and obtaining additional documentation from physicians when needed. Face to face physician interaction and written clarifications are used.

  • Educates key healthcare providers such as physicians, nurse practitioners, allied health professionals, nursing and care coordination regarding clinical documentation improvement, documentation guidelines and the need for accurate and complete documentation in the health record.

  • Partners with coding professionals to ensure accuracy of diagnostic and procedural data and completeness of supporting documentation to determine the working and final DRG assignment. Reviews DRG denial letters and writes denial appeal letters.

  • Collaborates with care coordination, nursing staff and other ancillary staff regarding interaction with physicians on documentation and to resolve physician clarifications prior to patient discharge.

  • Maintains and upholds all clinical documentation regulatory guidelines

  • Formulates and submits timely, well prepared appeals for reconsideration by third party administrators (payors). Including supporting documented clinical evidence, Coding/CDE Guidelines and other regulatory standards/guidelines as appropriate. Works collaboratively with co-works and management to effectively resolve root cause issues that impact payor contracts, hospital operations, or departmental to maintain reimbursement and minimize appeal requests and/or denials.


 

Experience We Love:

  • Minimum of five years acute care nursing experience with specific medical/surgical, Intensive Care, or Emergency Department experience

  • Excellent interpersonal skills including excellent verbal and written communication skills; proficient in and demonstrate excellent physician relations

  • Ability to organize and present information clearly and concisely; excellent computer and keyboarding skills; high degree of prioritization skills

  • Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.

Minimum Education

  • Current RN Licensure

Certifications:

  • CRCR Required within 9 months of hire

#LI-LL1

#LI-REMOTE

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