ZipRecruiter

Log In

2

Remote Risk Adjustment Coding Jobs in Massachusetts

Trivelta

Lead DevOps Engineer (Remote)

Boston, MA · Remote

$57.25 - $78.50/hr

... risk management, and built-in social features that help operators create world-class product ... Infrastructure as Code (IaC) best practices. * Architect highly available, multi-tenant cloud ...

MLabs

Senior Infrastructure Engineer

Boston, MA · Remote

$170K - $220K/yr

Remote - Remote - Based In ET+2 / -3, NY Preferred Remote | Full-time Compensation: $170K - $220K ... Enforce high engineering standards through code, architecting scalable systems that prioritize ...

MLabs

Senior Infrastructure Engineer

Boston, MA · Remote

$170K - $220K/yr

Remote - Remote - Based In ET+2 / -3, NY Preferred Remote | Full-time Compensation: $170K - $220K ... Enforce high engineering standards through code, architecting scalable systems that prioritize ...

FAVARH

Cloud Security Engineer

Boston, MA · Remote

This role is remote with the expectation that candidates are based near one of the following Voya ... Risk, Governance & Collaboration * Translate technical findings into actionable risk insights ...

YA Group

Senior Forensic Engineer - Electrical

Boston, MA · Remote

$116K - $152K/yr

... risk mitigation, and related services. Founded over 25 years ago as a property damage consulting ... This is a remote role. Candidates must reside in or around the following areas: * Boston * Chicago

Voya Financial

Cloud Security Engineer

Boston, MA · Remote

$60.50 - $81/hr

This role is remote with the expectation that candidates are based near one of the following Voya ... Design and enforce Policy-as-Code (OPA, Sentinel, native cloud policies) to prevent insecure ...

next page

Showing results 1-20

All JobsRisk Adjustment Coding JobsRemote Risk Adjustment Coding JobsRemote Risk Adjustment Coding Jobs in Massachusetts

Remote Risk Adjustment Coding information

See Massachusetts salary details

$18

$23

$25

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

As of Jul 10, 2026, the average hourly pay for remote risk adjustment coding in Massachusetts is $23.48, according to ZipRecruiter salary data. Most workers in this role earn between $19.71 and $24.95 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 the most commonly searched types of Risk Adjustment Coding jobs in Massachusetts? The most popular types of Risk Adjustment Coding jobs in Massachusetts are:
What are popular job titles related to Remote Risk Adjustment Coding jobs in Massachusetts? For Remote Risk Adjustment Coding jobs in Massachusetts, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coding jobs in Massachusetts look for? The top searched job categories for Remote Risk Adjustment Coding jobs in Massachusetts are:
What cities in Massachusetts are hiring for Remote Risk Adjustment Coding jobs? Cities in Massachusetts with the most Remote Risk Adjustment Coding job openings:
Remote Risk Adjustment Coding jobs near you
Clinical Documentation Improvement Specialist-RN- Remote

Clinical Documentation Improvement Specialist-RN- Remote

Beth Israel Lahey Health

Boston, MA • Remote

$37.75 - $50.75/hr

Full-time

Re-posted 13 days ago

Beth Israel Lahey Health rating

6.9

Company rating: 6.9 out of 10

Based on 148 frontline employees who took The Breakroom Quiz

444th of 880 rated healthcare providers

Job description

Clinical Documentation Improvement Specialist-RN- Remote

The Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) assists with the identification of diagnoses, conditions, and procedures that are representative of the patient’s hospital stay and care. The CDI Specialist RN initiates concurrent queries to providers to improve the accuracy, integrity, and quality of patient data and to drive improvement in physician documentation within the medical record. The CDI Specialist RN works under the direction of the Manager of CDI and collaborates with coding, clinicians, medical staff, and physician advisors to improve documentation and ensure complete and accurate documentation.

Essential Duties & Responsibilities
  • Completes initial reviews of patient records within 24-48 hours of admission.
  • Evaluates documentation to assign principal and secondary diagnoses and procedures for accurate DRG assignment, risk of mortality, and severity of illness.
  • Tracks review details in 3M software.
  • Conducts follow-up reviews of patients every 2 days to support and assign a working DRG; queries physicians regarding missing, unclear, or conflicting documentation and requests additional documentation as needed.
  • Educates physicians and key healthcare providers regarding clinical documentation improvement and the need for accurate documentation in the medical record.
  • Collaborates with the CDI Manager, Physician Advisor, and other staff to resolve physician queries prior to patient discharge.
  • Educates members of the patient care team regarding documentation opportunities and best practices to ensure accurate documentation in the medical record.
  • Maintains professionalism when interacting with physicians and clinicians, addressing missing or conflicting information diplomatically.
  • Works with an interdisciplinary team to foster collaboration and accurate medical record documentation.
  • Demonstrates knowledge of inpatient coding guidelines and adheres to CDI conventions and department policies.
  • Investigates, evaluates, and identifies opportunities for improvement and communicates their significance within the system.
  • Provides orientation for new clinical staff regarding documentation requirements as required.
  • Keeps current with CDI concepts and practices through conferences, references, and current literature.
  • Maintains confidentiality of all hospital information.
  • Demonstrates flexibility in a changing work environment and adjusts work schedule accordingly.
Minimum Qualifications
  • Education: Associate’s degree required; Bachelor's degree preferred.
  • Licensure, Certification & Registration: RN license required.
  • Experience: 3-5 years of related clinical nursing practice (medical, surgical, and/or ICU).
  • Skills, Knowledge & Abilities: Experience with computer systems, including web-based applications and Microsoft Office (Outlook, Word, Excel, PowerPoint, or Access).
Preferred Qualifications & Skills
  • BS in Nursing with 5-8 years of acute care clinical experience.
  • Certified Clinical Documentation Specialist (CCDS) or Certified Clinical Documentation Improvement Professional (CDIP).
  • Experience with DRG reimbursement and ICD-10 coding.

Equal Opportunity Employer/Veterans/Disabled

As a health care organization, we require that all staff be vaccinated against influenza as a condition of employment.

#J-18808-Ljbffr

What Beth Israel Lahey Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply