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Remote Risk Adjustment Coding Jobs in Pennsylvania

Urrly

Telehealth Nurse Practitioner

Harrisburg, PA · Remote

$600 - $720/day

Complete risk adjustment documentation (HCC coding) * Close HEDIS care gaps during patient visits ... Fully remote - no commute, no travel * Consistent visit flow and structured workflows Schedule ...

Solventum

OP CDI Product Manager

Pittsburgh, PA · On-site +1

Strong knowledge of outpatient CDI, ICD-10-CM coding, HCC risk adjustment, quality risk ... Remote Travel: May include up to 10-% Relocation Assistance: Not authorized Must be legally ...

Clark Associates

Director of Risk

Lancaster, PA · On-site +1

... adjustments. * Oversee reserving practices, claim strategies, and root-cause assessments. Risk ... Remote Work Qualifications * Access to a reliable and secure high-speed internet connection. Cable ...

Victaulic

VDC Project Manager- Scheduling

Easton, PA · On-site +1

... remote. Ensure project pods are aligned with customer requirements, workflow priorities, and ... updates, risk mitigation strategies, and timeline adjustments as needed. Maintain dashboards ...

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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 Jun 9, 2026, the average hourly pay for remote risk adjustment coding in Pennsylvania is $21.55, according to ZipRecruiter salary data. Most workers in this role earn between $18.08 and $22.88 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 Pennsylvania? For Remote Risk Adjustment Coding jobs in Pennsylvania, the most frequently searched job titles are:
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What cities in Pennsylvania are hiring for Remote Risk Adjustment Coding jobs? Cities in Pennsylvania 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 Pennsylvania as of June 2026, with employment types broken down into 86% Full Time, 12% Part Time, and 2% Contract. Highlights an 76% Physical, 7% Hybrid, and 17% Remote job distribution, with an average salary of $44,831 per year, or $21.6 per hour.
Certified Coding Specialist I (Risk Adjustment)

Certified Coding Specialist I (Risk Adjustment)

UPMC Health Plan

Pittsburgh, PA • Remote

Other

Posted 5 days ago

Job description

At UPMC Health Plan, we're looking for a detail-oriented Certified Coding Specialist I to join our Medicare HCC team. If you enjoy digging into medical records, applying your coding expertise, and making a meaningful impact on data accuracy and patient care-you'll feel right at home here.

This is a full-time, remote role working either 6:00 AM - 2:00 PM or 7:00 AM - 3:00 PM EST. If you're located in another time zone, you'll just need to be comfortable working these Eastern Time hours.

What You'll Do

In this role, you'll play a critical part in ensuring accurate coding and documentation across a variety of care settings. On a typical day, you'll:

  • Review inpatient, outpatient, physician, and emergency department records to assign accurate diagnosis and procedure codes
  • Apply your expertise in ICD-10-CM, CPT, and HCC risk adjustment coding to ensure proper classification of diagnoses
  • Analyze documentation such as discharge summaries, H&Ps, progress notes, consults, and operative reports
  • Identify and validate diagnoses submitted through claims by comparing them against clinical documentation
  • Audit coding for accuracy and completeness before submission-and make corrections when needed
  • Consistently meet quality (95% accuracy) and productivity standards
  • Track and maintain your daily coding productivity and time logs
  • Use coding tools, systems, and resources to work efficiently and accurately
How You'll Make an Impact

Your work will directly support accurate risk adjustment and data integrity across the health plan. You'll help ensure that diagnoses are properly captured, which ultimately supports better care planning, reporting, and outcomes.

What Helps You Succeed
  • Strong knowledge of medical terminology, anatomy, physiology, and pathology
  • Confidence working across multiple documentation types and care settings
  • A keen eye for detail and commitment to accuracy
  • The ability to manage your time independently in a remote environment
  • A proactive mindset-you're comfortable identifying issues and helping improve processes
What Else to Expect
  • Ongoing learning opportunities including coding education, seminars, and updated guidelines
  • A collaborative team environment where your input and ideas are valued
  • Monthly coding meetings to stay aligned and continuously improve
  • A structured, process-driven environment with clear expectations and support

If you're ready to bring your coding expertise to a team that values accuracy, collaboration, and continuous improvement-we'd love to hear from you.

  • Graduate of an AHIMA or AAPC Certified Coding Program that includes Anatomy & Physiology, Pharmacology and Medical Terminology.
  • 5 years of total experience required.
  • Five for more years or risk adjustment experience highly preferred.
  • Knowledge of Microsoft Office.
    Licensure, Certifications, and Clearances:
  • Certified Coding Specialist (CCS) OR Certified Professional Coder (CPC) required.
  • Act 34


UPMC is an Equal Opportunity Employer/Disability/Veteran

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