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Remote Risk Adjustment Coding Jobs in Pennsylvania

RELX

Senior Technical Consultant

Philadelphia, PA · Remote

$114K - $190K/yr

About LexisNexis Risk Solutions LexisNexis Risk Solutions harnesses the power of data ... Occasional travel may be required Location Remote - US Requirements * Minimum 5 years of total ...

Corvel

Senior Claims Specialist

Norristown, PA · Remote

$61K - $98K/yr

This role is available for both remote and hybrid work arrangements. ESSENTIAL FUNCTIONS ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Allere

Cloud Architect

Allentown, PA · Remote

$64.25 - $81.75/hr

Remote EST Time Zone Cloud Security Architect or Cloud Platform Developer with a hands-on coding ... a security risk management plan, and execute strategies to mitigate/address identified risk.

BAI

Advanced Software Engineer

Philadelphia, PA · On-site +1

$85K - $115K/yr

... risk management functions and BAI's knowledge in serving the retail banking and regulatory ... Participate in code reviews, technical guidance, and knowledge sharing. * Participate in efforts to ...

Highmark Health

Lead Client Manager - PA

Pittsburgh, PA · On-site +1

$144K/yr

This role can be hybrid or remote. If you are within 50 miles of an office you are required to be ... Complete and maintain sales projections, finalize rates and benefit adjustments and prepare reports ...

Highmark Health

Lead Client Manager - PA

Blue Bell, PA · On-site +1

$144K/yr

This role can be hybrid or remote. If you are within 50 miles of an office you are required to be ... Complete and maintain sales projections, finalize rates and benefit adjustments and prepare reports ...

PNC Bank

Data Engineer Assoc

Pittsburgh, PA · On-site +1

$91K - $202K/yr

... remote. Our team focuses on producing data driven insights into multiple areas of risk facing the ... Coding: Proficiency in coding languages is essential to this role. Common programming languages ...

Geisinger Health

Data Scientist Team Lead

Danville, PA · On-site +1

Lead evaluation of AI enabled initiatives, including impact assessment, risk analysis, and ... Lead code reviews and enforce best practices in coding standards, model development, and deployment ...

Novacore

Medical Review Nurse

Conshohocken, PA · Remote

Carbon's team of experts are known as the industry leader in delivering best-in-class risk ... Prior experience analyzing health care claims and coding. * Prior experience working with ...

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All JobsRemote Risk Adjustment Coding JobsRemote Risk Adjustment Coding Jobs in Pennsylvania

Remote Risk Adjustment Coding information

See Pennsylvania salary details

$17

$21

$23

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:
What job categories do people searching Remote Risk Adjustment Coding jobs in Pennsylvania look for? The top searched job categories for Remote Risk Adjustment Coding jobs in Pennsylvania are:
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.
Senior Technical Consultant

Senior Technical Consultant

RELX

Philadelphia, PA • Remote

$114K - $190K/yr

Full-time

Posted 23 days ago

Job description

About LexisNexis Risk Solutions

LexisNexis Risk Solutions harnesses the power of data, sophisticated analytics platforms and technology solutions to provide insights that help businesses across multiple industries and governmental entities reduce risk and improve decisions to benefit people around the globe. Headquartered in metro Atlanta, Georgia, we have offices throughout the world and are part of RELX (LSE: REL/NYSE: RELX), a global provider of information-based analytics and decision tools for professional and business customers. For more information, please visit LexisNexis Risk Solutions and RELX.

Overview

As a Senior Technical Consultant at LexisNexis Risk Solutions (LNRS), you'll help leading organizations strengthen their fraud and identity strategy. You'll work closely with customers and internal teams to design, implement, and support SaaS-based solutions that address complex business challenges across industries such as banking and eCommerce. Your broad technical expertise and collaborative approach will drive successful integrations and lasting customer relationships.

Responsibilities

  • Guide customers through design, development, testing, deployment, training, and post-deployment optimization to ensure smooth delivery and long-term adoption D

  • Design, consult, test, and troubleshoot customer integrations, including:

    • Mobile SDK integrations

    • Desktop and mobile web fingerprinting

    • RESTful API integration

  • Advise mobile and web application developers, fraud managers, and business leaders on implementation and industry best practices and aid in operationalizing insights from LNRS solutions

  • Communicate and present to internal and customer business stakeholders

  • Occasional travel may be required

Location

Remote - US

Requirements

  • Minimum 5 years of total professional experience - 7+ preferred - that includes:

    • Minimum 3 years - 5+ preferred - in application development, ideally including mobile app development

    • Minimum 2 years of experience in a technical, customer-facing role, such as solutions engineering, technical consulting, or technical project management

  • Proven track record of delivering successful technology integration projects, ideally in fraud, payments, or security

  • Comfortable and skilled performing different consulting roles, including:

    • Acting as the technical lead when paired with a project manager

    • Leading other consultants on customer-facing projects as the project manager

  • Strong understanding of internet technologies (HTTP, TCP, SSL, DOM)

  • Excellent verbal and written communication skills

  • Ability to review and understand technical concepts, such as:

    • HTML

    • JavaScript

    • Single Page Applications (Angular, React, etc.)

    • Browser Developer Tools

    • SDKs and their use in mobile apps

Nice to Have

  • Experience with mobile development (Xcode, Android Studio), strongly desired

  • Web and API development

  • Familiarity with JSON and URL-encoded data

  • Experience with SQL and Python

  • Understanding of authentication, identity verification, and fraud in a digital context

U.S. National Base Pay Range: $95,300 - $158,800. Geographic differentials may apply in some locations to better reflect local market rates. Base Pay Range for CO is $95,300 - $158,800. Base Pay Range for IL is $100,100 - $166,800. Base Pay Range for Chicago, IL is $104,800 - $174,700. Base Pay Range for MD is $100,100 - $166,800. Base Pay Range for NY is $104,800 - $174,700. Base Pay Range for New York City is $114,300 - $190,500. Base Pay Range for Rochester, NY is $95,300 - $158,800. Base Pay Range for OH is $90,500 - $150,900. Base Pay Range for NJ is $107,646- $171,954. This job is eligible for an annual incentive bonus. Application deadline is 06/17/2026.

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