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Remote Risk Adjustment Coding Jobs in Avon, CT (NOW HIRING)

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

See Avon, CT salary details

$17

$21

$23

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 Avon, CT is $21.16, according to ZipRecruiter salary data. Most workers in this role earn between $17.74 and $22.45 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 Avon, CT? For Remote Risk Adjustment Coding jobs in Avon, CT, the most frequently searched job titles are:
Remote Risk Adjustment Coding jobs near you
Infographic showing various Remote Risk Adjustment Coding job openings in Avon, CT as of July 2026, with employment types broken down into 1% As Needed, 77% Full Time, 15% Part Time, and 7% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $44,006 per year, or $21.2 per hour.

Vocational Case Manager - Boston / Springfield, MA (Springfield)

Paradigm

Springfield, MA • Remote

$20 - $24.25/hr

Part-time

Medical, Life, Retirement, PTO

Posted 15 days ago

Job description

Req Number: Req #1889

Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm’s business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.

We’re proud to be recognized—again! For the fourth year in a row, we’ve been certified by Great Place to Work®, and for the third consecutive year, we’ve earned a spot on Fortune's Best Workplaces in Health Care™ list. These honors reflect our unwavering commitment to fostering a positive, inclusive, and employee-centric culture where people thrive.

Watch this short video for a brief introduction to role of a nurse case manager at Paradigm.


We are seeking a Vocational Case Manager (VCM) to cover the Boston and Springfield areas, including Cambridge, Rockport, Concord as well as other areas in Massachusetts. This individual will assist individuals with the job/career related effects of physical, psychological, or cognitive disabilities which may have resulted from work related accidents or injuries. This position is 100% remote and requires some travel in the area.

WHY PARADIGM?

Enjoy a robust support system - spend more time with injured workers and less time on administrative tasks.

  • Utilize custom software for a seamless and straightforward case management process.
  • Enjoy an award-winning culture with the stability and opportunity of a national company. Paradigm Complex Care Solutions routinely wins Top Workplace and Best and Brightest Companies awards.
  • Autonomy to manage your own schedule.

Responsibilities:

  • Schedule appointments and meet with client (injured worker), family, insurance adjuster, medical providers, employer, attorney, vendors, and potential future employers as needed and determined.
  • Assist and coordinate with return to work planning which may include completing job descriptions or job analysis, assessing job modifications, and identifying suitable gainful employment opportunities.
  • Coordinate with treatment providers to identify physical capabilities and return to work readiness.
  • May monitor return to work progress to ensure successful return to work outcome.
  • Complete Vocational Assessments by gathering and analyzing medical, social, economic, education, employment history, work capabilities, transferable skills, and labor market information.
  • Develops knowledge of current job market to identify alternative placements.
  • Complete vocational testing, score testing and interpret results.
  • Develop Rehabilitation Plan/Case Management Plan specific to client for success in overcoming barriers and re-entry to the workforce.
  • Complete Labor market surveys.
  • Provide job-seeking skill training and coaching including resume development and interview training.
  • Provide job development and job placement services.
  • May provide loss of earning | wage loss opinions.
  • May provide expert testimony.
  • May identify and place client in transitional work opportunities.
  • Provide ongoing support and counseling to the client.
  • Maintains required timely communication and updates to all required parties involved with the client providing progress, status, barriers, and action plans.
  • Complete forms according to jurisdictional and/or industry requirements and follows.
  • Required to prepare organized reports within a specified timeframe, per account guidelines documenting activities, efforts, and progress.
  • Document all case activity in files.
  • Complete ongoing educational requirements as required by certifying bodies.
  • Attend staff meetings and or team calls.

Qualifications:

  • Bachelor’s degree (B.S., B.A.) required in Rehabilitation Counseling or related field with course work in rehabilitation philosophy, rehabilitation history, rehabilitation ethics, medical aspects of disability, psychological aspects of disability, job placement, occupational information, counseling theory, personal and vocation adjustment, work evaluation (minimum of 24 credit hours).
  • Master’s degree in Rehabilitation Counseling or advanced preferred or as required by state law.
  • CRC, CCM, or CDMS certification required.
  • Valid driver’s license and good driving history
  • Experience in providing Vocational Rehabilitation Services
  • Knowledge of Managed Care or Workers’ Compensation preferred
  • Knowledgeable of state and local regulations
  • Effective multi-tasking skills in a high-volume, fast-paced, team-oriented environment.
  • Knowledge of principles, methods, and procedures for diagnosis, treatment and rehabilitation of physical and mental injury or illness, and for career counseling and guidance
  • Ability to interface professionally with claims staff, clients, employers, attorneys, physicians and their representatives, and advisors and coworkers.
  • Excellent communication skills, both verbal and written
  • Problem solving skills
  • Completion of transferable skills analysis and application to current labor market
  • Vocational testing instruments, process and analysis
  • Labor Market resources
  • Occupational Information resources (i.e. O*Net, GOE, etc.)
  • Ability to meet designated deadlines
  • Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel, and Word.
  • Strong interpersonal, time management and organizational skills.
  • Ability to work both independently and within a team environment.

Paradigm Benefits:
  • Health and wellness– We want our people to be and stay healthy, so we offer PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only).
  • Financial incentives- Paradigm’s financial benefits help prepare you for the future: competitive salaries, 5% premium bonus paid over productivity requirements, premium pay for catastrophic files, cell phone and internet reimbursement, mileage reimbursement (federal rate), 401(k) matching contributions, employer-paid life and disability insurance, flexible spending, and employer-matched HSA contributions.
  • Vacation - We believe strongly that work-life balance is good for you and for our company. We offer paid time off, paid holidays, and a personal holiday.
  • Volunteer Time - We want our employees to engage with and give back to their communities in meaningful ways. Full and part-time employees receive one paid day per calendar year.
  • Learning and development - One of Paradigm's core values is expertise, so we encourage our employees to continually learn and grow. We support this in a variety of ways from our Dedicated Training Department that offers an 8-12 week new hire onboarding program.

    • Paradigm believes that fostering a diverse and inclusive workplace is central to our mission of helping more people and transforming lives. We’re striving to build a culture that better reflects the society we live in and empowers our team to deliver the highest levels of compassion and care to those we serve. For us, achieving this goal requires a workforce that respectfully embraces differences and commits to positive change, creating an environment where everyone is able to bring their whole self to work.
    Paradigm complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Leave Management at leave.management@paradigmcorp.com.
    We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex,

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