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Remote Risk Adjustment Coding Jobs in Boston, MA

US Tech Solutions

Medical Billing Coder

Wellesley, MA · Remote

$20.50 - $27.50/hr

... on-site, remote and/or in-house) in support of the Medicare risk adjustment retrospective ... Collect and document chart and coding information as required for Commercial Risk Adjustment and ...

DRC Systems

Technical Lead - Data Analysis

Boston, MA · Remote

$50 - $54/hr

Strong understanding of medical economics, risk adjustment, quality measures, and population health ... Experience integrating or validating AI-powered coding or analytics tools * Exposure to model QA, ...

Guidehealth

Data Scientist

Boston, MA · Remote

$105K/yr

Understanding of healthcare operations such as care management, risk adjustment, quality ... Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting ...

YO AI Labs

Pharmacovigilance Expert - Remote

Boston, MA · Remote

$70 - $80/hr

Remote Job Overview We are seeking experienced Pharmacovigilance Experts to contribute their drug ... Benefit-Risk Assessment * MedDRA Coding * Seriousness & Causality Assessment * Expectedness ...

YO AI Labs

Pharmacovigilance Expert - Remote

Boston, MA · Remote

$70 - $80/hr

Remote Job Overview We are seeking experienced Pharmacovigilance Experts to contribute their drug ... Benefit-Risk Assessment * MedDRA Coding * Seriousness & Causality Assessment * Expectedness ...

Davies Risk Services

Virtual Premium Auditor

Boston, MA · Remote

$50K - $61K/yr

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

Gradient AI

Senior Health Data Consultant

Boston, MA · On-site +1

$120K - $160K/yr

This is a remote role. Gradient AI: Gradient AI is revolutionizing Group Health and P&C insurance ... This role blends technical depth (math, analytics, coding) with consultative client engagement. It ...

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Remote Risk Adjustment Coding information

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$18

$23

$25

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

As of Aug 20, 2026, the average hourly pay for remote risk adjustment coding in Boston, MA is $23.36, according to ZipRecruiter salary data. Most workers in this role earn between $19.57 and $24.81 per hour, depending on experience, location, and employer.

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 are the key skills and qualifications needed to thrive as a remote risk adjustment coder?

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.

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 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.

What are popular job titles related to Remote Risk Adjustment Coding jobs in Boston, MA?

For Remote Risk Adjustment Coding jobs in Boston, MA, the most frequently searched job titles are:

What job categories do people searching Remote Risk Adjustment Coding jobs in Boston, MA look for?

The top searched job categories for Remote Risk Adjustment Coding jobs in Boston, MA are:

Remote Risk Adjustment Coding jobs near you
Infographic showing various Remote Risk Adjustment Coding job openings in Boston, MA as of August 2026, with employment types broken down into 3% Internship, 92% Full Time, and 5% Contract. Highlights an 46% In-person, 8% Hybrid, and 46% Remote job distribution, with an average salary of $48,588 per year, or $23.4 per hour.

Medical Billing Coder

US Tech Solutions

Wellesley, MA • Remote

$20.50 - $27.50/hr

Full-time

Re-posted 24 days ago

Job description

Company Description

US Tech Solutions is a global staff augmentation firm providing a wide-range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit our website www.ustechsolutions.com.

We are constantly on the lookout for professionals to fulfill the staffing needs of our clients, sets the correct expectation and thus becomes an accelerator in the mutual growth of the individual and the organization as well.

Keeping the same intent in mind, we would like you to consider the job opening with US Tech Solutions that fits your expertise and skillset.

Job Description

Medical Record Reviewer will primarily be responsible for completing medical record reviews (on-site, remote and/or in-house) in support of the Medicare risk adjustment retrospective initiative and Risk Adjustment Data Validation (RADV) Audits. This role will also assist with building the medical chart review program at Client's

Duties and Responsibilities

  • Utilize comprehensive knowledge American Hospital Association (AHA) coding principles of CPT, HCPCS, ICD9-CM/ICD10-CM diagnosis and procedure codes to evaluate medical record documentation for HCC risk adjustment related activities including Medicare Advantage and Commercial Risk adjustment supplemental diagnosis capture, Medicare and Commercial RADV support, and the auditing of Client's medical chart retrieval and coding vendors.
  • Collect and document chart and coding information as required for Commercial Risk Adjustment and Medicare Advantage Risk Adjustment Client's data collection procedures and systems. 
  • Assist with building the medical chart review program at Client's including defining the operating policies and procedures, mentoring team members and input into infrastructure needs and organization. 
  • Utilize coding expertise to inform Revenue Management strategy development activities and may support initiatives related to coding such as provider office education.
  • Responsible for developing and maintaining internal and vendor based coding guidelines.
  • Provide subject matter expertise on projects related to coding practices including provider education and communications.
  • Prepare reports of the data gathered and received from Client's providers/members, ensuring reports are completed with the highest quality and integrity and that all work is in full compliance with Client's and Regulatory requirements.
  • Participate in all required training - maintaining of coding certification or other professional credentials
  • Completing inter-rater reliability testing as requested 
  • Abide by all HIPAA and associated patient confidentiality requirements.
  • Coordinate with third party and internal auditors as required.
  • Other duties and projects as needed.
Qualifications

Minimum Requirements

  1. Bachelor's Degree; Clinical experience or licensed nursing professional and 3-5 years related experience. RHIA, RHIT, CCS or CPC-H with demonstrated outpatient coding experience required. ICD -9/ICD-10 certification required. 
  2. Experience in performing HEDIS chart abstractions; Experience in Risk Adjustment audit HCC extraction.
  3. Experience of healthcare delivery systems is preferred. Proven project leadership skills and ability to mentor and motivate others in the team. 
  4.  Advanced PC skills (e.g., Excel, Access, etc.) required; Excellent written and verbal communication skills, customer service skills, organization and problem solving skills, research skills, and the ability to work independently.
Additional Information

Thanks & Regards

Dishant

781-684-9064

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About US Tech Solutions

Sourced by ZipRecruiter

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.

Industry

It services

Company size

1,001 - 5,000 Employees

Headquarters location

Jersey City, NJ, US

Year founded

2000

Social media

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