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Remote Risk Adjustment Coding Jobs in Boston, MA

Trivelta

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... 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 ...

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All JobsRisk Adjustment Coding JobsRemote Risk Adjustment Coding JobsRemote Risk Adjustment Coding Jobs in Boston, MA

Remote Risk Adjustment Coding information

See Boston, MA salary details

$18

$23

$25

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

As of Sep 10, 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 September 2026, with employment types broken down into 1% As Needed, 91% Full Time, 6% Part Time, and 2% Contract. Highlights an 82% Physical, 4% Hybrid, and 14% Remote job distribution, with an average salary of $48,588 per year, or $23.4 per hour.

Clinical Documentation Specialist II- RN- Remote

Burlington, MA • Remote

Beth Israel Lahey Health
Hospitals • 10K+ employees
Learn more about Beth Israel Lahey Healthexternal

$125K - $160K/yr

Full-time

Re-posted 25 days ago

Beth Israel Lahey Health rating

6.9

Company rating: 6.9 out of 10

Based on 150 frontline employees who took The Breakroom Quiz

452nd of 898 rated healthcare providers

Job description

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

**This position is remote. Candidates must be local to New England States for consideration**
The Clinical Documentation Improvement (CDI) Specialist II assists with the appropriate identification of diagnoses, conditions, and/or procedures that are representative of the patient’s hospital stay and care provided including Severity of Illness (SOI), Risk of Morality (ROM), during an inpatient hospitalization. CDI Specialist II initiates concurrent queries to providers as supported by medical record documentation to improve the accuracy, integrity, and quality of patient data, and drive improvement toward quality physician documentation within the body of the medical record. The CDI Specialist II works under the direction of the Manager of CDI and collaborates with coding, clinicians, medical staff, and physician advisors to improve documentation and the importance of complete and accurate documentation.

Job Description:

  • Concurrently reviews inpatient records to ensure completeness, accuracy, and clinical validation.
  • Evaluates documentation for assignment of working and possible DRG.
  • Recognizes opportunities for documentation improvement, including severity of illness, risk of mortality, core measures, and patient safety/quality.
  • Identify opportunities to query physicians regarding missing, unclear, or conflicting documentation.
  • Interacts directly with physicians to request and obtain additional documentation when needed.
  • Timely follow-up on all unanswered queries based on the query escalation policy.
  • Facilitates modifications to physician documentation to reflect the complexity of care of the patient and appropriate reimbursement.
  • Maintains a collaborative working relationship with the Health Information Coding staff and serves as a clinical resource.
  • Collaborates with and educates members of the patient care team regarding documentation guidelines, including physicians, allied health practitioners, nursing, and case management.
  • Performs mortality reviews and optimizes the risk of mortality.
  • Maintains review worksheet on all records using CDI software.
  • Ensures the accuracy of clinical information used for measuring and reporting physician and hospital quality outcomes.
  • Reviews, evaluates, analyzes, and interprets data related to documentation on an ongoing basis. Identifies trends or potential problems and assists in developing action plans to address.
  • Participates in additional projects such as developing physician education materials, CDI week advertisements, etc.
  • Adheres to ethical and professional business practices.
  • All other duties as assigned.
  • It is understood that this is a summary of key job functions and does not include every detail of the job that may reasonably be required.

Minimum Qualifications:

Education:

Bachelor’s in Nursing, required

Licensure, Certification & Registration:

  • RN License
  • Clinical Documentation Specialist Certification via ACDIS or AHIMA

Experience:

  • 2-5 years of medical/surgical nursing experience in the acute hospital setting.
  • Experienced Clinical Documentation Specialist with minimum of 2 years recent experience in CDI role
  • Critical Care and/or Emergency Nursing experience required

Skills, Knowledge & Abilities:

  • Proficient skill in query writing to physicians
  • Knowledge to accurately complete chart audits
  • Organizational and critical thinking skills required
  • Experience with computer systems required, including web-based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint, or Access

Pay Range:

$125,000.00 USD - $160,000.00 USD

The pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. 

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled

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