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Remote Risk Adjustment Coding Jobs in Rochester, NY

Rochester Regional Health

Coder - Lead

Rochester, NY · On-site +1

$23.10 - $33.60/hr

Remote Hours Per Week: 40 hours/week Schedule: Day shift SUMMARY: The Lead Coder, under the ... Maintains regular hands-on coding responsibilities and supports complex or high-risk case review as ...

All JobsRemote Risk Adjustment Coding JobsRemote Risk Adjustment Coding Jobs in Rochester, NY

Remote Risk Adjustment Coding information

See Rochester, NY salary details

$17

$21

$23

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

As of Jun 21, 2026, the average hourly pay for remote risk adjustment coding in Rochester, NY is $21.22, according to ZipRecruiter salary data. Most workers in this role earn between $17.79 and $22.55 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 Rochester, NY? For Remote Risk Adjustment Coding jobs in Rochester, NY, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coding jobs in Rochester, NY look for? The top searched job categories for Remote Risk Adjustment Coding jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Remote Risk Adjustment Coding jobs? Cities near Rochester, NY 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 Rochester, NY as of June 2026, with employment types broken down into 84% Full Time, 13% Part Time, and 3% Contract. Highlights an 78% Physical, 4% Hybrid, and 18% Remote job distribution, with an average salary of $44,128 per year, or $21.2 per hour.
Coder - Lead

Coder - Lead

Rochester Regional Health

Rochester, NY • On-site, Remote

$23.10 - $33.60/hr

Full-time

Posted 23 days ago

Rochester Regional Health rating

7.4

Company rating: 7.4 out of 10

Based on 212 frontline employees who took The Breakroom Quiz

254th of 874 rated healthcare providers

Job description

Job Title: Lead Coder
Location: Remote
Hours Per Week: 40 hours/week
Schedule: Day shift
SUMMARY:
The Lead Coder, under the direction of the HIM Coding Manager, provides leadership and subject matter expertise to the coding team across inpatient and/or outpatient care settings. This role ensures daily operational functions are met, supports coding quality and compliance, and provides continuity during the training and onboarding of staff. The Lead Coder serves as a super user and resource for both internal and external stakeholders, assisting with complex coding questions, workflow improvements, and regulatory compliance. This position balances hands-on coding responsibilities with mentoring, auditing, and operational oversight to ensure accuracy, timeliness, and compliance in coding practices.
RESPONSIBILITIES:
  • Adheres to the Standards of Ethical Coding as set forth by AHIMA and/or AAPC and remains current with official coding guidelines, regulatory updates, and payer requirements
  • Works collaboratively with HIM management to support coding audit processes that promote quality, accuracy, and compliance
  • Monitors daily activity of coding work queues to support productivity benchmarks and turnaround times; communicates trends, barriers, or risks to HIM management
  • Provides technical guidance, recommendations, and feedback regarding workflow efficiencies, process improvements, and denial prevention opportunities
  • Serves as a mentor and resource to coding staff; assists with onboarding, training, and cross-training to support departmental coverage needs
  • Collaborates with Patient Financial Services, Revenue Integrity, Compliance, CDI, and other stakeholders to identify and resolve coding-related issues impacting reimbursement or compliance
  • Demonstrates advanced technical expertise in ICD-10-CM, CPT/HCPCS, and PCS coding, as well as applicable reimbursement methodologies (e.g., DRG, APC/E-APG)
  • Formulates compliant coding queries when provider documentation is incomplete, ambiguous, or unclear
  • Assists with review and correction of claim edits, error reports, and denials; identifies error patterns and partners with management on corrective actions
  • Provides education and guidance to providers and clinical teams related to documentation, coding, and reimbursement best practices
  • Maintains regular hands-on coding responsibilities and supports complex or high-risk case review as assigned
  • Escalates operational, compliance, or performance-related concerns to the Coding Supervisor and/or HIM Coding Manager
  • Performs other duties as assigned by HIM leadership

REQUIRED QUALIFICATIONS:
  • Minimum of 3 years of professional coding experience in inpatient and/or outpatient settings.
  • RHIA, RHIT, CCS, or CPC credential.

PREFERRED QUALIFICATIONS:
  • Associate's degree.
  • Demonstrated knowledge of State, Federal, and payer-specific regulations pertaining to documentation, coding, and billing.
  • Advanced knowledge of ICD-10-CM, CPT, and PCS coding guidelines.
  • Strong understanding of reimbursement methodologies (DRG, APC/E-APG, etc.) and revenue cycle workflows.
  • Proficiency in EHR and coding systems (e.g., Care Connect, UDS, Clintegrity).
  • Demonstrated ability to mentor, train, and support staff in coding best practices.
  • Excellent problem-solving, communication, and collaboration skills.

EDUCATION:
LICENSES / CERTIFICATIONS:
PHYSICAL REQUIREMENTS:
S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.
Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations.
PAY RANGE:
$23.10 - $33.60
CITY:
Rochester
POSTAL CODE:
14617
The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.
Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.

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