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Remote Risk Adjustment Coding Jobs in Warminster, PA

Ennoble Care

Actuary

Philadelphia, PA · Remote

$150/hr

Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health ... Thorough understanding of and hands-on experience with Medicare risk adjustment and CMS-HCC models

Ennoble Care

Actuary

Marlton, NJ · Remote

$150/hr

Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health ... Thorough understanding of and hands-on experience with Medicare risk adjustment and CMS-HCC models

Berkley

Claims Analyst

Manchester, NH · Remote

$70K - $80K/yr

Company Details Berkley Accident and Health is a risk management company that designs innovative ... This position can either be fully remote (if not within commutable distance to the office) or based ...

Berkley

Claims Analyst

Manchester, NH · Remote

$70K - $80K/yr

Berkley Accident and Health is a risk management company that designs innovative solutions to ... This position can either be fully remote (if not within commutable distance to the office) or based ...

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Remote Risk Adjustment Coding information

See Warminster, PA salary details

$17

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$23

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

As of Jul 28, 2026, the average hourly pay for remote risk adjustment coding in Warminster, PA is $21.41, according to ZipRecruiter salary data. Most workers in this role earn between $17.93 and $22.74 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 Warminster, PA? For Remote Risk Adjustment Coding jobs in Warminster, PA, the most frequently searched job titles are:
Remote Risk Adjustment Coding jobs near you
Clin Documentation Spec III PRN - Remote

Clin Documentation Spec III PRN - Remote

Cooper University Hospital

Camden, NJ • On-site, Remote

$70/hr

Per diem

Medical, Dental, Vision, Life, Retirement

Posted 10 days ago

Cooper University Health Care rating

7.5

Company rating: 7.5 out of 10

Based on 133 frontline employees who took The Breakroom Quiz

231st of 890 rated healthcare providers

Job description

About Us
AtCooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development.
Discover why Cooper University Health Care is the employer of choice in South Jersey.
Short Description
  • Responsible for ensuring the overall quality and completeness of medical record documentation.
  • Facilitates modifications to clinical documentation through concurrent interaction with physicians, nursing staff, other patient caregiver and Health Information coding staff to support that appropriate reimbursement and clinical severity is captured for the level of service rendered to all inpatients.
  • Supports timely, accurate and complete documentation of clinical information used for measuring and reporting physician and hospital outcomes.
  • Educates all members of the patient care team on an ongoing basis.
  • Professional team player, able to communicate well with others on all levels.
  • Regular significant contacts with other personnel throughout and outside the hospital.
  • Contacts may be in person, by telephone or-through correspondence.
  • Flexible with a working knowledge of all areas of adult medicine.
  • Occasional lifting/carrying up to fifteen pounds, as well as reaching, stretching, stooping, bending, kneeling, crouching, standing, walking and pushing/pulling to move and file medical records alone or in carts.
  • Ability to sit for long periods of time, manual dexterity and mobility for extensive use of computer screen, keyboard, copy and facsimile machines, reader/printer and other office equipment.
  • Adequate to perform essential functions of the job with the type of judgments and potential consequences outlined above.

Experience Required
  • EPIC EHR
  • CDE ONE, Solventum
  • 5 years minimum experience as Clinical Documentation Specialist in an acute setting, preferably Level 1 Trauma Center.
  • CDI Subject matter expert for ALL PAYORS, all DRG groups (MS-DRG, APR-DRG, AP-DRG Elixhauser, risk variables)
  • PSI/HAC/HCC (Risk adjustment coding) knowledge/experience and Vizient Calculator

Education Requirements
Registered Nurse, any state. BSN or higher preferred or International medical graduate.
License/Certification Requirements
  • CCDS or CDIP
  • Registered Nurse, any state. BSN or higher preferred
  • Coding certification: CCS or CRC; CIC is an acceptable equivalent

Special Requirements
Essential mental abilities: excellent critical thinking skills, able to assess, evaluate and teach. Must be self governed, disciplined, and organized.
Requires excellent work ethic, analytical thinking, problem solving, excellent computer skills, excellent verbal and written communication with knowledge of email etiquette. Must be proficient in Word, Excel, PowerPoint and typing (60 WPM)
*This position will require 16 hours per week*
Salary Min ($)
USD $41.00
Salary Max ($)
USD $70.00

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