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Remote Risk Adjustment Coding Jobs in Warminster, PA

Ennoble Care

Actuary - Value-Based Care

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

Corvel

Liability Claims Specialist

Norristown, PA · Remote

$52K - $85K/yr

This is a remote role. Heavy Auto Liability experience is required. ESSENTIAL FUNCTIONS ... The level may impact the salary range and these adjustments would be clarified during the offer ...

RELX

Senior Technical Consultant

Philadelphia, PA · Remote

$114K - $190K/yr

About LexisNexis Risk Solutions LexisNexis Risk Solutions harnesses the power of data ... Occasional travel may be required Location Remote - US Requirements * Minimum 5 years of total ...

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Remote Risk Adjustment Coding information

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$23

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

As of Jul 2, 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.
Remote Risk Adjustment Coding jobs near you
Regional Medical Director- (Philadelphia/Baltimore)

Regional Medical Director- (Philadelphia/Baltimore)

CareAllies

Philadelphia, PA • On-site, Remote

$191K - $355K/yr

Full-time

Medical, Life, Retirement, PTO

Posted 12 days ago

Job description

At CareAllies, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Job Summary
This position is responsible for assigned aspects of medical policies and programs. Performs medical reviews and interacts with the provider communities for assigned areas. Provides advanced clinical leadership across medical management programs, integrating traditional utilization review with strategic population health, value-based care, and provider-performance initiatives. Aligns medical policy expertise with forward-leaning clinical strategy to influence quality, Stars-related performance, affordability, risk adjustment accuracy, and market-level outcomes.
Required Job Qualifications:
  • Physician with a current and unrestricted physician license in a state or territory of the United States.
  • Maintain Board Certification as a M.D. or D.O. (by a specialty board approved by the American Board of Medical Specialties (doctors of medicine); or the Advisory Board of Osteopathic Specialists (doctors of osteopathic medicine)
  • 5 years of clinical experience
  • Analytical and communication skills
  • Strategic thinking skills

Preferred Job Qualifications:
  • Ability to travel
  • 3 years Managed Care experience
  • IPA (independent Physician Association) MSO or Value Based Enablement Organization Experience
  • Advanced skills in clinical interpretation, communication, data-driven strategy, and collaborative leadership
  • Experience with Stars performance, risk adjustment education, or provider engagement
  • Experience in matrixed environments and cross-functional clinical leadership.

Remote work located in Philadelphia and Baltimore.
INAK
#LI-MG1
#LI-Remote
EEO Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Pay Transparency Statement:
At CareAllies, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, a minimum of 15 days' of paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for full-time employees.
The salary offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
Min to Max Range:
$191,500.00 - $355,600.00
Exact compensation may vary based on skills, experience, and location.

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