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Coding Quality Analyst Jobs in California (NOW HIRING)

360 IT Professionals

Mid level QA tester

Fremont, CA

... whereas we use Android Code to develop native applications for Android devices. To create ... Analyze test data, document the results and findings of the QA testing, and report on same. Perform ...

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All JobsCoding Quality Analyst JobsCoding Quality Analyst Jobs in California

Coding Quality Analyst information

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How much do coding quality analyst jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for coding quality analyst in California is $27.80, according to ZipRecruiter salary data. Most workers in this role earn between $24.90 and $30.82 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a coding quality analyst?

To thrive as a Coding Quality Analyst, you need a strong understanding of medical coding principles, healthcare regulations, and experience with ICD-10, CPT, or HCPCS codes, usually supported by credentials like CCS or CPC. Familiarity with coding audit software, electronic health records (EHRs), and data analytics tools is typically required. Attention to detail, analytical thinking, and effective communication are vital soft skills for ensuring coding accuracy and collaborating with coding teams. These skills ensure compliance, minimize errors, and optimize reimbursement processes within healthcare organizations.

What is the difference between Coding Quality Analyst vs Software Tester?

AspectCoding Quality AnalystSoftware Tester
Primary FocusEnsuring coding standards, code quality, and compliance during developmentIdentifying bugs, verifying software functionality, and validating user requirements
Required SkillsProgramming knowledge, code review, quality assuranceTesting methodologies, defect tracking, test case design
Work EnvironmentDevelopment teams, coding environments, quality assurance processesTesting labs, project teams, QA departments
CertificationsPossibly ISTQB, QA certifications, coding certificationsISTQB, QA certifications, testing tools certifications

The Coding Quality Analyst primarily focuses on maintaining code quality and standards during the development process, while a Software Tester concentrates on finding bugs and verifying software functionality. Both roles require quality assurance skills but differ in their core responsibilities and skill sets.

What are the most common challenges faced by coding quality analysts when ensuring accurate medical coding?

Coding Quality Analysts often encounter challenges such as keeping up with frequent updates to coding standards (like ICD-10 and CPT), addressing inconsistencies in documentation from healthcare providers, and balancing efficiency with accuracy during audits. They are also tasked with providing feedback to coders, which requires strong communication skills and a collaborative approach. Staying organized and adaptable is key, as the role involves reviewing large volumes of records and responding to evolving regulatory requirements.

What does a coding quality analyst do?

A Coding Quality Analyst is responsible for reviewing and evaluating the accuracy and quality of medical coding in healthcare records. They ensure that codes assigned to diagnoses and procedures comply with established guidelines, regulatory requirements, and organizational policies. Their work helps maintain billing accuracy, supports compliance, and prevents errors in patient records. Coding Quality Analysts often audit coding work, provide feedback, and recommend training to improve coding practices within a healthcare organization.

What are popular job titles related to Coding Quality Analyst jobs in California?

For Coding Quality Analyst jobs in California, the most frequently searched job titles are:

What job categories do people searching Coding Quality Analyst jobs in California look for?

The top searched job categories for Coding Quality Analyst jobs in California are:

What are popular job titles related to Coding Quality Analyst jobs in CA?

For Coding Quality Analyst jobs in CA, the most frequently searched job titles are:

Coding Quality Analyst jobs near you
Infographic showing various Coding Quality Analyst job openings in California as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 14% Part Time, 2% Temporary, 3% Contract, and 1% Nights. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $57,816 per year, or $27.8 per hour.

Risk Adjustment Coding Specialist II

Astrana Health, Inc.

Monterey Park, CA • On-site

$75K - $85K/yr

Other

Posted 4 days ago

Job description

Risk Adjustment Coding Specialist II
Department: Strategy and Operations
Employment Type: Full Time
Location: 1600 Corporate Center Dr., Monterey Park, CA 91754
Reporting To: Brian Ramos
Compensation: $75,000 - $85,000 / year
Description
We are currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will report to the Supervisor - Risk Adjustment and enable us to continue to scale in the healthcare industry. The staff is required to frequently travel to provider sites depending on projects.
Our Values:
  • Put Patients First
  • Empower Entrepreneurial Provider and Care Teams
  • Operate with Integrity & Excellence
  • Be Innovative
  • Work As One Team
What You'll Do
  • Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum, as appropriate for all IPAs managed by the company
  • Review medical record information on both a retrospective and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC)
  • Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines
  • Interacts with physicians regarding coding, billing, documentation policies, procedures, and conflicting/ambiguous or non-specific documentation
  • Meets or exceeds productivity targets as established by management. Regularly meets due dates assigned
  • Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing
  • Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements.
  • Keeps management apprised of project activities through regular written and oral status reports. Proactively identifies risks that may hinder project success.
  • Provides recommendations to management related to process improvements, root-cause analysis, and/or barrier resolution applicable to Risk Adjustment initiatives.
  • Trains, mentors and supports new employees during the orientation process. Functions as a resource to existing staff for projects and daily work.
  • Provides peer to peer guidance through informal discussion and overread assignments. Supports coder training and orientation as requested by manager.
  • May assist or lead projects and/or higher work volume than Risk Adjustment Coding Specialist I
Qualifications
  • Required Certification/Licensure: Must possess and maintain AAPC or AHIMA certification - Certified Coding Specialist (CCS) and/or Certified Professional Coder (CPC). Certified Risk Adjustment Coder (CRC) is a plus but not required
  • 3+ years experience in risk adjustment coding required. Billing experience is a plus.
  • Reliable transportation/Valid Driver's License/Must be able to travel at least 75% of work time
  • PC skills and experience using Microsoft applications such as Word, Excel, and PowerPoint
  • Excellent presentation, verbal and written communication skills, and ability to collaborate
  • Must possess the ability to educate and train provider office staff members
  • Proficiency with healthcare coding software and Electronic Health Records (EHR) systems.
You're great for the role if:
  • Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage
  • Ability to work independently and collaborate in a team setting
  • Strong organizational and time-management skills
  • Ability to work in a home office for continuous periods of time for business continuity
  • Ability to travel across the Provider Clinic service region for meetings and/or training as needed
  • Able to work independently and within time constraints
  • Able to efficiently prioritize multiple high-priority tasks
Environmental Job Requirements and Working Conditions
  • This position blends on-site fieldwork (approximately 75% travel) with hybrid support to help practices. The Company reserves the right to modify the work arrangement, including transitioning to a hybrid or onsite model, based on business needs. Disclaimer: This job description is intended to describe the general nature and level of work performed. It is not intended to be an exhaustive list of all responsibilities, duties, or qualifications required. Responsibilities may change based on business needs and organizational priorities.
  • The national target pay range for this role is $75,000 - $85,000. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

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