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Cpc Certified Medical Coder Jobs in Riverside, CA

American Family Care

Medical Billing Specialist

Ladera Ranch, CA · On-site

$18 - $23/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Must have ICD-10 and CPT coding assessment skills, CPC certification is preferred * Strong ... Evaluate medical claims and coverage policy documentation to determine validity for an appeal.

Aava International

Sleep Apnea Medical Biller

Irvine, CA · On-site

$25 - $26/hr

  • Medical

  • PTO

... · Certification in medical billing and coding (CPC, CPB, or equivalent) is a plus. What We Offer: · Competitive compensation package (3% of Collections) · Supportive and professional work ...

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All JobsCpc Certified Medical Coder JobsCpc Certified Medical Coder Jobs in Riverside, CA

Cpc Certified Medical Coder information

See Riverside, CA salary details

$16

$27

$39

How much do cpc certified medical coder jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for cpc certified medical coder in Riverside, CA is $27.50, according to ZipRecruiter salary data. Most workers in this role earn between $22.55 and $30.87 per hour, depending on experience, location, and employer.

What are some common challenges CPC Certified Medical Coders face when working with complex medical records?

CPC Certified Medical Coders often encounter complex cases where documentation may be incomplete or ambiguous, requiring them to carefully interpret provider notes and query physicians for clarification. Navigating frequent updates to coding guidelines and payer policies can also be challenging, necessitating ongoing education and attention to detail. Additionally, coders must balance productivity targets with accuracy, ensuring compliance while meeting deadlines in a fast-paced environment.

What is a CPC Certified Medical Coder?

A CPC (Certified Professional Coder) Certified Medical Coder is a healthcare professional who has demonstrated expertise in medical coding by passing the CPC exam administered by the American Academy of Professional Coders (AAPC). CPCs assign standardized codes to medical diagnoses, procedures, and services to ensure accurate billing and compliance with regulations. They typically work in hospitals, physician offices, or insurance companies. Their work helps providers receive correct reimbursement and supports the smooth operation of healthcare systems.

What are the key skills and qualifications needed to thrive as a CPC Certified Medical Coder, and why are they important?

To thrive as a CPC Certified Medical Coder, you need in-depth knowledge of medical terminology, anatomy, coding guidelines (ICD-10, CPT, HCPCS), and a current CPC certification from AAPC. Proficiency with electronic health record (EHR) systems, coding software, and billing platforms is typically required. Attention to detail, analytical thinking, and effective communication are important soft skills in this role. These competencies ensure accurate coding, compliance, and optimal reimbursement for healthcare providers.

What is the difference between Cpc Certified Medical Coder vs Medical Biller?

AspectCpc Certified Medical CoderMedical Biller
CertificationsCertified Professional Coder (CPC)Often certified or trained in billing, but not necessarily CPC
Work EnvironmentHospitals, clinics, physician offices, insurance companiesMedical offices, billing companies, insurance firms
Primary ResponsibilitiesAssigning medical codes for diagnoses and proceduresSubmitting and managing insurance claims, billing patients

The main difference is that Cpc Certified Medical Coders focus on accurately coding medical records, while Medical Billers handle the billing process and insurance claims. Both roles often work together but have distinct responsibilities within healthcare revenue cycle management.

What can I do with a CPC Certified Medical Coder certification?

A CPC Certified Medical Coder certification qualifies individuals to review medical records and assign standardized codes for diagnoses and procedures, primarily working in healthcare settings such as hospitals, clinics, or billing companies. Certified coders ensure accurate billing and compliance with healthcare regulations, often using coding tools and electronic health record systems. This certification can lead to roles like medical coder, billing specialist, or coding auditor.

What are popular job titles related to Cpc Certified Medical Coder jobs in Riverside, CA?

For Cpc Certified Medical Coder jobs in Riverside, CA, the most frequently searched job titles are:

What job categories do people searching Cpc Certified Medical Coder jobs in Riverside, CA look for?

The top searched job categories for Cpc Certified Medical Coder jobs in Riverside, CA are:

What cities near Riverside, CA are hiring for Cpc Certified Medical Coder jobs?

Cities near Riverside, CA with the most Cpc Certified Medical Coder job openings:

Cpc Certified Medical Coder jobs near you
Infographic showing various Cpc Certified Medical Coder job openings in Riverside, CA as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $57,191 per year, or $27.5 per hour.

Risk Adjustment Coding Specialist II

Astrana Health

Orange, CA • On-site

$70K - $85K/yr

Other

Posted 11 days ago

Job description

Risk Adjustment Coding Specialist II

We are currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will report to a Sr. Manager - 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.

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 retroactive 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 and/or billing experience required
  • 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 remote 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.
  • The national target pay range for this role is $70,000 - $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 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.

About Astrana Health, Inc.

Astrana Health (NASDAQ: ASTH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient. Our platform currently empowers over 20,000 physicians to provide care for over 1.7 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.

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