... risk adjustment and/or quality 2+ years of experience supporting HEDIS engine activity, risk ... Knowledge of clinical coding systems (LOINC, SNOMED, CPT, ICD) * Experience working with EHR data ...
... risk adjustment and/or quality 2+ years of experience supporting HEDIS engine activity, risk ... Knowledge of clinical coding systems (LOINC, SNOMED, CPT, ICD) * Experience working with EHR data ...
Senior Specialty Physician Coder - Interventional
Fountain Valley, CA · On-site
$20.25 - $27/hr
Profee ONLY - NOT HCC/risk adjustment, ASC, or facility coding * Bonus/nice to have * Bonus: GYNONC coding experience * Bonus: Experience working on denials * Bonus: GI (CGIC coding certification) or ...
Senior Specialty Physician Coder - Interventional
Fountain Valley, CA · On-site
$20.25 - $27/hr
Profee ONLY - NOT HCC/risk adjustment, ASC, or facility coding * Bonus/nice to have * Bonus: GYNONC coding experience * Bonus: Experience working on denials * Bonus: GI (CGIC coding certification) or ...
Clinical Documentation Improvement Specialist Full Time Days
Los Angeles, CA · On-site
$106K - $135K/yr
Coding certification (CCS, CPC, RHIA, RHIT) * Prior experience in acute care, outpatient CDI, or risk adjustment * Familiarity with ACDIS and AHIMA CDI guidelines Minimum Work Experience and ...
Quick apply
Clinical Documentation Improvement Specialist Full Time Days
Los Angeles, CA · On-site
$106K - $135K/yr
Coding certification (CCS, CPC, RHIA, RHIT) * Prior experience in acute care, outpatient CDI, or risk adjustment * Familiarity with ACDIS and AHIMA CDI guidelines Minimum Work Experience and ...
Hueman is actively hiring Nurse Practitioners to complete Health Risk Assessments (HRAs) for ... Comprehensive charting and coding training * Dedicated patient scheduling assistance * Malpractice ...
Quick apply
Hueman is actively hiring Nurse Practitioners to complete Health Risk Assessments (HRAs) for ... Comprehensive charting and coding training * Dedicated patient scheduling assistance * Malpractice ...
Comprehensive charting and coding training * Dedicated patient scheduling assistance * Malpractice ... We believe that happiness should be a fundamental part of every role in risk assessment. Our ...
Quick apply
Comprehensive charting and coding training * Dedicated patient scheduling assistance * Malpractice ... We believe that happiness should be a fundamental part of every role in risk assessment. Our ...
Senior Specialty Physician Coder - Interventional
Fountain Valley, CA · On-site
$24.50 - $33.25/hr
Profee ONLY - NOT HCC/risk adjustment, ASC, or facility coding * Desire to convert to full-time employment **Bonus/nice to have** * Bonus: GYNONC coding experience * Bonus: Experience working on ...
Senior Specialty Physician Coder - Interventional
Fountain Valley, CA · On-site
$24.50 - $33.25/hr
Profee ONLY - NOT HCC/risk adjustment, ASC, or facility coding * Desire to convert to full-time employment **Bonus/nice to have** * Bonus: GYNONC coding experience * Bonus: Experience working on ...
Telehealth Nurse Practitioner
Los Angeles, CA · Remote
$600 - $720/day
Document HCC (risk adjustment) during visits * Close HEDIS (quality measures) care gaps * Review history, meds, preventive needs * Code with ICD-10 and CPT II * Deliver care plans and follow-up * ...
Telehealth Nurse Practitioner
Los Angeles, CA · Remote
$600 - $720/day
Document HCC (risk adjustment) during visits * Close HEDIS (quality measures) care gaps * Review history, meds, preventive needs * Code with ICD-10 and CPT II * Deliver care plans and follow-up * ...
Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs ... Comprehensive charting and coding training * Dedicated patient scheduling assistance * Malpractice ...
Quick apply
Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs ... Comprehensive charting and coding training * Dedicated patient scheduling assistance * Malpractice ...
Certified Risk Coder (CRC) * Experience interacting with healthcare providers * Medicare Risk Adjustment knowledge * Analyzing data to build unique education strategies in PowerBi Additional ...
Certified Risk Coder (CRC) * Experience interacting with healthcare providers * Medicare Risk Adjustment knowledge * Analyzing data to build unique education strategies in PowerBi Additional ...
Certified Risk Coder (CRC) * Experience interacting with healthcare providers * Medicare Risk Adjustment knowledge * Analyzing data to build unique education strategies in PowerBi Additional ...
Certified Risk Coder (CRC) * Experience interacting with healthcare providers * Medicare Risk Adjustment knowledge * Analyzing data to build unique education strategies in PowerBi Additional ...
Certified Risk Coder (CRC) * Experience interacting with healthcare providers * Medicare Risk Adjustment knowledge * Analyzing data to build unique education strategies in PowerBi Additional ...
Certified Risk Coder (CRC) * Experience interacting with healthcare providers * Medicare Risk Adjustment knowledge * Analyzing data to build unique education strategies in PowerBi Additional ...
Clinical Home Assessment Contractor (NP, PA, MD)
Imperial, CA · On-site
$200 - $300/wk
Coding diagnoses consistent with CMS guidelines and risk adjustment protocols based on Hierarchical Condition Categories (HCCs). * Compliance: Maintain compliance with all federal, state, and local ...
Clinical Home Assessment Contractor (NP, PA, MD)
Imperial, CA · On-site
$200 - $300/wk
Coding diagnoses consistent with CMS guidelines and risk adjustment protocols based on Hierarchical Condition Categories (HCCs). * Compliance: Maintain compliance with all federal, state, and local ...
Description Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk ... Comprehensive charting and coding training * Dedicated patient scheduling assistance * Malpractice ...
Description Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk ... Comprehensive charting and coding training * Dedicated patient scheduling assistance * Malpractice ...
Primary Care Provider (FNP or PA-C)
Sacramento, CA · On-site
$150K - $165K/yr
... HCC coding, risk adjustment) - Collaborate closely with physicians and the care team to ensure continuity and quality of care Qualifications - Certified Nurse Practitioner (FNP) or Physician ...
Primary Care Provider (FNP or PA-C)
Sacramento, CA · On-site
$150K - $165K/yr
... HCC coding, risk adjustment) - Collaborate closely with physicians and the care team to ensure continuity and quality of care Qualifications - Certified Nurse Practitioner (FNP) or Physician ...
Primary Care Provider (FNP or PA-C)
$150K - $165K/yr
... HCC coding, risk adjustment) - Collaborate closely with physicians and the care team to ensure continuity and quality of care Qualifications - Certified Nurse Practitioner (FNP) or Physician ...
Primary Care Provider (FNP or PA-C)
$150K - $165K/yr
... HCC coding, risk adjustment) - Collaborate closely with physicians and the care team to ensure continuity and quality of care Qualifications - Certified Nurse Practitioner (FNP) or Physician ...
Primary Care Provider (FNP or PA-C)
Sacramento, CA · On-site
$116K - $150K/yr
... HCC coding, risk adjustment) - Collaborate closely with physicians and the care team to ensure continuity and quality of care Qualifications - Certified Nurse Practitioner (FNP) or Physician ...
Quick apply
Primary Care Provider (FNP or PA-C)
Sacramento, CA · On-site
$116K - $150K/yr
... HCC coding, risk adjustment) - Collaborate closely with physicians and the care team to ensure continuity and quality of care Qualifications - Certified Nurse Practitioner (FNP) or Physician ...
Primary Care Provider (FNP or PA-C)
Sacramento, CA · On-site
$150K - $165K/yr
... HCC coding, risk adjustment) - Collaborate closely with physicians and the care team to ensure continuity and quality of care Qualifications - Certified Nurse Practitioner (FNP) or Physician ...
Primary Care Provider (FNP or PA-C)
Sacramento, CA · On-site
$150K - $165K/yr
... HCC coding, risk adjustment) - Collaborate closely with physicians and the care team to ensure continuity and quality of care Qualifications - Certified Nurse Practitioner (FNP) or Physician ...
Description Hueman is actively hiring Nurse Practitioners to complete Health Risk Assessments (HRAs ... Comprehensive charting and coding training * Dedicated patient scheduling assistance * Malpractice ...
Description Hueman is actively hiring Nurse Practitioners to complete Health Risk Assessments (HRAs ... Comprehensive charting and coding training * Dedicated patient scheduling assistance * Malpractice ...
Comprehensive charting and coding training * Dedicated patient scheduling assistance * Malpractice ... We believe that happiness should be a fundamental part of every role in risk assessment. Our ...
Comprehensive charting and coding training * Dedicated patient scheduling assistance * Malpractice ... We believe that happiness should be a fundamental part of every role in risk assessment. Our ...
Conducts preliminary and post-impact analyses for any logic and source code changes for data and ... or risk adjustment, and 1 year of experience in a managed care organization, or equivalent ...
Conducts preliminary and post-impact analyses for any logic and source code changes for data and ... or risk adjustment, and 1 year of experience in a managed care organization, or equivalent ...
Entry Level Risk Adjustment Coder information
See California salary details
$18.09 is the 25th percentile. Wages below this are outliers.
$15.66 - $18.14
26% of jobs
$18.14 - $20.62
9% of jobs
$20.62 - $23.10
12% of jobs
The median wage is $24.34 / hr.
$23.10 - $25.58
9% of jobs
$25.58 - $28.06
11% of jobs
$28.06 - $30.54
5% of jobs
$32.40 is the 75th percentile. Wages above this are outliers.
$30.54 - $33.02
6% of jobs
$33.02 - $35.50
5% of jobs
$35.50 - $37.98
5% of jobs
$37.98 - $40.46
3% of jobs
$40.46 - $42.94
10% of jobs
$15
$27
$42
How much do entry level risk adjustment coder jobs pay per hour?
What is an Entry Level Risk Adjustment Coder job?
An Entry Level Risk Adjustment Coder reviews medical records to identify and assign accurate diagnosis codes for risk adjustment purposes. Their work ensures healthcare organizations receive appropriate reimbursement based on patient health conditions. They typically use ICD-10-CM codes and follow guidelines from CMS and other regulatory bodies. This role requires strong attention to detail, knowledge of medical terminology, and an understanding of risk adjustment models. Entry-level coders may work in various healthcare settings, including insurance companies, hospitals, or coding firms.
What are the key skills and qualifications needed to thrive in the Entry Level Risk Adjustment Coder position, and why are they important?
To thrive as an Entry Level Risk Adjustment Coder, you need a strong understanding of medical terminology, anatomy, and ICD-10-CM coding guidelines, typically supported by completion of a coding training program or relevant coursework. Familiarity with coding software, electronic medical records (EMR) systems, and coding certification such as CPC or CRC is often preferred. Attention to detail, analytical thinking, and effective communication are essential soft skills for this role. These skills and qualifications ensure the accurate coding of diagnoses for risk adjustment, compliance with regulations, and contribute to optimal healthcare reimbursement.
What does a typical workday look like for an entry level risk adjustment coder?
A typical day for an entry level risk adjustment coder involves reviewing patient medical records to identify and assign appropriate diagnostic codes based on clinical documentation. You’ll use specialized coding software and electronic health record systems to ensure accuracy and compliance with federal guidelines. Collaboration with senior coders, team leads, and occasionally clinicians is common when clarification or additional documentation is needed. Most entry level coders work in an office or remote environment and spend much of their day analyzing records, updating databases, and participating in training sessions to stay current on coding updates.
- Online Director Medicare Risk Adjustment
- Remote Certified Gastroenterology Coder
- Crc Risk Adjustment Coder
- Internship Remote Hcc Coders
- Medicare Risk Adjustment Chart Review
- Remote Crc Coding
- Remote Optum Hcc Coding
- Freelance Hcc Risk Adjustment Coder
- Freelance Remote Hcc Coders
- Work From Home Medicare Risk Adjustment

Risk & Quality Performance Manager (CCD Parsing & Understanding HL7)
Long Beach, CA • On-site
Full-time
Posted 26 days ago
Molina Healthcare rating
8.0
Based on 192 frontline employees who took The Breakroom Quiz
144th of 263 rated insurance
Job description
Job Description
Job Summary
The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position collaborates with various departments and stakeholders within Molina to plan, coordinate, and manage resources and execute performance improvement initiatives in alignment with RQS's strategic objectives.
Job Duties
Collaborate with Health Plan Risk and Quality leaders to improve outcomes by managing Risk/Quality data collection strategy, analytics, and reporting, including but not limited to: Risk/Quality rate trending and forecasting; provider Risk/Quality measure performance, CAHPS and survey analytics, health equity and SDOH, and engaging external vendors.
Monitor projects from inception through successful delivery.
Oversee Risk/Quality data ingestion activities and strategies to optimize completeness and accuracy of EHR/HIE and supplemental data.
Meet customer expectations and requirements, establish, and maintain effective relationships and gain their trust and respect.
Draw actionable conclusions, and make decisions as needed while collaborating with other teams.
Ensure compliance with all regulatory audit guidelines by adhering to roadmap of deliverables and timelines and implementing solutions to maximize national HEDIS audit success.
Partner with other teams to ensure data quality through sequential transformations and identify opportunities to close quality and risk care gaps.
Proactively communicate risks and issues to stakeholders and leadership.
Create, review, and approve program documentation, including plans, reports, and records.
Ensure documentation is updated and accessible to relevant parties.
Proactively communicate regular status reports to stakeholders, highlighting progress, risks, and issues.
Job Qualifications
REQUIRED EDUCATION:
Bachelor's degree or equivalent combination of education and experience
REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:
2+ years of program and/or project management experience in risk adjustment and/or quality
2+ years of experience supporting HEDIS engine activity, risk adjustment targeting and reporting systems
2+ years of data analysis experience utilizing technical skillsets and resources to answer nuanced Risk and Quality questions posed from internal and external partners
Familiarity with running queries in Microsoft Azure or SQL server
Healthcare experience and functional risk adjustment and/or quality knowledge
Mastery of Microsoft Office Suite including Excel and Project
Experience partnering with various levels of leadership across complex organizations
Strong quantitative aptitude and problem solving skills
Intellectual agility and ability to simplify and clearly communicate complex concepts
Excellent verbal, written and presentation capabilities
Energetic and collaborative
PREFERRED EDUCATION:
Graduate degree or equivalent combination of education and experience
PREFERRED EXPERIENCE:
- Experience working in a cross-functional, highly matrixed organization
SQL proficiency - Knowledge of healthcare claim elements: CPT, CPTII, LOINC, SNOMED, HCPS, NDC, CVX, NPIs, TINs, etc.
- Experience with CCDA/CCD parsing
- Understanding of HL7(ADT, ORU, etc)
- Exposure to FHIR APIs
- Knowledge of clinical coding systems (LOINC, SNOMED, CPT, ICD)
- Experience working with EHR data (Epic, Athena, Cerner)
- Knowledge of, and familiarity with, NCQA, CMS, and State regulatory submission requirements
PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:
PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification, and/or comparable coursework desired
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
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About Molina Healthcare
Sourced by ZipRecruiter
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Long Beach, CA, US
Year founded
1980