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Entry Level Risk Adjustment Coder Jobs in Irvine, CA

... and Risk Adjustment Factor. * Conduct internal reviews of documentation and billing on a timely ... Identify coding and billing risk areas, conduct focused reviews. Ensure accurate coding by ...

... and Risk Adjustment Factor. * Conduct internal reviews of documentation and billing on a timely ... Identify coding and billing risk areas, conduct focused reviews. Ensure accurate coding by ...

CNC Lathe Operator

Corona, CA · On-site

$18 - $25/hr

CNC Lathe Operator (Entry Level to Experienced) - 2nd Shift Hoosier, Inc. | Full-Time Pay: $18 ... Make basic tool offsets and adjustments * Read blueprints, work instructions, and job travelers

Helper Mechanic

Orange, CA · On-site

$19 - $23.50/hr

This entry-level role supports senior mechanics in diagnosing issues, performing basic repairs, and ... code and maintain a professional appearance at all times o Maintain LEAN objections within the ...

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Entry Level Risk Adjustment Coder information

See Irvine, CA salary details

$17

$29

$46

How much do entry level risk adjustment coder jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for entry level risk adjustment coder in Irvine, CA is $29.51, according to ZipRecruiter salary data. Most workers in this role earn between $20.38 and $37.16 per hour, depending on experience, location, and employer.

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.

What are the most commonly searched types of Risk Adjustment Coder jobs in Irvine, CA? The most popular types of Risk Adjustment Coder jobs in Irvine, CA are:
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What job categories do people searching Entry Level Risk Adjustment Coder jobs in Irvine, CA look for? The top searched job categories for Entry Level Risk Adjustment Coder jobs in Irvine, CA are:
What cities near Irvine, CA are hiring for Entry Level Risk Adjustment Coder jobs? Cities near Irvine, CA with the most Entry Level Risk Adjustment Coder job openings:
Infographic showing various Entry Level Risk Adjustment Coder job openings in Irvine, CA as of May 2026, with employment types broken down into 1% Locum Tenens, 1% As Needed, 92% Full Time, and 6% Part Time. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $61,379 per year, or $29.5 per hour.
Nurse Practitioner: Risk Adjustment

Nurse Practitioner: Risk Adjustment

Hoag Memorial Hospital Presbyterian

Costa Mesa, CA • On-site

$70.87 - $109.52/hr

Full-time

Posted 14 days ago


Hoag Memorial Hospital Presbyterian rating

8.3

Company rating: 8.3 out of 10

Based on 78 frontline employees who took The Breakroom Quiz

77th of 995 rated hospitals


Job description

Job Description
Primary Duties And Responsibilities
  • The Nurse Practitioner provides high quality advanced nursing care in accordance with professional regulatory standards and within the scope of the nurse practitioner license. This role provides multidisciplinary care providing patient evaluations and assessments, patient education, interventions, and documents plan of care. Requests physician consultations and multidisciplinary consults. Recognizes that ethical/legal/medical dilemmas exist in the nursing practice, and confers with the appropriate resources and staff when making ethical decisions. May work as an independent provider and/or under indirect supervision of a supervising physician. May see all and treat a variety of age populations.
  • Depending on area, may work different hours, weekends and holidays. May require on-call time.
  • Privileges granted by the Medical Staff Department can include arranging admission and transfer of patients, performing and dictating exams, history and physicals, rounding on assigned patients and writing progress notes with plan of care, and dictating discharge summary. Also may furnish medications (non-narcotic) and durable medical equipment (DME), controlled substances III, IV, V with appropriate licensure/certification, and controlled substances II with appropriate licensure/certification. May order blood products, laboratory tests, radiological, ultrasound, nuclear medicine, and neurological studies, oxygen therapy, respiratory treatment, and pulmonary tests. May perform drain and suture removal. May order and administer medications and IV therapy with the ability to assess and adjust appropriate dosing.
  • Risk Adjustment: In addition to the above, the Risk Adjustment Nurse Practitioner is responsible for the execution of guided processes to complete Annual Health Assessments "AHAs" for Hoag Clinic's Medicare patient population. Works with patients with chronic illnesses commonly encountered in the adult and geriatric patient population. Responsible for assessment, diagnosis, education, health promotion, and care coordination for patients with acute and chronic health needs. In addition, must have advanced knowledge of HCC Coding and Documentation, and Quality Measure guidelines.
  • Performs other duties as assigned.

Qualifications
Education and Experience
  • Master's in Nursing (MSN) or DNP required.
  • Completion of proctoring by Medical Staff Office.
  • Advanced clinical knowledge and skills in the care and management of patients.
  • Additional department specific requirements are as follows:
  • Risk Adjustment: Experience in Family or Internal Medicine and/or Geriatric Care preferred. Bilingual or multilingual preferred.

License Required
  • Current license in good standing to practice as a Registered Nurse and Nurse Practitioner in California
  • Furnishing license issued by the State of California and personal DEA number (For all areas other than Breast Center).

License Preferred
Certifications Required
  • BLS required. National board certification as Nurse Practitioner in area of specialty required (except Outpatient Oncology).
  • Additional department specific requirements are as follows:
  • Risk Adjustment: ACLS required.

Certifications Preferred
About Us
Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers and a network of more than1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. More than 30,000 inpatients and 550,000 outpatients choose Hoag each year.
For over 70 years, Hoag has delivered a level of personalized care that is unsurpassed among Orange County's health care providers. Since 1952, Hoag has served the local communities and continues its mission to provide the highest quality health care services through the core strategies of quality and service, people, physician partnerships, strategic growth, financial stewardship, community benefit and philanthropy.
Hoag offers a comprehensive blend of health care services including six institutes providing specialized care in the areas of cancer, heart and vascular, neurosciences, women's health, orthopedics, and digestive health through our institutes.
Hoag was the highest ranked hospital in Orange County in the 2024-2025 U.S. News &World Report, the only Orange County hospital ranked in the top 10 for California. The organization was ranked the #5 hospital in the Los Angeles Metro Area and the #10 hospital in California.
To learn more about Hoag's awards and accreditations, visit: https://www.hoag.org/about-hoag/awards-accreditations/.
Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives.

What Hoag Memorial Hospital Presbyterian employees say

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Hoag Memorial Hospital Presbyterian logo

About Hoag Memorial Hospital Presbyterian

Sourced by ZipRecruiter

Hoag Memorial Hospital Presbyterian, located in Newport Beach, CA, US, is a leading health care provider within the healthcare industry. Their official website is hoag.org. Hoag is a nonprofit, regional health care delivery network in Orange County, California, that treats over 30,000 inpatients and 450,000 outpatients annually. Founded in 1952, the hospital has stood as a pillar of health in the community for over six decades. Committed to providing the highest quality care to patients, Hoag offers a range of comprehensive services including cancer care, women's health services, heart and vascular service, orthopedics, neurosciences and spine care.

Industry

Hospitals

Company size

5,001 - 10,000 Employees

Headquarters location

Newport Beach, CA, US