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Entry Level Risk Adjustment Coder Jobs in Irvine, CA

Astiva Health

Jr. Quality Improvement Coder

Orange, CA · On-site

... 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 ...

Astiva Health

Jr. Quality Improvement Coder

Orange, CA

$25 - $28/hr

... 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 ...

Robert Half

Accountant - Entry Level

Costa Mesa, CA · On-site

$23.75 - $27.50/hr

... ledger coding and post routine financial activity into the accounting system. • Assist with ... adjustments. • Contribute to year-end accounting activities by organizing records and assisting ...

Hoosier, Inc.

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

Sulzer AG

Helper Mechanic

Orange, CA

$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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All JobsRisk Adjustment Coder JobsEntry Level Risk Adjustment Coder JobsEntry Level Risk Adjustment Coder Jobs in Irvine, CA

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 Jul 21, 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:
What are popular job titles related to Entry Level Risk Adjustment Coder jobs in Irvine, CA? For Entry Level Risk Adjustment Coder jobs in Irvine, CA, the most frequently searched job titles 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:
Entry Level Risk Adjustment Coder jobs near you
Infographic showing various Entry Level Risk Adjustment Coder job openings in Irvine, CA as of July 2026, with employment types broken down into 94% Full Time, and 6% Contract. Highlights an 58% In-person, and 42% Remote job distribution, with an average salary of $61,379 per year, or $29.5 per hour.
Clinical Documentation Integrity (CDI) Review

Clinical Documentation Integrity (CDI) Review

CareConnectMD Inc

Costa Mesa, CA • On-site

$36.75 - $49.50/hr

Full-time

Posted 19 days ago

Job description

Position Summary

The Clinical Documentation Integrity (CDI) Reviewer is responsible for reviewing clinical documentation to ensure it accurately reflects the patient's clinical condition and supports complete, compliant, and specific documentation. Leveraging knowledge of ICD-10, CPT, and other applicable coding guidelines, this role helps optimize risk adjustment, reimbursement, quality reporting, regulatory compliance, and clinical data integrity while partnering with providers, clinical teams, and operational leadership to improve documentation quality.

Key Duties and Responsibilities

Clinical Documentation Integrity Review

  • Review high-acuity patient medical records to identify clinical indicators, documentation gaps, and suspect diagnoses that may impact quality outcomes, risk adjustment, and reimbursement.
  • Analyze medical records to determine appropriate clinical information and identify opportunities for accurate diagnosis capture and documentation improvement.
  • Implement and execute clinical data review strategies in alignment with established protocols, program requirements, and organizational standards.
  • Ensure consistency, accuracy, and adherence to documentation review methodologies within assigned protocols while contributing to the development and implementation of new review processes.
  • Utilize clinical expertise and coding knowledge to identify opportunities for enhanced documentation accuracy, completeness, and specificity.
  • Collaborate with risk adjustment, case management, quality, and provider teams to ensure clinical documentation accurately reflects patient conditions, treatment decisions, and diagnoses.
  • Leverage physician query and communication processes to clarify documentation and improve the quality and completeness of the medical record.


Coding and Risk Adjustment Support

  • Identify and validate suspect diagnoses using clinical evidence and documentation standards.
  • Communicate clinical documentation requirements, coding guidelines, and regulatory standards to providers, coders, leadership, and other stakeholders.
  • Support coding validation efforts by ensuring documentation supports reported diagnoses and conditions.
  • Assist with provider and staff education regarding documentation improvement, coding compliance, risk adjustment methodologies, and diagnosis capture initiatives.


Data Management and Reporting

  • Maintain comprehensive tracking and management systems for assigned medical record reviews, findings, and outcomes.
  • Generate reports and communicate findings resulting from chart reviews to leadership and relevant stakeholders.
  • Monitor and maintain productivity, quality, and accuracy standards as defined by organizational performance metrics.


Compliance and Quality Assurance

  • Ensure all activities comply with HIPAA regulations, CMS guidelines, payer requirements, and organizational policies.
  • Participate in internal audits, quality assurance activities, and process improvement initiatives.
  • Maintain current knowledge of clinical documentation integrity practices, coding regulations, and industry best practices.
  • Perform other duties, special projects, and responsibilities as assigned.

Education and Experience

  • RN or NP/PA and a minimum of 3 years of progressive clinical experience
  • At least two (2) years of experience in chart review for clinical indications of medical conditions and diagnosis and management options with emphasis on the managed care industry
  • Coding certification is preferred but not required.
  • Strong understanding of ICD-10-CM coding guidelines, clinical documentation improvement principles, and physician query processes.
  • Experience reviewing provider documentation in outpatient, ambulatory, post-acute, primary care, or value-based care settings preferred.
  • Experience in working with various electronic health records (EHR) and medical records.


Essential Skills and Abilities

  • Strong clinical knowledge related to chronic illness diagnosis, treatment, and management
  • Familiarity and understanding of CMS HCC models, Risk Adjustment coding and data validation requirements (preferred)
  • Working knowledge of ICD-10-CM outpatient diagnosis coding guidelines (knowledge and demonstrated understanding of Risk Adjustment coding and data validation requirements is highly preferred)
  • Proficient in Microsoft Office Suite (Excel, Word, PowerPoint, Outlook) and other business applications, with strong spreadsheet and reporting skills.
  • Ability to review and analyze medical records across multiple EMR/EHR platforms.
  • Strong critical thinking, analytical, and problem-solving abilities.
  • Knowledge of ICD-10, clinical documentation standards, risk adjustment, and HIPAA compliance.
  • Excellent written and verbal communication skills with the ability to educate and collaborate with providers and interdisciplinary teams.
  • Ability to manage multiple priorities and meet strict deadlines in a fast-paced environment.
  • Self-motivated with the ability to work independently and remotely while maintaining productivity and accuracy.
  • Strong organizational skills, attention to detail, and commitment to confidentiality.
  • Ability to establish effective working relationships across departments, locations, and time zones.
  • Reliable, adaptable, and capable of handling sensitive information with professionalism and discretion.


Core Competencies

  • Instills trust
  • Customer focus
  • Manages ambiguity
  • Collaborates
  • Drives results