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Entry Level Risk Adjustment Coder Jobs in Los Angeles, CA

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Physician Assistant (PA-C)

Los Angeles, CA · On-site

$107K - $146K/yr

Familiarity with HMO/IPA models and risk adjustment coding (RAF, HCC) * Experience in multi-site or fast-paced clinical environments Physical & Work Environment Requirements * Ability to stand, walk ...

Astrana Health

HEDIS Abstractor

Monterey Park, CA · Hybrid

$27 - $33/hr

Interpret and apply HEDIS measure specifications, coding guidelines, and NCQA technical requirement ... Knowledge of CMS Stars, risk adjustment, and population health initiatives strongly preferred * Our ...

Astrana Health, Inc.

HEDIS Abstractor

Monterey Park, CA · Hybrid

$27 - $33/hr

Interpret and apply HEDIS measure specifications, coding guidelines, and NCQA technical requirement ... Knowledge of CMS Stars, risk adjustment, and population health initiatives strongly preferred ...

Medix

Accounts Receivable Specialist

Los Angeles, CA · On-site

$50.96 - $64.90/hr

Partner with Coding, Quality, and Case Management teams to reconcile documentation gaps and ensure ... Prior background in acute care settings, risk adjustment, or outpatient CDI initiatives is ...

Astrana Health, Inc.

HEDIS Abstractor

Monterey Park, CA · On-site

$27 - $33/hr

Interpret and apply HEDIS measure specifications, coding guidelines, and NCQA technical requirement ... Knowledge of CMS Stars, risk adjustment, and population health initiatives strongly preferred ...

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All JobsRisk Adjustment Coder JobsEntry Level Risk Adjustment Coder JobsEntry Level Risk Adjustment Coder Jobs in Los Angeles, CA

Entry Level Risk Adjustment Coder information

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

As of Aug 12, 2026, the average hourly pay for entry level risk adjustment coder in Los Angeles, CA is $29.62, according to ZipRecruiter salary data. Most workers in this role earn between $20.48 and $37.31 per hour, depending on experience, location, and employer.

What is an entry level risk adjustment coder?

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 as an entry level risk adjustment coder?

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 an entry level risk adjustment coder do?

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.

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Entry Level Risk Adjustment Coder jobs near you

Advanced Practice Provider (APP), Nurse Practitioner (NP) or Physician Assistant (PA)

COPE Health Solutions

Los Angeles, CA • On-site

$150K - $200K/yr

Full-time

Re-posted 4 days ago

Job description

Cope Health Solutions is seeking a full time Advanced Practice Provider (APP)-either a Certified Nurse Practitioner (NP) or Licensed Physician Assistant (PA)-delivers high-quality, autonomous clinical care directly in the homes of Medicare beneficiaries.

Reporting directly to the Medical Director, the APP is the clinical backbone of our California-based home delivery model. This role executes in-home Annual Wellness Visits (AWVs), manages complex clinical transitions of care (TOC) immediately following hospital discharge, and provides long-term stabilization for high-acuity patients enrolled in Complex Care Management (CCM) and is proficient at HCC coding and medical disease documentation. Provider should also be comfortable with acutely ill recently discharged patients being managed at home.

FLSA Status

Exempt

Salary Range

$150,000.00 - 200,000.00

Reports To

Medical Director

Direct Reports

Yes

Location

Los Angeles, CA ( Onsite)

Travel

Up to 30%

Work Type

Regular

Schedule

Full Time

Essential Duties and Responsibilities

  • In-Home Clinical Delivery: Conduct comprehensive, in-person clinical assessments in patients' homes or via telehealth across the specified California regional service area.
  • Transitions of Care (TOC) Management: Conduct rapid post-discharge home visits (ideally within 48 to 72 hours of hospital or SNF release). Perform high-level medication reconciliation, identify early signs of clinical decompensation, and intervene to prevent 30-day readmissions.
  • Complex Care Longitudinal Management: Manage a designated panel of high-acuity, frail, or dual-eligible beneficiaries. Develop, implement, and adjust individualized care plans in alignment with evidence-based protocols.
  • Comprehensive AWV & Gap Closure: Perform Medicare Annual Wellness Visits in the home, completing detailed cognitive screenings, fall risk assessments, and personalized prevention plans while closing active quality care gaps and appropriately capturing HCC codes as part of documentation.
  • Interdisciplinary Collaboration: Act as the primary clinical partner to the Care Navigation team. Participate in weekly interdisciplinary team (IDT) case conferences with the Medical Director, RNs, CHWs, social workers, and care coordinators.
  • California Regulatory & Quality Compliance: Maintain accurate, timely EHR documentation utilizing appropriate HCC risk-adjustment coding guidelines. Ensure compliance with California practice acts, including maintaining standard written practice agreements or collaborative guidelines as legally required.

Minimum Qualifications

  • Education: Master's or Doctoral degree from an accredited Nurse Practitioner program OR graduation from an ARC-PA accredited Physician Assistant program.
  • Licensure & Certification (California Specific):
    • Active, unrestricted California Registered Nurse (RN) and Nurse Practitioner (NP) license OR active California Physician Assistant (PA) license.
    • National certification (AANP, ANCC, or NCCPA) in a relevant specialty (Adult-Gerontology Primary/Acute Care, Family Medicine, or Internal Medicine).
    • Active California furnishing/prescribing authority and a valid DEA registration.
  • Experience: Minimum of 2-3 years of clinical experience as an APP. Prior experience in home-based primary care, geriatrics, palliative care, or inpatient hospital medicine is highly preferred.
  • Other Requirements: Must possess a valid California Driver's License, a clean driving record, and a reliable, insured vehicle for daily travel to patient residences.

Work Environment

  • Hybrid remote and in office in Los Angeles
  • Patient home setting, up to 30%

Benefits:

As a firm passionate about health care, we're deeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities and a paid parental leave program. You can learn more about our benefits offerings here: https://copehealthsolutions.com/careers/why-cope-health-solutions/.

About COPE Health Solutions
COPE Health Solutions is a national tech-enabled services firm powering success for health plans and for providers in risk arrangements. Our comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. CHS de-risks the roadmap to advanced value-based payment and improves quality and financial performance for providers, health plans and self-insured employers. For more information, visit CopeHealthSolutions.com.

To Apply:

To apply for this position or for more information about COPE Health Solutions, visit us at https://copehealthsolutions.com/careers/open-positions/.

Employment Type: Full-Time

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