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Entry Level Risk Adjustment Coder Jobs in Orange, CA

Aledade

Clinical Risk Educator, Remote

Los Angeles, CA · On-site

Current medical coding certification such as Certified Professional Coder (CPC), Certified Coding Specialist - Physician-based (CCS-P), Certified Risk Adjustment Coder (CRC), Certified Clinical ...

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 · On-site

$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 ...

Astrana Health

Medical Coder

Alhambra, CA · Hybrid

$22 - $26/hr

Risk adjustment experience preferred * Additional experience with HCC coding preferred * Our organization follows a hybrid work structure where the expectation is to work both in office and at home ...

Astrana Health, Inc.

Medical Coder

Monterey Park, CA · Hybrid

$22 - $26/hr

Risk adjustment experience preferred * Additional experience with HCC coding preferred Environmental Job Requirements and Working Conditions * Our organization follows a hybrid work structure where ...

Urrly

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 * ...

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Entry Level Risk Adjustment Coder information

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

As of Jun 8, 2026, the average hourly pay for entry level risk adjustment coder in Orange, CA is $29.37, according to ZipRecruiter salary data. Most workers in this role earn between $20.29 and $36.97 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 Orange, CA? The most popular types of Risk Adjustment Coder jobs in Orange, CA are:
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What cities near Orange, CA are hiring for Entry Level Risk Adjustment Coder jobs? Cities near Orange, CA with the most Entry Level Risk Adjustment Coder job openings:
Entry Level Risk Adjustment Coder jobs near you
Certified Coder (Risk Adjustment Experience Required) - REMOTE

Certified Coder (Risk Adjustment Experience Required) - REMOTE

Molina Healthcare

Long Beach, CA • Remote

$24.50 - $33.50/hr

Full-time

Posted 10 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 192 frontline employees who took The Breakroom Quiz

145th of 260 rated insurance

Job description

JOB DESCRIPTION Job SummaryProvides support for medical coding activities, including ensuring that ICD-10 and CPT codes are reported accurately to maintain compliance, and minimize risk and denials. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
Performs on-going member medical chart reviews. Abstracts and reports ICD-10 and CPT diagnosis codes accurately and in compliance with established coding and billing principles - minimizing risk and denials.
Demonstrates understanding of current provider office billing practices - ensuring that diagnosis and CPT codes are submitted accurately.
Documents results/findings from chart reviews and provides feedback to leadership, providers and office staff.
Provides training and education to provider network regarding risk adjustment and coding updates related to risk adjustment.
Builds positive relationships between providers and the business by providing coding assistance as needed.
Facilitates administrative duties such as planning, chart reviews scheduling, medical records procurement, provider training and education.
Assists in coordination of management activities with other departments including finance, revenue analytics, claims, encounters and enterprise/plan medical directors.
Maintains professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks and participating in professional societies related to medical coding in the managed care industry.
Required Qualifications At least 2 years medical coding experience, or equivalent combination of relevant education and experience.
Certified Professional Coder (CPC).
Certified Coding Specialist (CCS).
Latest Centers for Medicare and Medicaid Services (CMS) and American Hospital Association (AHA) clinic coding knowledge.
Ability to maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
Ability to effectively interface with staff, clinicians, and management.
Excellent verbal and written communication skills.
Ability to establish and maintain positive and effective work relationships with coworkers, members, providers and all other customers.
Strong verbal and written communication skills.
Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
Certified Risk Adjustment Coder (CRC).
Certified Professional Payer - Payer (CPC-P).
Certified Coding Specialist - Physician Based (CCS-P).
Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model.
Background in supporting risk adjustment management activities and clinical informatics.
Experience with risk adjustment data validation.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
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

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