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Entry Level Risk Adjustment Coder Jobs in Orange, CA

Humana

Senior Coding Educator

Los Angeles, CA

Certified Risk Coder (CRC) * Experience interacting with healthcare providers * Medicare Risk Adjustment knowledge * Analyzing data to build unique education strategies in PowerBi Additional ...

Humana

Senior Coding Educator

Los Angeles, CA

Certified Risk Coder (CRC) * Experience interacting with healthcare providers * Medicare Risk Adjustment knowledge * Analyzing data to build unique education strategies in PowerBi Additional ...

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 ...

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Entry Level Risk Adjustment Coder information

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$16

$29

$46

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

As of Jun 29, 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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Entry Level Risk Adjustment Coder jobs near you
Senior Coding Educator

Senior Coding Educator

Humana

Los Angeles, CA

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 20 days ago

Humana rating

7.9

Company rating: 7.9 out of 10

Based on 260 frontline employees who took The Breakroom Quiz

156th of 263 rated insurance

Job description

Become a part of our caring community
The Senior Coding Educator identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. You will report to the Manager, Coding Education

As the Senior Coding Educator you will be

  • Responsible for creating and executing the risk adjustment strategy for each provider groups.

  • Analyze data and reporting and provides educational sessions with providers aimed at quality of care, documentation and coding improvements.

  • Collaboration with relationship owners and HQRI

  • Monitor and develops strategy with Coding educator and leader, tailor's provider group webinars and discussions based on various MRA topics.

  • Creates compliant PowerPoint Presentations tailored to group strategy


Use your skills to make an impact

Required Qualifications

  • AAPC CPC (Certified Professional Coder) Certification

  • 2 or more years of medical record review knowledge

  • Familiar with coding guidelines (i.e. ICD-9/ICD-10)

  • Reside in LA or MS or willing to relocate within 6 months

  • Microsoft Word (creating documents) and Excel (formulas, pivot tables)

  • PowerPoint (creating and presenting)

  • Analyzing Data to drive process improvement

  • Experience with public speaking /presentation skills

Preferred Qualifications

  • Bachelor's degree

  • Shreveport, LA within an hour

  • Certified Risk Coder (CRC)

  • Experience interacting with healthcare providers

  • Medicare Risk Adjustment knowledge

  • Analyzing data to build unique education strategies in PowerBi

Additional Information

Work at home - with ability to travel (up to 35% to surrounding provider offices)

In person meetings, quarterly

HireVue

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Work at Home

To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership.

  • Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

  • Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.

  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

#LI-BB1

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


$71,100 - $97,800 per year


This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

What Humana employees say

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About Humana

Sourced by ZipRecruiter

Humana Inc., headquartered in Louisville, KY., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Louisville, KY, US

Year founded

1961

Social media

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