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Entry Level Risk Adjustment Coder Jobs in Orange, CA

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 ...

Hoosier, Inc.

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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 · 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 Orange, CA salary details

$16

$29

$46

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

As of Jul 24, 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 popular job titles related to Entry Level Risk Adjustment Coder jobs in Orange, CA? For Entry Level Risk Adjustment Coder jobs in Orange, CA, the most frequently searched job titles are:
What job categories do people searching Entry Level Risk Adjustment Coder jobs in Orange, CA look for? The top searched job categories for Entry Level Risk Adjustment Coder jobs in Orange, CA are:
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

HEDIS Abstractor

Astrana Health, Inc.

Monterey Park, CA • On-site

$27 - $33/hr

Full-time

Posted 12 days ago

Job description

HEDIS Abstractor
Department: Quality - Quality Care Improvement
Employment Type: Full Time
Location: 1600 Corporate Center Dr., Monterey Park, CA 91754
Reporting To: Marie Halbrook
Compensation: $27.00 - $33.00 / hour
Description
The HEDIS Abstractor supports Quality Care Improvement initiatives by conducting comprehensive medical record reviews and abstraction activities to identify and close HEDIS measure care gaps. This role is responsible for ensuring accurate collection, validation, and submission of clinical data in accordance with NCQA HEDIS technical specifications and regulatory guidelines. The HEDIS Abstractor collaborates with internal quality teams, providers, and external audit vendors to improve measure performance, maintain compliance, and support successful HEDIS audits.
What You'll Do
  • Perform medical record abstraction and chart review for HEDIS and quality improvement initiatives
  • Identify and close HEDIS care gaps through accurate review and documentation of clinical records
  • Interpret and apply HEDIS measure specifications, coding guidelines, and NCQA technical requirement
  • Review and validate data for accuracy, completeness, and compliance with HEDIS standards
  • Conduct quality assurance (QA) reviews of abstracted records and audit findings
  • Collaborate with providers, clinics, health plans, and internal departments to obtain required medical documentation
  • Partner with external audit vendors to support medical record retrieval, validation and audit readiness activities
  • Analyze abstraction results and identify trends, discrepancies, or opportunities for process improvement
  • Ensure compliance with HIPAA and all applicable privacy and confidentiality regulations
  • Maintain productivity and accuracy standards while meeting project deadlines
  • Support continuous quality improvement initiatives and assist with reporting activities as needed
  • Other duties as assigned

Qualifications
  • High school diploma or equivalent required; associate or bachelor's degree in healthcare-related field
  • Have at least 2 year of HEDIS abstraction or medical record review experience
  • Strong knowledge of NCQA HEDIS measure specifications and quality improvement processes
  • Proficiency with ICD-10, CPT, HCPCS, and other clinical coding systems
  • Experience performing QA reviews and supporting HEDIS audit activities
  • Familiarity with EMR/EHR systems and healthcare documentation workflows
  • Strong analytical, organizational, and problem-solving skills
  • Excellent attention to detail and accuracy
  • Ability to work independently and manage multiple priorities in a fast-paced environment
  • Strong written and verbal communication skills

You're great for the role if:
  • Certified Professional Coder (CPC), RHIT, RHIA, LVN/LPN, RN, or other healthcare-related certification
  • Experience working with health plans, managed care organizations, or quality improvement departments
  • Knowledge of CMS Stars, risk adjustment, and population health initiatives strongly preferred

Environmental Job Requirements and Working Conditions
  • Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located at 1600 Corporate Center Dr, Monterey Park CA 91754.
  • This role will require travelling locally up to 35% of the time.
  • The annual total compensation target pay range for this role is: $27.00 - $33.00 per hour. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided based on qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

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