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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.

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

HDR

Commercial Manager Specialist

Los Angeles, CA · On-site

... of Design Team Risk 3. Assist with Schedule Adjustments for Change Order #LI-JF1 Keywords ... Design build experience * Ability to do low code programming is a plus (e.g. QuickBase)

HDR

Commercial Manager Specialist

Los Angeles, CA

Design build experience * Ability to do low code programming is a plus (e.g. QuickBase ... * Entry level positions are possible with a bachelor's degree in architecture, business, law or ...

Cox Automotive

Entry Level Software Engineer

Stanton, CA · On-site

$74K - $111K/yr

Risk-taking is encouraged here and we reward great results. Collaboration and support are woven ... code reviews, internal tools and process improvements - Evangelize new ideas within your team ...

Cox Automotive

Entry Level Software Engineer

Corona, CA · On-site

$74K - $111K/yr

Risk-taking is encouraged here and we reward great results. Collaboration and support are woven ... code reviews, internal tools and process improvements - Evangelize new ideas within your team ...

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Entry Level Risk Adjustment Coder information

See Orange, CA salary details

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$29

$46

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

As of Jun 30, 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.

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Entry Level Risk Adjustment Coder jobs near you

HEDIS Abstractor (NorCal Region)

Astrana Health

Monterey Park, CA • Hybrid

$27 - $33/hr

Full-time

Posted 17 days ago

Key responsibilities

  • Perform medical record abstraction and chart review for HEDIS and quality improvement initiatives.

  • Collaborate with providers, clinics, health plans, internal departments, and external audit vendors to obtain medical documentation and support audit activities.

  • Review, validate, and submit clinical data in accordance with HEDIS standards and NCQA technical specifications.

Job 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. 
  • 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
  • High school diploma or equivalent required; associate or bachelor's degree in healthcare-related field
  • Have at least 2 years 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
  • Our organization follows a hybrid work structure. This role will require travelling locally to provider offices located in San Francisco bay area for up to 35% of the time. When not conducting onsite visits, the role supports remote work.
  • 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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