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Entry Level Risk Adjustment Coder Jobs in Riverside, CA

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

... 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 ...

Sulzer AG

Helper Mechanic

Orange, CA

$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 ...

San Manuel Casino

Electrician

Highland, CA

Inspects electrical systems, equipment, and components to identify hazards, defects, and the need for adjustment or repair and ensures code compliance. Installs computer, telephone, communication ...

Monster Energy

AP Lead

Corona, CA · On-site

$51K - $67K/yr

We're the risk-takers, the trailblazers, the game-changers. We're not perfect, and we don't pretend ... proper coding, and full compliance with audit standards, as well as ad hoc responsibilities.

TST MASTER

General Maintenance Technician 2

Fontana, CA · On-site

$26.50 - $32.50/hr

Insures work performed is in compliance with recognized Standard Codes, OSHA regulations and any ... Observes functioning of installed equipment or system to detect hazards and need for adjustments ...

TST MASTER

General Maintenance Technician 2

Fontana, CA · On-site

$26.50 - $32.50/hr

Insures work performed is in compliance with recognized Standard Codes, OSHA regulations and any ... Observes functioning of installed equipment or system to detect hazards and need for adjustments ...

Corvel

CA Utilization Review Nurse I

Rancho Cucamonga, CA · Remote

$30.64 - $45.80/hr

Must have thorough knowledge of both CPT and ICD coding * Ability to interface with claims staff ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Corvel

CA Utilization Review Nurse I

Rancho Cucamonga, CA · On-site

$30.64 - $45.80/hr

Must have thorough knowledge of both CPT and ICD coding * Ability to interface with claims staff ... The level may impact the salary range and these adjustments would be clarified during the offer ...

CorVel

CA Utilization Review Nurse I

Rancho Cucamonga, CA · On-site

$30.64 - $45.80/hr

Must have thorough knowledge of both CPT and ICD coding * Ability to interface with claims staff ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Monster Energy

AP Lead

Corona, CA · On-site

$24 - $32/hr

We're the risk-takers, the trailblazers, the game-changers. We're not perfect, and we don't pretend ... proper coding, and full compliance with audit standards, as well as ad hoc responsibilities.

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All JobsRisk Adjustment Coder JobsEntry Level Risk Adjustment Coder JobsEntry Level Risk Adjustment Coder Jobs in Riverside, CA

Entry Level Risk Adjustment Coder information

See Riverside, CA salary details

$16

$28

$45

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 Riverside, CA is $28.68, according to ZipRecruiter salary data. Most workers in this role earn between $19.81 and $36.11 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.

What are the most commonly searched types of Risk Adjustment Coder jobs in Riverside, CA? The most popular types of Risk Adjustment Coder jobs in Riverside, CA are:
What are popular job titles related to Entry Level Risk Adjustment Coder jobs in Riverside, CA? For Entry Level Risk Adjustment Coder jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Entry Level Risk Adjustment Coder jobs in Riverside, CA look for? The top searched job categories for Entry Level Risk Adjustment Coder jobs in Riverside, CA are:
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Entry Level Risk Adjustment Coder jobs near you
Infographic showing various Entry Level Risk Adjustment Coder job openings in Riverside, CA as of August 2026, with employment types broken down into 100% Full Time. Highlights an 71% In-person, and 29% Remote job distribution, with an average salary of $59,656 per year, or $28.7 per hour.

Risk Adjustment Coding Specialist II - Orange County

Astrana Health, Inc.

Orange, CA • On-site

$70K - $85K/yr

Other

Re-posted 20 days ago

Job description

Risk Adjustment Coding Specialist II - Orange County
Department: Quality - Risk Adjustment
Employment Type: Full Time
Location: 600 City Parkway West 10th Floor, Orange, CA 92868
Reporting To: Yuvone Washington-Oshon
Compensation: $70,000 - $85,000 / year
Description
We are currently seeking a highly motivated Risk Adjustment Coding Specialist to support our Orange County market. In this role, you will support risk adjustment efforts by conducting high-volume chart reviews to identify coding gaps, trends, and opportunities for improved accuracy for our providers. You'll translate your findings into actionable insights, creating and delivering education to providers and practice leaders while navigating complex conversations. Additionally, you'll track and report on key performance metrics-such as HCC recapture rates, AWVs, and other KPIs, helping drive provider performance and overall program success.
We are seeking candidates who have experience with risk adjustment experience, and we are open to training those without previous provider education experience! This position requires travel to provider offices up to 50% of the time OC.
Our Values:
  • Put Patients First
  • Empower Entrepreneurial Provider and Care Teams
  • Operate with Integrity & Excellence
  • Be Innovative
  • Work As One Team
What You'll Do
  • Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum, as appropriate for all IPAs managed by the company
  • Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC)
  • Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines
  • Interacts with physicians regarding coding, billing, documentation policies, procedures, and conflicting/ambiguous or non-specific documentation
  • Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing
  • Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements.
  • Provides recommendations to management related to process improvements, root-cause analysis, and/or barrier resolution applicable to Risk Adjustment initiatives.
  • Trains, mentors and supports new employees during the orientation process. Functions as a resource to existing staff for projects and daily work.
  • Provides peer to peer guidance through informal discussion and overread assignments. Supports coder training and orientation as requested by manager.
  • May assist or lead projects and/or higher work volume than Risk Adjustment Coding Specialist I
  • Other duties as assigned
Qualifications
  • Required Certification/Licensure: Must possess and maintain AAPC or AHIMA certification - Certified Coding Specialist (CCS-P), CCS, or CPC.
  • At least 3 years of experience in risk adjustment coding and/or billing experience required
  • Reliable transportation/Valid Driver's License/Must be able to travel up to 75% of work time
  • PC skills and experience using Microsoft applications such as Word, Excel, and Outlook
  • Excellent presentation, verbal and written communication skills, and ability to collaborate
  • Must possess the ability to educate and train provider office staff members
  • Proficiency with healthcare coding software and Electronic Health Records (EHR) systems.
You're great for this role if:
  • Strong billing knowledge and/or Certified Professional Biller (CPB) through APPC
  • Certified Risk Adjustment Coder (CRC) and/or Risk Adjustment coding experience
  • Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage
  • Strong PowerPoint and public speaking experience
  • Ability to work independently and collaborate in a team setting
  • Experience with Monday.com
  • Experience collaborating with, educating, and presenting to provider teams in a face-to-face setting
Environmental Job Requirements and Working Conditions
  • The national target pay range for this role is $70,000 - $85,000 per year. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
  • This role follows a hybridwork structure where the expectation is to work on the field and at home on a weekly basis. This position requires up to 75% travel to provider offices in Orange County.

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon 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 on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.comto 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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