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Freelance Remote Risk Adjustment Coder Jobs in California

Circadia Health

Provider Operations Coordinator

El Segundo, CA · Remote

$50K - $70K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

Experience with payer audits, ADRs, SIU requests, or Medicare Risk Adjustment/HCC documentation. * Familiarity with remote patient monitoring (RPM/RTM) billing and CPT coding basics. * Experience ...

Ennoble Care

Actuary

San Diego, CA · Remote

$150/hr

Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health ... Thorough understanding of and hands-on experience with Medicare risk adjustment and CMS-HCC models

Ennoble Care

Actuary

San Francisco, CA · Remote

$150/hr

Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health ... Thorough understanding of and hands-on experience with Medicare risk adjustment and CMS-HCC models

Ethos Risk Services

Bill Review Specialist

Lake Forest, CA · On-site +1

$20.25 - $28/hr

Ethos Risk Services is a leading provider of workers' compensation medical management ... Our dynamic Bill Review team is seeking a full-time Bill Review Specialist (REMOTE) to review ...

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Freelance Remote Risk Adjustment Coder information

What is a freelance remote risk adjustment coder?

Freelance Remote Risk Adjustment Coders are healthcare professionals who work independently from various locations to review medical records and assign codes that reflect patients’ health conditions and treatments, focusing on risk adjustment models. Their primary role is to ensure accuracy in coding so that healthcare organizations receive appropriate reimbursement and maintain compliance with regulatory standards. These coders typically work on a contract basis, using secure digital platforms to access records and submit their coding work. They must be highly knowledgeable in ICD-10-CM coding guidelines, risk adjustment methodologies (such as HCC), and HIPAA regulations.

What are the key skills and qualifications needed to thrive as a freelance remote risk adjustment coder?

Thriving as a Freelance Remote Risk Adjustment Coder requires deep knowledge of medical coding (especially ICD-10-CM), risk adjustment models, and compliance standards, typically verified by certifications like CRC, CPC, or CCS. Proficiency with coding software, EHR systems, and secure remote work platforms is essential for accurate and efficient coding. Strong attention to detail, self-motivation, and reliable communication are vital soft skills for managing independent workloads and collaborating with clients remotely. These abilities ensure accurate risk score calculations, regulatory compliance, and successful client relationships in a virtual work environment.

How do freelance remote risk adjustment coders typically manage communication and workflow with healthcare clients and team members?

Freelance Remote Risk Adjustment Coders commonly use secure online platforms and project management tools to receive assignments, submit coded charts, and communicate with healthcare providers or project managers. Maintaining clear and prompt communication via email or dedicated messaging systems is crucial to clarify documentation, resolve coding queries, and ensure deadlines are met. Coders must be proactive in scheduling regular check-ins and staying updated on client-specific guidelines, as workflows can be fast-paced and require strong organizational skills. Collaboration often involves working independently but also participating in virtual meetings or training sessions to stay aligned with team quality standards.

What are the most commonly searched types of Remote Risk Adjustment Coder jobs in California?

The most popular types of Remote Risk Adjustment Coder jobs in California are:

What are popular job titles related to Freelance Remote Risk Adjustment Coder jobs in California?

For Freelance Remote Risk Adjustment Coder jobs in California, the most frequently searched job titles are:

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The top searched job categories for Freelance Remote Risk Adjustment Coder jobs in California are:

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Freelance Remote Risk Adjustment Coder jobs near you

Provider Operations Coordinator

Circadia Health

El Segundo, CA • Remote

$50K - $70K/yr

Full-time

Posted 7 days ago

Job description

About Circadia Health

Circadia Health is a growth-stage healthcare AI company on a mission to prevent avoidable hospitalizations and transform senior-care operations. Our Circadia Intelligence Platform combines:

  • Contactless sensing that monitors respiration and motion with medical-grade accuracy

  • Native predictive models that detect 85% of preventable adverse events several days in advance

  • Enterprise integrations that operationalize predictions directly inside EHR, care-coordination, billing, and compliance workflows

Today, our technology touches 40,000+ post-acute patients daily across skilled-nursing, home-health, and home-care networks. We are backed by leading healthcare and AI investors and headquartered in El Segundo, CA.


About the Role

As Circadia's Provider Ops Coordinator, you'll work directly with our Provider Operations team to manage the full lifecycle of incoming medical records requests, coordinating closely with the RCM team as needed. You'll be the person who logs, tracks, prepares, and reviews these requests to make sure the right documentation goes out accurately and on time.
This role is based out of our headquarters in El Segundo, CA.
What You'll Do
  • Log and track all incoming medical records requests across payer portals, fax, mail, and email, maintaining accurate records of deadlines, reference numbers, and status.
  • Prepare and consolidate required documentation into complete, organized packets for each request.
  • Review packets for accuracy, including patient identity, dates, and completeness, prior to submission.
  • Submit completed packets to the requesting payer or entity through the appropriate channel and confirm receipt when required.
  • Identify and escalate missing, inconsistent, or questionable documentation before it impacts a submission.
  • Collaborate with the Revenue Cycle Management (RCM) team and Physician Operations to source claims, billing, and provider documentation needed for audit responses.
  • Maintain and update the request tracking log, escalating at-risk deadlines proactively.
  • Maintain organized digital recordkeeping to support compliance and audit readiness.
How Success is Measured (KPIs)
  • Submission packets are accurate and complete, with no cross-patient or documentation errors, prior to submission.
  • Zero missed payer deadlines across the active caseload.
  • Documentation gaps or inconsistencies are identified and flagged internally prior to submission.
  • The request tracking log remains current and accurate at all times.
Must-Have Qualifications
  • Minimum 2 years of experience in a high-paced medical office setting, managing incoming medical records requests and compiling clinical documentation.
  • Working knowledge of medical records workflows, HIPAA requirements, and release-of-information processes.
  • Experience working with EHR systems.
  • High attention to detail, with the ability to accurately cross-reference dates, patient identifiers, and documentation across multiple sources.
  • Strong organizational skills, with the ability to coordinate multiple requests and deadlines simultaneously without losing track of status or priority.
  • Comfortable learning and adapting to new software tools and digital filing systems.
  • Strong written and verbal communication skills.
  • Ability to thrive in a dynamic, evolving startup environment.
Nice-to-Haves
  • Experience with payer audits, ADRs, SIU requests, or Medicare Risk Adjustment/HCC documentation.
  • Familiarity with remote patient monitoring (RPM/RTM) billing and CPT coding basics.
  • Experience working in or with skilled nursing facilities (SNFs).
  • Experience with esMD, Kiteworks, or other secure health information exchange portals.
  • Proficient with PDF tools, spreadsheets, and document assembly software.

As a full-time Provider Ops Coordinator, you will be employed by Circadia Health, Inc. The anticipated annual base salary range for this full-time position is $50,000 - $70,000. The base range is determined by role and level, and placement within the range will depend on a number of job-related factors, including but not limited to your skills, qualifications, experience, and location.

Annual salary is only one part of an employee's total compensation package at Circadia Health. We also offer:

  • 100% company-paid medical, dental, and vision coverage
  • 401(k)
  • Competitive time off with pay policies including vacation, sick days, and company holidays
  • Impact: your work will influence care decisions for tens of thousands of seniors every day.
  • Culture: hard-working, mission-driven, and collaborative — with weekly and monthly social events like yoga, beach bonfires, and Wednesday/Friday team lunches.
Circadia Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All employment decisions are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, or any other status protected by law.

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.