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Hcc Coder Jobs in California (NOW HIRING)

Astrana Health

Medical Coder

Alhambra, CA · Hybrid

$22 - $26/hr

Extract diagnosis codes (specifically HCC codes) and CPT codes from hospital records. * Reviews medical records to determine if specific disease conditions were correctly reported based on ...

Astrana Health, Inc.

Medical Coder

Monterey Park, CA · Hybrid

$22 - $26/hr

Extract diagnosis codes (specifically HCC codes) and CPT codes from hospital records. * Reviews medical records to determine if specific disease conditions were correctly reported based on ...

syhealth

PACE Medical Coder (Hybrid)

San Diego, CA

$20 - $26.50/hr

Knowledge of ICD-10-CM and HCPCS/CPT, HCC coding & abstracting procedures. * Proficient in typing skills and experience with using computers and software systems. Equipment Used: * General office ...

syhealth

PACE Medical Coder (Hybrid)

San Diego, CA · On-site

$20 - $26.50/hr

Knowledge of ICD-10-CM and HCPCS/CPT, HCC coding & abstracting procedures. * Proficient in typing skills and experience with using computers and software systems. Equipment Used: * General office ...

syhealth

PACE Medical Coder (Hybrid)

San Diego, CA · On-site

$20 - $26.50/hr

Knowledge of ICD-10-CM and HCPCS/CPT, HCC coding & abstracting procedures. * Proficient in typing skills and experience with using computers and software systems. Equipment Used: * General office ...

syhealth

PACE Medical Coder (Hybrid)

San Diego, CA

$20 - $26.50/hr

Knowledge of ICD-10-CM and HCPCS/CPT, HCC coding & abstracting procedures. * Proficient in typing skills and experience with using computers and software systems. Equipment Used: * General office ...

San Ysidro Health

PACE Medical Coder (Hybrid)

San Diego, CA · On-site

$29.85 - $37.98/hr

Knowledge of ICD-10-CM and HCPCS/CPT, HCC coding & abstracting procedures. * Proficient in typing skills and experience with using computers and software systems. Equipment Used: * General office ...

syhealth

PACE Medical Coder (Hybrid)

San Diego, CA

$20 - $26.50/hr

Knowledge of ICD-10-CM and HCPCS/CPT, HCC coding & abstracting procedures. * Proficient in typing skills and experience with using computers and software systems. Equipment Used: * General office ...

syhealth

PACE Medical Coder (Hybrid)

San Diego, CA

$20 - $26.50/hr

Knowledge of ICD-10-CM and HCPCS/CPT, HCC coding & abstracting procedures. * Proficient in typing skills and experience with using computers and software systems. Equipment Used: * General office ...

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All JobsHcc Coder JobsHcc Coder Jobs in California

Hcc Coder information

See California salary details

$15

$22

$33

How much do hcc coder jobs pay per hour?

As of Jul 27, 2026, the average hourly pay for hcc coder in California is $22.13, according to ZipRecruiter salary data. Most workers in this role earn between $17.79 and $23.70 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an HCC Coder, and why are they important?

To thrive as an HCC Coder, you need a solid understanding of medical coding, risk adjustment models, and ICD-10-CM coding guidelines, often supported by certifications such as CPC, CRC, or CCS. Familiarity with coding software, electronic health records (EHR) systems, and risk adjustment tools is typically required. Attention to detail, analytical thinking, and strong organizational skills distinguish top performers in this field. These competencies are crucial for ensuring accurate coding, compliant documentation, and optimal reimbursement for healthcare organizations.

How to become an HCC coder?

To become an HCC (Hierarchical Condition Category) coder, you typically need a medical coding certification such as CPC or CCS, along with specialized training in HCC coding and risk adjustment. Gaining experience in medical billing and coding, understanding medical documentation, and staying current with CMS guidelines are also important steps.

Is HCC coding a good career?

HCC coding, which involves Hierarchical Condition Category coding used for risk adjustment in healthcare, is a growing field with steady demand due to the expansion of value-based care models. It requires strong attention to detail, knowledge of medical terminology, and often certification such as CPC or CCS. The career can offer stable employment and opportunities for remote work, making it a viable option for those interested in medical coding and healthcare administration.

What is the difference between Hcc Coder vs Medical Biller?

AspectHcc CoderMedical Biller
CertificationsHCC Coding Certification, CPCMedical Billing Certification, CPC
Work EnvironmentHospitals, clinics, insurance companiesMedical offices, billing companies, hospitals
Primary FocusAssigning Hierarchical Condition Category codes for insurance risk adjustmentProcessing insurance claims and patient billing
Industry UsageHealthcare, insuranceHealthcare, insurance

Hcc Coders specialize in assigning codes for insurance risk adjustment, focusing on Hierarchical Condition Categories, while Medical Billers handle the billing process, submitting claims and managing payments. Both roles require coding knowledge and work in healthcare settings, but their primary responsibilities differ significantly.

What are some common challenges faced by HCC Coders, and how can they be addressed?

HCC Coders often encounter challenges such as interpreting complex medical records, staying current with changing coding guidelines, and ensuring accurate documentation to maximize risk adjustment scores. To address these, coders can participate in ongoing training, regularly review updates from CMS and other regulatory bodies, and collaborate closely with clinical staff to clarify ambiguous documentation. Leveraging coding software and auditing processes can also help maintain accuracy and compliance in daily work.

What does an HCC coder do?

An HCC coder reviews medical records and assigns Hierarchical Condition Category (HCC) codes to accurately reflect a patient's health conditions. This coding is used for risk adjustment in healthcare reimbursement and requires knowledge of medical terminology, coding systems, and often certification in medical coding. HCC coders ensure proper documentation and coding to support accurate billing and risk assessment.

How much do HCC medical coders make in the US?

HCC medical coders in the US typically earn between $45,000 and $70,000 annually, depending on experience, certification, and location. Skilled coders with certifications like CPC or CCS may earn higher salaries, especially in healthcare hubs or with specialized knowledge of hierarchical condition categories (HCC).

What are HCC coders?

HCC coders are medical coding professionals who specialize in Hierarchical Condition Category (HCC) coding. They review patient medical records to identify and assign appropriate diagnosis codes, ensuring accurate risk adjustment for Medicare Advantage and other value-based care programs. Their work is critical for healthcare organizations to receive proper reimbursement and to report patient health status accurately. HCC coders must understand both clinical documentation and coding guidelines to ensure compliance and optimize coding accuracy.
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What are popular job titles related to Hcc Coder jobs in California? For Hcc Coder jobs in California, the most frequently searched job titles are:
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Hcc Coder jobs near you
Infographic showing various Hcc Coder job openings in California as of July 2026, with employment types broken down into 1% As Needed, 85% Full Time, 11% Part Time, and 3% Contract. Highlights an 65% Physical, 2% Hybrid, and 33% Remote job distribution, with an average salary of $46,027 per year, or $22.1 per hour.
HEALTH CODER - HCC & RISK ADJUSTMENT

HEALTH CODER - HCC & RISK ADJUSTMENT

North East Medical Services

Burlingame, CA • On-site

$42.79 - $48.75/hr

Other

Posted 11 days ago

Job description

The Healthcare Coder plays a critical role in supporting accurate and compliant coding for NEMS MSO operations with a focus on Medicare Risk Adjustment (RA) programs. This position ensures accurate capture of Hierarchical Condition Category (HCC) coding and improves risk adjustment scores by conducting chart audits, providing provider education, and supporting clinical documentation improvement (CDI) initiatives. The Healthcare Coder will collaborate closely with providers, clinical staff, and leadership to improve coding accuracy and compliance, directly impacting the organization's quality outcomes and financial performance.
ESSENTIAL JOB FUNCTIONS:
  • HCC Coding and Risk Adjustment (RA) Program Support
    • Perform comprehensive review of patient charts to identify and validate diagnosis codes in alignment with HCC and risk adjustment guidelines.
    • Ensure all coding adheres to CMS and ICD-10 guidelines, focusing on accuracy, completeness, and compliance.
    • Conduct prospective and retrospective chart audits to assess risk adjustment coding accuracy.
  • Provider Training and Clinical Documentation Improvement (CDI)
  • Develop and deliver provider education sessions and materials on best practices for clinical documentation and HCC/RA coding.
  • Provide one-on-one and group training to providers and clinical staff to improve documentation quality and accuracy.
  • Serve as a resource and subject matter expert on HCC, risk adjustment, and related coding standards.
  • Data Analysis and Reporting
    • Analyze coding data to identify trends, documentation gaps, and opportunities for improvement.
    • Generate reports and dashboards to track coding performance and documentation accuracy.
    • Collaborate with the Quality and Analytics teams to optimize risk adjustment processes.
  • Compliance and Continuous Improvement
    • Stay up to date with changes in coding, risk adjustment, and Medicare regulations.
    • Assist in the development and implementation of internal coding policies and procedures.
    • Participate in quality improvement initiatives related to coding and documentation.
    • Performs other job duties as required by manager/supervisor

  • Education & Certification:
    • BS/BA Degree in Health Science or General Education is required.
    • Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC), or equivalent coding certification is required.
    • Additional CDI or auditing certifications (CCDS, CDEO, CPMA) are preferred.
  • Experience:
    • Minimum of 3 years of experience in medical coding with a focus on HCC, risk adjustment, and Medicare Advantage programs.
    • Experience in provider education, clinical documentation improvement (CDI), and chart audits.
    • Previous experience working in an IPA, managed care organization, or similar setting is strongly preferred.
  • Skills & Competencies:
    • Excellent communication, presentation, and interpersonal skills.
    • Strong understanding of CMS guidelines for Medicare Advantage and risk adjustment program.
    • Exceptional knowledge of ICD-10-CM coding and HCC risk adjustment coding methodologies.
    • Proficiency in electronic health records (EHR) and coding software.
    • Strong analytical and problem-solving skills.

LANGUAGE:
  • Must be able to fluently speak, read and write English.
  • Fluency in other languages is an asset.

STATUS:
  • This is an FLSA Non-exempt position.
  • This is not an OSHA high-risk position.
  • This a full-time position.

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