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Hcc Medical Coder Jobs in California (NOW HIRING)

syhealth

PACE Medical Coder (Hybrid)

San Diego, CA

$20 - $26.50/hr

The PACE Medical Coder will review clinical documentation and diagnostic results as necessary to ... Knowledge of ICD-10-CM and HCPCS/CPT, HCC coding & abstracting procedures. * Proficient in typing ...

San Ysidro Health

PACE Medical Coder (Hybrid)

San Diego, CA · On-site

$29.85 - $37.98/hr

The PACE Medical Coder will review clinical documentation and diagnostic results as necessary to ... Knowledge of ICD-10-CM and HCPCS/CPT, HCC coding & abstracting procedures. * Proficient in typing ...

syhealth

PACE Medical Coder (Hybrid)

San Diego, CA · On-site

$20 - $26.50/hr

The PACE Medical Coder will review clinical documentation and diagnostic results as necessary to ... Knowledge of ICD-10-CM and HCPCS/CPT, HCC coding & abstracting procedures. * Proficient in typing ...

syhealth

PACE Medical Coder (Hybrid)

San Diego, CA · On-site

$20 - $26.50/hr

The PACE Medical Coder will review clinical documentation and diagnostic results as necessary to ... Knowledge of ICD-10-CM and HCPCS/CPT, HCC coding & abstracting procedures. * Proficient in typing ...

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All JobsHcc Medical Coder JobsHcc Medical Coder Jobs in California

Hcc Medical Coder information

See California salary details

$15

$22

$33

How much do hcc medical coder jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for hcc medical 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 is an HCC medical coder?

HCC Medical Coders are healthcare professionals who specialize in assigning diagnostic codes to patient medical records, specifically using the Hierarchical Condition Category (HCC) coding system. This system is used primarily for risk adjustment in Medicare Advantage and other value-based care programs. HCC coders review medical documentation to ensure accurate and complete coding, which directly impacts reimbursement and ensures compliance with regulations. Their work helps healthcare organizations receive appropriate funding based on the health status and complexity of their patient population.

What is the difference between Hcc Medical Coder vs Medical Coder?

AspectHcc Medical CoderMedical Coder
CertificationsAHIMA or AAPC certifications, familiarity with HCC codingCPMA, CPC, or CCS certifications, general coding knowledge
Work EnvironmentHealthcare facilities, insurance companies, risk adjustment teamsHospitals, clinics, physician offices
Industry UsagePrimarily in risk adjustment, Medicare Advantage, and insurance billingGeneral medical billing and coding across various specialties

The main difference between an Hcc Medical Coder and a Medical Coder lies in their focus areas. Hcc Medical Coders specialize in risk adjustment coding using Hierarchical Condition Categories, often working with insurance companies and Medicare Advantage plans. Medical Coders have a broader scope, handling various medical billing and coding tasks across healthcare settings. Both roles require certification, but Hcc Medical Coders need specific knowledge of HCC coding systems and risk adjustment processes.

What are some common challenges an HCC medical coder faces when ensuring coding accuracy for risk adjustment purposes?

HCC Medical Coders often encounter challenges such as incomplete or ambiguous physician documentation, which can make it difficult to assign the correct Hierarchical Condition Category (HCC) codes. Staying updated with frequent changes in coding regulations and payer requirements also requires ongoing education. Additionally, maintaining high productivity while ensuring 100% accuracy is crucial, as errors can impact both patient care outcomes and reimbursement for healthcare organizations. Collaborating closely with providers to clarify documentation and participating in regular audits are important aspects of overcoming these challenges.

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

To thrive as an HCC Medical Coder, you need a thorough understanding of ICD-10-CM coding guidelines, risk adjustment methodologies, and a relevant coding certification such as CPC or CRC. Familiarity with electronic health record (EHR) systems and medical coding software is essential for accurate and efficient data entry. Attention to detail, analytical thinking, and strong organizational skills set top performers apart in this role. These skills ensure accurate risk adjustment coding, regulatory compliance, and optimized reimbursement for healthcare organizations.
What are the most commonly searched types of Hcc Medical Coder jobs in California? The most popular types of Hcc Medical Coder jobs in California are:
What are popular job titles related to Hcc Medical Coder jobs in California? For Hcc Medical Coder jobs in California, the most frequently searched job titles are:
What job categories do people searching Hcc Medical Coder jobs in California look for? The top searched job categories for Hcc Medical Coder jobs in California are:
Hcc Medical Coder jobs near you
Infographic showing various Hcc Medical Coder job openings in California as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $46,027 per year, or $22.1 per hour.

HEALTH CODER - HCC & RISK ADJUSTMENT

North East Medical Services

Burlingame, CA • On-site

$42.79 - $48.75/hr

Other

Re-posted 26 days ago

Job description

Health Coder - Hcc & Risk Adjustment

Burlingame, CA 94010

Overview

Salary Range $42.79 - $48.75 Hourly

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
Qualifications
  • 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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