1

Hcc Medical Coder Jobs in California (NOW HIRING)

HCC Coordinator

Lancaster, CA · On-site

$23.45 - $31.30/hr

High Desert Medical Group is seeking a full time Coordinator for our HCC Department. This ... Knowledge of CPT and ICD-9 Coding. * Excellent written and verbal communication skills. * Ability ...

Showing results 21-40

Hcc Medical Coder information

See California salary details

$15

$22

$33

How much do hcc medical coder jobs pay per hour?

As of Sep 5, 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 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 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.

Is HCC Medical Coding a good career?

HCC Medical Coding is a growing field that involves assigning hierarchical condition categories to accurately represent patient health status for risk adjustment. It requires strong attention to detail, knowledge of medical terminology, and often certification, making it a stable career with demand in healthcare organizations. Many coders find it to be a rewarding profession with opportunities for remote work and career advancement.

What do HCC Medical Coders do?

HCC Medical Coders review and assign diagnosis codes to patient records to ensure accurate risk adjustment and reimbursement. They use coding systems like ICD-10 and often work with electronic health records, requiring attention to detail and certification in medical coding. Their work supports healthcare billing, compliance, and data analysis.

Which Hcc Medical Coder position pays the most?

Senior HCC Medical Coder positions typically offer the highest salaries within the coding field, often due to increased experience, specialized knowledge, and certification requirements such as CPC or CCS. These roles may also involve complex case reviews and higher responsibility, leading to higher compensation compared to entry-level or intermediate positions.

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:

Infographic showing various Hcc Medical Coder job openings in California as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 16% Part Time, and 5% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $46,027 per year, or $22.1 per hour.

Risk Adjustment Coding Specialist II - Orange County

Astrana Health, Inc.

Orange, CA • Remote

$70K - $85K/yr

Full-time

Re-posted 15 days ago


Key responsibilities

  • Review provider documentation of diagnostic data from medical records to verify compliance with risk adjustment documentation requirements and deliver education to providers.

  • Perform code abstraction and/or coding quality audits of medical records to ensure accurate assignment of ICD-10-CM codes and adherence to CMS Risk Adjustment guidelines.

  • Track and report on key performance metrics such as HCC recapture rates, AWVs, and other KPIs to support provider performance and program success.


Job description

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 hybrid work 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.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.