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Hcc Risk Adjustment Coder Jobs in California (NOW HIRING)

Astiva Health

Healthcare Data Analyst

Orange, CA · On-site

$85K - $115K/yr

Knowledge of HCC risk adjustment, RAF methodologies, capitation payment model, DOFR, claim processing, bid design, and CMS regulatory requirements. * Experience analyzing pharmacy adherence metrics ...

Astiva Health

Healthcare Data Analyst

Orange, CA

$85K - $115K/yr

Knowledge of HCC risk adjustment, RAF methodologies, capitation payment model, DOFR, claim processing, bid design, and CMS regulatory requirements. * Experience analyzing pharmacy adherence metrics ...

Humana

Medical Coder

Vacaville, CA · On-site +1

$21.25 - $28.25/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you will * Arrange educational sessions with assigned providers aimed at quality of care and ...

Humana

Medical Coder

Vacaville, CA · On-site +1

$21.25 - $28.25/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you will * Arrange educational sessions with assigned providers aimed at quality of care and ...

Humana

Medical Coder

Vacaville, CA · On-site +1

$21.25 - $28.25/hr

Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you will * Arrange educational sessions with assigned providers aimed at quality of care and ...

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All JobsHcc Risk Adjustment Coder JobsHcc Risk Adjustment Coder Jobs in California

Hcc Risk Adjustment Coder information

See California salary details

$15

$27

$42

How much do hcc risk adjustment coder jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for hcc risk adjustment coder in California is $27.13, according to ZipRecruiter salary data. Most workers in this role earn between $18.75 and $34.18 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Hcc Risk Adjustment Coder position, and why are they important?

To thrive as an HCC Risk Adjustment Coder, you need a solid understanding of medical coding, ICD-10-CM coding guidelines, and clinical documentation, often demonstrated by a certification such as CPC, CRC, or CCS-P. Familiarity with EHR systems, risk adjustment software, and coding databases is commonly required. Attention to detail, analytical thinking, and strong communication skills set top coders apart in this field. These skills are critical for accurately capturing patient risk, ensuring compliance, and supporting optimal reimbursement for healthcare organizations.

What are some common challenges faced by HCC Risk Adjustment Coders, and how can they overcome them?

HCC Risk Adjustment Coders often encounter challenges such as incomplete or ambiguous provider documentation, frequent code updates, and tight coding accuracy standards. Staying current on industry coding guidelines, maintaining open communication with providers, and participating in regular training programs are essential strategies for overcoming these hurdles. Coders who proactively seek clarification, double-check their work, and embrace ongoing learning typically excel in this role. Addressing these challenges effectively not only improves coding quality but also supports accurate reimbursement and risk adjustment reporting.

What is an HCC Risk Adjustment Coder job?

An HCC Risk Adjustment Coder reviews medical records to identify and assign accurate Hierarchical Condition Category (HCC) codes based on documented diagnoses. These codes help determine risk adjustment scores, which impact healthcare reimbursements for Medicare Advantage and other risk-adjusted plans. Coders ensure compliance with CMS guidelines, improve documentation accuracy, and support proper reimbursement for patient care. Strong knowledge of ICD-10-CM coding, medical terminology, and risk adjustment models is essential for this role.

What are the most commonly searched types of Hcc Risk Adjustment Coder jobs in California? The most popular types of Hcc Risk Adjustment Coder jobs in California are:
What are popular job titles related to Hcc Risk Adjustment Coder jobs in California? For Hcc Risk Adjustment Coder jobs in California, the most frequently searched job titles are:
What job categories do people searching Hcc Risk Adjustment Coder jobs in California look for? The top searched job categories for Hcc Risk Adjustment Coder jobs in California are:
Hcc Risk Adjustment Coder jobs near you
Infographic showing various Hcc Risk Adjustment Coder job openings in California as of May 2026, with employment types broken down into 98% Full Time, and 2% Part Time. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $56,433 per year, or $27.1 per hour.
Certified Coder

Certified Coder

Heritage Victor Valley Medical Group

Victorville, CA • On-site

$23.31 - $24.92/hr

Full-time

Medical, Retirement, PTO

Posted 8 days ago

Job description

  • Audit PCP, specialist and hospital records for additional HCC diagnoses.
  • Audit all assigned providers wellness visits and send a CAP based on last year chronic conditions.
  • Log the patients
  • Prepare provider report card following completion of each PCP review utilizing comments function of qHMO.
  • Forward provider report card to HCC Manager.
  • Update encounter information with additional HCC data.
  • Conduct Risk Adjustment Data Validation (RADV) audits as requested by HCC Manager.
  • Orient providers in the use of qHMO and documentation for Risk Adjustment.
  • Reinforce to providers the necessity for thorough and accurate documentation and reporting of Risk Adjusted diagnoses.
  • Contact a provider when necessary to clarify medical record documentation.
  • Attend required meetings and participate in committees as requested by management or administration of HVVMG.
  • Enhance professional growth and development through in-service, educational programs and conferences.
  • Maintain a current center for Medicare and Medicaid Services Hierarchical Condition Category, herein referred to as CMS-HCC guideline reference.
  • Incorporate the ICD-10 yearly updates by October 1 of each year.
  • Provide clerical support to HCC Manager as needed.
  • Assist with training of HCC staff.
  • Perform other duties as assigned

The pay range for this position at commencement of employment is expected to be between $23.31 and $24.92/hour; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience. The total compensation package for this position may also include other elements, including a sign-on bonus, restricted stock units, and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered. Details of participation in these benefit plans will be provided if an employee receives an offer of employment.
  • High school graduate or equivalent.
  • Certified Professional Coder (CPC). Must maintain certification
  • Completion of anatomy course preferred.
  • Experience as a medical office/clinic professional coder preferred.
  • PC knowledge of MS Office and Internet applications.
  • Excellent written and verbal communication skills
  • Ability to handle and prioritize tasks in order to meet all given deadlines and productivity goals.
  • Ability to responsibly handle matters of a confidential nature.
  • Ability to work in a multi-task, high-stress environment
  • Organizational: Outstanding organizational skills with an understanding of the importance of meeting deadlines while handling multiple projects simultaneously.
  • Driving: Current California driver's license and proof of auto insurance.
  • Other: At the discretion of HVVMG management, this position has the potential to be a full or hybrid telecommuting position.

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