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Hcc Risk Adjustment Coder Jobs in California (NOW HIRING)

High Desert Medical Group

HCC Coordinator

Lancaster, CA · On-site

$23.45 - $31.30/hr

This department strives to be the leading innovator in risk adjustment, quality reporting, and ... Knowledge of CPT and ICD-9 Coding. * Excellent written and verbal communication skills. * Ability ...

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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 Sep 1, 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 is an HCC Risk Adjustment Coder?

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 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 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 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:

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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 August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, and 4% Contract. Highlights an 85% Physical, 5% Hybrid, and 10% Remote job distribution, with an average salary of $56,433 per year, or $27.1 per hour.

Senior Consultant, Health Care Data Analytics

COPE Health Solutions

Los Angeles, CA • On-site

$111K - $139K/yr

Full-time

Posted 20 days ago

Job description

The Senior Consultant will work with cross-functional teams in a centralized consulting role supporting multiple client engagements and internal operational initiatives. The Senior Consultantis responsible forindependent ownership of major analytical workstreamsas well as definingmethodologyand reporting logic. Thisincludes, but is not limited to,designing, developing,maintaining, and executing healthcare analytics and reporting solutions that enable clients and internal leadership to evaluate performance,identifyopportunities, and improve outcomes across value-based care programs.

This position partners closely with consulting, product, engineering, clinical, and client stakeholders to translate complex healthcare data into meaningful insights that drive operational efficiency, quality improvement,utilizationmanagement, care management performance, risk adjustment optimization, and financial success.The ideal candidatemust beaccountable for deliverable quality and deadlines,comfortable with direct presentation to client executives,possessesdeep healthcare dataexpertise, SQL development skills, strong analytical thinking, and an ability toleverageAI-enabled technologies to improve reporting and analytics capabilities.

FLSA Status

Exempt

Salary Range

$111,600 - $139,400

Reports To

Director, Medical Economics

Direct Reports

None

Location

Los Angeles, CA Hybrid

Travel

Up to 40%

Work Type

Regular

Schedule

Full Time

Position Description

  • Design, develop, automate,maintain, and execute client-facing and internal dashboards, reports, scorecards, and recurring analytics supporting value-based care initiatives.
  • Translate client and stakeholder business requirements into scalable reporting and analytical solutions using SMSS SQL, Excel, and other business intelligence tools.
  • Analyze healthcare claims, EMR, and operational datasets toidentifyactionable opportunities related to quality performance, care management,utilizationmanagement, prior authorization, HCC risk adjustment, population health, and medical cost/utilization.
  • Develop executive-readyreporting that highlights operational efficiencies, outcomes, successes, failures, emerging trends, and strategic opportunities.
  • Validate healthcare data for completeness, accuracy, consistency, and adherence to business rules while ensuring reporting integrity and reproducibility.
  • Collaborate with product, engineering, consulting, and implementation teams to map client-specific data elements and define reporting logic aligned with client requirements.
  • Investigate data anomalies, perform root cause analyses, and recommend solutions that improve data quality andaccuratereporting.
  • Support implementation of new reporting capabilities for value-based care programs including MSSP, ACO REACH, Medicare Advantage, Commercial Risk, and Medicaid value-based arrangements.
  • Present analytical findings to both technical and executive audiences in a clear, actionable manner.
  • Utilize AI-enabled technologies to accelerate report development,optimizeSQL coding, improve documentation, automate repetitive analytical processes, andidentifyinnovative opportunities for enhancing client value.
  • Contribute to continuous improvement initiatives that modernize analytics capabilities, increase operational efficiency, and strengthen consulting delivery.
  • Review or quality oversight of junior team members.
  • Project leadership or information mentorship.

Qualifications

  • Graduate degree with a quantitative, healthcare, business or technical focuspreferred,bachelor's degree and applicable experience will be considered.
  • 3+ years of professional experience performinghealthcare analytics within a consulting firm, health system, payer, accountable care organization, or healthcare technology organization.
  • Demonstrated experience working with healthcare claims and eligibility data (professional, institutional, and pharmacy).
  • Experience with Electronic Medical Record (EMR/HER) and Utilization Management and Prior Authorization datasets preferred
  • ProficiencyinSQL
  • Familiarity of data visualization and Business Intelligence platforms
  • Working knowledgeofvalue-based care programsand healthcare risk-based arrangements includingMSSP, ACO REACH, Medicare Advantage, and alternative payment models.
  • Experience supporting HCC Risk Adjustment, quality, care management reporting, andutilizationmanagement analytics.
  • Strong consulting, project management, and stakeholder relationship management skills.
  • ExperienceutilizingAI technologies (e.g., ChatGPT, Microsoft Copilot, Claude, GitHub Copilot, or similar tools) to improve analytics development, SQL optimization, reporting automation, and operational efficiency.
  • Excellent written and verbal communication skills with the ability to explain technical concepts to both technical and business audiences.

Benefits

As a firm passionate about health care,we'redeeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend forwellness-related activities, and a paid parental leave program. You can learn more about our benefits offerings here:https://copehealthsolutions.com/careers/


About COPE Health Solutions
COPE Health Solutions is a national tech-enabled services firm powering success for health plans and for providers in risk arrangements. Our comprehensive NCQA certified population health management platform and highly experienced team brings deepexpertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. CHS de-risks the roadmap to advanced value-based payment and improves quality and financial performance for providers, healthplansand self-insured employers. For moreinformation, visithttps://copehealthsolutions.com/about-us/


To Apply: To apply for this position or for more information about COPE Health Solutions, visit us athttps://copehealthsolutions.com/careers/open-positions/

Employment Type: Full-Time

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