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Remote Ags Health Medical Coding Jobs in Riverside, CA

Staff Clinical Safety Specialist - Remote

Irvine, CA ยท On-site +1

$124K - $207K/yr

Bachelor's degree in Life Sciences, Nursing, Pharmacy, Public Health, or a related discipline ... Experience with Medical Dictionary for Regulatory Activities (MedDRA) coding and clinical safety ...

Medical Director Physician

Pomona, CA ยท Remote

$250K - $350K/yr

We are seeking a Remote Medical Director for a non-clinical role focused on prior authorization and ... Minimum 5 years of clinical experience required. * 2+ years of managed care, health plan, or ...

Medical Billing Coordinator

Orange, CA ยท Remote

$18 - $22/hr

Our company is fully remote and offers a flexible work environment as well as schedules. ACTY ... Research health plan reimbursement policies and procedures, clinical guidelines, coding, and CCI ...

Be Seen First

Electronic Health Records (EHR) Analyst This is a full time job, Contract to hire with a client at Irvine, CA. You can work remote from home and would be expected to come on-site at office per the ...

SDET, Remote opportunity

Irvine, CA ยท On-site +1

$130K - $145K/yr

Competitive salary, medical, dental, vision, 401(k), and PTO * Hybrid flexibility if local to ... Daily use of AI coding tools (Claude Code, GitHub Copilot, Cursor, or equivalent) as a core part of ...

Lead Medical Assistant Float

Irvine, CA ยท Remote

$19 - $25.25/hr

We're going beyond basic care to health programs integrated across the entire continuum of care ... remote tasking support, and other remote patient care activities. You will build meaningful ...

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Remote Ags Health Medical Coding information

See Riverside, CA salary details

$18

$22

$24

How much do remote ags health medical coding jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for remote ags health medical coding in Riverside, CA is $22.43, according to ZipRecruiter salary data. Most workers in this role earn between $18.80 and $23.85 per hour, depending on experience, location, and employer.

What is the difference between Remote Ags Health Medical Coding vs Remote Medical Billing Specialist?

AspectRemote Ags Health Medical CodingRemote Medical Billing Specialist
CertificationsCPMA, CPC, CCSCertified Professional Biller (CPB), CPC
Work EnvironmentHome-based, healthcare facilities, coding companiesHome-based, healthcare providers, billing companies
Primary ResponsibilitiesReviewing medical records, assigning codes for diagnoses and proceduresSubmitting claims, following up on payments, patient billing

Remote Ags Health Medical Coders focus on translating medical documentation into standardized codes, while Remote Medical Billing Specialists handle billing processes and claims submission. Both roles require similar certifications and often work remotely within healthcare organizations, but their core tasks differ significantly.

What cities near Riverside, CA are hiring for Remote Ags Health Medical Coding jobs? Cities near Riverside, CA with the most Remote Ags Health Medical Coding job openings:
Infographic showing various Remote Ags Health Medical Coding job openings in Riverside, CA as of August 2026, with employment types broken down into 68% Full Time, 24% Part Time, and 8% Contract. Highlights an 24% In-person, and 76% Remote job distribution, with an average salary of $46,659 per year, or $22.4 per hour.

Risk Adjustment Coding Specialist II - Orange County

Astrana Health, Inc.

Orange, CA โ€ข Remote

$70K - $85K/yr

Full-time

Re-posted 15 days ago


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.