ZipRecruiter

Log In

2

Remote Coding Auditor Jobs in Rancho Cucamonga, CA

Crox Consulting Inc

Inpatient Coder I/II

Redlands, CA · Remote

$32 - $33/hr

... remote support. Contractors will be responsible for coding high-dollar, complex inpatient accounts with both MS-DRG and APR-DRG groupers. Experience with Expanse (Meditech) is preferred. Ideal ...

All JobsCoding Auditor JobsRemote Coding Auditor JobsRemote Coding Auditor Jobs in Rancho Cucamonga, CA

Remote Coding Auditor information

See Rancho Cucamonga, CA salary details

$21

$29

$37

How much do remote coding auditor jobs pay per hour?

As of Jul 20, 2026, the average hourly pay for remote coding auditor in Rancho Cucamonga, CA is $29.75, according to ZipRecruiter salary data. Most workers in this role earn between $26.78 and $30.48 per hour, depending on experience, location, and employer.

What pays more, CCS or CPC?

In coding and billing roles, CPC (Cost Per Click) is typically associated with advertising and online marketing, while CCS (Certified Coding Specialist) is a healthcare coding certification. For coding auditors or medical coding positions, CCS credentials often lead to higher pay compared to roles focused on CPC billing, as CCS-certified professionals usually have more specialized skills and responsibilities. Salary differences depend on experience, location, and employer, but generally, CCS roles tend to offer higher compensation in healthcare settings.

What is the difference between Remote Coding Auditor vs Remote Medical Biller?

AspectRemote Coding AuditorRemote Medical Biller
CredentialsCertifications like CPC, CCS, or CRCCertifications like CPC or CPC-A
Work EnvironmentReviewing medical records and coding accuracySubmitting claims and processing payments
Industry UsageHealthcare, insurance companies, hospitalsHealthcare providers, billing companies
Search & Comparison IntentUnderstanding coding review rolesUnderstanding billing and claims processing

Remote Coding Auditors focus on reviewing medical records for coding accuracy, ensuring compliance and proper reimbursement. Remote Medical Billers handle submitting claims and managing billing processes. While both roles work in healthcare and may share certifications, their core responsibilities differ, with auditors emphasizing review and compliance, and billers focusing on claims submission and payment processing.

Can CPC work from home?

A remote coding auditor can often work from home, as the role primarily involves reviewing medical codes and documentation using computer software. Successful remote work typically requires strong attention to detail, familiarity with coding tools, and reliable internet access. Many employers offer remote positions for coding auditors, especially with experience and relevant certifications.

What are some common challenges faced by Remote Coding Auditors, and how can they effectively overcome them?

Remote Coding Auditors often face challenges such as staying updated with constantly changing coding guidelines, managing time effectively across multiple audits, and maintaining communication with healthcare providers and coding teams. To overcome these hurdles, it's helpful to participate in ongoing training, utilize reliable coding resources, and leverage collaboration tools for clear communication. Setting up a dedicated workspace and establishing a structured daily routine can also improve productivity and ensure accuracy while working remotely.

What are the key skills and qualifications needed to thrive as a Remote Coding Auditor, and why are they important?

To thrive as a Remote Coding Auditor, you need extensive knowledge of medical coding standards (such as ICD-10, CPT, and HCPCS), auditing procedures, and typically a certification like CPC or CCS. Familiarity with auditing software, electronic health record (EHR) systems, and coding compliance tools is essential. Strong attention to detail, analytical thinking, and effective communication skills help you identify errors and collaborate with healthcare teams. These skills are crucial to ensure coding accuracy, regulatory compliance, and optimal reimbursement in healthcare organizations.

What does a Remote Coding Auditor do?

A Remote Coding Auditor is a healthcare professional who reviews medical records and coding documentation to ensure accuracy and compliance with industry standards and regulations. They work remotely to audit the work of medical coders, identifying errors, discrepancies, and potential areas for improvement. Their role is crucial for maintaining the integrity of billing processes, preventing fraud, and ensuring that healthcare providers receive proper reimbursement.

What Does a Remote Coding Auditor Do?

As a remote coding auditor, your job is to work from home to audit medical billing documents and make corrections as needed. In this role, you may study patient records to determine if a given code is appropriate, collect and enter data to monitor trends, provide feedback on performance improvement opportunities, and maintain your knowledge of auditing guidelines. Remote coding auditors frequently review past records, provide input on particularly complex cases, support large annual audits, and attend meetings when necessary. This is a remote job, so it is usually possible to use teleconference equipment, but some employers may ask you to attend meetings in person. This job title refers exclusively to medical coding, not those that audit software or website code.

How do I become a coding auditor?

To become a coding auditor, you typically need a background in medical coding, health information management, or a related field, along with certification such as the Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). Gaining experience in medical coding and understanding coding guidelines is essential, and proficiency with coding software and auditing tools is often required. Continuous education and staying updated on coding changes help maintain competency in this role.

Can you work remotely as an auditor?

Remote coding auditors can often perform their duties from home, especially if they have access to necessary software, secure data systems, and communication tools. Many companies offer remote auditing positions, but specific requirements may include relevant certifications and experience with remote collaboration platforms.
More about Remote Coding Auditor jobs
What are popular job titles related to Remote Coding Auditor jobs in Rancho Cucamonga, CA? For Remote Coding Auditor jobs in Rancho Cucamonga, CA, the most frequently searched job titles are:
What job categories do people searching Remote Coding Auditor jobs in Rancho Cucamonga, CA look for? The top searched job categories for Remote Coding Auditor jobs in Rancho Cucamonga, CA are:
What cities near Rancho Cucamonga, CA are hiring for Remote Coding Auditor jobs? Cities near Rancho Cucamonga, CA with the most Remote Coding Auditor job openings:
Remote Coding Auditor jobs near you

Risk Adjustment Coding Specialist II - Orange County

Astrana Health, Inc.

Orange, CA • Remote

$70K - $85K/yr

Full-time

Posted 28 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 provider education and at least 3-5 years of risk adjustment experience! This position requires travel to provider offices up to 75% 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.