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Remote Coding Specialist Jobs in Riverside, CA (NOW HIRING)

Ethos Risk Services

Bill Review Specialist

Lake Forest, CA · On-site +1

$20.25 - $28/hr

Our dynamic Bill Review team is seeking a full-time Bill Review Specialist (REMOTE) to review ... Experience in billing accuracy, reimbursement eligibility, code relationships, bundled services ...

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 ...

theLender

Be Seen First

Mortgage Loan Set Up Specialist (REMOTE)

Lake Forest, CA · Remote

$20/hr

... code, loan amount, first payment date, closing date, etc. * Ensure all fees for lender and title ... Remote Company Description Our Company theLender was created to make a difference. As a group of ...

Prismatik

Document Control Specialist

Irvine, CA · On-site +1

$23 - $25/hr

Creates and maintains document templates by coding fields and uploading into the electronic ... Remote or hybrid arrangements are not available. Employment Type: full-time

COMPASSUS

Insurance Specialist

Mission Viejo, CA · Remote

$20 - $35/hr

Compassus This is a remote position for candidates located in the Central Time Zone. Position ... S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working ...

COMPASSUS

Insurance Specialist

Anaheim, CA · Remote

$20 - $35/hr

Compassus This is a remote position for candidates located in the Central Time Zone. Position ... S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working ...

COMPASSUS

Insurance Specialist

Anaheim, CA · Remote

$20 - $35/hr

Compassus This is a remote position for candidates located in the Pacific Time Zone. Initial ... S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working ...

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All JobsCoding Specialist JobsRemote Coding Specialist JobsRemote Coding Specialist Jobs in Riverside, CA

Remote Coding Specialist information

See Riverside, CA salary details

$17

$28

$40

How much do remote coding specialist jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for remote coding specialist in Riverside, CA is $28.59, according to ZipRecruiter salary data. Most workers in this role earn between $23.08 and $34.09 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a remote coding specialist?

To thrive as a Remote Coding Specialist, you need in-depth knowledge of medical coding systems (such as ICD-10, CPT, and HCPCS), a solid understanding of healthcare regulations, and certification from organizations like AAPC or AHIMA. Familiarity with electronic health record (EHR) platforms, coding software, and claims management systems is typically required. Excellent attention to detail, strong organizational skills, and effective written communication set top performers apart in this role. These competencies ensure accurate coding, compliance with legal standards, and efficient claims processing, which are critical for healthcare revenue cycle management.

What is a remote coding specialist?

A Remote Coding Specialist is a professional who reviews and assigns standardized medical codes to healthcare diagnoses and procedures from a remote location, typically working from home. These codes are used for billing, insurance claims, and maintaining patient records. Remote Coding Specialists need a strong understanding of medical terminology, coding systems such as ICD-10 and CPT, and must comply with healthcare regulations. Their work helps ensure accurate billing and proper reimbursement for healthcare providers.

Can you work remotely coding as a Remote Coding Specialist?

Yes, Remote Coding Specialists typically work remotely, reviewing medical records and assigning appropriate codes using specialized coding software. This role often requires certification, attention to detail, and the ability to work independently in a virtual environment. Many employers offer flexible schedules for remote coding positions.

How do remote coding specialists typically collaborate with healthcare providers and other team members when working off-site?

Remote Coding Specialists regularly communicate with healthcare providers, billing staff, and other coders through secure digital platforms such as email, instant messaging, and video conferencing. They may participate in virtual meetings to clarify documentation or resolve discrepancies, ensuring accurate code assignment. Despite working remotely, building strong professional relationships and maintaining clear communication channels is essential to support efficient workflow and compliance with regulatory standards.

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

AspectRemote Coding SpecialistRemote Medical Biller
CredentialsCertification in coding (e.g., CPC, CCS)Certification in billing (e.g., CPC, CBCS)
Work EnvironmentHealthcare facilities, insurance companies, remote clinicsMedical offices, billing companies, insurance firms
Industry UsageWidely used in healthcare for coding diagnoses and proceduresCommon in healthcare for processing payments and claims
Job FocusAssigning medical codes based on patient recordsSubmitting and managing insurance claims for reimbursement

While both roles are essential in healthcare administration, a Remote Coding Specialist focuses on translating medical records into codes for billing and documentation, whereas a Remote Medical Biller handles the financial aspect by submitting claims and ensuring payment. Both roles often require similar certifications and work remotely within healthcare settings, but their primary responsibilities differ.

What are popular job titles related to Remote Coding Specialist jobs in Riverside, CA? For Remote Coding Specialist jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Remote Coding Specialist jobs in Riverside, CA look for? The top searched job categories for Remote Coding Specialist jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Remote Coding Specialist jobs? Cities near Riverside, CA with the most Remote Coding Specialist job openings:
Remote Coding Specialist jobs near you
Infographic showing various Remote Coding Specialist job openings in Riverside, CA as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, and 4% Contract. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution, with an average salary of $59,467 per year, or $28.6 per hour.

Risk Adjustment Coding Specialist II - Orange County

Astrana Health, Inc.

Orange, CA • Remote

$70K - $85K/yr

Full-time

Re-posted 20 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.