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Remote Hcc Auditor Jobs in California (NOW HIRING)

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Remote Hcc Auditor information

What is a remote HCC auditor?

A Remote HCC Auditor reviews medical records to ensure accurate Hierarchical Condition Category (HCC) coding and compliance with risk adjustment guidelines. They work from home, analyzing documentation to validate the appropriate assignment of diagnosis codes. This role helps healthcare organizations optimize reimbursement and maintain coding integrity. Strong knowledge of ICD-10 coding, Medicare guidelines, and auditing best practices is essential.

What are the key skills and qualifications needed to thrive as a remote HCC auditor?

To thrive as a Remote HCC Auditor, you need expertise in medical coding, healthcare compliance, and risk adjustment principles, usually supported by credentials such as CPC, CRC, or a similar certification. Familiarity with electronic health records (EHRs), coding software, and Medicare Advantage systems is essential. Attention to detail, analytical thinking, and strong written communication help auditors deliver accurate reviews and clear reports in a remote environment. These combined skills ensure precise coding, regulatory compliance, and effective collaboration with healthcare teams to optimize risk adjustment outcomes.

What are some common challenges faced by remote HCC auditors, and how can they be managed?

Remote HCC Auditors often encounter challenges such as interpreting complex medical documentation, staying updated with evolving coding regulations, and maintaining focus while working independently. Managing these challenges involves ongoing professional development, open communication with coding and clinical teams, and utilizing productivity tools to track assignments. Connecting regularly with colleagues and participating in virtual audits or training sessions can foster a sense of teamwork and help address coding discrepancies. By proactively seeking resources and building strong digital communication habits, auditors can excel and deliver accurate, compliant results.

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For Remote Hcc Auditor jobs in California, the most frequently searched job titles are:

What job categories do people searching Remote Hcc Auditor jobs in California look for?

The top searched job categories for Remote Hcc Auditor jobs in California are:

What cities in California are hiring for Remote Hcc Auditor jobs?

Cities in California with the most Remote Hcc Auditor job openings:

Remote Hcc Auditor jobs near you
Infographic showing various Remote Hcc Auditor job openings in California as of August 2026, with employment types broken down into 86% Full Time, and 14% Contract. Highlights an 100% Remote job distribution.

Risk Adjustment Coding Specialist II

Astrana Health, Inc.

Orange, CA • On-site, Remote

$70K - $85K/yr

Full-time

Posted 29 days ago

Job description

Description
We are currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will report to a Sr. Manager - Risk Adjustment and enable us to continue to scale in the healthcare industry. The staff is required to frequently travel to provider sites depending on projects. 
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 
  • Meets or exceeds productivity targets as established by management. Regularly meets due dates assigned 
  • 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. 
  • Keeps management apprised of project activities through regular written and oral status reports. Proactively identifies risks that may hinder project success. 
  • 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 

Qualifications
  • Required Certification/Licensure: Must possess and maintain AAPC or AHIMA certification – Certified Coding Specialist (CCS) and/or Certified Professional Coder (CPC). Certified Risk Adjustment Coder (CRC) is a plus but not required
  • 3+ years experience in risk adjustment coding and/or billing experience required 
  • Reliable transportation/Valid Driver’s License/Must be able to travel at least 75% of work time 
  • PC skills and experience using Microsoft applications such as Word, Excel, and PowerPoint
  • 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 the role if: 
  • Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage 
  • Ability to work independently and collaborate in a team setting 
  • Strong organizational and time-management skills 
  • Ability to work in a home office for continuous periods of time for business continuity 
  • Ability to travel across the Provider Clinic service region for meetings and/or training as needed 
  • Able to work independently and within time constraints
  • Able to efficiently prioritize multiple high-priority tasks

Environmental Job Requirements and Working Conditions
  • This position blends on-site fieldwork (approximately 75% travel) with remote support to help practices. The Company reserves the right to modify the work arrangement, including transitioning to a hybrid or onsite model, based on business needs. Disclaimer: This job description is intended to describe the general nature and level of work performed. It is not intended to be an exhaustive list of all responsibilities, duties, or qualifications required. Responsibilities may change based on business needs and organizational priorities.
  • The national target pay range for this role is $70,000 - $85,000. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
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.