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Remote Hcc Coder Jobs in California (NOW HIRING)

Astrana Health, Inc.

$28 - $32/hr

DRG Coder Department: HS - UM Employment Type: Full Time Location: 600 City Parkway West 10th Floor, Orange, CA 92868 Reporting To: Alice Tejeda Compensation: $28.00 - $32.00 / hour Description The ...

Cone Health

$19 - $25.25/hr

The Professional Physician Coder II accurately and efficiently accesses wide range primary care and specialty physician billing and Health Information Systems to secure and gather all necessary ...

Cone Health

$19 - $25.25/hr

The Professional Physician Coder accurately and efficiently accesses wide range physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill ...

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All JobsHcc Coder JobsRemote Hcc Coder JobsRemote Hcc Coder Jobs in California

Remote Hcc Coder information

See California salary details

$15

$22

$33

How much do remote hcc coder jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for remote hcc coder in California is $22.13, according to ZipRecruiter salary data. Most workers in this role earn between $17.79 and $23.70 per hour, depending on experience, location, and employer.

What is a remote HCC coder?

A Remote HCC Coder reviews medical records to assign accurate diagnosis codes for risk adjustment purposes, ensuring proper reimbursement for healthcare providers. They specialize in Hierarchical Condition Category (HCC) coding, which helps assess patient risk scores for Medicare Advantage and other value-based care programs. Working remotely, they must have strong attention to detail, knowledge of ICD-10-CM coding guidelines, and compliance with CMS regulations. Many employers require certification (such as CRC, CPC, or CCS) and experience in risk adjustment coding.

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

To excel as a Remote HCC Coder, you need strong knowledge of medical coding, diagnosis-related groupings, and HCC (Hierarchical Condition Category) risk adjustment, typically supported by a relevant certification such as CPC, CCS, or CRC. Familiarity with coding software, electronic health record (EHR) systems, and compliance regulations is essential. Attention to detail, time management, and effective written communication stand out as important soft skills for this remote role. These competencies ensure accurate, compliant coding and contribute to optimal risk adjustment outcomes for healthcare organizations.

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

Remote HCC Coders often encounter challenges such as interpreting complex patient medical records, maintaining high accuracy under productivity expectations, and staying updated on changing coding guidelines. Proactive communication with team members and clinical staff, regular participation in continuing education, and diligent organization of workflow help manage these challenges effectively. Many employers also offer robust support resources, including access to coding professionals for consultations and ongoing training. By actively engaging with available resources and prioritizing accuracy, Remote HCC Coders can succeed and find growth opportunities in this specialized field.

What are the most commonly searched types of Hcc Coder jobs in California?

The most popular types of Hcc Coder jobs in California are:

What are popular job titles related to Remote Hcc Coder jobs in California?

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

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

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

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

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

Remote Hcc Coder jobs near you
Infographic showing various Remote Hcc Coder job openings in California as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $46,027 per year, or $22.1 per hour.

DRG Coder

Astrana Health, Inc.

On-site, Remote

$28 - $32/hr

Full-time

Re-posted 24 days ago

Job description

DRG Coder
Department: HS - UM
Employment Type: Full Time
Location: 600 City Parkway West 10th Floor, Orange, CA 92868
Reporting To: Alice Tejeda
Compensation: $28.00 - $32.00 / hour
Description
The DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS to determine the appropriate Diagnosis-Related Group (DRG) assignment.
This role ensures coding accuracy, reimbursement integrity, and compliance with federal and state regulations, payer guidelines, and internal policies. In an Independent Practice Association (IPA) and Management Services Organization (MSO) environment, the DRG Coder partners with utilization management, care management, finance, and provider network teams to support accurate payment, risk adjustment, quality reporting, and medical expense analysis.
What You'll Do
  • Review inpatient hospital records and assign accurate diagnosis and procedure codes
  • Determine the appropriate MS-DRG or APR-DRG assignment based on coding and clinical documentation
  • Conduct coding validation and auditing to ensure compliance with payer and regulatory requirements
  • Identify documentation gaps and communicate opportunities to providers, hospitals, and Clinical Documentation Improvement (CDI) teams
  • Analyze denials and underpayments related to coding and DRG assignment
  • Support retrospective and concurrent reviews of high-cost admissions and outlier cases
  • Collaborate with utilization management, case management, finance, and contracting teams to optimize reimbursement and cost containment
  • Assist with internal and external audits, including RAC, Medicare Advantage, Medicaid, and commercial payer reviews
  • Provide education and mentoring to coding staff and other stakeholders
  • Monitor changes in coding guidelines, reimbursement methodologies, and regulatory requirements
  • Prepare reports and summaries related to coding accuracy, financial impact, and audit findings
  • Maintain confidentiality and compliance with HIPAA and company policies
  • Other duties as assigned

Qualifications
  • Associate's degree in Health Information Management, Nursing, or related field
  • Have at least 5 years of inpatient coding experience
  • Have at least 2 years of advanced DRG validation, auditing, or hospital reimbursement experience
  • Certifications One or more of the following required: • CCS, RHIA, or RHIT from American Health Information Management Association • CIC from AAPC
  • Have advanced knowledge of ICD-10-CM, ICD-10-PCS, MS-DRG, and APR-DRG methodologies
  • Proficiency in coding software, electronic medical records, and Microsoft Office applications

You're great for the role if:
  • Experience working with Medicare Advantage, Medicaid, and commercial health plans
  • Experience in a delegated IPA, MSO, or managed care environment
  • Have a strong understanding of Medicare reimbursement and payer audit processes
  • Ability to interpret complex clinical documentation
  • Knowledge of utilization management, case management, and managed care operations
  • Strong analytical, organizational, and problem-solving skills
  • Ability to work independently and manage multiple priorities
  • Excellent written and verbal communication skills.

Environmental Job Requirements and Working Conditions
  • This position is remotely based in the U.S. The home office is located at 600 City Parkway West 10th Floor, Orange, CA 92868.
  • This role is required to attend occasional in-person meetings with internal departments and external providers/hospitals, training, or audit purposes.
  • The national target pay range for this role is between $28.00 - $32.00. 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 on 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 based on 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.

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