2

Remote Hcc Coding Jobs in California (NOW HIRING)

Document risk adjustment (HCC coding) during patient visits * Close HEDIS care gaps during visits ... Fully remote work - no commute * Consistent visit flow and structured workflows * Clear ...

Remote Hcc Coding information

See California salary details

$17

$21

$23

How much do remote hcc coding jobs pay per hour?

As of Aug 4, 2026, the average hourly pay for remote hcc coding in California is $21.22, according to ZipRecruiter salary data. Most workers in this role earn between $17.79 and $22.55 per hour, depending on experience, location, and employer.

What is the difference between Remote Hcc Coding vs Remote Medical Coding?

AspectRemote Hcc CodingRemote Medical Coding
CertificationsCCS, CPC, RHIT, RHIACPC, CCS, RHIT, RHIA
Work EnvironmentHome-based, healthcare facilities, insurance companiesHome-based, hospitals, clinics, insurance companies
Industry UsageInsurance, risk adjustment, value-based careHospitals, physician offices, insurance

Remote Hcc Coding focuses on risk adjustment and hierarchical condition categories, often requiring specific certifications like CCS or CPC. Remote Medical Coding covers a broader range of medical billing and coding tasks across various healthcare settings. While both roles are remote and require coding certifications, Hcc Coding emphasizes risk adjustment coding for insurance and healthcare analytics, whereas Medical Coding encompasses general medical billing and coding duties.

How do remote HCC coders interact with healthcare providers and ensure accurate documentation while working off-site?

Remote HCC Coders frequently collaborate with healthcare providers and clinical staff through secure digital communication channels such as email, electronic health record (EHR) messaging, and scheduled video calls. Maintaining clear communication is essential for clarifying documentation or diagnosis discrepancies. Coders also participate in virtual team meetings and may conduct provider education sessions to support accurate risk adjustment coding. This collaborative approach helps ensure coding accuracy and compliance, even when working remotely.

What is remote HCC coding?

Remote HCC coding is the process of assigning Hierarchical Condition Category (HCC) codes to patient diagnoses and medical records while working from a location outside of a traditional healthcare office or hospital, such as from home. HCC coding is essential for risk adjustment in Medicare Advantage and other value-based care programs, as it helps determine reimbursement rates based on patient complexity. Remote HCC coders use electronic health records and specialized software to review documentation and ensure accurate code assignment. This job typically requires certification, strong attention to detail, and knowledge of medical terminology and coding guidelines.

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

To thrive as a Remote HCC Coder, you need a solid understanding of ICD-10-CM coding guidelines, risk adjustment methodologies, and a relevant certification such as CPC, CCS, or CRC. Familiarity with electronic medical record (EMR) systems, coding software, and secure communication platforms is typically required. Attention to detail, time management, and strong analytical skills are vital soft skills for accurate coding and meeting productivity targets. These competencies are essential to ensure precise documentation, compliance, and optimal reimbursement in a remote healthcare environment.
What job categories do people searching Remote Hcc Coding jobs in California look for? The top searched job categories for Remote Hcc Coding jobs in California are:
What cities in California are hiring for Remote Hcc Coding jobs? Cities in California with the most Remote Hcc Coding job openings:
Infographic showing various Remote Hcc Coding job openings in California as of July 2026, with employment types broken down into 84% Full Time, 12% Part Time, 1% Temporary, and 3% Contract. Highlights an 82% Physical, 4% Hybrid, and 14% Remote job distribution, with an average salary of $44,138 per year, or $21.2 per hour.

Risk Adjustment Coding Specialist II - Remote

Astrana Health, Inc.

Monterey Park, CA โ€ข On-site, Remote

$70K - $85K/yr

Full-time

Re-posted 29 days ago


Job description

Risk Adjustment Coding Specialist II - Remote
Department: Quality - Risk Adjustment
Employment Type: Full Time
Location: 1600 Corporate Center Dr., Monterey Park, CA 91754
Reporting To: Chanell Graves
Compensation: $70,000 - $85,000 / year
Description
We are currently seeking a highly motivated Risk Adjustment Coding Specialist to support our physician practices remotely! 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!
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
  • Certified Professional Coder (CPC) or CRC from AAPC
  • Certified Risk Adjustment Coder (CRC)certifications from AAPC
  • At least 3 years of experience in risk adjustment experience
  • At least 1 year experience with provider education
  • 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 softwares and Electronic Health Records (EHR) systems.
  • Strong knowledge with PowerPoint, preparing presentations, and public speaking
  • Strong experience with Excel - reports, pivot tables, VLOOKUP, etc.

You're great for this role if:
  • Strong billing knowledge and/or Certified Professional Biller (CPB) through AAPC highly preferred
  • Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage
  • Experience with multiple EMR/EHR systems
  • Experience with Monday.com and PowerBI
  • Ability to work independently and collaborate in a team setting
  • Experience collaborating with, educating, and presenting to provider teams in a face-to-face setting

Environmental Job Requirements and Working Conditions
  • This is a full-time position, operating M-F 830 AM - 5 PM CST.
  • This is a remote position. The home office is aligned at 1600 Corporate Center Drive, Monterey Park, CA. We are seeking candidates who reside in CST or EST time zones.
  • 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.

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.comto request an accommodation.