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Remote Hcc Risk Adjustment Coder Jobs in California

Seen Health

Head of Data

Los Angeles, CA · On-site +1

Own the analytics behind risk adjustment and clinical quality: HCC/RAF capture, care gap closure ... BigQuery), infrastructure-as-code (e.g. Terraform), cloud storage (e.g. GCS), and BI (e.g. Metabase)

Astrana Health

Manager - Advanced Analytics

Alhambra, CA · Remote

$160K - $170K/yr

... risk adjustment, quality analytics (HEDIS) utilization management, finance, and claims. * Experience working with healthcare datasets and measures such as HCC, HEDIS, and clinical analytics.

Astrana Health, Inc.

$33 - $38/hr

... 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 ...

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Remote Hcc Risk Adjustment Coder information

See California salary details

$15

$22

$35

How much do remote hcc risk adjustment coder jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for remote hcc risk adjustment coder in California is $22.46, according to ZipRecruiter salary data. Most workers in this role earn between $18.22 and $23.94 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Remote HCC Risk Adjustment Coder, and why are they important?

To thrive as a Remote HCC Risk Adjustment Coder, you need a solid understanding of ICD-10-CM coding guidelines, risk adjustment models, and extensive experience in medical record review, typically supported by a relevant coding certification such as CPC or CRC. Proficiency with electronic health record (EHR) systems, coding software, and risk adjustment platforms is essential. Exceptional attention to detail, analytical thinking, and strong communication skills help coders excel in remote settings and ensure coding accuracy. These skills and qualifications are vital for optimizing risk scores, ensuring compliance, and supporting accurate reimbursement in healthcare organizations.

What is a Remote HCC Risk Adjustment Coder?

A Remote HCC Risk Adjustment Coder is a medical coding professional who works from home or another remote location, reviewing patient medical records to assign Hierarchical Condition Category (HCC) codes. These codes are used by healthcare organizations to accurately reflect the severity of patient illnesses for risk adjustment and reimbursement purposes, especially in Medicare Advantage programs. The coder analyzes clinical documentation to ensure that diagnoses are coded correctly and in compliance with regulatory guidelines. Their work is essential for ensuring healthcare providers receive appropriate compensation and for maintaining accurate patient risk profiles.

What are some common challenges faced by remote HCC Risk Adjustment Coders and how can they be managed?

Remote HCC Risk Adjustment Coders often encounter challenges such as interpreting incomplete or ambiguous medical documentation, staying updated with evolving coding guidelines, and managing communication across dispersed teams. To address these challenges, it's important to proactively seek clarification from providers, participate in ongoing training, and utilize collaboration tools to stay connected with peers and supervisors. Establishing a structured daily workflow and leveraging available resources can also help maintain coding accuracy and productivity in a remote setting.
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Remote Hcc Risk Adjustment Coder jobs near you
Medical Director Hospitalist

Medical Director Hospitalist

COPE Health Solutions

Los Angeles, CA • Remote

Full-time, Part-time

This job post has expired today. Applications are no longer accepted.

Job description

COPE Health Solutions is seeking a part-time Medical Director of Home-Based Care Services provides clinical leadership, oversight, and strategic direction for our comprehensive home-based care delivery model. 

Leveraging extensive hospitalist or acute care experience, the Medical Director will oversee an interdisciplinary team managing four core pillars: Annual Wellness Visits (AWVs), Transitions of Care (TOC), Complex Care Management (CCM), and Disease Management. This role is responsible for driving clinical quality, reducing 30-day hospital readmissions, lowering total cost of care, and optimizing performance under our value based care contracts.

FLSA Status

Exempt

Salary Range

$220,000 - $240,000

Reports To

 N/A

Direct Reports

Yes

Location

Los Angeles, CA ( Onsite)

Travel

Up to 30%

Work Type

Regular

Schedule

Full Time

Essential Duties and Responsibilities

  • Clinical Program Oversight: Serve as the clinical architect and leader for all home-based care delivery models, ensuring seamless integration across the AWV, TOC, and CCM programs.
  • Transitions of Care Leadership: Utilize hospitalist expertise to supervise and refine the post-discharge protocol. Lead the clinical team in managing high-risk transitions from acute facilities to the home, executing rapid medication reconciliations, and preventing avoidable readmissions.
  • Complex Care Clinical Governance: Provide clinical oversight and case consultation for the top 1% to 5% highest-acuity beneficiaries enrolled in Complex Care Management.
  • Interdisciplinary Team (IDT) Leadership: Lead weekly complex case conferences with RN care managers, social workers, pharmacists, and care navigators to optimize care plans and address social determinants of health (SDOH).
  • Provider Supervision & Mentorship: Supervise, mentor, and evaluate home-based field clinicians (including Nurse Practitioners, Physician Assistants, and field nurses) to ensure high-quality, evidence-based care in the home setting.
  • MSSP Quality & Performance Metrics: Partner with executive leadership to align home-based clinical workflows with key performance indicators, including Annual Wellness Visit completion rates, preventive gap closure, and HCC risk adjustment documentation.
  • Direct Clinical Care (Optional/Partial): Provide targeted, high-acuity home visits or virtual telemedicine consultations for highly complex, unstable, or escalating patients when needed.

Minimum Qualifications

  • Education & Licensure: Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) from an accredited institution. Active, unrestricted State Medical License and Board Certification in Internal Medicine, Family Medicine, or Geriatrics in California.
  • Experience: Minimum of 3–5 years of experience as a Hospitalist or in an inpatient acute care setting required. Minimum of 2 years in a clinical leadership or medical director role within a population health, ACO, managed care, or home-based primary care framework.
  • Technical & Strategic Skills: Deep understanding of Medicare Shared Savings Program (MSSP) rules, value-based care mechanics, and HCC coding practices. Proficiency with Electronic Health Records (EHR) and population health analytics platforms.
  • Core Competencies: Strong interdisciplinary leadership skills, exceptional clinical judgment in managing acute-on-chronic illness without immediate hospital resources, and a strong commitment to geriatrics and home-based medicine.

Work Environment

  • In office in LA

Benefits: 

As a firm passionate about health care, we’re deeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities and a paid parental leave program. You can learn more about our benefits offerings here: https://copehealthsolutions.com/careers/why-cope-health-solutions/. 

About COPE Health Solutions
COPE Health Solutions is a national tech-enabled services firm powering success for health plans and for providers in risk arrangements. Our comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. CHS de-risks the roadmap to advanced value-based payment and improves quality and financial performance for providers, health plans and self-insured employers. For more information, visit CopeHealthSolutions.com. 

To Apply: 

To apply for this position or for more information about COPE Health Solutions, visit us at https://copehealthsolutions.com/careers/open-positions/.