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Remote Hcc Risk Adjustment Coder Jobs in California

Ethos Risk Services

Bill Review Specialist

Lake Forest, CA · On-site +1

$20.25 - $28/hr

Ethos Risk Services is a leading provider of workers' compensation medical management ... Our dynamic Bill Review team is seeking a full-time Bill Review Specialist (REMOTE) to review ...

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Remote Hcc Risk Adjustment Coder information

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$15

$22

$35

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

As of Aug 23, 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 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 the key skills and qualifications needed to thrive as a remote HCC risk adjustment coder?

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 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.

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

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

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

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

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

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Remote Hcc Risk Adjustment Coder jobs near you
Infographic showing various Remote Hcc Risk Adjustment Coder job openings in California as of August 2026, with employment types broken down into 1% As Needed, 91% Full Time, 6% Part Time, and 2% Contract. Highlights an 87% Physical, 5% Hybrid, and 8% Remote job distribution, with an average salary of $46,721 per year, or $22.5 per hour.

Risk Management Analyst (Workers' Compensation)

Gallagher

San Jose, CA • Remote

$80K - $120K/yr

Full-time

Medical

Re-posted 27 days ago

Arthur J. Gallagher & Co. rating

7.6

Company rating: 7.6 out of 10

Based on 93 frontline employees who took The Breakroom Quiz

213th of 311 rated insurance

Job description

Introduction
At Gallagher, we help clients face risk with confidence because we believe that when businesses are protected, they’re free to grow, lead, and innovate. You’ll be backed by our digital ecosystem: a client-centric suite of consulting tools making it easier for you to meet your clients where they want to be met. Advanced data and analytics providing a comprehensive overview of the risk landscape is at your fingertips. Here, you’re not just improving clients' risk profiles, you’re building trust. You’ll find a culture grounded in teamwork, guided by integrity, and fueled by a shared commitment to do the right thing. We value curiosity, celebrate new ideas, and empower you to take ownership of your career while making a meaningful impact for the businesses we serve. If you’re ready to bring your unique perspective to a place where your work truly matters; think of Gallagher.
 

Overview
We are seeking a detail-oriented and analytical Risk Management Analyst to support our clients in optimizing their workers’ compensation programs. This role focuses on leveraging data insights, strengthening compliance, and driving cost-saving strategies through effective claims management and risk mitigation practices.

Keenan, now a part of Gallagher, is an insurance brokerage and consulting firm meeting the insurance needs of hospitals, public entities and California school districts. Keenan specializes in providing consulting services in the areas of: employee benefits, workers' compensation, loss control, financial, and property & liability.

As part of Gallagher, a global leader in insurance, risk management, and consulting, you’ll be joining a team that’s passionate about helping individuals and organizations thrive.


How you'll make an impact
Data Analysis & Reporting
  • Analyze and manipulate raw workers’ compensation data to identify claim trends, patterns, and cost drivers
  • Develop and present statistical reports, dashboards, charts, and visual analytics to clearly communicate findings
  • Conduct periodic reviews of clients’ operational and financial program performance
Client Advisory & Program Improvement
  • Provide actionable recommendations and best practices to improve workers’ compensation outcomes
  • Support clients in enhancing return-to-work programs to reduce indemnity claim costs
  • Advise on compliance with FEHA and the Interactive Process for industrial-related disabilities, helping minimize legal exposure
  • Assist with integration of workers’ compensation and industrial accident leave programs (including Education Code benefits)
Medical Management & Network Optimization
  • Support implementation and expansion of medical provider networks, including communication and training of providers
  • Identify opportunities to increase PPO utilization and maximize cost savings
  • Assist clients in strengthening relationships with current medical providers or identifying new partners
Claims Collaboration & Risk Strategy
  • Collaborate with workers’ compensation claims teams to ensure proactive, effective claims management
  • Participate in file reviews to promote timely and appropriate claim resolution
  • Partner with internal teams to develop and execute Risk Improvement Action Plans (RIAPs)
Training & Stakeholder Engagement
  • Coordinate and deliver client training sessions, workshops, and regional symposiums on:
    • Workers’ compensation
    • Property & casualty risk
    • Medical cost containment
    • Risk management best practices
  • Serve as a Union Educational Ombudsman, supporting communication and education across stakeholders
Professional Development
  • Stay current on industry trends, regulations, and best practices through ongoing education and training
Additional Duties

Perform other duties as assigned

Compensation:

The target salary range for this position is $80,000 to $120,000 (US Dollar) annually. The actual salary will vary based on applicant’s education, experience, skills, and abilities, as well as internal equity and alignment with market data. The salary may also be adjusted based on applicant’s geographic location. Remote work environment flexibility. 


About You
  • Minimum of 5 years of experience with workers’ compensation claims or providing related consulting services
  • At least 2 years of experience in Risk Management or an equivalent combination of education and experience
  • Strong understanding of workers’ compensation laws and regulations is required
  • Property & Casualty Insurance background and/or a Self-Insurance Certificate are highly desirable
  • Knowledge of the Education Code as it relates to industrial accident leaves is a plus
Skills & Experience
  • Demonstrated, hands-on experience developing and implementing:
    • Return-to-Work programs
    • FEHA compliance and the Interactive Process
  • Strong analytical and problem-solving skills with the ability to translate data into practical solutions
  • Excellent organizational, planning, and time-management skills with the ability to work independently with minimal supervision
  • Proven leadership capabilities and a proactive, self-starter mindset
Communication & Interpersonal Skills
  • Exceptional written and verbal communication skills
  • Comfortable presenting to both small and large groups
  • Strong relationship-building skills with the ability to establish trust and credibility with clients and prospective clients
  • Ability to collaborate effectively in a team-oriented environment
Work Style & Environment
  • Ability to thrive in a fast-paced, dynamic environment with changing priorities
  • Highly adaptable, flexible, and responsive to client and business needs

#LI-CS4


Compensation and benefits

At Gallagher, we believe supporting our colleagues goes far beyond the role itself. For more information, visit our Benefits page.

  • Competitive compensation
  • Comprehensive benefits programs designed to support your well-being 
  • Career development opportunities and ongoing learning 
  • A collaborative, people-first culture with accessible leadership 
  • The opportunity to do meaningful work with global reach and local impact 

At Gallagher, we are dedicated to building an inclusive and authentic workplace. If your past experience doesn’t align perfectly, we encourage you to join our Talent Community to stay connected to additional career opportunities. At times, we will consider transferable skills from previous roles.

Gallagher is an affirmative action/equal opportunity employer (Minorities/Females/Veterans/Disabled)

Qualifications:
  • Minimum of 5 years of experience with workers’ compensation claims or providing related consulting services
  • At least 2 years of experience in Risk Management or an equivalent combination of education and experience
  • Strong understanding of workers’ compensation laws and regulations is required
  • Property & Casualty Insurance background and/or a Self-Insurance Certificate are highly desirable
  • Knowledge of the Education Code as it relates to industrial accident leaves is a plus
Skills & Experience
  • Demonstrated, hands-on experience developing and implementing:
    • Return-to-Work programs
    • FEHA compliance and the Interactive Process
  • Strong analytical and problem-solving skills with the ability to translate data into practical solutions
  • Excellent organizational, planning, and time-management skills with the ability to work independently with minimal supervision
  • Proven leadership capabilities and a proactive, self-starter mindset
Communication & Interpersonal Skills
  • Exceptional written and verbal communication skills
  • Comfortable presenting to both small and large groups
  • Strong relationship-building skills with the ability to establish trust and credibility with clients and prospective clients
  • Ability to collaborate effectively in a team-oriented environment
Work Style & Environment
  • Ability to thrive in a fast-paced, dynamic environment with changing priorities
  • Highly adaptable, flexible, and responsive to client and business needs

#LI-CS4

Education:UNAVAILABLEEmployment Type: FULL_TIME

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