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Remote Hcc Risk Adjustment Coder Jobs in Santa Ana, CA

Astrana Health

Certified Risk Coder

Monterey Park, CA · Remote

$56K - $85K/yr

Stay current on ICD-10-CM, HCC, CMS Risk Adjustment, and payer-specific coding requirements ... Ability to work independently in a remote environment while collaborating effectively with cross ...

New

Urrly

Telehealth Nurse Practitioners

Los Angeles, CA · On-site +1

$600 - $720/day

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 ...

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)

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Remote Hcc Risk Adjustment Coder information

See Santa Ana, CA salary details

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$23

$35

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

As of Sep 10, 2026, the average hourly pay for remote hcc risk adjustment coder in Santa Ana, CA is $23.33, according to ZipRecruiter salary data. Most workers in this role earn between $18.75 and $25.00 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 job categories do people searching Remote Hcc Risk Adjustment Coder jobs in Santa Ana, CA look for?

The top searched job categories for Remote Hcc Risk Adjustment Coder jobs in Santa Ana, CA are:

What cities near Santa Ana, CA are hiring for Remote Hcc Risk Adjustment Coder jobs?

Cities near Santa Ana, CA with the most Remote Hcc Risk Adjustment Coder job openings:

Remote Hcc Risk Adjustment Coder jobs near you
Infographic showing various Remote Hcc Risk Adjustment Coder job openings in Santa Ana, CA as of September 2026, with employment types broken down into 90% Full Time, 5% Part Time, and 5% Contract. Highlights an 5% In-person, and 95% Remote job distribution, with an average salary of $48,531 per year, or $23.3 per hour.

Certified Risk Coder

Monterey Park, CA • On-site, Remote

Astrana Health, Inc.
See more jobs at Astrana Health, Inc.external

$56K - $85K/yr

Full-time

Posted 3 days ago

New

Job description

Certified Risk Coder
Department: Quality - Risk Adjustment
Employment Type: Full Time
Location: 1600 Corporate Center Dr., Monterey Park, CA 91754
Compensation: $56,000 - $85,000 / year
Description
The Certified Risk Coder plays a critical role in supporting Astrana Health's value-based care and risk adjustment initiatives by ensuring the accurate capture and validation of diagnoses through comprehensive medical record review and coding analysis. This position partners closely with providers and clinical teams to improve documentation quality, coding accuracy, and compliance with CMS risk adjustment guidelines.
The ideal candidate brings strong coding expertise, a passion for provider education, and a commitment to enhancing organizational performance through accurate risk capture, regulatory compliance, and continuous process improvement.
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 medical records and provider documentation to ensure accurate capture of risk-adjusting diagnoses and compliance with CMS guidelines
  • Perform retrospective and prospective HCC coding reviews to identify documentation and coding opportunities
  • Validate ICD-10-CM codes and ensure diagnoses are clinically supported and accurately reported
  • Conduct coding audits and quality reviews to maintain documentation integrity and regulatory compliance
  • Partner with providers and clinical teams to improve documentation accuracy and risk adjustment performance
  • Deliver one-on-one and group education sessions on coding, documentation, and risk adjustment best practices
  • Communicate audit findings, coding trends, and improvement opportunities to providers and leadership
  • Stay current on ICD-10-CM, HCC, CMS Risk Adjustment, and payer-specific coding requirements
  • Support process improvement initiatives that enhance coding accuracy, compliance, and operational efficiency
  • Serve as a coding resource and mentor to team members, supporting training and knowledge sharing across the organization
  • Participate in special projects, departmental initiatives, and high-volume work efforts as assigned

Qualifications
  • Certified Risk Adjustment Coder (CRC) credential
  • At least two (2) years of risk adjustment, HCC coding, medical coding, or related healthcare experience
  • Working knowledge of Medicare Advantage Risk Adjustment and Hierarchical Condition Categories (HCC)
  • Proficiency with ICD-10-CM coding guidelines and CMS Risk Adjustment methodologies
  • Experience using Electronic Health Records (EHRs), coding software, and Microsoft Office applications
  • Excellent communication and presentation skills with the ability to educate providers and office staff
  • Strong analytical, organizational, and problem-solving skills with exceptional attention to detail
  • Ability to work independently in a remote environment while collaborating effectively with cross-functional teams

You are a great fit if
  • Active AAPC or AHIMA certification required (CPC, CCS-P, CCS, or equivalent)
  • Three (3)+ years of Risk Adjustment or Medicare Advantage coding experience
  • Experience conducting coding audits and documentation reviews
  • Experience educating providers on coding and documentation improvement initiatives
  • Previous experience supporting value-based care, population health, or provider group environments
  • Advanced presentation and PowerPoint skills

Environmental Job Requirements and Working Conditions
  • This is a Remote, US based position - Strong preference for candidates based in West or Central time zones
  • The annual total compensation target pay range for this role is $56,000 - $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.
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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