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Remote Hcc Risk Adjustment Coder Jobs in Santa Clara, CA

CENTRL

Software Engineer (Remote)

Mountain View, CA · Remote

CENTRL is a leading risk and compliance technology company that provides AI powered enterprise ... Experience coding with Java and Python; Front-end experience with Angular. * Experience with AI ...

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Remote Hcc Risk Adjustment Coder information

See Santa Clara, CA salary details

$18

$26

$40

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

As of Aug 21, 2026, the average hourly pay for remote hcc risk adjustment coder in Santa Clara, CA is $26.33, according to ZipRecruiter salary data. Most workers in this role earn between $21.15 and $28.22 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 Santa Clara, CA?

The most popular types of Hcc Risk Adjustment Coder jobs in Santa Clara, CA are:

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

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

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Remote Hcc Risk Adjustment Coder jobs near you
Infographic showing various Remote Hcc Risk Adjustment Coder job openings in Santa Clara, CA as of June 2026, with employment types broken down into 86% Full Time, 12% Part Time, and 2% Contract. Highlights an 35% Physical, 3% Hybrid, and 62% Remote job distribution, with an average salary of $54,773 per year, or $26.3 per hour.

Quality Improvement Coordinator

Astiva Health

San Jose, CA • Remote

$23 - $25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 17 days ago

Job description

Description

About Us:

Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members.


This is a remote position. The candidate must reside in the San Jose, CA area for occasional provider office visits.


Summary:

The Quality Improvement Coordinator will be responsible for coordinating and implementing quality improvement initiatives related to HEDIS measures and risk adjustments/HCC. This individual will work with internal and external stakeholders to ensure compliance with HEDIS specifications, data collection, reporting, and improvement strategies.


ESSENTIAL DUTIES AND RESPONSIBILITIES: include the following. Other duties may be assigned.

  • Regular and consistent attendance. In office attendance is requested 5 days a week.
  • Coordinate and partner with IPA/MSO delegates for HEDIS and risk adjustment data reporting
  • Identify gaps and opportunities for improvement
  • Collaborate with internal departments to review and implement projects and interventions to improve delivery of services and quality of care.
  • Assist with audits and reviews to ensure data accuracy and validity
  • Review and summarize collected data with trend analysis for additional provider educational opportunities.
  • Attend health plan meetings as requested by department leadership.
  • Stay updated on HEDIS and risk adjustment specifications, guidelines, and industry trends

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance
  • Free lunches on site

Requirements

EDUATION and/or EXPERIENCE:

  • 3+ years of quality improvement or healthcare related experience
  • Familiarity of HEDIS measures, specifications, and reporting requirements
  • Proficient in data analysis, Excel, and quality improvement methodologies
  • Excellent communication, presentation, and interpersonal skills
  • Ability to work independently and collaboratively in a fast-paced environment.
  • Detail-orientated, organized, and problem-solving skills.


Apply