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Remote Hcc Risk Adjustment Coding Jobs in California

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Senior Data Engineer, Risk

Bodega Bay, CA · On-site +1

$125K - $170K/yr

Today, Cash App has thousands of employees working globally across office and remote locations ... Lead the creation and optimization of existing data models through AI code generation on eventing ...

Arctiq, Inc.

Senior Site Reliability Engineer

Norfolk, VA · Remote

$55.25 - $73.25/hr

This is a remote, contract opportunity for a project Arctiq is delivering for a client. Candidates ... Design and govern the enterprise Infrastructure as Code (IaC) standards. Develop custom tooling to ...

Corvel

CA Utilization Review Nurse I

Rancho Cucamonga, CA · Remote

$30.64 - $45.80/hr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ... Must have thorough knowledge of both CPT and ICD coding * Ability to interface with claims staff ...

Corvel

CA UR Case Manager II

Folsom, CA · Remote

$32.18 - $48.68/hr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ... Must have thorough knowledge of both CPT and ICD coding * Ability to interface with claims staff ...

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All JobsHcc Risk Adjustment Coding JobsRemote Hcc Risk Adjustment Coding JobsRemote Hcc Risk Adjustment Coding Jobs in California

Remote Hcc Risk Adjustment Coding information

What is remote HCC risk adjustment coding?

Remote HCC risk adjustment coding involves reviewing patient medical records from a remote location to identify and assign Hierarchical Condition Category (HCC) codes. These codes help determine the risk score of patients, which affects healthcare reimbursements for organizations. HCC coders must have a strong understanding of medical terminology, coding guidelines, and compliance regulations. They typically work from home, using secure software to ensure patient data privacy and accuracy in coding.

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 in-depth knowledge of ICD-10-CM coding guidelines, HCC risk adjustment models, and a coding certification such as CPC, CRC, or CCS. Familiarity with electronic health record (EHR) systems, coding software, and secure remote work platforms is essential. Attention to detail, analytical thinking, and strong organizational skills help coders ensure accuracy and compliance. These skills are vital for precise diagnosis coding, optimizing risk scores, and supporting reimbursement and quality initiatives in healthcare organizations.

What are some common challenges faced by remote HCC risk adjustment coders, and how can they be addressed?

Remote HCC Risk Adjustment Coders often encounter challenges such as interpreting complex medical records without direct access to providers for clarification, staying updated on frequent coding guideline changes, and managing productivity expectations in a home-based environment. To address these, coders benefit from strong communication skills to clarify documentation through digital channels, participating in ongoing education and training, and utilizing coding software or company-provided resources efficiently. Employers typically support coders with regular team meetings, access to compliance specialists, and robust knowledge-sharing platforms to help overcome these hurdles.

What is the difference between Remote Hcc Risk Adjustment Coding vs Remote Hcc Risk Adjustment Coding?

AspectRemote Hcc Risk Adjustment Coding

Since the comparison is with itself, the roles are identical. Both involve coding for HCC risk adjustment, require similar credentials like coding certifications, and are performed remotely within healthcare insurance environments. The primary difference lies in specific employer requirements or specialization, but generally, these roles are the same in scope and industry usage.

Is Remote Hcc Risk Adjustment Coding a good career?

Remote HCC Risk Adjustment Coding is a growing field within healthcare revenue cycle management, requiring knowledge of medical coding, diagnoses, and risk adjustment models. It offers opportunities for remote work, stable employment, and potential certification through programs like AHIMA or AAPC. The role is suitable for individuals interested in healthcare data analysis and coding accuracy, with demand expected to increase as healthcare payers focus on risk-based reimbursement.

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

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

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

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

What job categories do people searching Remote Hcc Risk Adjustment Coding jobs in California look for?

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

What cities in California are hiring for Remote Hcc Risk Adjustment Coding jobs?

Cities in California with the most Remote Hcc Risk Adjustment Coding job openings:

Remote Hcc Risk Adjustment Coding jobs near you
Infographic showing various Remote Hcc Risk Adjustment Coding job openings in California as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, and 4% Contract. Highlights an 85% Physical, 5% Hybrid, and 10% Remote job distribution.

Remote Complex Care RN (Must reside in Modesto, CA)

Alignment Healthcare

Modesto, CA • On-site, Remote

$85K - $128K/yr

Full-time

Posted 12 days ago

Alignment Healthcare rating

7.3

Company rating: 7.3 out of 10

Based on 17 frontline employees who took The Breakroom Quiz

242nd of 315 rated insurance

Job description

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.
Are you passionate about helping medically complex patients navigate their healthcare journey? At Alignment Health, we're transforming healthcare for seniors through coordinated, value-based care. As a Complex Care RN, you'll serve as the clinical quarterback for a panel of high-risk Medicare Advantage members, helping ensure they receive the right care at the right time while improving outcomes and quality of life.
*Location Requirement: This position is based in Modesto, California. Candidates must reside in the Modesto area.
Working within our innovative Care Anywhere model, you'll collaborate closely with Advanced Practice Clinicians, Care Coordinators, Health Coaches, Social Workers, and Primary Care Providers to deliver proactive, member-centered care in a virtual environment.
What You'll Do
  • Manage and coordinate care for medically complex Medicare Advantage members.
  • Build trusted relationships with members and caregivers through ongoing virtual engagement.
  • Lead transitions of care following hospital, SNF, and inpatient discharges.
  • Complete medication reconciliations and monitor changes in clinical status.
  • Identify and escalate clinical concerns to the appropriate provider.
  • Partner with multidisciplinary teams to ensure seamless, coordinated care.
  • Support chronic disease management for conditions including heart failure, COPD, diabetes, and CKD.
  • Assist with HEDIS, quality initiatives, and care gap closure activities.
  • Maintain accurate, timely documentation in Athena EMR.

What You Bring
Required
  • Located in Modesto, CA area
  • Minimum 3 years of RN experience in complex care, care management, case management, transitions of care, palliative care, hospice, acute care, or a related clinical setting.
  • Experience managing medically complex, high-risk patient populations.
  • Experience with chronic disease management, medication reconciliation, and care transition coordination.
  • Experience in Medicare Advantage, managed care, home-based care, or value-based care environments.
  • Knowledge of HEDIS, HCC coding, and care gap management.
  • Experience working in telehealth or virtual care settings.
  • Strong interdisciplinary care coordination and communication skills.

Education & Licensure
  • Associate Degree in Nursing (ADN) required; BSN strongly preferred.
  • Active, unrestricted RN license in CA
  • Current BLS certification.

Preferred Qualifications
  • Bilingual Spanish
  • BSN or higher.
  • Certified Case Manager (CCM) certification.
  • Multi-state RN licensure.
  • Experience with Athena EMR and TalkDesk or similar virtual engagement platforms.
  • Background in population health, care management programs, or Medicare case management.

Why Join Alignment Health?
  • Work at the top of your license supporting high-risk populations.
  • Be part of an innovative care model transforming senior healthcare.
  • Collaborate with a dedicated, multidisciplinary care team.
  • Make a direct impact on reducing hospitalizations and improving member outcomes.
  • Join a mission-driven organization focused on compassionate, coordinated care

Essential Physical Functions:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
  • While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
  • The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

Pay Range: $85,696.00 - $128,543.00
Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.
Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.
*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health's talent acquisition team, please email careers@ahcusa.com.

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