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Remote Hcc Risk Adjustment Coding Jobs in Turlock, CA

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Remote Hcc Risk Adjustment Coding information

See Turlock, CA salary details

$18

$22

$25

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

As of Aug 12, 2026, the average hourly pay for remote hcc risk adjustment coding in Turlock, CA is $22.61, according to ZipRecruiter salary data. Most workers in this role earn between $18.94 and $23.99 per hour, depending on experience, location, and employer.

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.

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 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 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 cities near Turlock, CA are hiring for Remote Hcc Risk Adjustment Coding jobs? Cities near Turlock, CA with the most Remote Hcc Risk Adjustment Coding job openings:
Remote Hcc Risk Adjustment Coding jobs near you

Field Remote Provider Engagement Specialist Merced/Stanislaus County

Alignment Healthcare

Merced, CA • Remote

$58K - $87K/yr

Full-time

Posted 6 days ago

Alignment Healthcare rating

7.3

Company rating: 7.3 out of 10

Based on 17 frontline employees who took The Breakroom Quiz

234th of 304 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.

Alignment Health is seeking a proactive, relationship-driven, and highly organized Provider Engagement Specialist to support our growing provider network inMerced/Stanislaus County, CA.In this field-based remote role, you will build strong relationships with physician practices and provider groups, helping improve quality, growth, retention, utilization, and risk adjustment performance while supporting network expansion.
This position is ideal for a self-driven professional who enjoys building partnerships, analyzing provider performance, solving problems, and improving healthcare outcomes.
Key Highlights
  • Field-based role with approximately 80% travel throughoutMerced/Stanislaus County, CA .
  • Flexible, self-managed schedule
  • Initial training may include shadowing an established market team in Raleigh, NC
  • Occasional travel (1-2 times annually) for meetings, training, or conferences
  • Mileage and travel expenses reimbursed per company policy
  • Primarily Monday-Friday during provider office hours, with flexibility for occasional early morning, evening, or community events
Essential Duties & Responsibilities
  • Build and maintain collaborative relationships with providers and office staff.
  • Partner with providers to improve performance in growth, retention, AWVs, HEDIS gap closures, hospital and ER utilization, risk adjustment, and other quality metrics.
  • Conduct provider onboarding and ongoing education regarding Alignment Health tools, programs, incentives, member benefits, Model of Care requirements, compliance requirements, and organizational initiatives.
  • Develop provider training materials, implementation packets, and educational presentations.
  • Serve as the primary point of contact for provider issues, including UM, prior authorizations, claims, eligibility, encounter data, provider rosters, and directory validation.
  • Represent Alignment Health at provider meetings, trainings, and community events.
  • Negotiate and implement physician and ancillary agreements and support provider credentialing and recruitment efforts.
  • Maintain provider engagement documentation, tracking databases, activity reports, and meeting records.
  • Attend staff meetings and perform special projects as assigned.
Qualifications
Education
  • Bachelor's degree (B.A. or B.S.) preferred; or equivalent combination of education and experience.
Experience
  • Minimum of two (2) years of related experience and/or training.
  • Experience in provider relations, provider contracting, network development, healthcare operations, managed care, IPA, HMO, medical group, or institutional provider environments required.
Preferred Qualifications
  • Bilingual English/Spanish preferred.
  • Experience working directly with physician practices and healthcare providers.
  • Knowledge of Medicare Advantage, quality programs, risk adjustment, utilization management, and provider performance metrics.
Knowledge, Skills, and Abilities
  • Strong relationship-building and interpersonal skills.
  • Excellent verbal and written communication abilities.
  • Strong presentation and facilitation skills.
  • Strong analytical, quantitative, and problem-solving capabilities.
  • Highly organized, detail-oriented, and self-motivated.
  • Ability to work independently and collaboratively.
  • Ability to effectively engage diverse provider audiences.
  • Proficiency with Microsoft Office Suite (Word, Excel, and PowerPoint).
Travel Requirements
  • Routinely required to travel by car throughout the assigned market (80% or more).
  • Must maintain reliable transportation, a valid driver's license, and automobile insurance.
  • Air travel required as needed.
  • Extended or flexible work hours may occasionally be required.
Work Environment
This position is primarily field-based and requires regular travel to provider offices throughout theMerced/Stanislaus County, CAmarket. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the role.
Why Join Alignment Health?
Join a growing organization where you'll help strengthen provider partnerships, improve healthcare outcomes, and support the success of a new and expanding market while making a meaningful impact on the communities we serve.
Pay Range: $58,531.00 - $87,797.00

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 athttps://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 emailcareers@ahcusa.com.

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