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Remote Inpatient Coding Auditor Jobs in California

Adventist Health

Supervisor, Coding (Remote)

Roseville, CA · On-site +1

$35.37 - $53.01/hr

Monitors and assesses performance of coding staff to assure timely, accurate coding of inpatient discharges, ambulatory surgery encounters, emergency department, clinic encounters, and diagnostic ...

New

YO AI Labs

Hospitalist Physician - Remote

San Jose, CA · Remote

$70 - $100/hr

The ideal candidate has recent inpatient or hospitalist experience, strong clinical documentation ... Experience with utilization review, medical coding, or healthcare quality assurance. * Familiarity ...

New

YO AI Labs

Hospitalist Physician - Remote

Los Angeles, CA · Remote

$70 - $100/hr

The ideal candidate has recent inpatient or hospitalist experience, strong clinical documentation ... Experience with utilization review, medical coding, or healthcare quality assurance. * Familiarity ...

New

YO AI Labs

Hospitalist Physician - Remote

Palo Alto, CA · Remote

$70 - $100/hr

The ideal candidate has recent inpatient or hospitalist experience, strong clinical documentation ... Experience with utilization review, medical coding, or healthcare quality assurance. * Familiarity ...

New

YO AI Labs

Hospitalist Physician - Remote

San Francisco, CA · Remote

$70 - $100/hr

The ideal candidate has recent inpatient or hospitalist experience, strong clinical documentation ... Experience with utilization review, medical coding, or healthcare quality assurance. * Familiarity ...

New

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Remote Inpatient Coding Auditor information

What is a remote inpatient coding auditor?

A Remote Inpatient Coding Auditor is a healthcare professional who reviews and evaluates the accuracy of medical coding for inpatient records, typically working from a remote location. They ensure that diagnoses, procedures, and other relevant data are correctly coded according to official guidelines and regulatory requirements. Their work helps healthcare organizations maintain compliance, optimize reimbursement, and improve data quality. Remote auditors often use electronic health records and specialized software to perform their duties. They may also provide feedback and education to coding staff based on their findings.

What are the key skills and qualifications needed to thrive as a remote inpatient coding auditor?

To thrive as a Remote Inpatient Coding Auditor, you need expertise in ICD-10-CM/PCS coding, a strong understanding of inpatient reimbursement methodologies, and credentials such as RHIA, RHIT, or CCS certification. Proficiency with electronic health record (EHR) systems, coding software, and auditing tools is typically required. Attention to detail, analytical thinking, and effective written communication help auditors ensure accuracy and provide constructive feedback. These skills are crucial for maintaining compliance, optimizing hospital reimbursement, and upholding coding quality standards in a remote setting.

What are some common challenges faced by remote inpatient coding auditors, and how can they be managed effectively?

Remote Inpatient Coding Auditors often encounter challenges such as keeping up with constantly evolving coding guidelines, ensuring data accuracy across diverse documentation, and overcoming communication barriers with on-site staff. Effective strategies include participating in ongoing education, utilizing up-to-date coding resources, and setting regular virtual check-ins with clinical and coding teams. Maintaining strong attention to detail and proactively seeking clarification when discrepancies arise can help auditors deliver high-quality results while working remotely.

What is the difference between Remote Inpatient Coding Auditor vs Remote Outpatient Coding Auditor?

AspectRemote Inpatient Coding AuditorRemote Outpatient Coding Auditor
CertificationsAHIMA or AAPC CCS, CPC, or RHIT/RHIASimilar certifications, often CPC or CCS
Work EnvironmentHospitals, inpatient facilities, remoteClinics, outpatient facilities, remote
Industry UsageHealthcare providers, insurance companiesHealthcare providers, insurance companies
Job FocusReviewing inpatient medical records, coding accuracyReviewing outpatient records, coding outpatient visits

Remote Inpatient Coding Auditors focus on inpatient hospital records, ensuring accurate coding for stays, while Remote Outpatient Coding Auditors review outpatient visit records. Both roles require similar certifications and work in healthcare settings, but they specialize in different types of medical documentation and coding processes.

What are popular job titles related to Remote Inpatient Coding Auditor jobs in California?

For Remote Inpatient Coding Auditor jobs in California, the most frequently searched job titles are:

What job categories do people searching Remote Inpatient Coding Auditor jobs in California look for?

The top searched job categories for Remote Inpatient Coding Auditor jobs in California are:

What cities in California are hiring for Remote Inpatient Coding Auditor jobs?

Cities in California with the most Remote Inpatient Coding Auditor job openings:

Remote Inpatient Coding Auditor jobs near you
Infographic showing various Remote Inpatient Coding Auditor job openings in California as of August 2026, with employment types broken down into 90% Full Time, 5% Part Time, and 5% Contract. Highlights an 100% Remote job distribution.

Risk Adjustment Coding Specialist II

Astrana Health, Inc.

Orange, CA • On-site, Remote

$70K - $85K/yr

Full-time

Posted 18 days ago

Job description

Description
We are currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will report to a Sr. Manager - Risk Adjustment and enable us to continue to scale in the healthcare industry. The staff is required to frequently travel to provider sites depending on projects. 
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 provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum, as appropriate for all IPAs managed by the company 
  • Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC) 
  • Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines 
  • Interacts with physicians regarding coding, billing, documentation policies, procedures, and conflicting/ambiguous or non-specific documentation 
  • Meets or exceeds productivity targets as established by management. Regularly meets due dates assigned 
  • Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing 
  • Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements. 
  • Keeps management apprised of project activities through regular written and oral status reports. Proactively identifies risks that may hinder project success. 
  • Provides recommendations to management related to process improvements, root-cause analysis, and/or barrier resolution applicable to Risk Adjustment initiatives. 
  • Trains, mentors and supports new employees during the orientation process. Functions as a resource to existing staff for projects and daily work. 
  • Provides peer to peer guidance through informal discussion and overread assignments. Supports coder training and orientation as requested by manager. 
  • May assist or lead projects and/or higher work volume than Risk Adjustment Coding Specialist I 

Qualifications
  • Required Certification/Licensure: Must possess and maintain AAPC or AHIMA certification – Certified Coding Specialist (CCS) and/or Certified Professional Coder (CPC). Certified Risk Adjustment Coder (CRC) is a plus but not required
  • 3+ years experience in risk adjustment coding and/or billing experience required 
  • Reliable transportation/Valid Driver’s License/Must be able to travel at least 75% of work time 
  • PC skills and experience using Microsoft applications such as Word, Excel, and PowerPoint
  • Excellent presentation, verbal and written communication skills, and ability to collaborate
  • Must possess the ability to educate and train provider office staff members 
  • Proficiency with healthcare coding software and Electronic Health Records (EHR) systems. 
You’re great for the role if: 
  • Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage 
  • Ability to work independently and collaborate in a team setting 
  • Strong organizational and time-management skills 
  • Ability to work in a home office for continuous periods of time for business continuity 
  • Ability to travel across the Provider Clinic service region for meetings and/or training as needed 
  • Able to work independently and within time constraints
  • Able to efficiently prioritize multiple high-priority tasks

Environmental Job Requirements and Working Conditions
  • This position blends on-site fieldwork (approximately 75% travel) with remote support to help practices. The Company reserves the right to modify the work arrangement, including transitioning to a hybrid or onsite model, based on business needs. Disclaimer: This job description is intended to describe the general nature and level of work performed. It is not intended to be an exhaustive list of all responsibilities, duties, or qualifications required. Responsibilities may change based on business needs and organizational priorities.
  • The national target pay range for this role is $70,000 - $85,000. 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.com to 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.