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Remote Medical Coding Auditor Jobs in Riverside, CA

Chubb

Sr. Premium Auditor

Irvine, CA · Remote

The position is primarily remote, with audits completed through a remote physical audit process ... medical condition, genetic information, military and veteran status, age, and pregnancy or any ...

All Care To You

Medical Billing Coordinator

Orange, CA · Remote

$18 - $22/hr

Our company is fully remote and offers a flexible work environment as well as schedules. ACTY ... Research health plan reimbursement policies and procedures, clinical guidelines, coding, and CCI ...

Noor Staffing Group

SDET, Remote opportunity

Irvine, CA · On-site +1

$130K - $150K/yr

Competitive salary, medical, dental, vision, 401(k), and PTO * Hybrid flexibility if local to ... Daily use of AI coding tools (Claude Code, GitHub Copilot, Cursor, or equivalent) as a core part of ...

JenaValve

Senior Manager, Clinical Compliance

Irvine, CA · On-site +1

$160K - $170K/yr

Remote - Home Office Summary: Reporting to the Vice President, Clinical Affairs, the Senior Manager ... Lead auditor competency (planning, execution, report writing, finding classification); lead auditor ...

Aston Carter

REMOTE- Payroll Analyst

Chino, CA · On-site +1

$32 - $40/hr

Maintain payroll system configurations, including earnings codes, deduction setups, tax profiles ... If eligible, the benefits available for this temporary role may include the following: • Medical ...

New

Quantumroot Financial

Be Seen First

Licensed Insurance Professional

Ladera Ranch, CA · Remote

$75K - $350K/yr

LICENSED INSURANCE AGENT | NATIONAL REMOTE EXPANSION Life Insurance, Health Insurance (Medicare ... code positioning opportunities tied to local client searches - Ongoing production support and ...

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All JobsRemote Medical Coding Auditor JobsRemote Medical Coding Auditor Jobs in Riverside, CA

Remote Medical Coding Auditor information

See Riverside, CA salary details

$35.5K

$71.4K

$96.5K

How much do remote medical coding auditor jobs pay per year?

As of Jun 26, 2026, the average yearly pay for remote medical coding auditor in Riverside, CA is $71,370.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,500.00 and $78,200.00 per year, depending on experience, location, and employer.

What is a Remote Medical Coding Auditor?

A Remote Medical Coding Auditor is a healthcare professional who reviews and evaluates medical records, billing data, and coding practices from a remote location. They ensure that medical codes used for diagnoses, procedures, and treatments are accurate and comply with regulations and organizational guidelines. Their work helps healthcare organizations maintain compliance, maximize reimbursement, and minimize the risk of audits or penalties. Remote auditors often use secure technology to access records and collaborate with healthcare providers or coding staff. This role typically requires strong attention to detail, knowledge of coding systems like ICD-10 and CPT, and certification such as CPC or CCS.

How does a Remote Medical Coding Auditor typically collaborate with healthcare providers and internal teams while working offsite?

Remote Medical Coding Auditors regularly interact with healthcare providers, billing teams, and compliance departments via secure digital platforms such as email, video conferencing, and project management tools. They review medical records, provide feedback, and clarify documentation issues through scheduled meetings or messaging systems. Despite working remotely, auditors are often integrated into virtual team structures, participate in ongoing training, and attend regular update sessions to ensure alignment with regulatory standards and organizational protocols. Effective communication and strong organizational skills are essential for success in this collaborative, remote environment.

What are the key skills and qualifications needed to thrive as a Remote Medical Coding Auditor, and why are they important?

To thrive as a Remote Medical Coding Auditor, you need a solid knowledge of medical coding guidelines, auditing protocols, and healthcare regulations, typically supported by certification such as CPC, CCS, or RHIA. Familiarity with coding software, electronic health record (EHR) systems, and auditing tools is essential for efficiency and accuracy. Strong attention to detail, analytical thinking, and effective written communication help auditors identify discrepancies and clearly report findings. These skills and qualities ensure compliance, minimize billing errors, and support healthcare organizations in maintaining accurate and ethical coding practices.

What is the difference between Remote Medical Coding Auditor vs Remote Medical Coding Specialist?

AspectRemote Medical Coding AuditorRemote Medical Coding Specialist
CertificationsCertified Professional Coder (CPC), Certified Coding Specialist (CCS)Same as auditor, often holds CPC or CCS
Work EnvironmentRemote, healthcare facilities, insurance companiesRemote, healthcare providers, billing companies
Primary RoleReview and ensure coding accuracy, compliance, and reimbursementAssign and input medical codes based on documentation
Industry UsageUsed by insurance companies, healthcare organizations, auditing firmsUsed by hospitals, clinics, billing services

The main difference between a Remote Medical Coding Auditor and a Remote Medical Coding Specialist lies in their focus. Auditors review and verify coding accuracy and compliance, while specialists are responsible for assigning codes. Both roles require similar certifications and often work remotely within healthcare and insurance industries.

What are the most commonly searched types of Medical Coding Auditor jobs in Riverside, CA? The most popular types of Medical Coding Auditor jobs in Riverside, CA are:
What are popular job titles related to Remote Medical Coding Auditor jobs in Riverside, CA? For Remote Medical Coding Auditor jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Remote Medical Coding Auditor jobs in Riverside, CA look for? The top searched job categories for Remote Medical Coding Auditor jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Remote Medical Coding Auditor jobs? Cities near Riverside, CA with the most Remote Medical Coding Auditor job openings:
Remote Medical Coding Auditor jobs near you

Risk Adjustment Coding Specialist II - Orange County

Astrana Health, Inc.

Orange, CA • Remote

$70K - $85K/yr

Full-time

Posted 3 days ago

Job description

Description
We are currently seeking a highly motivated Risk Adjustment Coding Specialist to support our Orange County market.  In this role, you will support risk adjustment efforts by conducting high-volume chart reviews to identify coding gaps, trends, and opportunities for improved accuracy for our providers. You’ll translate your findings into actionable insights, creating and delivering education to providers and practice leaders while navigating complex conversations. Additionally, you’ll track and report on key performance metrics—such as HCC recapture rates, AWVs, and other KPIs, helping drive provider performance and overall program success. 
We are seeking candidates who have experience with provider education and at least 3-5 years of risk adjustment experience! This position requires travel to provider offices up to 75% of the time OC.
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
  • 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.
  • 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
  • Other duties as assigned

Qualifications
  • Required Certification/Licensure: Must possess and maintain AAPC or AHIMA certification -  Certified Coding Specialist (CCS-P), CCS, or CPC.
  • At least 3 years of experience in risk adjustment coding and/or billing experience required
  • Reliable transportation/Valid Driver’s License/Must be able to travel up to 75% of work time
  • PC skills and experience using Microsoft applications such as Word, Excel, and Outlook
  • 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 this role if:    
  • Strong billing knowledge and/or Certified Professional Biller (CPB) through APPC
  • Certified Risk Adjustment Coder (CRC) and/or Risk Adjustment coding experience
  • Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage
  • Strong PowerPoint and public speaking experience
  • Ability to work independently and collaborate in a team setting
  • Experience with Monday.com
  • Experience collaborating with, educating, and presenting to provider teams in a face-to-face setting

Environmental Job Requirements and Working Conditions
  • The national target pay range for this role is $70,000 - $85,000 per year. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
  • This role follows a hybrid work structure where the expectation is to work on the field and at home on a weekly basis. This position requires up to 75% travel to provider offices in Orange County. 
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.