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Remote Merchant Risk Analyst Jobs in Los Angeles, CA

Remote Reports To: Head of Business Analytics The Company: Sunbit builds financial technology ... It is a better way to serve people and merchants, proven at scale. Today, Sunbit is available ...

Remote Reports To: Head of Business Analytics The Company: Sunbit builds financial technology for ... It is a better way to serve people and merchants, proven at scale. Today, Sunbit is available ...

... fully remote. In this role, you will have the opportunity to: * Lead pricing review and oversee ... Perform profitability, sensitivity and risk analyses to support pricing recommendations and ...

... Risk Analysis, Claims avoidance and Mitigation, Change Management and Earned Value Management ... Hybrid-Remote (Tuesday and Wednesday in the office/field) JOB OPPORTUNITY: WE ARE HIRING JUNIOR ...

This is a fully remote position, offering an opportunity to contribute to a top-tier legal team ... If you have a deep understanding of conflict analysis, legal ethics, and risk management, and are ...

Senior Conflicts Analyst

Los Angeles, CA · On-site +1

$100K - $120K/yr

About the Role The Senior Conflicts Analyst will play a key role in supporting the firm's Risk ... Hybrid and remote-friendly arrangements available. * Professional Environment: Collaborative ...

Senior Conflicts Analyst

Irvine, CA · On-site +1

$100K - $120K/yr

About the Role The Senior Conflicts Analyst will play a key role in supporting the firm's Risk ... Hybrid and remote-friendly arrangements available. * Professional Environment: Collaborative ...

Showing results 21-40

Remote Merchant Risk Analyst information

See Los Angeles, CA salary details

$16

$43

$70

How much do remote merchant risk analyst jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for remote merchant risk analyst in Los Angeles, CA is $43.62, according to ZipRecruiter salary data. Most workers in this role earn between $32.12 and $53.08 per hour, depending on experience, location, and employer.

What is the difference between Remote Merchant Risk Analyst vs Remote Fraud Analyst?

AspectRemote Merchant Risk AnalystRemote Fraud Analyst
CredentialsExperience in risk management, certifications like CFE or CRCM often preferredSimilar certifications, focus on fraud detection and prevention
Work EnvironmentTypically in e-commerce, payment processing, or financial services companiesOften in banking, credit card companies, or online payment platforms
Industry UsageUsed in retail, e-commerce, and financial sectors to assess merchant risksCommon in banking and credit card industries to identify fraudulent activities

Both roles focus on risk assessment but differ in their primary focus: Merchant Risk Analysts evaluate merchant stability and compliance, while Fraud Analysts detect and prevent fraudulent transactions. Understanding these distinctions helps job seekers target the right roles in the industry.

What are the most commonly searched types of Merchant Risk Analyst jobs in Los Angeles, CA? The most popular types of Merchant Risk Analyst jobs in Los Angeles, CA are:
What are popular job titles related to Remote Merchant Risk Analyst jobs in Los Angeles, CA? For Remote Merchant Risk Analyst jobs in Los Angeles, CA, the most frequently searched job titles are:
What job categories do people searching Remote Merchant Risk Analyst jobs in Los Angeles, CA look for? The top searched job categories for Remote Merchant Risk Analyst jobs in Los Angeles, CA are:
What cities near Los Angeles, CA are hiring for Remote Merchant Risk Analyst jobs? Cities near Los Angeles, CA with the most Remote Merchant Risk Analyst job openings:

Risk Adjustment Coding Specialist II - Remote

Astrana Health

Houston, TX • Remote

$70K - $85K/yr

Full-time

Posted 26 days ago


Job description

We are currently seeking a highly motivated Risk Adjustment Coding Specialist to support our physician practices remotely!  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!
Our Values: 
  • Put Patients First
  • Empower Entrepreneurial Provider and Care Teams
  • Operate with Integrity & Excellence
  • Be Innovative
  • Work As One Team
  • 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.
  • Certified Professional Coder (CPC) or CRC from AAPC
  • Certified Risk Adjustment Coder (CRC) certifications from AAPC
  • At least 3 years of experience in risk adjustment experience 
  • At least 1 year experience with provider education 
  • 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 softwares and Electronic Health Records (EHR) systems.
  • Strong knowledge with PowerPoint, preparing presentations, and public speaking
  • Strong experience with Excel - reports, pivot tables, VLOOKUP, etc.
You're great for this role if:
  • Strong billing knowledge and/or Certified Professional Biller (CPB) through AAPC highly preferred
  • Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage
  • Experience with multiple EMR/EHR systems
  • Experience with Monday.com and PowerBI
  • Ability to work independently and collaborate in a team setting
  • Experience collaborating with, educating, and presenting to provider teams in a face-to-face setting
  • This is a full-time position, operating M-F 830 AM - 5 PM CST. 
  • This is a remote position. The home office is aligned at 1600 Corporate Center Drive, Monterey Park, CA. We are seeking candidates who reside in CST or EST time zones. 
  • 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.
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.