ZipRecruiter

Log In

2

Remote Risk Adjustment Coder Jobs in California (NOW HIRING)

Seen Health

Head of Data

Los Angeles, CA · On-site +1

Own the analytics behind risk adjustment and clinical quality: HCC/RAF capture, care gap closure ... BigQuery), infrastructure-as-code (e.g. Terraform), cloud storage (e.g. GCS), and BI (e.g. Metabase)

Adventist Health

Sr. Certified Coder (Remote)

Roseville, CA · On-site +1

$23.75 - $31.75/hr

Reviews patient records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines. Applies substantial ...

Gallagher

Risk Management Analyst

San Jose, CA · Remote

$80K - $120K/yr

... including Education Code benefits) Medical Management & Network Optimization * Support ... Remote work environment flexibility. About You * Minimum of 5 years of experience with workers ...

Adventist Health

Sr. Certified Coder (Remote)

Roseville, CA · On-site +1

$30.79 - $46.15/hr

Reviews patient records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines. Applies substantial ...

Trinity Health

$24.33 - $37.73/hr

Coder - Physician Based Remote Join Loyola Strong. Be part of something greater. Loyola Medicine, a nationally recognized academic health system and member of Trinity Health, is seeking a Remote ...

Trinityhealth

$24.33 - $37.73/hr

Coder - Physician Based Remote Join Loyola Strong. Be part of something greater. Loyola Medicine, a nationally recognized academic health system and member of Trinity Health, is seeking a Remote ...

UCLA Health

Outpatient Coder - Per Diem

Los Angeles, CA · On-site +1

$47.60 - $62.78/hr

Los Angeles, CA, USA Onsite or Remote Fully Remote Work Schedule Monday - Friday, 6:00 AM - 3:00 PM ... You will be responsible for coding diagnoses and procedures for assigned cases. This will involve ...

previous pagenext page

Showing results 21-40

All JobsRisk Adjustment Coder JobsRemote Risk Adjustment Coder JobsRemote Risk Adjustment Coder Jobs in California

Remote Risk Adjustment Coder information

See California salary details

$15

$27

$42

How much do remote risk adjustment coder jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for remote risk adjustment coder in California is $27.13, according to ZipRecruiter salary data. Most workers in this role earn between $18.75 and $34.18 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a remote risk adjustment coder?

To thrive as a Remote Risk Adjustment Coder, you need a solid understanding of ICD-10-CM coding, medical terminology, and risk adjustment models, often supported by a coding certification such as CPC, CRC, or CCS. Proficiency with electronic health record (EHR) systems, coding software, and data management tools is essential. Attention to detail, strong analytical skills, and effective communication are crucial soft skills for accurate code assignment and collaboration with healthcare teams. These skills ensure compliance, maximize reimbursement, and support quality healthcare outcomes in a remote environment.

What is a remote risk adjustment coder?

A Remote Risk Adjustment Coder is a healthcare professional who reviews patient medical records and assigns diagnostic codes from a remote location, typically from home. Their primary goal is to ensure accurate coding for risk adjustment purposes, which helps health plans predict patient healthcare costs and receive appropriate funding. These coders work with electronic health records and must be knowledgeable about coding standards like ICD-10-CM. They play a key role in supporting compliance and maximizing revenue for healthcare organizations. Attention to detail, confidentiality, and proficiency with coding software are essential skills for this remote position.

What is the difference between Remote Risk Adjustment Coder vs Remote Medical Coder?

AspectRemote Risk Adjustment CoderRemote Medical Coder
CertificationsAHIMA or AAPC Risk Adjustment certificationsAAPC CPC, CCS, or RHIT certifications
Work EnvironmentHealthcare insurance, payer organizations, risk adjustment teamsHospitals, clinics, physician offices, insurance companies
Industry UsagePrimarily in health insurance and risk adjustment programsBroad healthcare settings including hospitals and outpatient clinics

Remote Risk Adjustment Coders focus on analyzing patient data for insurance risk models, requiring specific risk adjustment certifications. Remote Medical Coders handle a wider range of medical records coding across various healthcare settings. While both roles involve medical coding, their industries, certifications, and primary tasks differ significantly.

What are the common challenges faced by remote risk adjustment coders and how can they be managed?

Remote Risk Adjustment Coders often encounter challenges such as interpreting complex medical records, ensuring coding accuracy under tight deadlines, and staying updated with evolving coding guidelines. Managing these challenges typically involves strong attention to detail, proactive communication with team members, and participating in ongoing training sessions or webinars. Utilizing supportive resources and adhering to standardized coding protocols can help coders maintain accuracy and efficiency in a remote setting.

What does a remote risk adjustment coder do?

As a remote risk adjustment coder, your duties and responsibilities involve performing medical coding and reviewing medical codes for adherence to risk adjustment models. Employers may also expect you to audit medical record data to ensure accuracy. In this role, you work from home to apply codes and make assessments according to regulations and your employer’s operational policies. You also report the results of an audit to the relevant supervisor or coding service provider. It’s your job to ensure compliance with rules related to patient privacy and electronic medical record keeping.

More about Remote Risk Adjustment Coder jobs
What are the most commonly searched types of Risk Adjustment Coder jobs in California? The most popular types of Risk Adjustment Coder jobs in California are:
What are popular job titles related to Remote Risk Adjustment Coder jobs in California? For Remote Risk Adjustment Coder jobs in California, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coder jobs in California look for? The top searched job categories for Remote Risk Adjustment Coder jobs in California are:
What cities in California are hiring for Remote Risk Adjustment Coder jobs? Cities in California with the most Remote Risk Adjustment Coder job openings:
Remote Risk Adjustment Coder jobs near you
Infographic showing various Remote Risk Adjustment Coder job openings in California as of August 2026, with employment types broken down into 91% Full Time, and 9% Contract. Highlights an 100% Remote job distribution, with an average salary of $56,433 per year, or $27.1 per hour.

Field Remote Provider Engagement Specialist Merced/Stanislaus County

Alignment Healthcare

Merced, CA • Remote

$58K - $87K/yr

Full-time

Posted 2 days ago

New

Alignment Healthcare rating

7.3

Company rating: 7.3 out of 10

Based on 17 frontline employees who took The Breakroom Quiz

235th of 303 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.

What Alignment Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply