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Remote Risk Adjustment Coder Jobs in California (NOW HIRING)

Ennoble Care

Actuary

San Francisco, CA · Remote

$150/hr

Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health ... Thorough understanding of and hands-on experience with Medicare risk adjustment and CMS-HCC models

Ennoble Care

Actuary

San Diego, CA · Remote

$150/hr

Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health ... Thorough understanding of and hands-on experience with Medicare risk adjustment and CMS-HCC models

Cone Health

$19 - $25.25/hr

The Professional Physician Coder II accurately and efficiently accesses wide range primary care and specialty physician billing and Health Information Systems to secure and gather all necessary ...

Ethos Risk Services

Bill Review Specialist

Lake Forest, CA · On-site +1

$20.25 - $28/hr

Ethos Risk Services is a leading provider of workers' compensation medical management ... Our dynamic Bill Review team is seeking a full-time Bill Review Specialist (REMOTE) to review ...

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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.

Medical Coding Leader - Fully Remote | Upto $80/hr

Mercor

San Francisco, CA • Remote

$80/hr

Full-time

Re-posted 7 days ago

Job description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.

Position: Coding Manager / HIM Coding Leader
Type: Contract
Compensation: $80/hour
Location: Remote

Role Responsibilities

  • Oversee professional fee and facility inpatient coding operations to ensure accuracy, productivity, and compliance with coding guidelines.
  • Evaluate AI-generated coding assignments for ICD-10-CM/PCS, CPT/HCPCS, and DRG assignments to ensure accuracy and compliance.
  • Conduct coding quality audits and provide targeted feedback to coding staff and AI systems.
  • Monitor coding KPIs such as coder productivity, accuracy rates, unbilled accounts, and claim denial rates due to coding errors.
  • Manage coding workflow queues, work distribution, and ensure turnaround time compliance.
  • Collaborate with CDI, billing, and compliance teams to address coding-related revenue integrity issues.
  • Annotate AI-generated coding outputs and provide structured feedback to support AI training datasets.

Qualifications

Must-Have

  • 5+ years of experience in medical coding, with at least 2 years in a coding manager or HIM leadership role.
  • Expert knowledge of ICD-10-CM/PCS, CPT/HCPCS, and Official Coding Guidelines.
  • Proficiency in professional fee coding and/or facility inpatient coding with DRG assignment experience.
  • Experience conducting coding audits and developing coding quality improvement programs.
  • Proficiency with coding software (3M, Nuance, Optum360, TruCode) and EHR platforms.
  • Exceptional written and verbal English communication skills.
  • High attention to detail with the ability to identify coding errors, compliance risks, and AI output inaccuracies.

Preferred

  • CPC (Certified Professional Coder), CCS (Certified Coding Specialist), RHIA, or RHIT credential.
  • Experience with computer-assisted coding (CAC) tools and NLP-based coding platforms.
  • Background in inpatient facility coding with DRG optimisation experience.
  • Familiarity with AI coding tools and comfort evaluating AI-generated coding assignments.
  • Experience presenting coding performance data and quality metrics to leadership.

Application Process (Takes 20–30 mins to complete)

  • Upload resume
  • AI interview based on your resume
  • Submit form

Resources & Support

  • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
  • For any help or support, reach out to: support@mercor.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.