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Remote Risk Adjustment Coder Jobs in Alhambra, CA

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 ...

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Remote Risk Adjustment Coder information

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$16

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$45

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

As of Jul 14, 2026, the average hourly pay for remote risk adjustment coder in Alhambra, CA is $28.99, according to ZipRecruiter salary data. Most workers in this role earn between $20.05 and $36.49 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Remote Risk Adjustment Coder, and why are they important?

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.

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Remote Risk Adjustment Coder jobs near you
E/M Multi-Specialty Coder - Coder II (Remote)

E/M Multi-Specialty Coder - Coder II (Remote)

Cedars Sinai

Los Angeles, CA • Remote

$20.25 - $27/hr

Other

Medical, Retirement, PTO

Re-posted 3 days ago

Cedars-Sinai rating

8.6

Company rating: 8.6 out of 10

Based on 130 frontline employees who took The Breakroom Quiz

37th of 1,020 rated hospitals

Job description

Align yourself with an organization that has a reputation for excellence! Cedars-Sinai was awarded the National Research Corporation's Consumer Choice Award 19 times for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company's Workplace of the Year. Discover why U.S. News & World Report has named us one of America's Best Hospitals!

What will you be doing in this role?

In this remote role, under the general direction of the Coding Supervisor, (using knowledge of CSMC and Official Coding guidelines, medical terminology, anatomy and physiology, and pathological basis of disease, documented treatment and procedures performed at CSMC and Cedars-Sinai Affiliates and their locations) assigns ICD-10-CM and CPT codes for patients receiving services at CSMC. Accurately assigns all applicable modifiers for all patients to assure optimal reimbursement and the highest quality data possible Duties of this Coder II include:

  • Performs accurate and timely coding (CPT, ICD-9, ICD-10, HCPCS, modifiers).
  • Maintains familiarity with issues like HCFA coding regulations, Medicare rules, visits and procedures on the same day, consultation vs. referral, surgeries, etc.
  • Understands and implements coding guidelines for multi-specialty surgical practices and/or complex surgical coding.
  • Attends seminars and workshops, as applicable, for updates on new coding rules and regulations.
  • Elevates issues, as appropriate, to the Coding Supervisor and Manager.
  • Meets productivity and quality standards as designated by Coding Manager
  • Understands coding trends to include NCD, LCD, and CMS guidelines.
  • Identifies trends and issues with overall division and individual physician coding practices and presents solutions.
  • Maintains confidentiality of patient care and business matters.
  • Follows policies and procedures pertinent to the coding and compliance departments.

Requirements:

Certified Procedural Coder (CPC) required. Certified Evaluation and Management Coder (CEMC) a plus.
High school diploma or GED required. 
Completion of courses in ICD-10-CM and CPT-4 coding from an accredited coding program preferred.
 

Experience we are Seeking:

Minimum of 3 years of coding experience within a multi-specialty medical group or multi-specialty physician practice (i.e., Cardiothoracic Surgery, Neurosurgery, General Surgery, Orthopedics, Obstetrics/Gynecology) preferred.
Familiarity with ICD-10-CM, CPT-4 coding and payment methodologies.
Working knowledge of all California and National reporting requirements.

Why work here?

Beyond outstanding employee benefits including health and vacation, and a 403(b) we take pride in hiring the best, most passionate employees. Our accomplished staff reflects the culturally and ethnically diverse community we serve. They are proof of our commitment to creating a dynamic, inclusive environment that fuels innovation.
 

Requirements:

Certified Procedural Coder (CPC) required. Certified Evaluation and Management Coder (CEMC) a plus.
High school diploma or GED required. 
Completion of courses in ICD-10-CM and CPT-4 coding from an accredited coding program preferred.
 

Experience we are Seeking:

Minimum of 3 years of coding experience within a multi-specialty medical group or multi-specialty physician practice (i.e., Cardiothoracic Surgery, Neurosurgery, General Surgery, Orthopedics, Obstetrics/Gynecology) preferred.
Familiarity with ICD-10-CM, CPT-4 coding and payment methodologies.
Working knowledge of all California and National reporting requirements.
 

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