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Remote Risk Adjustment Coder Jobs in Newport Beach, CA

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 ...

Corvel

Data Science Manager

Irvine, CA · Remote

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Design, build, train, and ... Develop a framework to monitor model performance post-deployment and recommend adjustments to ...

New

Ensign Services, Inc.

Payroll Resource

Irvine, CA · On-site +1

$20 - $30/hr

Location (Remote): We are seeking candidates based in California to support our Flagstone Market ... Consults with the garnishment/withholding order team to process periodic adjustments when directed.

Corvel

Content Marketing Associate

Irvine, CA · Remote

$83K - $139K/yr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Develop and implement a ... Experience in the healthcare or risk management industry (preferred). PAY RANGE: CorVel uses a ...

Corvel

Senior Corporate Paralegal - Contracts

Irvine, CA · Remote

$70K - $116K/yr

This is a hybrid or remote role in the Irvine, CA or Downers Grove, IL office. ESSENTIAL FUNCTIONS ... Ability to identify, analyze, and mitigate contractual risk * Excellent communication and ...

Vylla

REMOTE Asset Manager, Vylla

Aliso Viejo, CA · Remote

Completes for review by management, an executive summary on high-risk assets as needed. * Oversees ... matters, and code enforcement issues as they arise. Assures resolution of matter by the party ...

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All JobsRisk Adjustment Coder JobsRemote Risk Adjustment Coder JobsRemote Risk Adjustment Coder Jobs in Newport Beach, CA

Remote Risk Adjustment Coder information

See Newport Beach, CA salary details

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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 Newport Beach, CA is $29.49, according to ZipRecruiter salary data. Most workers in this role earn between $20.38 and $37.12 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 popular job titles related to Remote Risk Adjustment Coder jobs in Newport Beach, CA? For Remote Risk Adjustment Coder jobs in Newport Beach, CA, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coder jobs in Newport Beach, CA look for? The top searched job categories for Remote Risk Adjustment Coder jobs in Newport Beach, CA are:
What cities near Newport Beach, CA are hiring for Remote Risk Adjustment Coder jobs? Cities near Newport Beach, CA 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 Newport Beach, CA as of June 2026, with employment types broken down into 3% As Needed, 60% Full Time, 34% Part Time, and 3% Contract. Highlights an 52% Physical, 3% Hybrid, and 45% Remote job distribution, with an average salary of $61,341 per year, or $29.5 per hour.

Specialty Physician Coder - Cardiology/GI

MemorialCare

Fountain Valley, CA • On-site, Remote

$33.79 - $49/hr

Full-time

Medical

Re-posted 27 days ago

MemorialCare rating

8.2

Company rating: 8.2 out of 10

Based on 46 frontline employees who took The Breakroom Quiz

55th of 887 rated healthcare providers

Job description

Description
Title: Specialty Physician Coder - Cadiology
Location: Fountain Valley, CA (Predominately Remote / Must be located in California)
Department: Document Improvement
Status: Full-Time
Shift: Days (8hr)
Pay Range*: $33.79/hr - $49.00/hr
MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups - consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models.
Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability.Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.
Position Summary
Under the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a key role in reviewing and analyzing specialty coding and billing for charge processing. This role will be responsible for reviewing and accurately coding office, hospital, and surgical/procedures for reimbursement and ensuring accurate and compliant medical coding for inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients. The Specialty Physician Coder will also work with the Coding Compliance Manager on discovered coding trends and irregularities and needed action items.
Essential Functions and Responsibilities of the Job
  1. Proficient in Microsoft Office suite.
  2. Proficient in Epic software.
  3. Strong analytical skills.
  4. Strong critical thinking skills.
  5. Detail oriented.
  6. The ability to anticipate, research, and resolve problems/strong problem-solving skills.
  7. Strong understanding of the healthcare revenue cycle.
  8. Excellent communication skills with the ability to communicate information accurately and clearly.
  9. The ability to manage interpersonal relationships and effectively communicate with clinical partners and fellow business center teams.
  10. Provide excellent customer service and address a moderate amount of incoming email and phone calls.
  11. Collaborative team player with the ability to adapt to the ever-changing healthcare environment.
  12. Professional demeanor at all times.
  13. The ability to handle complex and confidential information with discretion.
  14. Maintain patient confidentiality.
  15. Maintain a safe and orderly work area.
  16. Strong work ethic, honest, and dependable.
  17. Strong personal time management skills.
  18. Be at work and be on time.
  19. Follow company policies, procedures, and directives.
  20. Interact in a positive and constructive manner.
  21. Prioritize and multitask.

*Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare-that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there's more... Check out our MemorialCare Benefits for more information about our Benefits and Rewards.
Qualifications
Minimum Requirements
Qualifications/Work Experience:
  • 3 years' experience working in a hospital or physician's office as a medical coder and interacting with physicians.
  • 1 years' experience as a specialty coder in one of the following specialties: Cardiology, Gastroenterology, Medical Hematology/Oncology, OBGYN, Pulmonology, General Surgery, or Radiation Oncology.
  • Expert knowledge of ICD10, CPT, and HCPCS.
  • Strong knowledge of medical terminology, anatomy and physiology.
  • Epic software experience is highly desired.

Proficient Microsoft skills.
Education/Licensure/Certification:
  • High School diploma or GED required.
  • CPC, CCS, or equivalent certification required.
  • Specialty coding certification is highly desired.

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