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Remote Risk Adjustment Coding Jobs in California

Astrana Health, Inc.

$33 - $38/hr

... payment, risk adjustment, quality reporting, and medical expense analysis. What You'll Do * Review inpatient hospital records and assign accurate diagnosis and procedure codes * Determine the ...

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)

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 ...

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

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 ...

Block

Senior Data Engineer, Risk

Bodega Bay, CA · On-site +1

$125K - $170K/yr

Today, Cash App has thousands of employees working globally across office and remote locations ... Lead the creation and optimization of existing data models through AI code generation on eventing ...

Corvel

Bill Review Analyst I

Folsom, CA · Remote

$13.38 - $23.42/hr

This is a remote position ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Responsible for auditing ... Knowledge of CPT/ICD/HCPS coding * Knowledge of UBO4/DWC-9/DWC-10 and CMS 1500 form types preferred

Arctiq, Inc.

Senior Site Reliability Engineer

San Diego, CA · Remote

$60.50 - $80.50/hr

This is a remote, contract opportunity for a project Arctiq is delivering for a client. Candidates ... Design and govern the enterprise Infrastructure as Code (IaC) standards. Develop custom tooling to ...

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

Remote Risk Adjustment Coding information

See California salary details

$17

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$23

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

As of Aug 12, 2026, the average hourly pay for remote risk adjustment coding in California is $21.22, according to ZipRecruiter salary data. Most workers in this role earn between $17.79 and $22.55 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 medical coding, anatomy, and healthcare regulations, typically backed by a coding certification such as CPC, CRC, or CCS. Familiarity with coding software, electronic health record (EHR) systems, and risk adjustment models like HCC is essential. Attention to detail, critical thinking, and strong written communication are crucial soft skills for interpreting clinical documentation and ensuring coding accuracy. These skills and qualifications are vital to accurately capture patient risk, ensure compliance, and optimize reimbursement for healthcare organizations.

What is remote risk adjustment coding?

Remote risk adjustment coding is the process of reviewing and assigning medical codes to patient diagnoses and procedures from a remote location, usually at home. The purpose is to ensure that healthcare organizations accurately report the health status of their patients, which affects reimbursement from health plans. Coders use specialized knowledge of ICD-10-CM coding and risk adjustment models, such as HCC (Hierarchical Condition Category) coding, to capture all relevant chronic conditions. This position requires attention to detail, compliance with regulations, and strong analytical skills.

Is remote risk adjustment coding a good career?

Remote risk adjustment coding is a growing field that offers flexibility and the potential for competitive salaries, especially for those with coding certifications and knowledge of healthcare documentation. It requires attention to detail, understanding of medical records, and proficiency with coding software. The demand for remote coders is increasing as healthcare organizations seek efficient ways to manage risk and compliance.

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

AspectRemote Risk Adjustment CodingRemote Medical Coding
CertificationsRHIA, RHIT, CPC, CCSCPC, CCS, CCS-P
Work EnvironmentHealthcare organizations, insurance companiesHospitals, clinics, insurance companies
Industry UsageHealth insurance, risk adjustment programsMedical billing, claims processing

Remote Risk Adjustment Coding focuses on analyzing patient data for insurance risk assessments, requiring specific risk adjustment certifications. Remote Medical Coding involves coding diagnoses and procedures for billing purposes. While both roles require coding certifications, Risk Adjustment Coding emphasizes risk analysis within insurance, whereas Medical Coding centers on billing accuracy.

How does working remotely as a risk adjustment coder impact collaboration with healthcare teams and ongoing professional development?

As a remote Risk Adjustment Coder, you'll often collaborate with clinical staff, auditors, and other coders through secure digital platforms and regular virtual meetings. While remote work offers flexibility, it also means that proactive communication is essential to ensure accurate coding and compliance with regulations. Many organizations provide virtual training sessions, access to coding forums, and ongoing education to help you stay updated on industry changes and coding standards. Building relationships with your team and participating in online professional communities can further support your growth and help overcome the isolation that sometimes comes with remote work.
What are the most commonly searched types of Risk Adjustment Coding jobs in California? The most popular types of Risk Adjustment Coding jobs in California are:
What are popular job titles related to Remote Risk Adjustment Coding jobs in California? For Remote Risk Adjustment Coding jobs in California, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coding jobs in California look for? The top searched job categories for Remote Risk Adjustment Coding jobs in California are:
What cities in California are hiring for Remote Risk Adjustment Coding jobs? Cities in California with the most Remote Risk Adjustment Coding job openings:
Remote Risk Adjustment Coding jobs near you
Infographic showing various Remote Risk Adjustment Coding job openings in California as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $44,138 per year, or $21.2 per hour.

Quality Improvement Coordinator

Astiva Health

San Jose, CA • On-site, Remote

$23 - $25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago

Job description

Description

About Us:

Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members.


This is a remote position. The ideal candidate would be located in the San Jose, CA area for occasional provider office visits.


Summary:

The Quality Improvement Coordinator will be responsible for coordinating and implementing quality improvement initiatives related to HEDIS measures and risk adjustments/HCC. This individual will work with internal and external stakeholders to ensure compliance with HEDIS specifications, data collection, reporting, and improvement strategies.


ESSENTIAL DUTIES AND RESPONSIBILITIES: include the following. Other duties may be assigned.

  • Regular and consistent attendance. In office attendance is requested 5 days a week.
  • Coordinate and partner with IPA/MSO delegates for HEDIS and risk adjustment data reporting
  • Identify gaps and opportunities for improvement
  • Collaborate with internal departments to review and implement projects and interventions to improve delivery of services and quality of care.
  • Assist with audits and reviews to ensure data accuracy and validity
  • Review and summarize collected data with trend analysis for additional provider educational opportunities.
  • Attend health plan meetings as requested by department leadership.
  • Stay updated on HEDIS and risk adjustment specifications, guidelines, and industry trends

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance
  • Free lunches on site

Requirements

EDUATION and/or EXPERIENCE:

  • 3+ years of quality improvement or healthcare related experience
  • Familiarity of HEDIS measures, specifications, and reporting requirements
  • Proficient in data analysis, Excel, and quality improvement methodologies
  • Excellent communication, presentation, and interpersonal skills
  • Ability to work independently and collaboratively in a fast-paced environment.
  • Detail-orientated, organized, and problem-solving skills.


Apply