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Remote Risk Adjustment Coding Jobs in Cerritos, CA

National Coding Educator - Remote

Irvine, CA · On-site +1

$29.25 - $33.25/hr

This is a virtual position responsible for providing expertise in the area of risk adjustment and quality coding for provider clients. A National Coding Educator will interface with operational and ...

... Risk Adjustment Coder (CRC), Certified Clinical Documentation Specialist (CCDS), Certified ... remote-first culture - you've come to the right place. What Does This Mean for You? At Aledade, you ...

Actuarial Analyst - REMOTE

Long Beach, CA · On-site +1

$77.97K - $117.81K/yr

Maintain risk adjustment model, estimate risk scores, and analyze impact. Extract, analyze, and synthesize data from various sources to identify risks. Additional leadership opportunities are ...

Document HCC (risk adjustment) during visits * Close HEDIS (quality measures) care gaps * Review ... Code with ICD-10 and CPT II * Deliver care plans and follow-up * Keep clean, audit-ready ...

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Remote Risk Adjustment Coding information

See Cerritos, CA salary details

$18

$22

$24

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

As of May 31, 2026, the average hourly pay for remote risk adjustment coding in Cerritos, CA is $22.39, according to ZipRecruiter salary data. Most workers in this role earn between $18.75 and $23.80 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 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.

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 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.

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.

What are popular job titles related to Remote Risk Adjustment Coding jobs in Cerritos, CA? For Remote Risk Adjustment Coding jobs in Cerritos, CA, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coding jobs in Cerritos, CA look for? The top searched job categories for Remote Risk Adjustment Coding jobs in Cerritos, CA are:
What cities near Cerritos, CA are hiring for Remote Risk Adjustment Coding jobs? Cities near Cerritos, CA with the most Remote Risk Adjustment Coding job openings:
Infographic showing various Remote Risk Adjustment Coding job openings in Cerritos, CA as of May 2026, with employment types broken down into 82% Full Time, 14% Part Time, and 4% Contract. Highlights an 9% Physical, 4% Hybrid, and 87% Remote job distribution, with an average salary of $46,567 per year, or $22.4 per hour.
Certified Coder (Risk Adjustment Experience Required) - REMOTE

Certified Coder (Risk Adjustment Experience Required) - REMOTE

Molina Healthcare

Long Beach, CA • Remote

$24.50 - $33.50/hr

Full-time

Posted 2 days ago


Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 191 frontline employees who took The Breakroom Quiz

145th of 259 rated insurance


Job description

JOB DESCRIPTION Job SummaryProvides support for medical coding activities, including ensuring that ICD-10 and CPT codes are reported accurately to maintain compliance, and minimize risk and denials. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
Performs on-going member medical chart reviews. Abstracts and reports ICD-10 and CPT diagnosis codes accurately and in compliance with established coding and billing principles - minimizing risk and denials.
Demonstrates understanding of current provider office billing practices - ensuring that diagnosis and CPT codes are submitted accurately.
Documents results/findings from chart reviews and provides feedback to leadership, providers and office staff.
Provides training and education to provider network regarding risk adjustment and coding updates related to risk adjustment.
Builds positive relationships between providers and the business by providing coding assistance as needed.
Facilitates administrative duties such as planning, chart reviews scheduling, medical records procurement, provider training and education.
Assists in coordination of management activities with other departments including finance, revenue analytics, claims, encounters and enterprise/plan medical directors.
Maintains professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks and participating in professional societies related to medical coding in the managed care industry.
Required Qualifications At least 2 years medical coding experience, or equivalent combination of relevant education and experience.
Certified Professional Coder (CPC).
Certified Coding Specialist (CCS).
Latest Centers for Medicare and Medicaid Services (CMS) and American Hospital Association (AHA) clinic coding knowledge.
Ability to maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
Ability to effectively interface with staff, clinicians, and management.
Excellent verbal and written communication skills.
Ability to establish and maintain positive and effective work relationships with coworkers, members, providers and all other customers.
Strong verbal and written communication skills.
Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
Certified Risk Adjustment Coder (CRC).
Certified Professional Payer - Payer (CPC-P).
Certified Coding Specialist - Physician Based (CCS-P).
Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model.
Background in supporting risk adjustment management activities and clinical informatics.
Experience with risk adjustment data validation.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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