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Risk Adjustment Coding Manager Jobs in California

MedPOINT Management

HCC Coding Specialist

Sherman Oaks, CA · On-site

$75K - $95K/yr

MedPOINT Management in Sherman Oaks, CA is looking for a detail-oriented HCC Coding Specialist to join our growing team. This is an exciting opportunity to play a critical role in risk adjustment ...

UCLA Health

Coding Supervisor

Los Angeles, CA · Remote

$65K - $130K/yr

Bachelor's degree in Health Information Management, healthcare administration, or related field, or ... are Compliance), HCC (Risk Adjustment Coding Certification) or Specialty Certification

UCLA Health

Coding Supervisor

Los Angeles, CA · On-site

$65K/yr

Bachelor's degree in Health Information Management, healthcare administration, or related field, or ... are Compliance), HCC (Risk Adjustment Coding Certification) or Specialty Certification

Astiva Health

Jr. Quality Improvement Coder

Orange, CA · On-site

... Risk Adjustment Factor. * Conduct internal reviews of documentation and billing on a timely basis. * Identify coding and billing risk areas, conduct focused reviews. Ensure accurate coding by ...

Humana

Senior Coding Educator

Los Angeles, CA · On-site

$29.25 - $33.50/hr

You will report to the Manager, Coding Education As the Senior Coding Educator you will be * Responsible for creating and executing the risk adjustment strategy for each provider groups. * Analyze ...

Humana

Senior Coding Educator

Los Angeles, CA · On-site

$29.25 - $33.50/hr

You will report to the Manager, Coding Education As the Senior Coding Educator you will be * Responsible for creating and executing the risk adjustment strategy for each provider groups. * Analyze ...

Humana

Senior Coding Educator

Los Angeles, CA · On-site

$29.25 - $33.50/hr

You will report to the Manager, Coding Education As the Senior Coding Educator you will be * Responsible for creating and executing the risk adjustment strategy for each provider groups. * Analyze ...

sdaihc

Finance_Certified_Coder

San Diego, CA · Remote

$24 - $32.75/hr

... risk-adjustment-relevant capture. * Keeps up to date with new and revised state and federal coding ... Ability to manage multiple priorities in a fast-paced environment. * Coding accuracy review and ...

sdaihc

Finance_Certified_Coder

San Diego, CA · Remote

$24 - $32.75/hr

... risk-adjustment-relevant capture. * Keeps up to date with new and revised state and federal coding ... Ability to manage multiple priorities in a fast-paced environment. * Coding accuracy review and ...

WelbeHealth

Coding Auditor & Educator

Los Angeles, CA · On-site

$70K - $89K/yr

Minimum of two (2) years of Risk Adjustment (HCC) coding experience in a managed care environment * Current CCS, CCS-P, CPC, CPC-H, CPMA, or CRC credential * Strong knowledge of ICD-10 coding ...

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Risk Adjustment Coding Manager information

What are some common challenges faced by risk adjustment coding managers, and how can they effectively address them?

Risk Adjustment Coding Managers often encounter challenges such as ensuring coding accuracy, keeping up with regulatory changes, and coordinating across multidisciplinary teams. To address these, effective managers implement rigorous quality assurance processes, provide ongoing coder education, and maintain open communication with clinical, compliance, and data analytics teams. Staying updated on CMS guidelines and fostering a culture of continuous improvement are also key strategies for success in this role.

What are the key skills and qualifications needed to thrive as a risk adjustment coding manager?

To thrive as a Risk Adjustment Coding Manager, you need expertise in medical coding (CPT, ICD-10), risk adjustment methodologies, and a background in healthcare management, often supported by a coding certification such as CPC, CRC, or CCS. Familiarity with coding software, EHR systems, and data analytics tools is typically required. Strong leadership, attention to detail, and the ability to communicate compliance standards effectively are crucial soft skills. These skills ensure accurate risk adjustment coding, regulatory compliance, and improved financial outcomes for healthcare organizations.

What is the difference between Risk Adjustment Coding Manager vs Risk Adjustment Coder?

AspectRisk Adjustment Coding ManagerRisk Adjustment Coder
CertificationsAHIMA or AAPC credentials, management experienceAHIMA or AAPC credentials, coding certification
Work EnvironmentSupervisory role, overseeing coding teamsPerforming coding tasks directly on patient records
Employer & IndustryHealth plans, healthcare providers, insurance companiesHospitals, clinics, health plans

The Risk Adjustment Coding Manager oversees coding teams and ensures compliance, while the Risk Adjustment Coder focuses on accurately coding patient records. Both roles require similar certifications but differ in responsibilities and work environment, with managers handling supervision and coders performing detailed coding tasks.

What is a risk adjustment coding manager?

Risk Adjustment Coding Managers are professionals responsible for overseeing the medical coding process related to risk adjustment in healthcare organizations. They ensure accurate coding of diagnoses and procedures to reflect the health status of patients, which is essential for proper reimbursement from Medicare Advantage and other insurance plans. These managers lead teams of coders, maintain compliance with regulations, and implement quality assurance processes to optimize coding accuracy and organizational performance.
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 Risk Adjustment Coding Manager jobs in California? For Risk Adjustment Coding Manager jobs in California, the most frequently searched job titles are:
What job categories do people searching Risk Adjustment Coding Manager jobs in California look for? The top searched job categories for Risk Adjustment Coding Manager jobs in California are:
What cities in California are hiring for Risk Adjustment Coding Manager jobs? Cities in California with the most Risk Adjustment Coding Manager job openings:
Risk Adjustment Coding Manager jobs near you
Infographic showing various Risk Adjustment Coding Manager job openings in California as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, 2% Temporary, and 1% Contract. Highlights an 93% Physical, 3% Hybrid, and 4% Remote job distribution.

HCC Coding Specialist

MedPOINT Management

Sherman Oaks, CA • On-site

$75K - $95K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 18 days ago

Job description

Benefits:
  • 401(k)
  • 401(k) matching
  • Bonus based on performance
  • Company parties
  • Dental insurance
  • Employee discounts
  • Free food & snacks
  • Health insurance
  • Opportunity for advancement
  • Paid time off
  • Parental leave
  • Savings bank
  • Training & development
  • Vision insurance
  • Wellness resources

About the Role:
MedPOINT Management in Sherman Oaks, CA is looking for a detail-oriented HCC Coding Specialist to join our growing team. This is an exciting opportunity to play a critical role in risk adjustment accuracy and quality healthcare documentation. If you're passionate about medical coding and making a meaningful impact in managed care, we want to hear from you!
Responsibilities:
  • Review and analyze medical records to assign accurate HCC (Hierarchical Condition Category) codes
  • Ensure proper documentation of chronic conditions and risk adjustment diagnoses in compliance with CMS guidelines
  • Conduct retrospective and prospective chart reviews to identify coding gaps and opportunities
  • Collaborate with physicians and clinical staff to clarify documentation and support coding accuracy
  • Prepare and submit coding findings and reports to support risk adjustment programs
  • Stay current with ICD-10-CM coding updates, CMS risk adjustment models, and payer-specific requirements
  • Support audit processes and respond to coding queries in a timely manner
Requirements:
  • Certified Professional Coder (CPC), CRC, or equivalent coding certification required
  • Minimum 2+ years of experience in HCC coding and/or risk adjustment
  • Strong working knowledge of ICD-10-CM coding guidelines and CMS-HCC risk adjustment models
  • Experience with medical record review in a managed care or health plan environment preferred
  • Proficiency with electronic health records (EHR) and coding software
  • Exceptional attention to detail and commitment to coding accuracy and compliance
  • Strong communication skills with the ability to work collaboratively across clinical and administrative teams
About Us:
MedPOINT Management is a leading Independent Physician Association (IPA) management company based in Sherman Oaks, CA, dedicated to supporting high-quality, coordinated patient care across Southern California. Our provider partners and health plan clients trust us for our expertise, integrity, and commitment to operational excellence. We foster a collaborative and supportive work environment where talented professionals can thrive and grow their careers in healthcare management.

Flexible work from home options available.