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Salaried Optum Health Coding Risk Adjustment Jobs in Riverside, CA

Alignment Healthcare

VP, Internal Audit

Orange, CA · On-site

Deepexpertisein Medicare Advantage plans, risk adjustment, and healthcare operations, including familiarity with CMS regulations, RADV, and the Model Audit Rule * Experience leading audit work in ...

UHS

CODER (CERT) - Full Time

Riverside, CA

... health records (EHR). 2.Audit patients medical record thoroughly, past and present, to validate existing coding and identify potential missed opportunity and coding risk areas. 3. Maintain current ...

Alignment Healthcare

VP, Internal Audit

Orange, CA · On-site

Deep expertise in Medicare Advantage plans, risk adjustment, and healthcare operations, including familiarity with CMS regulations, RADV, and the Model Audit Rule * Experience leading audit work in ...

UHS

CODER (CERT) - Full Time

Riverside, CA · On-site

$28.20 - $40.89/hr

... health records (EHR). 2.Audit patients medical record thoroughly, past and present, to validate existing coding and identify potential missed opportunity and coding risk areas. 3. Maintain current ...

UHS

CODER (CERT) - Full Time

Riverside, CA

... health records (EHR). 2.Audit patients medical record thoroughly, past and present, to validate existing coding and identify potential missed opportunity and coding risk areas. 3. Maintain current ...

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All JobsSalaried Optum Health Coding Risk Adjustment JobsSalaried Optum Health Coding Risk Adjustment Jobs in Riverside, CA

Salaried Optum Health Coding Risk Adjustment information

See Riverside, CA salary details

$36.5K

$63.3K

$94.4K

How much do salaried optum health coding risk adjustment jobs pay per year?

As of Jun 15, 2026, the average yearly pay for salaried optum health coding risk adjustment in Riverside, CA is $63,257.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,100.00 and $76,200.00 per year, depending on experience, location, and employer.

What is a Salaried Optum Health Coding Risk Adjustment specialist?

A Salaried Optum Health Coding Risk Adjustment specialist is a healthcare professional employed by Optum Health who reviews medical records and codes diagnoses to ensure accurate risk adjustment. Their work supports proper reimbursement for Medicare Advantage and other risk-based health plans by identifying and coding chronic conditions and other relevant diagnoses. These specialists use their knowledge of ICD-10-CM coding guidelines and risk adjustment methodologies to improve documentation and compliance. Being salaried means they are full-time employees rather than contractors, which often includes benefits and consistent work schedules. Their efforts help ensure health plans are funded appropriately based on the health status of their members.

What are some common challenges faced by professionals in the Salaried Optum Health Coding Risk Adjustment role, and how can they be addressed?

One common challenge in the Salaried Optum Health Coding Risk Adjustment role is staying updated with frequent changes in coding guidelines, payer requirements, and risk adjustment models. Additionally, ensuring high accuracy while reviewing complex patient records under tight deadlines can be demanding. To address these challenges, professionals should engage in ongoing education, leverage available training resources provided by Optum, and actively participate in team knowledge-sharing sessions. Collaborating closely with clinical documentation specialists and auditing teams also helps maintain compliance and improve coding quality.

What are the key skills and qualifications needed to thrive as a Salaried Optum Health Coding Risk Adjustment specialist, and why are they important?

To excel as a Salaried Optum Health Coding Risk Adjustment specialist, you need a thorough understanding of ICD-10 coding, risk adjustment models, and healthcare compliance, typically supported by a coding certification such as CPC or CRC. Familiarity with electronic health record (EHR) systems, coding software, and data analytics tools is essential. Attention to detail, analytical thinking, and effective communication are vital soft skills for accurately interpreting clinical documentation and collaborating with healthcare teams. These competencies ensure accurate risk adjustment coding, regulatory compliance, and optimal reimbursement for healthcare organizations.

What is the difference between Salaried Optum Health Coding Risk Adjustment vs Medical Coder?

AspectSalaried Optum Health Coding Risk AdjustmentMedical Coder
CertificationsCPH, CCS, or RHIT often preferredCPH, CCS, or RHIT typically required
Work EnvironmentHealthcare organizations, insurance companies, remote optionsHospitals, clinics, outpatient facilities
Job FocusRisk adjustment coding, reimbursement accuracyClinical documentation, coding for billing
Industry UsageHigh in health insurance and managed careCommon in healthcare facilities

While both roles involve medical coding, Salaried Optum Health Coding Risk Adjustment specialists focus on risk adjustment coding to support insurance reimbursements, often working in managed care environments. Medical Coders typically handle clinical documentation coding for billing purposes in healthcare facilities. The roles share certifications and require strong coding skills but differ in their primary focus and work settings.

What are popular job titles related to Salaried Optum Health Coding Risk Adjustment jobs in Riverside, CA? For Salaried Optum Health Coding Risk Adjustment jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Salaried Optum Health Coding Risk Adjustment jobs in Riverside, CA look for? The top searched job categories for Salaried Optum Health Coding Risk Adjustment jobs in Riverside, CA are:
Salaried Optum Health Coding Risk Adjustment jobs near you
Infographic showing various Salaried Optum Health Coding Risk Adjustment job openings in Riverside, CA as of June 2026, with employment types broken down into 8% As Needed, 84% Full Time, and 8% Part Time. Highlights an 92% In-person, and 8% Remote job distribution, with an average salary of $63,257 per year, or $30.4 per hour.
Nurse Practitioner - Riverside County, California

Nurse Practitioner - Riverside County, California

Advantmed

Riverside, CA

$100/hr

Part-time

Posted 21 days ago

Job description

Nurse Practitioner (1099 / PRN) - In Home Assessments

Pay: ~$100 per completed assessment + paid mileage

Schedule: Flexible weekdays | No evenings, weekends, or on call

Work Model: 1099 Independent Contractor (PRN)

Designed for NPs seeking reliable, ongoing PRN income with structure and support

About the Role

  • Advantmed is seeking a licensed, dependable Nurse Practitioner to conduct structured, in home wellness and risk adjustment assessments for Medicare members and other at-risk populations.
  • This PRN role offers flexibility with consistent visit availability and strong operational support. It is best suited for NPs who value autonomy, professionalism, and accountability and are looking for steady supplemental income, not short term or ad hoc work.

Why Advantmed

  • Partnering with 40+ health plans and supporting 1M+ providers nationwide
  • 99% Provider Satisfaction and 97% Member Satisfaction
  • 30%+ In Home Assessment completion rates, even in complex populations
  • Clinically led, quality first organization with standardized visits and strong QA
  • Technology enabled workflows and clear training from day one

Why You'll Like This Role

  • Paid training and standardized onboarding
  • ~$100 per completed visit + mileage
  • Most providers complete 4-5 visits per day, based on availability
  • Visits ready to schedule immediately
  • Choose your own weekday availability
  • Dedicated coordinators, scheduling, and tech support

What You'll Do

  • Conduct in home Annual Wellness Visits and chronic condition assessments
  • Perform focused histories, exams, vitals, medication reviews, and screenings
  • Screenings: Hemoglobin A1C, Spirometry, KED (Kidney Health Evaluation), DRE (Diabetic Retinal Exam), FIT
  • Educate members on preventive care and chronic disease management
  • Document visits in the EMR to support value-based care and risk adjustment

All assessments are standardized, with training, equipment guidance, and EMR support provided.

Important Role Expectations

  • This is a 1099 PRN role requiring consistency and reliability.
  • Maintain ongoing monthly availability
  • Be responsive during onboarding and scheduling
  • Honor confirmed visits and assignments
  • Work independently and professionally in the field

Minimum commitment: ~30 hours per month, ongoing - Not intended for casual or very short-term engagement.

Travel Expectations: Daily travel within a 55-mile radius of the assigned county

Qualifications

  • Active, unencumbered NP license in the applicable state
  • 3+ years of patient care experience preferred
  • Comfortable with EMR systems and independent work
  • In home or risk adjustment experience preferred
  • Willing to obtain additional licensure if needed (supported by Advantmed)

What Advantmed Offers

  • Competitive per visit compensation
  • Paid mileage
  • Flexible, provider driven scheduling
  • Appointment confirmation and advanced member scheduling support
  • Dedicated coordinator and clinical escalation support
  • Modern, technology enabled documentation workflows

Apply