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Trainee Hcc Risk Adjustment Coding Jobs in Santa Clara, CA

Risk Adjustment Director

Scotts Valley, CA · On-site

$96.15 - $120.19/hr

Expert knowledge of Medicare HCC risk adjustment models. * Working knowledge of CPT, HCPCS, and ICD-9/10 medical coding. * Familiarity with data analytical tools like SQL and visualization platforms ...

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 ...

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 ...

Senior Actuary

Palo Alto, CA · On-site

$170 - $250/hr

Deep expertise in medical/pharmacy claims analysis, rate development, reserving, or risk adjustment (e.g., HCC models). * Advanced proficiency in SQL, Python, R, or actuarial modeling tools (e.g ...

Deep expertise in medical/pharmacy claims analysis, rate development, reserving, or risk adjustment (e.g., HCC models). * Advanced proficiency in SQL, Python, R, or actuarial modeling tools (e.g ...

Electrical Trainee

San Jose, CA · On-site

$18 - $43/hr

... Trainee to join our growing team! Power Design is all about hands-on training and collaboration ... adjustment or repair, as well as ensure compliance with codes * Advise management on whether ...

Electrical Trainee

San Jose, CA · On-site

$18 - $43/hr

... Trainee to join our growing team! Power Design is all about hands-on training and collaboration ... adjustment or repair, as well as ensure compliance with codes * Advise management on whether ...

Electrical Trainee

San Jose, CA · On-site

$18 - $43/hr

... Trainee to join our growing team! Power Design is all about hands-on training and collaboration ... adjustment or repair, as well as ensure compliance with codes * Advise management on whether ...

Biostatistician 2

Stanford, CA · On-site

$115K - $134K/yr

... junior analysts, and trainees in medicine, economics, and public health studies Constructing ... risk adjustment within the CMS framework, econometric modeling for cost variables with highly ...

Biostatistician 2

Palo Alto, CA · On-site

$115 - $134/hr

... risk adjustment within the CMS framework, econometric modeling for cost variables with highly ... Mentoring and teaching students, junior analysts, and trainees in medicine, economics, and public ...

New

Biostatistician 2

Stanford, CA · On-site

$115K - $134K/yr

... and trainees in medicine, economics, and public health studies • Constructing complex data ... risk adjustment within the CMS framework, econometric modeling for cost variables with highly ...

... adjustment, account restriction, and other risk mitigation actions. * Work closely with risk ... Apply AI-assisted development throughout the engineering workflow, using LLM coding tools to ...

... adjustment, account restriction, and other risk mitigation actions. * Work closely with risk ... Apply AI-assisted development throughout the engineering workflow, using LLM coding tools to ...

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Trainee Hcc Risk Adjustment Coding information

See Santa Clara, CA salary details

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$42

How much do trainee hcc risk adjustment coding jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for trainee hcc risk adjustment coding in Santa Clara, CA is $24.84, according to ZipRecruiter salary data. Most workers in this role earn between $18.08 and $28.51 per hour, depending on experience, location, and employer.

What is a trainee HCC risk adjustment coder?

A Trainee HCC Risk Adjustment Coder is an entry-level professional who is learning how to review and assign medical codes for diagnoses in patient records, specifically for the Hierarchical Condition Category (HCC) risk adjustment model. This role involves training in medical coding standards, healthcare regulations, and compliance requirements to ensure accurate coding for insurance and Medicare/Medicaid reimbursement. Trainees typically work under supervision and are expected to develop a strong understanding of ICD-10-CM coding, clinical documentation improvement, and the principles of risk adjustment. The position is ideal for those starting a career in medical coding and offers a pathway to becoming a certified HCC coder.

What are the key skills and qualifications needed to thrive as a trainee HCC risk adjustment coder?

To thrive as a Trainee HCC Risk Adjustment Coder, you need a foundational understanding of medical coding, anatomy, and healthcare terminology, often supported by a relevant certification or coursework. Familiarity with ICD-10-CM coding systems, electronic health records (EHRs), and risk adjustment software is typically required. Strong attention to detail, analytical thinking, and effective communication are important soft skills in this role. These skills ensure accurate coding, which directly impacts proper reimbursement, compliance, and the quality of patient care data.

What are some common challenges faced by trainee HCC risk adjustment coders, and how can they be overcome?

Trainee HCC Risk Adjustment Coders often encounter challenges such as interpreting complex medical documentation, staying up-to-date with changing coding guidelines, and accurately assigning codes that reflect patients' true risk profiles. Overcoming these challenges involves continuous learning, seeking mentorship from experienced coders, and utilizing resources like coding manuals and online forums. Collaborating with clinical staff and participating in regular training sessions can also enhance accuracy and confidence in the coding process.

What is the difference between Trainee Hcc Risk Adjustment Coding vs Hcc Risk Adjustment Coder?

AspectTrainee Hcc Risk Adjustment CodingHcc Risk Adjustment Coder
CertificationsNone or entry-level certificationsCertified Professional Coder (CPC) or equivalent
Work EnvironmentTraining programs, supervised settingsIndependent coding in healthcare facilities
Job ResponsibilitiesLearning coding processes, assisting with documentationAccurate coding, claim submission, compliance

The main difference is that Trainee Hcc Risk Adjustment Coders are in training or entry-level roles, focusing on learning and assisting, while Hcc Risk Adjustment Coders are experienced professionals responsible for independent coding and compliance tasks.

What are the most commonly searched types of Hcc Risk Adjustment Coding jobs in Santa Clara, CA?

The most popular types of Hcc Risk Adjustment Coding jobs in Santa Clara, CA are:

What are popular job titles related to Trainee Hcc Risk Adjustment Coding jobs in Santa Clara, CA?

For Trainee Hcc Risk Adjustment Coding jobs in Santa Clara, CA, the most frequently searched job titles are:

What job categories do people searching Trainee Hcc Risk Adjustment Coding jobs in Santa Clara, CA look for?

The top searched job categories for Trainee Hcc Risk Adjustment Coding jobs in Santa Clara, CA are:

What cities near Santa Clara, CA are hiring for Trainee Hcc Risk Adjustment Coding jobs?

Cities near Santa Clara, CA with the most Trainee Hcc Risk Adjustment Coding job openings:

Infographic showing various Trainee Hcc Risk Adjustment Coding job openings in Santa Clara, CA as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 11% Part Time, 1% Temporary, and 2% Contract. Highlights an 85% Physical, 5% Hybrid, and 10% Remote job distribution, with an average salary of $51,664 per year, or $24.8 per hour.

Risk Adjustment Director

Medix

Scotts Valley, CA • On-site

$96.15 - $120.19/hr

Full-time

Medical, Dental, Vision, Retirement

Re-posted 8 days ago


Job description

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
Job Summary
Our client is seeking a skilled Risk Adjustment Director to serve as the executive strategic leader and subject matter expert for the health plan's Risk Adjustment Department. The primary responsibilities include designing and overseeing data strategies to ensure accurate member health coding, managing financial impacts of risk scores, leading a team, and acting on behalf of the CFO when necessary.
Responsibilities / Job Duties
  • Build the roadmap for the health plan's risk adjustment goals to improve data collection, reporting, and auditing.
  • Track risk scores and work closely with Actuaries and Financial Planning & Analysis to align with budgets.
  • Optimize Risk Adjustment Factor improvements through external vendors.
  • Partner with the Provider Relations Director to train and support doctors on compliant, accurate medical record coding.
  • Hire, train, mentor, and evaluate a team of risk adjustment professionals.
  • Formulate and manage the Risk Adjustment Department's operational budget.
  • Oversee Medicare DSNP Risk Adjustment strategy and execution.
  • Directly support key operational initiatives to ensure program stability and scalability.

Minimum Education and Experience Qualification Requirements
Education
  • Bachelor's degree in Finance, Business, Healthcare Administration, Mathematics, Statistics, or a closely related field.

Qualifications
  • 10 years of experience in healthcare finance or analytics.
  • 5 years of experience with Medicare risk adjustment processes.
  • 2 years of experience related to Medicare Managed Care Programs.
  • 3 years of supervisory experience.
  • Expert knowledge of Medicare HCC risk adjustment models.
  • Working knowledge of CPT, HCPCS, and ICD-9/10 medical coding.
  • Familiarity with data analytical tools like SQL and visualization platforms like Tableau.

Skills
  • Technical proficiency in data analytical tools and coding methodologies.
  • Strong leadership and team management skills.
  • Excellent communication and organizational abilities.

Schedule / Shift
Mon-Fri 8am-5pm (potential for some flexibility for early/later start upon discussion)
Benefits
  • Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
  • Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
  • 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
  • Short Term Disability Insurance.
  • Term Life Insurance Plan.

Required Employment / Compliance Language
Medix is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex
* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
Medix Overview:
With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we're dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.
* As a job position within our Insurance division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing medical and confidential records, verifying financial information, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients

Medix Staffing Solutions logo

About Medix Staffing Solutions

Sourced by ZipRecruiter

Since 2001, we’ve been dedicated to helping you achieve your goals. Medix was created to become a leading provider of workforce solutions for clients and candidates across the healthcare and life sciences industries. Today, we are that leader. Headquartered in Chicago, we have 23 offices across the United States, and staff talent around the world. Medix is committed to fulfilling our core purpose as an organization: to positively impact the lives of our talent, clients, and teammates through employment, philanthropy, and opportunity. The combination of purpose and values has nurtured our thriving culture that encourages our internal team to excel at work and in everyday life.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Chicago, IL, US