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Work From Home Ccs Medical Coding Jobs in Riverside, CA

HMG Careers

Work From Home Sales Specialist

Norco, CA · Remote

$69K/yr

What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ... Comprehensive benefits package including medical, dental, and prescription coverage * Ongoing ...

HMG Careers

Work From Home Sales Specialist

Perris, CA · Remote

$69K/yr

What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ... Comprehensive benefits package including medical, dental, and prescription coverage * Ongoing ...

HMG Careers

Work From Home Sales Specialist

Chino, CA · Remote

$69K/yr

What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ... Comprehensive benefits package including medical, dental, and prescription coverage * Ongoing ...

HMG Careers

Work From Home Sales Specialist

Upland, CA · Remote

$69K/yr

What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ... Comprehensive benefits package including medical, dental, and prescription coverage * Ongoing ...

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All JobsWork From Home Ccs Medical Coding JobsWork From Home Ccs Medical Coding Jobs in Riverside, CA

Work From Home Ccs Medical Coding information

See Riverside, CA salary details

$16

$23

$35

How much do work from home ccs medical coding jobs pay per hour?

As of Jun 26, 2026, the average hourly pay for work from home ccs medical coding in Riverside, CA is $23.39, according to ZipRecruiter salary data. Most workers in this role earn between $18.80 and $25.10 per hour, depending on experience, location, and employer.

Do medical coders get to work from home?

Work From Home medical coders, including those in CCS Medical Coding, often have the opportunity to work remotely, especially with the increasing adoption of telecommuting in healthcare. Many employers provide remote work options, requiring proficiency in coding software, strong attention to detail, and relevant certifications. However, some positions may require on-site presence for audits or training.

What is a Work From Home CCS Medical Coding job?

A Work From Home CCS Medical Coding job involves assigning standardized medical codes to diagnoses, procedures, and services for healthcare facilities while working remotely. Certified Coding Specialists (CCS) use coding systems like ICD-10-CM, CPT, and HCPCS to ensure accurate billing and insurance claims processing. These professionals typically work for hospitals, insurance companies, or medical billing firms. Strong knowledge of coding guidelines, medical terminology, and compliance regulations is essential for success in this role.

What types of support and resources are typically available to remote CCS Medical Coders working from home?

Remote CCS Medical Coders often receive comprehensive onboarding, ongoing training modules, and access to digital coding reference tools to help them stay current with industry changes. Most employers provide secure access to EHR and coding platforms, along with technical support for troubleshooting system issues. You may also participate in virtual team meetings, receive guidance from supervisors, and connect with fellow coders through online forums or chat platforms. This support structure helps maintain quality, ensures compliance, and fosters a sense of community even when working remotely.

Can you work from home with a CCS certification?

Work From Home CCS Medical Coding jobs typically allow professionals to perform coding tasks remotely, provided they have a CCS certification and access to necessary coding software and secure systems. Many employers offer remote positions for certified coders, especially in healthcare settings that support telecommuting. However, some roles may require occasional on-site visits or in-person training depending on the employer's policies.

What are the key skills and qualifications needed to thrive in the Work From Home Ccs Medical Coding position, and why are they important?

To excel as a Work From Home CCS Medical Coder, you need in-depth knowledge of ICD-10-CM, CPT, and HCPCS coding systems along with a current Certified Coding Specialist (CCS) credential. Familiarity with electronic health records (EHR) and medical billing software is essential for accurate coding and reimbursement. Strong attention to detail, self-motivation, and excellent time management help remote coders stay organized and productive. Possessing these skills ensures accurate claims processing, compliance with regulations, and efficient independent work from a home office.

Are medical coders going to be replaced by AI?

Work From Home Ccs Medical Coders perform tasks that require understanding medical terminology and coding guidelines, which currently cannot be fully replaced by AI. While automation tools assist with coding processes, human oversight remains essential to ensure accuracy and compliance, especially in complex cases. Continuous learning and certification help coders stay relevant as technology evolves.

Which is harder, CPC or CCS?

Work From Home CCS Medical Coding involves understanding complex coding guidelines and medical documentation, often requiring a higher level of clinical knowledge than CPC coding. The CCS exam is generally considered more challenging due to its focus on inpatient coding, detailed case scenarios, and comprehensive understanding of coding principles, while the CPC exam emphasizes outpatient coding and is more accessible for those with less clinical experience.
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Work From Home Ccs Medical Coding jobs near you

Risk Adjustment Coding Specialist II - Orange County

Astrana Health, Inc.

Orange, CA • Remote

$70K - $85K/yr

Full-time

Posted 4 days ago

Job description

Description
We are currently seeking a highly motivated Risk Adjustment Coding Specialist to support our Orange County market.  In this role, you will support risk adjustment efforts by conducting high-volume chart reviews to identify coding gaps, trends, and opportunities for improved accuracy for our providers. You’ll translate your findings into actionable insights, creating and delivering education to providers and practice leaders while navigating complex conversations. Additionally, you’ll track and report on key performance metrics—such as HCC recapture rates, AWVs, and other KPIs, helping drive provider performance and overall program success. 
We are seeking candidates who have experience with provider education and at least 3-5 years of risk adjustment experience! This position requires travel to provider offices up to 75% of the time OC.
Our Values: 
  • Put Patients First
  • Empower Entrepreneurial Provider and Care Teams
  • Operate with Integrity & Excellence
  • Be Innovative
  • Work As One Team

What You'll Do
  • Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum, as appropriate for all IPAs managed by the company
  • Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC) 
  • Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines 
  • Interacts with physicians regarding coding, billing, documentation policies, procedures, and conflicting/ambiguous or non-specific documentation
  • Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing
  • Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements.
  • Provides recommendations to management related to process improvements, root-cause analysis, and/or barrier resolution applicable to Risk Adjustment initiatives.
  • Trains, mentors and supports new employees during the orientation process. Functions as a resource to existing staff for projects and daily work.
  • Provides peer to peer guidance through informal discussion and overread assignments. Supports coder training and orientation as requested by manager.
  • May assist or lead projects and/or higher work volume than Risk Adjustment Coding Specialist I
  • Other duties as assigned

Qualifications
  • Required Certification/Licensure: Must possess and maintain AAPC or AHIMA certification -  Certified Coding Specialist (CCS-P), CCS, or CPC.
  • At least 3 years of experience in risk adjustment coding and/or billing experience required
  • Reliable transportation/Valid Driver’s License/Must be able to travel up to 75% of work time
  • PC skills and experience using Microsoft applications such as Word, Excel, and Outlook
  • Excellent presentation, verbal and written communication skills, and ability to collaborate 
  • Must possess the ability to educate and train provider office staff members
  • Proficiency with healthcare coding software and Electronic Health Records (EHR) systems.
You're great for this role if:    
  • Strong billing knowledge and/or Certified Professional Biller (CPB) through APPC
  • Certified Risk Adjustment Coder (CRC) and/or Risk Adjustment coding experience
  • Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage
  • Strong PowerPoint and public speaking experience
  • Ability to work independently and collaborate in a team setting
  • Experience with Monday.com
  • Experience collaborating with, educating, and presenting to provider teams in a face-to-face setting

Environmental Job Requirements and Working Conditions
  • The national target pay range for this role is $70,000 - $85,000 per year. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
  • This role follows a hybrid work structure where the expectation is to work on the field and at home on a weekly basis. This position requires up to 75% travel to provider offices in Orange County. 
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.    

Additional Information:     
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.