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Work From Home Ccs Medical Coding Jobs in Riverside, CA

AIL / Globe Life - AO

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Sales Representative Entry Level - Work From Home

Anaheim, CA · Remote

$50K - $60K/yr

Remote work from home option * 100% Commission Pay ONLY * Provide full training * Residual Income * Paid Weekly * Benefits (After 3 Months) * All-expenses-paid yearly office trips to exciting and ...

AIL / Globe Life - AO

Be Seen First

Sales Representative Entry Level - Work From Home

Anaheim, CA · Remote

$50K - $60K/yr

Remote work from home option * 100% Commission Pay ONLY * Provide full training * Residual Income * Paid Weekly * Benefits (After 3 Months) * All-expenses-paid yearly office trips to exciting and ...

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All JobsCcs Medical Coding 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 Jul 17, 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.

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.

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.

What are popular job titles related to Work From Home Ccs Medical Coding jobs in Riverside, CA? For Work From Home Ccs Medical Coding jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Work From Home Ccs Medical Coding jobs in Riverside, CA look for? The top searched job categories for Work From Home Ccs Medical Coding jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Work From Home Ccs Medical Coding jobs? Cities near Riverside, CA with the most Work From Home Ccs Medical Coding job openings:
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 25 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.