Top 15 Hcc coder Jobs in California

Senior Risk Adjustment Coder
Power Personnel —Sacramento, CA
- $91,000 - $119,000 a year
- Email
- Hybrid work
- 5 years
- Senior level
- Communication skills
- Referral program
Quick Apply
National Coding Educator - Remote
Optum —Irvine, CA
- $91,700 - $163,700 a year
- Full-time
- Remote
- Up to 50% travel
- Pass drug screening
- Mid-level
HCC Coders
AE & Associates —Corona, CA
- Part-time
- Mid-level
- 1 year
- Travel reimbursement
- Continuing education credits
Risk Adjustment Compliance Coding Specialist, Consultant
Blue Shield of California —Oakland, CA
- $111,540 - $167,420 a year
- Full-time
- Hybrid work
- Background check
- Nursing
- 7 years
- Work from home
CODER (CERT) - Full Time
Riverside Medical Clinic —Riverside, CA
- $28.20 - $40.89 an hour
- Full-time
- Mid-level
- 1 year
HEALTH CODER - HCC & RISK ADJUSTMENT
NORTH EAST MEDICAL SERVICES —Burlingame, CA
- $42.79 - $48.75 an hour
- Full-time
- Bachelor of Science
- Mid-level
- 3 years
Medical Coder - Remote (temporary, full-time)
Sprinter Health —Menlo Park, CA
- $30 an hour
- Full-time
- Remote
- Google Workspace
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Medical Coder
Astrana Health, Inc. —Monterey Park, CA
- $22 - $26 an hour
- Email
- Hybrid work
- Research
- Mid-level
- Office
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SENIOR RISK ADJUSTMENT SPECIALIST
VIVANT HEALTH LLC —Sacramento, CA
- $120,000 - $135,000 a year
- Full-time
- Nursing
- Customer service
- 5 years
CMS HCC Coder - Hybrid remote - Orange, CA.
Alignment Healthcare USA, LLC —Orange, CA
- $58,531 - $87,797 a year
- Full-time
- Hybrid work
- Microsoft Access
- Basic math
- Mid-level
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7d
RISK ADJUSTMENT FACTOR SPECIALIST
VIVANT HEALTH LLC —Sacramento, CA
- $28 - $34 an hour
- Full-time
- Nursing
- Customer service
- Mid-level
Certified Coder
VVIPA MEDICAL GROUP, INC —Victorville, CA
- $23.31 - $24.92 an hour
- Anatomy knowledge
- Medical office experience
- Mid-level
- Paid time off
- Parental leave
Quick Apply
HCC - Risk Adjustment Coder (Central Valley and Northern California - Hybrid)
Amada Health —Fresno, CA
- $56,160 - $72,800 a year
- Full-time
- Hybrid work
- Mid-level
- In-person
- 1 year
- Health savings account
- Health insurance
Quick Apply

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National Coding Educator - Remote
Optum —Irvine, CA
Partners with Healthcare Advocates in the field to consult and educate providers and their staff based on data analysis where support / training is needed to…
$91,700 - $163,700 a year
Clinical Risk Educator, Remote
Aledade —Fresno, CA
We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and…
$69,000 - $91,000 a year
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Risk Adjustment Coding Specialist
Trinity Health —Columbus, OH
Licensure / Certification: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent coding certification required; Certified Risk…

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hcc coder jobs near california

Senior Risk Adjustment Coder

Power Personnel -
Sacramento, CA

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Job Details

Full-time
$91,000 - $119,000 a year

Benefits

Referral program

Qualifications

Medicare
CMS
Healthcare documentation compliance audits
Certified Professional Coder
CMS regulatory compliance
Retrospective medical coding audits
Medicare regulations
Clinical information systems
Centers for Medicare & Medicaid Services (CMS) billing regulations
Document quality checks
Clinical documentation improvement
Certified Risk Coder (CRC)
Clinical documentation standards
Cross-functional collaboration
Cross-functional communication
Medical record review for billing accuracy

Full Job Description

Drive Accuracy. Influence Outcomes. Protect Revenue.
We are seeking a highly experienced Senior Risk Adjustment Coder to play a critical role in risk adjustment accuracy, audit readiness, provider education, and clinical documentation excellence.
Job Title:
Senior Risk Adjustment Coder

Location:
Newark, CA (Candidates must currently reside within approximately 100 miles of the Newark area due to onsite operational needs.)

Employment Type:
Full-Time (Direct Hire)

Salary Range:
$91,000 – $119,000 annually, based on experience, skills, and internal equity About the Role:

We are seeking a senior-level Risk Adjustment professional to support a leading healthcare organization focused on accurate HCC capture, audit readiness, documentation integrity, and provider engagement.
This role is highly operational and collaborative in nature and is not a traditional production-only coding position. The ideal candidate will bring strong expertise across Risk Adjustment workflows, including:

pre-visit reviews
concurrent reviews
retrospective audits
documentation validation
provider-facing education
CMS-compliant HCC coding practices

This position works closely with clinicians, coding leadership, compliance teams, and operational stakeholders to improve documentation quality, RAF accuracy, and overall coding integrity. Key Responsibilities:

Perform Risk Adjustment coding and chart abstraction in alignment with CMS guidelines and Medicare Advantage Risk Adjustment models
Conduct pre-visit chart reviews to identify suspect conditions, coding gaps, and documentation opportunities prior to patient encounters
Perform concurrent and retrospective coding audits and validation reviews to ensure coding accuracy and compliance
Identify opportunities for HCC capture, recapture, and suspecting workflows
Review historical encounters, labs, and supporting clinical documentation to validate chronic condition capture
Ensure documentation supports CMS-compliant coding standards and M.E.A.T. criteria (Monitor, Evaluate, Assess, Treat)
Communicate documentation clarification opportunities and coding recommendations directly with providers and clinical teams
Support provider-facing clinical documentation improvement (CDI) initiatives and coding education efforts
Participate in provider onboarding, documentation education, and coding clarification discussions as needed
Collaborate with coding, compliance, operational, and revenue cycle teams to improve coding accuracy and audit readiness
Support documentation defensibility and compliance initiatives related to Risk Adjustment coding
Stay current with CMS regulations, ICD-10 guidelines, HCC model changes, and Risk Adjustment best practices

Required Qualifications:

Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) required
5+ years of dedicated Risk Adjustment / HCC coding experience
Strong knowledge of Medicare Advantage and CMS Risk Adjustment models
Experience with:
- - pre-visit reviews
    concurrent reviews
    retrospective audits
    documentation validation
    suspecting workflows
Strong understanding of HCC capture, recapture, RAF impact, and coding compliance principles
Experience working directly with providers on documentation clarification and coding education
Strong audit and documentation review sophistication
Familiarity with EHR systems (Epic preferred) and coding/audit tools
Excellent analytical, communication, and collaboration skills
Ability to navigate provider conversations and documentation clarification discussions professionally

What We’re Looking For:

We’re looking for a detail-oriented and operationally mature Risk Adjustment professional who can balance coding accuracy, provider collaboration, audit defensibility, and documentation integrity in a fast-paced healthcare environment.
Ideal candidates will demonstrate:

Strong provider-facing communication skills
Independent workflow ownership and problem-solving ability
Strong understanding of pre-visit and concurrent review workflows
Ability to identify documentation gaps and coding opportunities effectively
Compliance-focused coding judgment
Comfort working cross-functionally with clinicians and operational teams
Passion for improving documentation quality and patient risk capture

Work Model & Schedule:

Primarily remote role with hybrid operational expectations
Candidates must be comfortable attending:
- Quarterly in-person team meetings
- Ad hoc onsite clinic visits and operational meetings as needed
- Potential next-day onsite requests based on business or provider support needs
Strong preference for candidates within commuting distance to Newark, CA due to provider interaction and operational collaboration requirements
Monday–Friday schedule
Flexible start times between approximately 6:30 AM – 8:00 AM PST
Typical workday ends around 4:00 PM PS

About Power Personnel:

Power Personnel is a trusted healthcare staffing and workforce solutions partner with a strong track record supporting leading health systems and organizations across California and nationwide.
With deep expertise across clinical, administrative, revenue cycle, and operational functions, we connect top healthcare talent with high-impact opportunities that drive quality care and operational excellence.
Our team is committed to a consultative, candidate-first approach — ensuring alignment not only with role requirements, but also long-term career goals.
Referral Bonus:

Refer a friend to [email protected] and earn a $500 referral bonus!
(Referral must complete 20 shifts to qualify.)

Quick Apply

Refine Your Search

hcc coder jobs in california

Senior Risk Adjustment Coder

National Coding Educator - Remote

HCC Coders

Risk Adjustment Compliance Coding Specialist, Consultant

CODER (CERT) - Full Time

HEALTH CODER - HCC & RISK ADJUSTMENT

Medical Coder - Remote (temporary, full-time)

Medical Coder

SENIOR RISK ADJUSTMENT SPECIALIST

CMS HCC Coder - Hybrid remote - Orange, CA.

RISK ADJUSTMENT FACTOR SPECIALIST

Certified Coder

HCC - Risk Adjustment Coder (Central Valley and Northern California - Hybrid)

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