Average salary: $75,227 /yearly
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- ...ConsultingPosted: 2026-10-19Dahl Consulting is seeking an experienced HCC & ProFee Coder for a remote contract-to-hire role. You will validate ICD-10-CM codes, perform CMS and Rx HCC risk adjustments, and review CPT II documentation to support accurate risk adjustment and...RiskContract workRemote work
Dahl Consulting
Sacramento, CA1 day ago - ...HealthPosted: 2026-10-17Location: Santa Barbara, California, United StatesCompany: CenCal HealthPosted: Paycom - ATS is seeking a Risk Adjustment Coder Specialist to ensure accurate medical diagnosis data submission to CMS for CenCal Health Medicare Advantage D-SNP. You will...Risk
CenCal Health
Santa Barbara, CA1 day ago - AltaMed Health Services Corp. is seeking a Risk Adjustment Coder in Montebello, CA to review ambulatory records for accurate capture of illness severity and case complexity. The role emphasizes concurrent, prospective, and retrospective coding reviews in compliance with...Risk
$26.33 - $32.91 per hour
...exceptional care, despite any challenges, goes beyond just a job; it's a calling that drives us forward every day.Job OverviewThe Coder, Risk Adjustment position provides a thorough concurrent, prospective, and retrospective review of ambulatory medical record clinical...RiskFlexible hoursAltaMed
Montebello, CA1 day ago$25 - $30 per hour
...Job TitleSupport the risk and quality team, IPA Administrators, and the VP of Operations... ...and group quality measures in Risk Adjustment, CMS 5 Star, and the commercial and Medi-... ...Requires at least two years of Risk Adjustment coder experience.Requires knowledge of managed...RiskHourly payWork at officePhysicians DataTrust
Los Angeles, CA9 hours agonew- AltaMed Health Services Corporation in Montebello, CA is hiring a Risk Adjustment Coder to conduct concurrent, prospective and retrospective reviews of ambulatory records to ensure accurate capture of illness severity and complexity. Requires a High School Diploma and at...Risk
- AltaMed Health Services is seeking a Risk Adjustment Coder in a hybrid role based near Montebello, CA. The coder will review ambulatory records to ensure accurate capture of severity of illness and patient complexity, aligning with Medicare Advantage and other risk models...RiskHourly pay
- AltaMed Health Services Corp. in Montebello, CA seeks a Risk Adjustment Coder to conduct concurrent, prospective, and retrospective reviews of ambulatory records to ensure accurate coding of diagnosis, severity, and complexity. You will validate data quality, support audits...Risk
- AltaMed Health Services Corp. is seeking a Risk Adjustment Coder to perform concurrent, prospective, and retrospective reviews of ambulatory medical records to ensure accurate capture of illness severity and complexity. The role involves evaluating coded data quality and...Risk
- ...Health Coder - Hcc & Risk AdjustmentBurlingame, CA 94010OverviewSalary Range $42.79 - $48.75 HourlyDescriptionThe Healthcare Coder plays a... ...coding for NEMS MSO operations with a focus on Medicare Risk Adjustment (RA) programs. This position ensures accurate capture of Hierarchical...RiskFull time
North East Medical Services
Burlingame, CA2 days ago - NECC is seeking a detail‑oriented HCC Coder to ensure accurate outpatient coding and documentation. You will work with Billing and... ...CPT, HCPCS and HCC guidelines, promoting quality measures and risk adjustment accuracy. You will review records for accuracy, educate staff...Risk
- ...Description This is a flexible CMS HCC / Risk Validation Audit role for a seasonal project... ...are acceptable. Responsibilities Coders will review member and claim data validation... ...signature Coders will be presented with all risk-adjusting diagnoses billed on a claim for a...RiskRemote jobSeasonal workFlexible hoursNight shiftWeekend work
$83.99k - $119.97k
...Description: OVERVIEW OF POSITION: The Program Manager, Risk Adjustment & Stars, serves as the connective link between Alpine's technical... .... Preferred Qualifications • Certified Risk Adjustment Coder (CRC) credential. • Experience with value-based care, ACOs,...RiskFull timeRemote workHome office- Job DescriptionJob Description SUMMARY The Certified Risk Adjustment Coder is responsible for accurately abstracting provider services into ICD-10 codes from medical documentation.This role adheres to the coding ethics of organizations such as the American Academy of Procedural...RiskRemote job
$26.33 - $32.91 per hour
Risk Adjustment Coder Location: Montebello, CA 90640 Job Overview The Coder, Risk Adjustment position provides a thorough concurrent, prospective, and retrospective review of ambulatory medical record clinical documentation to ensure accurate and complete capture of the...RiskHourly payLocal areaFlexible hours$64.38k - $96.58k
...ensure accurate and complete data is submitted to CMS. Assists in Risk Adjustment related data audits (RAF, prevalence, clinical documentation... ...School or courses that are required to become a certified coder. Specialized Skills: Knowledge of Proficient user in MS office...RiskRemote jobLocal area- Highmark Inc. seeks a skilled HCC Coder to perform coding for Medicare Advantage, ACA, and related programs, ensuring accuracy and... ...The role emphasizes detail, ethics, and ongoing education in risk adjustment coding, with a remote-friendly setup and a focus on quality and...RiskRemote job
$157.3k - $262.7k
## Director, Risk AdjustmentApply: California-Remote: Full time: Posted 2 Days Ago: JR1... ...Responsibilities**• Develop and execute a risk adjustment strategy aligned to organization goals,... ...(required).• Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC...RiskFull timeRemote work$107.1k - $128.5k
...integrity as we build a better experience for physicians and their patients. As the Manager, Risk Adjustment Program you will be responsible for leading a team of Risk Adjustment Coders and conducting internal reviews for Providers (documentation) and Coders (coding...RiskContract workLocal areaFlexible hours$80k - $85k
...Operations Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist to support our Orange County market. In this... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist...RiskWork at office- Astrana Health, Inc. is seeking a Risk Adjustment Coding Specialist II for the Northern California market. This role will conduct high-volume chart reviews to identify coding gaps and drive education for providers, with travel to provider offices up to 50% of the time in...Risk
$148.94k - $223.3k
Your Role The Risk Adjustment Compliance Specialist, Principal is responsible for ensuring organizational compliance with laws related to Risk... ...is highly preferred Requires a certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), Certified Coding Specialist...RiskFull timePart timeWork at officeLocal areaWork from homeHome office2 days per week$81.5k - $100k
...changing organization that celebrates diversity and innovation.POSITION SUMMARYThe Senior Risk Adjustment Operations Specialist serves as a key liaison among risk adjustment coders, primary care providers (PCPs), provider office staff, and internal stakeholders. The...RiskWork at office- CVS Health is seeking a Lead Director of Informatics (Performance Reporting & Insights) to steer enterprise risk adjustment analytics and BI solutions. You will transform clinical, operational, and risk data into actionable insights, driving provider performance and program...Risk
$118.6k - $157.14k
...and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!Reporting to the Director of Risk Adjustment Prospective Programs, the Manager of Risk Adjustment Encounter Data Reconciliation is a highly technical, data-driven day-to-day...RiskTemporary workWork experience placementLocal areaRemote workMonday to FridayInland Empire Health Plan
Rancho Cucamonga, CA3 days ago- L.A. Care Health Plan is seeking a Director, Risk Adjustment Strategies and Initiatives in Los Angeles to lead enterprise risk adjustment programs, AWEs, and Medicare STAR initiatives with cross-functional teams. Responsibilities include developing strategic plans, driving...Risk
- Astrana Health, Inc. is seeking a Sr. Director - Risk Adjustment to lead the Risk Adjustment organization from our Alhambra office. You will build structure, standardize processes, develop leaders, and drive accountability across a multi-market operation. The role requires...RiskWork at office
- Astrana Health seeks a Sr. Director of Risk Adjustment to lead risk adjustment, clinical documentation improvement, provider engagement, and population health strategies. This leader will guide Senior Managers, Managers, and teams, translating enterprise priorities into...RiskRemote work
- L.A. Care Health Plan seeks a Director of Risk Adjustment Strategies and Initiatives in Los Angeles. This senior leader will design and drive enterprise risk adjustment programs, enhance diagnosis accuracy, and ensure compliant data collection across lines of business....Risk
$149.5k
...Select how often (in days) to receive an alert: Director, Risk Adjustment Strategies and Initiatives Job Category: Accounting/Finance Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13278 Salary Range: $149,502.00(Min.) -$2...RiskFull timeWork at officeL.A. Care
Los Angeles, CA2 days ago
