35 risk adjustment coder jobs found in Montebello, CA

Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day. 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 clinical picture, severity of illness, and complexity of the patient. The Risk Adjustment Coder is responsible for evaluating the accuracy and...

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 least 2 years in risk adjustment coding or auditing, plus EHR/EMR experience. Certifications such as CRC/CPC/CCS/CCS-P are preferred; CRC must be obtained within the first year. #J-18808-Ljbffr

AltaMed Health Services Corp.If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed – it's nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don't just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing 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 documentation to ensure accurate and complete capture of the clinical picture, severity of illness, and complexity of the patient. The Risk Adjustment Coder is responsible for evaluating the...

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 compliance with federal, state, and county regulations for risk adjustment models. The position requires a high school diploma, at least 2 years of risk adjustment coding/auditing experience, and proficiency with multiple #J-18808-Ljbffr

AltaMed Health Services Corp. If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed – it's nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don't just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it's a calling that drives us forward every day. 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 clinical picture, severity of illness, and complexity of the patient. The Risk Adjustment Coder is responsible for evaluating...

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 applicable guidelines. The candidate should have at least 2 years of risk adjustment coding/audit experience, proficiency with multiple EHR/EMR systems, and hold CRC, CPC, or CCS/CCS-P certifications (CRC preferred). #J-18808-Ljbffr

AltaMed Health Services Corp. in Montebello, CA is seeking a Risk Adjustment Coder to perform concurrent, prospective, and retrospective reviews of ambulatory medical records to ensure accurate and complete capture of illness severity and patient complexity. The role requires a High School Diploma and at least 2 years of risk adjustment coding or auditing, with EHR/EMR experience. Candidates should hold CRC, CPC, or CCS/CCS-P, or commit to certification within the first year. #J-18808-Ljbffr

Astrana Health is seeking a Certified Risk Coder to support risk adjustment initiatives by ensuring accurate capture and validation of diagnoses through medical record review and coding analysis. The role partners with providers and clinical teams to improve documentation quality, coding accuracy, and CMS risk adjustment compliance, while staying current on guidelines and driving process improvement across the organization. #J-18808-Ljbffr

Astrana Health, Inc. is seeking a Certified Risk Coder to support value‑based care and risk adjustment through accurate diagnoses, coding reviews, and CMS guideline compliance with clinicians. This remote US‑based role requires CRC credential and 2+ years in risk adjustment or HCC coding, ICD‑10‑CM proficiency, and experience with EHRs. Salary ranges from $56,000 to $85,000 annually, with West/Central time zone preference. #J-18808-Ljbffr

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 San Francisco, San Mateo, and Santa Clara. You will review data to ensure Medicare Advantage, ACA, and Commercial risk adjustment documentation requirements are met, and report on KPIs like HCC recapture and AWVs. #J-18808-Ljbffr

NECC is seeking a detail‑oriented HCC Coder to ensure accurate outpatient coding and documentation. You will work with Billing and Medical Director to apply ICD-10-CM, CPT, HCPCS and HCC guidelines, promoting quality measures and risk adjustment accuracy. You will review records for accuracy, educate staff on Medicare rules, and lead coding process improvements, with travel up to 10% for facility coverage as needed. #J-18808-Ljbffr

Job Description Job Description Primary Purpose: Support the risk and quality team, IPA Administrators, and the VP of Operations on Clinical Initiatives to improve patient outcomes and group quality measures in Risk Adjustment, CMS 5 Star, and the commercial and Medi-Cal programs. Principal Duties and Responsibilities (* = essential functions): Outreach and coordinate care for IPA members who need preventative and/or chronic care services such as mammograms, colonoscopies, uncontrolled HbA1c, uncontrolled blood pressure, etc. Collaborate with Risk Adjustment and quality on provider education. Maintain knowledge of clinical initiatives and risk adjustment program requirements  Maintain knowledge of 5 Star performance and risk adjustment factors for all IPAs. Collaborate with health plans on 5 Star, commercial, and Medi-Cal gap reports. Coordinate outreach to PCP offices on member due reports, including the No Annual Visits list. Provide PCP offices with...

Risk Adjustment Coordinator Support the risk and quality team, IPA Administrators, and the VP of Operations on clinical initiatives to improve patient outcomes and group quality measures in Risk Adjustment, CMS 5 Star, and the commercial and Medi-Cal programs. Principal Duties and Responsibilities (* = essential functions): Outreach and coordinate care for IPA members who need preventative and/or chronic care services such as mammograms, colonoscopies, uncontrolled HbA1c, uncontrolled blood pressure, etc. Collaborate with Risk Adjustment and quality on provider education. Maintain knowledge of clinical initiatives and risk adjustment program requirements Maintain knowledge of 5 Star performance and risk adjustment factors for all IPAs. Collaborate with health plans on 5 Star, commercial, and Medi-Cal gap reports. Coordinate outreach to PCP offices on member due reports, including the No Annual Visits list. Provide PCP offices with ongoing education on quality...

Risk Adjustment CoordinatorSupport the risk and quality team, IPA Administrators, and the VP of Operations on clinical initiatives to improve patient outcomes and group quality measures in Risk Adjustment, CMS 5 Star, and the commercial and Medi-Cal programs.Principal Duties and Responsibilities (* = essential functions):Outreach and coordinate care for IPA members who need preventative and/or chronic care services such as mammograms, colonoscopies, uncontrolled HbA1c, uncontrolled blood pressure, etc.Collaborate with Risk Adjustment and quality on provider education.Maintain knowledge of clinical initiatives and risk adjustment program requirementsMaintain knowledge of 5 Star performance and risk adjustment factors for all IPAs.Collaborate with health plans on 5 Star, commercial, and Medi-Cal gap reports.Coordinate outreach to PCP offices on member due reports, including the No Annual Visits list.Provide PCP offices with ongoing education on quality measuresWork with health plans...

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. Ideal candidates have at least 2 years in risk adjustment coding/auditing, EHR/EMR proficiency, and certification such as CRC, CPC, or CCS/CCS-P. A competitive hourly pay range is offered with potential bonuses. #J-18808-Ljbffr

Astrana Health does not offer any positions without an interview and never asks candidates for money or other sensitive information such as bank account, social security number, or non-publicly available information. To report recruitment fraud, security@astranahealth.com At Astrana, we’re united in our vision to fix the broken U.S. healthcare system by making healthcare more affordable for all Americans and improving patient outcomes. We put physician needs first so doctors can better care for patients. If you have a passion for integrated, values-driven healthcare, consider joining the team. We want you to feel excited about joining us, so let’s give you an inside look! In this video, our executive team shares our vision and where we’re headed. You’ll also hear directly from our team about what makes working here so rewarding. We believe that culture and community go hand in hand and that passion leads to good work. If our mission sparks something in you, we’d love to have you on...

Risk Adjustment Coding Specialist II - Los AngelesWe 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 risk adjustment experience, and we are open to training those without previous provider education experience! This position requires travel to provider offices up to 30% of the time in Los Angeles and the San Gabriel Valley!Our Values:Put Patients...

Certified Risk Coder The Certified Risk Coder plays a critical role in supporting Astrana Health's value-based care and risk adjustment initiatives by ensuring the accurate capture and validation of diagnoses through comprehensive medical record review and coding analysis. This position partners closely with providers and clinical teams to improve documentation quality, coding accuracy, and compliance with CMS risk adjustment guidelines. The ideal candidate brings strong coding expertise, a passion for provider education, and a commitment to enhancing organizational performance through accurate risk capture, regulatory compliance, and continuous process improvement. 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 medical records and provider documentation to ensure accurate capture of risk-adjusting diagnoses and compliance with CMS guidelines...

Certified Risk CoderThe Certified Risk Coder plays a critical role in supporting Astrana Health's value-based care and risk adjustment initiatives by ensuring the accurate capture and validation of diagnoses through comprehensive medical record review and coding analysis. This position partners closely with providers and clinical teams to improve documentation quality, coding accuracy, and compliance with CMS risk adjustment guidelines. The ideal candidate brings strong coding expertise, a passion for provider education, and a commitment to enhancing organizational performance through accurate risk capture, regulatory compliance, and continuous process improvement.Our Values:Put Patients FirstEmpower Entrepreneurial Provider and Care TeamsOperate with Integrity & ExcellenceBe InnovativeWork As One TeamWhat You'll DoReview medical records and provider documentation to ensure accurate capture of risk-adjusting diagnoses and compliance with CMS guidelinesPerform retrospective and...

Certified Risk Coder Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Compensation: $56,000 - $85,000 / year Description The Certified Risk Coder plays a critical role in supporting Astrana Health's value-based care and risk adjustment initiatives by ensuring the accurate capture and validation of diagnoses through comprehensive medical record review and coding analysis. This position partners closely with providers and clinical teams to improve documentation quality, coding accuracy, and compliance with CMS risk adjustment guidelines. The ideal candidate brings strong coding expertise, a passion for provider education, and a commitment to enhancing organizational performance through accurate risk capture, regulatory compliance, and continuous process improvement. What You'll Do Review medical records and provider documentation to ensure accurate capture of risk-adjusting...

HCC Coder Administration Office - Alhambra, CA 91801 Overview Salary Range $34.00 - $39.00 Hourly Description Position Summary The HCC Coder will be responsible for evaluating the accuracy and consistency of coded clinical data quality results and reports in accordance with accepted and established standards. The HCC Coder will collaborate with the Billing Manager and Medical Director in providing expertise in the use and application of current coding classifications including but not limited to ICD-10-CM, CPT, E&M and record documentation to ensure compliance in the collection of outpatient diagnoses and services. Schedule: Full-time (Non-Exempt) Flexible, may require some evening and weekends Primary Duties and Responsibilities Review of medical records to ensure accuracy and claims for proper documentation and coding and completeness. Communicate with providers when documentation in the record is inadequate, ambiguous, or otherwise unclear for...

Job Description The HCC Coder will be responsible for evaluating the accuracy and consistency of coded clinical data quality results and reports in accordance with accepted and established standards. The HCC Coder will collaborate with the Billing Manager and Medical Director in providing expertise in the use and application of current coding classifications including but not limited to ICD-10-CM, CPT, E&M and record documentation to ensure compliance in the collection of outpatient diagnoses and services. Schedule Full-time (Non-Exempt) Flexible, may require some evening and weekends Primary Duties and Responsibilities Review of medical records to ensure accuracy and claims for proper documentation and coding and completeness. Communicate with providers when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes. Create training presentations to educate staff in Medicare coding guidelines, with focus on Quality Measures...

HCC CoderAdministration Office - Alhambra, CA 91801OverviewSalary Range $34.00 - $39.00 HourlyDescriptionPosition SummaryThe HCC Coder will be responsible for evaluating the accuracy and consistency of coded clinical data quality results and reports in accordance with accepted and established standards. The HCC Coder will collaborate with the Billing Manager and Medical Director in providing expertise in the use and application of current coding classifications including but not limited to ICD-10-CM, CPT, E&M and record documentation to ensure compliance in the collection of outpatient diagnoses and services.Schedule:Full-time (Non-Exempt)Flexible, may require some evening and weekendsPrimary Duties and ResponsibilitiesReview of medical records to ensure accuracy and claims for proper documentation and coding and completeness.Communicate with providers when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes.Create training...

Certified Risk CoderThe Certified Risk Coder plays a critical role in supporting Astrana Health's value-based care and risk adjustment initiatives by ensuring the accurate capture and validation of diagnoses through comprehensive medical record review and coding analysis. This position partners closely with providers and clinical teams to improve documentation quality, coding accuracy, and compliance with CMS risk adjustment guidelines. The ideal candidate brings strong coding expertise, a passion for provider education, and a commitment to enhancing organizational performance through accurate risk capture, regulatory compliance, and continuous process improvement.Our Values:Put Patients FirstEmpower Entrepreneurial Provider and Care TeamsOperate with Integrity & ExcellenceBe InnovativeWork As One TeamWhat You'll DoReview medical records and provider documentation to ensure accurate capture of risk-adjusting diagnoses and compliance with CMS guidelinesPerform retrospective and...