Medical Coding Specialist Jobs in California
Medical Coding Specialist jobs in California are among the most active in the country, with demand concentrated in large hospital systems, multispecialty physician groups, and health plan administration, at every level from entry-level coders through senior auditors and compliance leads. The heaviest hiring is in Los Angeles, Sacramento, and San Diego, where Kaiser Permanente, Dignity Health, and UCLA Health maintain large coding operations. Oncology coding, risk adjustment (HCC), and outpatient facility coding are the most sought-after specialties across California's provider and payer networks. Find a role that fits below and apply directly.
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Showing 5 of 27+ Medical Coding Specialist jobs
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
- 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.
About Astrana Health, Inc.
Astrana Health (NASDAQ: ASTH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient.
Our platform currently empowers over 20,000 physicians to provide care for over 1.7 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.
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
- 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.
About Astrana Health, Inc.
Astrana Health (NASDAQ: ASTH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient.
Our platform currently empowers over 20,000 physicians to provide care for over 1.7 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.
See All 27 Medical Coding Specialist Jobs in California
Find roles in California that match your experience and apply in just a few clicks.
Find JobsMedical Coding Specialist Jobs by City in California
Where California roles are concentrated, by current openings.
Medical Coding Specialist Job Market in California
A snapshot from current California openings, updated as new roles post.
Who's Hiring
- Loma Linda University Health3
- AHMC Healthcare2
- AccentCare2
- NewGen Administrative Services2
- North East Medical Services2
Top Industries Hiring
- Healthcare & Medical Services13
- Education5
- Biotechnology & Pharmaceuticals3
- Consulting & Professional Services3
- Non-Profit & Social Services2
What California Employers Look For
The qualifications that appear most often in medical coding specialist jobs across California.
- CPC, CCS, or CCA certification from AAPC or AHIMA required or strongly preferred
- Proficiency in ICD-10-CM, CPT, and HCPCS Level II coding systems
- Experience with Epic, Meditech, or another major electronic health record platform
- Knowledge of California Medi-Cal billing requirements and state-specific payer rules
- Familiarity with risk adjustment coding methodologies including HCC and RADV
- Associate degree or higher in health information management or a related clinical field
Medical Coding Specialist Jobs in California: Frequently Asked Questions
How do you become a medical coding specialist in California?
California does not issue a state license for medical coders, so the recognized path is completing an accredited health information technology or medical coding program and earning a national credential. AAPC's Certified Professional Coder (CPC) and AHIMA's Certified Coding Specialist (CCS) are the credentials California employers reference most in job postings. Community colleges across the state, including those in the Los Angeles and Sacramento areas, offer accredited programs that prepare candidates for these exams.
How much do medical coding specialists make in California?
Medical coding specialists in California earn a median of about $61,810 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $43,800 for the lowest 10% to over $102,470 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire medical coding specialists in California?
Employers hiring medical coding specialists in California right now include Loma Linda University Health, AHMC Healthcare, and AccentCare, based on current listings on Migrate Mate as of June 2026. California's size and density of integrated health systems, including large regional payers and academic medical centers, means hiring tends to be consistent throughout the year rather than seasonal.
Which California cities have the most medical coding specialist jobs?
Los Angeles, Burlingame, and Loma Linda have the most medical coding specialist openings in California. Los Angeles dominates due to the sheer scale of its hospital systems, multispecialty groups, and health plan headquarters, while Sacramento's concentration of state government health programs and large regional systems like Sutter Health drives steady demand, and San Diego's base of military health networks and UC San Diego Health supports consistent openings.
Are there remote medical coding specialist jobs in California?
Yes, and more than most healthcare roles. Medical coding is fundamentally a desk-based, documentation-driven function, making it one of the most remote-compatible positions in health information management. About 30% of medical coding specialist openings tied to California are remote or hybrid as of June 2026, which reflects how broadly California employers have adopted distributed coding teams. Outpatient facility coding and risk adjustment auditing tend to offer the most fully remote arrangements.
How can I get hired as a medical coding specialist in California with little or no experience?
The most realistic entry path is completing a medical coding certificate program at a California community college, earning a CPC-A or CCA credential, and applying to coding trainee or coding auditor apprentice roles that Kaiser Permanente, Dignity Health, and large physician management organizations post for candidates without experience. Medical billing specialist and health information clerk positions at California clinics are also common lateral moves that provide the chart access and system exposure that coding supervisors look for when promoting from within.
Where can I find and apply to medical coding specialist jobs in California?
You can find and apply to medical coding specialist jobs in California on Migrate Mate, which lists current California openings across hospital systems, physician groups, and health plans. Find roles that fit your experience and credentials below and apply directly to the employers posting them.
See All 27 Medical Coding Specialist Jobs in California
Find roles in California that match your experience and apply in just a few clicks.
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