Risk Adjustment Coder

AltaMed Health Services

. Conduct thorough concurrent, prospective, and retrospective reviews of ambulatory medical record clinical documentation .

Posted 10/16/2026full-timeMontebello • California • United StatesJuniorMid-Level💰 $26 - $33 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in risk adjustment coding and auditing, ensuring compliance with federal, state, and county regulations while accurately capturing clinical documentation. Proficient in navigating electronic health records (EHRs) and medical records (EMRs) to evaluate data quality and support clinical documentation activities.

Highest-signal resume keywords

Risk Adjustment CodingAuditing ExperienceElectronic Health Record (EHR) NavigationCertified Risk Adjustment Coder (CRC)Medicare Managed Care Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical Documentation ReviewData Quality EvaluationCoding Accuracy AssessmentRisk Adjustment ModelsClinical Picture Capture

Tools & Technologies

Electronic Health Records (EHR)Medical Records (EMR)

Certifications & Qualifications

Certified Risk Adjustment Coder (CRC)Certified Professional Coder (CPC)Certified Coding Specialist (CCS)Certified Coding Specialist - Physician (CCS-P)

Industry Keywords

Federal RegulationsState RegulationsCounty RegulationsClinical Documentation GuidelinesMedicare Advantage

About the role

Key responsibilities & impact

Conduct thorough concurrent, prospective, and retrospective reviews of ambulatory medical record clinical documentation
Ensure accurate and complete capture of the clinical picture, severity of illness, and complexity of patients
Evaluate the accuracy and consistency of coded clinical data quality results and reports
Follow applicable federal, state, and county regulations/laws related to coding, auditing, and clinical documentation guidelines for various risk adjustment models
May participate in developing, presenting, and disseminating provider communication and other clinical documentation activities

Requirements

What you’ll need

High School Diploma required
A minimum of 2 years of risk adjustment coding and/or auditing experience is required
Electronic health record (EHR)/medical records (EMR) experience with the ability to navigate a variety of EHRs/EMRs
One of the following certifications required: Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), or Certified Coding Specialist (CCS, CCS-P)
Candidates hired without CRC certification must obtain certification within the first year of employment
Prior experience with Medicare Managed Care (Medicare Advantage) preferred

Benefits

Comp & perks

Medical, Dental and Vision insurance
403(b) Retirement savings plans with employer matching contributions
Flexible Spending Accounts
Commuter Flexible Spending
Career Advancement & Development opportunities
Paid Time Off & Holidays
Paid CME Days
Malpractice insurance and tail coverage
Tuition Reimbursement Program
Corporate Employee Discounts
Employee Referral Bonus Program
Pet Care Insurance
Discretionary bonuses or incentives may apply