97 denials coder jobs found

American Eye Associates in Chula Vista, CA is seeking a full-time Biller/Coder to support on-site billing for our Ophthalmology practice. This role will work at our Chula Vista location and provide billing support to the corporate office and satellite clinics. Ideal candidates have ophthalmology claims experience and are proficient with CPT/ICD-10/HCPCS, modifiers, and denial resolution. The position requires accuracy, efficiency, and a professional demeanor in a fast-paced environment. #J-18808-Ljbffr

Job Description Job Description Description The DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS to determine the appropriate Diagnosis-Related Group (DRG) assignment.  This role ensures coding accuracy, reimbursement integrity, and compliance with federal and state regulations, payer guidelines, and internal policies. In an Independent Practice Association (IPA) and Management Services Organization (MSO) environment, the DRG Coder partners with utilization management, care management, finance, and provider network teams to support accurate payment, risk adjustment, quality reporting, and medical expense analysis. What You'll Do Review inpatient hospital records and assign accurate diagnosis and procedure codes Determine the appropriate MS-DRG or APR-DRG assignment based on coding and clinical documentation Conduct coding validation and auditing to ensure compliance with...

Description Summary: Reviews patient medical charts and documents to translate diagnoses, procedures, and services into universal codes for billing, insurance reimbursement, and data tracking. Core responsibilities include analyzing patient records, assigning the correct codes according to medical coding systems such as CPT and ICD-10, communicating with physicians to clarify documentation, and ensuring compliance with coding guidelines to prevent claim denials. This role is responsible for processing claims in a timely manner and managing assigned work queues to adhere to health center and Ochin EPIC best practices. This position is responsible for recovering costs for medical care by billing patients, insurers, third-party payers, or various medical aid programs. Also, may perform complex technical accounting assignments generally related to medical billing. This position will navigate complex PPS/APM payment models while maintaining compliance with state and federal healthcare...

Our Client, a Healthcare company, is looking for a Specialty Physician Coder for their Fountain Valley, CA location. Responsibilities: Achievement of productivity standards as established by management. Achievement of quality standards as established by management. Analyze and interpret medical information in the medical record and assign and sequence the correct ICD10CM, CPT, and/or HCPCS codes to the diagnoses/procedures of office, inpatient, and/or outpatient medical records according to established coding guidelines. Review and natively code surgical operative and/or procedure reports. Follow established workflow for working claim denials in the Follow Up work queues and identify opportunities for billing and coding improvements. Participate in developing, implementing, and reviewing programs for coding compliance monitoring, benchmark comparisons, organizational policies and procedures, and physician clinical documentation improvement programs. Work in...

Specialty Physician Coder | Remote (Southern California) Contract 3-6+ Months Have your specialty coding skills, but tired of feeling like a number? We're looking for an experienced Specialty Physician Coder to join a growing Coding Compliance team, remote, with real variety in your day-to-day work. Why coders like this role: Fully remote (must reside in Southern California) M-F, 8:00 am to 5:00 pm, a schedule you can actually plan your life around 3 to 6 month assignment with strong potential to extend Real variety: office, hospital, surgical, inpatient, and outpatient coding, not the same claim type on repeat Direct collaboration with physicians and revenue cycle teams, not buried in a queue A seat at the table for coding compliance and documentation improvement initiatives What you'll be doing: Reviewing physician documentation and assigning accurate ICD-10-CM, CPT, and HCPCS codes Coding office visits, hospital encounters, outpatient and...

Job TitleJob TitleJob DescriptionLocated in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.Job Summary:Reviews SDS and OBV records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines. Records types including same day surguery and observation encounter types. Works on routine assignments within defined parameters, established guidelines and precedents. Follows established procedures and receives daily instructions on work.Job Requirements:Education and Work Experience:High School...

Specialty Physician Coder | Remote (Southern California) Contract 3-6+ MonthsHave your specialty coding skills, but tired of feeling like a number? We're looking for an experienced Specialty Physician Coder to join a growing Coding Compliance team, remote, with real variety in your day-to-day work.Why coders like this role:Fully remote (must reside in Southern California)M-F, 8:00 am to 5:00 pm, a schedule you can actually plan your life around3 to 6 month assignment with strong potential to extendReal variety: office, hospital, surgical, inpatient, and outpatient coding, not the same claim type on repeatDirect collaboration with physicians and revenue cycle teams, not buried in a queueA seat at the table for coding compliance and documentation improvement initiativesWhat you'll be doing:Reviewing physician documentation and assigning accurate ICD-10-CM, CPT, and HCPCS codesCoding office visits, hospital encounters, outpatient and inpatient services, and surgical or procedure...

Specialty Physician CoderOur client, a healthcare company, is looking for a Specialty Physician Coder for their Fountain Valley, CA location.Responsibilities:Achievement of productivity standards as established by management.Achievement of quality standards as established by management.Analyze and interpret medical information in the medical record and assign and sequence the correct ICD10CM, CPT, and/or HCPCS codes to the diagnoses/procedures of office, inpatient, and/or outpatient medical records according to established coding guidelines.Review and natively code surgical operative and/or procedure reports.Follow established workflow for working claim denials in the Follow Up work queues and identify opportunities for billing and coding improvements.Participate in developing, implementing, and reviewing programs for coding compliance monitoring, benchmark comparisons, organizational policies and procedures, and physician clinical documentation improvement programs.Work in the...

Job TitleDuties included but are not limited to: Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. Reviews assigned codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS). Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or evaluation and management (E/M) code to ensure ethical, accurate, and complete coding. Applies guidelines specific to certain diagnoses, procedures, and other criteria used to classify patients under the Veterans Equitable Resource Allocation (VERA) program...

Job TitleResponsible for entering data electronically to process charges, payments, denials and adjustments. Analyze and code procedures and diagnosis using ICD-9 & CPT codes. Perform insurance/ billing clerical duties, including review and verification of patient account information. Receive and answer billing related inquires and problems. Follow up on balances due from insurance companies and patients. Interact with physicians on a professional level. Work collection list, by calling patient and alerting them to status. Work bi-weekly denial log. Prepare data for daily, weekly, and monthly reports. Special projects as assigned.Licenses and/or Certs: Certified Medical Coder or equivalent experienceWage Range: $23.00/hr - 33.86/hrQualificationsEducation: High School or better in Education.Experience: 1 year: 1 year experience in healthcare billing or equivalentEqual Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal...

Position: Medical Coder and Biller (Vascular Procedures) Location: Sacramento, CA (or Remote) Schedule: Full-Time and Part-Time positions Salary: Competitive Salary & Bonus Program Benefits: Health, Dental, Vision, EAP, 401(k), FSA, Costco, AAA, etc. ABOUT US With a growing network of locations, California Foot & Ankle Centers (CALFAC) and the Vascular Institutes in Sacramento, Dallas, and Houston , provide comprehensive care and surgery, including advanced wound care and amputation-prevention therapies, lower extremity peripheral nerve surgery, vascular surgery and endovascular procedures.. We have been serving patients for over 60 years, building a loyal patient base keeping our clinic locations busy with little to no marketing during that time. Our highly-competent doctors and medical staff all believe in giving a caring approach to each patient, as well as our utilizing the most modern technology available. Further, we conduct clinical trials and podiatric...

Barstow Healthcare Mgmt Inc Barstow, CA 92311, USA Description Responsible for entering data electronically to process charges, payments, denials and adjustments. Analyze and code procedures and diagnosis using ICD-9 & CPT codes. Perform insurance/ billing clerical duties, including review and verification of patient account information. Receive and answer billing related inquires and problems. Follow up on balances due from insurance companies and patients. Interact with physicians on a professional level. Work collection list, by calling patient and alerting them to status. Work bi-weekly denial log. Prepare data for daily, weekly, and monthly reports. Special projects as assigned. Licenses and/or Certs: Certified Medical Coder or equivalent experience Wage Range: $23.00/hr - 33.86/hr Education Required High School or better in Education. Experience Required 1 year: 1 year experience in healthcare billing or equivalent Equal Opportunity Employer This employer is...

AppleOne Employment Services seeks a Sr. Biller and Coder in San Leandro, CA, for a direct-hire role. You will handle Medi-Cal billing, coding accuracy, and denials management while supporting timely reimbursement and collaboration with clinical teams. You will mentor billing staff, participate in audits, and improve revenue cycle performance in a mission-driven healthcare environment. #J-18808-Ljbffr

Job Summary We are seeking an experienced Sr. Biller and Coder for a direct hire opportunity in San Leandro, CA. This role is ideal for a senior revenue cycle professional with strong Medi-Cal billing expertise, advanced coding knowledge, and a proven ability to improve claims accuracy, reduce denials, and support timely reimbursement. This position offers the opportunity to join a mission-driven nonprofit healthcare environment where accuracy, compliance, teamwork, and community impact matter. The Sr. Biller and Coder will work closely with providers, clinical teams, and billing staff in a collaborative setting with supportive leadership, opportunities to mentor others, and a clear focus on quality patient care and financial performance. Key Responsibilities Assign accurate ICD-10-CM, CPT, and HCPCS codes based on provider documentation and payer requirements. Submit and manage electronic and paper claims for Medi-Cal, managed Medi-Cal plans, Medicare, commercial carriers, and...

Medical Coder Reviews patient medical charts and documents to translate diagnoses, procedures, and services into universal codes for billing, insurance reimbursement, and data tracking. Core responsibilities include analyzing patient records, assigning the correct codes according to medical coding systems such as CPT and ICD-10, communicating with physicians to clarify documentation, and ensuring compliance with coding guidelines to prevent claim denials. This role is responsible for processing claims in a timely manner and managing assigned work queues to adhere to health center and Ochin EPIC best practices. This position is responsible for recovering costs for medical care by billing patients, insurers, third-party payers, or various medical aid programs. Also, may perform complex technical accounting assignments generally related to medical billing. This position will navigate complex PPS/APM payment models while maintaining compliance with state and federal healthcare...

Job Title Responsible for entering data electronically to process charges, payments, denials and adjustments. Analyze and code procedures and diagnosis using ICD-9 & CPT codes. Perform insurance/ billing clerical duties, including review and verification of patient account information. Receive and answer billing related inquires and problems. Follow up on balances due from insurance companies and patients. Interact with physicians on a professional level. Work collection list, by calling patient and alerting them to status. Work bi-weekly denial log. Prepare data for daily, weekly, and monthly reports. Special projects as assigned. Licenses and/or Certs: Certified Medical Coder or equivalent experience Wage Range: $23.00/hr - 33.86/hr Qualifications Education: High School or better in Education. Experience: 1 year: 1 year experience in healthcare billing or equivalent Equal Opportunity Employer This employer is required to notify all applicants of their rights...

Accredited CPC Medical Coding Specialist Winchester, CA $46,089 - $62,079 a year Full Time Position Overview This role is responsible for accurately determining codes for physicians' diagnoses and procedures, ensuring compliance with the latest medical reimbursement policies and CMS guidelines. The specialist reviews medical records to identify all appropriate coding, generates invoices for insurance and patient billing, and manages insurance claims and collections. Collaboration with clinical teams and patients is essential to ensure precise and complete charge preparation for patient visits. Key Responsibilities Maintain a safe and clean work environment, adhering to unit safety and infection control standards. Coding Duties: Utilize Electronic Health Records (EHR) to support claim coding. Assign ICD-10-CM, CPT-4, and HCPCS codes for surgeries based on current guidelines. Review physician notes for accuracy and completeness. Communicate with physicians...

Accredited CPC Medical Coding Specialist Anza, CA $52,089 - $67,099 a year Full Time Position Overview This role is responsible for accurately assigning codes to physician diagnoses and procedures, ensuring compliance with the latest medical billing and reimbursement policies. The specialist reviews medical records to identify all appropriate coding, adhering to CMS guidelines and current reimbursement standards. Duties include generating invoices for insurance and patient billing, managing paperwork, handling insurance claims, and performing collections. Collaboration with clinical teams and patients is essential to ensure precise and complete charge preparation for each visit. Key Responsibilities Maintain a safe and clean work environment, following unit safety and infection control protocols. Coding: Utilize electronic health records (EHR) to support claim coding. Assign ICD-10-CM, CPT-4, and HCPCS codes for surgeries based on current guidelines. Review...

Job Title Specialty Coder Industry Healthcare Location Fountain Valley, CA Shift: 40 hours per week, 8 hours per day, 5 days per week. Note: this req is internally labeled Part Time despite this full time hour schedule, the same discrepancy seen on a prior MemorialCare req - worth confirming with the client. Client Overview You'd be working in the coding compliance department of a large nonprofit health system, reviewing and coding specialty physician charges for office visits, hospital care, and surgical procedures to support accurate billing and reimbursement. Top 3 Skills Medical coding (ICD-10-CM, CPT, HCPCS) Specialty coding certification (Cardiology, GI, Oncology, OBGYN, Pulmonology, General Surgery, or Radiation Oncology) Electronic medical records and coding compliance software (Epic) What You'll Do Analyze and interpret medical records to assign correct ICD-10-CM, CPT, and HCPCS codes Review and code surgical operative and procedure reports Work claim denials...

$1360.00/week - Job Summary: The Certified Professional Coder (CPC) is responsible for translating patient diagnoses and procedures into standardized codes essential for billing, compliance, and medical records. This role ensures accurate coding to facilitate proper reimbursement and adherence to healthcare regulations. Responsibilities: Review medical documentation, including physician notes and operative reports, to verify coding accuracy. Assign appropriate ICD-10-CM, CPT, and HCPCS Level II codes based on reviewed documentation. Support the medical billing process by verifying claims and ensuring proper reimbursement. Maintain regulatory compliance by adhering to healthcare laws, payer guidelines, and privacy standards like HIPAA. Investigate and resolve claim denials by correcting codes and communicating with providers or billing teams. Collaborate with healthcare staff to clarify incomplete or ambiguous clinical documentation....

Certified Medical Coder ICommunity health is about more than just vaccines and checkups. It's about giving people the resources they need to live their best lives. At Neighborhood, this is our vision: a community where everyone is healthy and happy. We're with you every step of the way, with the care you need for each of life's chapters. At Neighborhood, we are Better Together.As a private, non-profit 501(C) (3) community health organization, we serve over 500,000 medical, dental, and behavioral health visits from more than 100,000 people annually. We do this in pursuit of our mission to improve the health and happiness of the communities we serve by providing quality care to all, regardless of situation or circumstance.Since 1969, our employees have been making this mission a reality. Regardless of the role, our team focuses on being compassionate, having integrity, being professional, always collaborating, and consistently going above and beyond. If this sounds like an...

Medical Coder and Biller (Vascular Procedures)Location: Sacramento, CA (or Remote)Schedule: Full-Time and Part-Time positionsSalary: Competitive Salary & Bonus ProgramBenefits: Health, Dental, Vision, EAP, 401(k), FSA, Costco, AAA, etc.About UsWith a growing network of locations, California Foot & Ankle Centers (CALFAC) and the Vascular Institutes in Sacramento, Dallas, and Houston provide comprehensive care and surgery, including advanced wound care and amputation-prevention therapies, lower extremity peripheral nerve surgery, vascular surgery and endovascular procedures.We have been serving patients for over 60 years, building a loyal patient base keeping our clinic locations busy with little to no marketing during that time. Our highly-competent doctors and medical staff all believe in giving a caring approach to each patient, as well as our utilizing the most modern technology available. Further, we conduct clinical trials and podiatric research at all of our...