4 profee coder jobs found in Riverside, CA

Multispecialty Surgery Coder II The Multispecialty Surgery Coder II will code for multispecialty surgery physicians primarily single path coding. Multi-specialty surgical coding experience, any trauma, urology, ENT, plastics, gen surg, OB/GYN, cardiovascular, interventional radiology, etc. Ability to extract data and apply appropriate ICD-10 diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding managerthe coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM official guidelines for coding and reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The coder scope may involve reviewing coding related denials from payers and recommending the appropriate action to resolve...

Job Description Job Description job Overview We’re looking for a skilled and detail-driven Medical Biller to join our healthcare team. This position plays a key role in ensuring accurate billing, proper reimbursement, and compliance with all medical coding and regulatory guidelines. The ideal candidate will be proficient in billing processes, coding standards, and collections, and will work closely with providers, patients, and insurance companies to keep billing operations running smoothly. Responsibilities Review patient accounts to confirm billing accuracy Apply DRG, CPT, ICD-9, and ICD-10 codes appropriately for all billed services Prepare and submit insurance claims; follow up on unpaid or denied claims Handle medical collections, including outreach to patients regarding outstanding balances Maintain precise and up-to-date records within EMR/EHR systems Work with office staff to resolve billing issues or discrepancies Stay current on medical...

Certified Medical Coder We are looking for an experienced and detail-oriented Certified Medical Coder with strong expertise in Primary Care and Pro Fee coding. The ideal candidate will accurately assign and sequence diagnostic and procedural codes based on clinical documentation to ensure proper billing, reimbursement, and regulatory compliance. This role involves collaboration with providers, clinical staff, and internal teams to maintain the highest standards of coding accuracy and data integrity. Key Responsibilities: Review clinical documentation to assign and sequence ICD-10, CPT, and HCPCS codes for various patient types (Hospital, Clinic, Ancillary, and Physician Pro Fee). Analyze facility and provider records to ensure accurate APC and Evaluation & Management (E/M) coding. Abstract clinical data and validate documentation adequacy to support diagnoses, procedures, and discharge dispositions. Serve as a resource for providers and client staff regarding...

Certified Medical Records Coder Position The County of Riverside - Riverside University Health System- Medical Records Department is seeking to fill a Certified Medical Records Coder position. The incumbents will be responsible for performing advanced coding and abstracting of outpatient medical record entries according to the most current edition of International Classification of Diseases Clinical Modification System (ICD-CM) and Current Procedural Terminology (CPT); performs other related duties as required. The Certified Medical Records Coder - Outpatient classification performs coding and abstracting of a high volume of patient records in the Medical Records Department and reports to an appropriate supervisory or manager level position. Candidates with acute hospital experience are encouraged to apply. Applicants will be tested as part of the hiring process. Work Schedule: 5/40, M-F, Day Shift (rotating holidays required) This position requires new hires to work in the...