22 certified professional coder jobs found in Sacramento

A healthcare organization is looking for a Risk Adjustment Coder I in Sacramento. The role involves validating coding accuracy, conducting educational trainings, and collaborating with various teams. Applicants should have medical coding credentials, strong communication skills, and at least a year of HCC coding experience. The position offers a hybrid work environment. Salary ranges from $71,000 to $86,000 per year. #J-18808-Ljbffr

Medical Coding Coordinator Become a part of our caring community and help us put health first. Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you come in: The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and...

Hcc Coder Position Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating...

Coding Educator Shift: Day 5x8-Hour (08:00 - 17:00) Location: Within Sutter Health Footprint (Hybrid Mostly Remote with Local Travel) Type: Contingent / Temp-to-Hire Overview Sutter Health is seeking experienced Professional Fee (Pro Fee)focused Coding Educators to support large-scale chart review, coding accuracy validation, and education for coding staff. The Coding Educator will play a critical role in ensuring coding accuracy and compliance with coding standards.

Billing Medical Coder The Billing Medical Coder is responsible for the day-to-day coding and billing operations for all services billable under grants, federal, state, and county programs including Medicare, Medi-Cal, managed care and private insurances. Starting Bonus: $5,000 Location: Midtown - Sacramento, CA (95811). This role allows a hybrid schedule requiring 1-2 days per week on site. Training Period: 46 weeks onsite, 5 days per week Essential Functions: Review and adjudicate coding of services from documentation in a timely manner. Code physician/provider visit procedure notes to identify appropriate ICD10 and CPT4 codes for charge processing. Ensures that all diagnosis ICD10 codes and procedure CPT, HCPCS codes are identified, sequenced, and coded in an accurate and ethical manner for optimized reimbursement. Assigns Evaluation and Management codes and key concepts/elements documented in the patient note, utilizing defined coding guidelines applicable to...

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Valley Position Overview: This position conducts review of outpatient medical records using International Classification of Disease Coding ICD-10-CM and Current Procedural Terminology (CPT), Medicare Advantage, ICD-10-CM, and Centers for Medicare and Medicaid Services (CMS) coding and reporting guidelines. Performs medical record reviews to ensure accurate assignment of medical diagnoses and procedures. Responsible for pre-appointment review of each encounter in scope, including Medicare Advantage encounters, to ensure accurate reporting of diagnoses and to alert the physician of potential clinical conditions that may require review. Job Description : EDUCATION: HS Diploma or General Education Diploma (GED) CERTIFICATION & LICENSURE: CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder OR AHMA or AAPC Coding...

Insight Global's client within the healthcare industry is looking to hire a Billing Medical Coder for a direct hire, hybrid role onsite in Sacramento, CA. The Billing Medical Coder is responsible for the day-to-day coding and billing operations for all services billable under grants, federal, state, and county programs including Medicare, Medi-Cal, managed care and private insurances. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or...

Physician Coding Educator - Consultant Location: 100% Remote (consultant; U.S.-based candidates eligible) Engagement Type: Consultant (13-week engagement) Overview We are seeking experienced Physician Coding Educators with deep Professional Fee expertise to support physician education, coding accuracy validation, chart review, and documentation improvement initiatives. These consultant roles require strong technical knowledge, sound audit judgment, and the ability to communicate effectively with clinicians and coding professionals. The ideal candidate is confident engaging directly with physicians, translating audit findings into actionable education, and improving documentation quality and coding consistency across professional fee environments. Core Responsibilities Physician & Coding Education • Deliver targeted education to physicians and coding staff with a focus on Professional Fee coding (ASC, surgical, outpatient settings). • Facilitate one-on-one and group...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses...

Datavant is a leading data platform company specializing in health data exchange, dedicated to empowering healthcare decisions with timely and accurate data. We harness the power of the largest health data network in the U.S. to ensure data is secure and effectively used to enhance health outcomes. Joining Datavant means becoming a vital part of a high-performing, values-driven team that is addressing complex healthcare challenges with innovative solutions. Our team members come from diverse professional, educational, and personal backgrounds to pursue our ambitious vision for healthcare. We are actively seeking skilled and credentialed outpatient coders to enhance our team. The ideal candidate will demonstrate exceptional attention to detail and possess a profound understanding of medical terminology. This remote position offers flexibility, allowing you to contribute significantly to the future of healthcare from your own home! What You Will Do: Review medical records...

Billing Medical Coder One Community Health Sacramento Paid Range: $29.00/hr - $37.00/hr (Based on skills and experience) Location: Midtown Sacramento, CA (95811) Schedule: Hybrid 12 days per week onsite. Training Period: 46 weeks onsite, 5 days per week. Job Description The Billing Medical Coder is responsible for the day-to-day coding and billing operations for all services billable under grants, federal, state, and county programs, including Medicare, Medi?Cal, managed care and private insurance. Essential Functions Review and adjudicate coding of services from documentation in a timely manner. Code physician/provider visit procedure notes to identify appropriate ICD?10 and CPT/HCPCS codes for charge processing. Ensure all diagnosis ICD?10 codes and procedure CPT/HCPCS codes are identified, sequenced, and coded accurately. Assign Evaluation and Management codes and key concepts documented in the patient note, following coding guidelines applicable...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: As an Outpatient Medical Coder, you will engage in comprehensive reviews of medical records to extract important medical and demographic data. You will apply your knowledge of ICD and CPT coding systems to accurately interpret diagnoses and procedures, positively impacting our accounts receivable efficiency. ESSENTIAL RESPONSIBILITIES Thoroughly review and interpret medical information, including physician treatment plans and outcomes, to determine the correct ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstract and input data elements to fulfill statistical requests from hospitals, health systems, and medical staff. (15%) Manage medical information and ensure effective cash flow concerning unbilled coding reports. (10%) Stay updated on ICD-10 CM/CPT guidelines through training, coding clinics, and other resources, and implement these updates in your daily...

Join Datavant, a pioneering data platform company transforming the health data exchange landscape! We are committed to empowering every healthcare decision with the accurate data it deserves. Our comprehensive health data network ensures secure, accessible, and usable information, enabling healthcare professionals to make well-informed decisions. As part of our dynamic and high-performing team, you will address some of the most challenging obstacles in healthcare with cutting-edge technology solutions. We celebrate diverse professional, educational, and personal backgrounds, all contributing to our ambitious goals. We are on the lookout for experienced and credentialed outpatient coders to strengthen our team. Candidates must possess exceptional attention to detail and a strong grasp of medical terminology. This fully remote position offers flexibility, allowing you to contribute to the future of healthcare from your own workspace! Key Responsibilities: Review medical...

Join Datavant, a leader in health data exchange, as we revolutionize the way healthcare decisions are made. Our platform is committed to delivering the right data securely and efficiently, enhancing decisions in healthcare. At Datavant, you will be part of a dynamic and values-oriented team tackling challenging issues in healthcare with cutting-edge technology. We value diverse experiences and believe in collective ambition to drive our goals forward. What We're Looking For: We seek certified and experienced inpatient coders with a keen attention to detail and a solid grasp of medical terminology. This is a fully remote position with flexible hours, allowing you to work at your convenience while making an impact in the healthcare sector! Your Key Responsibilities: Accurately assign diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS codes. Abstract and sequence medical codes from patient records, ensuring strict compliance with documentation...

Your Future Evolves Here Evolent is on a mission to transform healthcare for individuals with complex and costly conditions. By collaborating with health plans and providers, we aim to create a more integrated healthcare system that offers high-quality care and compassion, just as we would want for our loved ones. We value work/life balance, offering flexible schedules that allow you to tailor your work to your life. Our commitment to diversity and inclusion ensures that you can bring your whole self to work. Join Evolent not only for the impactful mission but also for a supportive and inclusive culture. What You'll Be Doing: As a Program Integrity Coder and FWA Auditor, you will play a crucial role in ensuring the integrity of claims by reviewing and verifying complex claim submissions for compliance with coding standards and billing guidelines. You will foster meaningful partnerships with both internal and external stakeholders while thriving in a collaborative...

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses...

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: The Program Integrity Coder- FWA Auditor is responsible for verifying the accuracy of itemized, complex claim review for payment, coding, and billing guidelines in accordance with...

Risk Adjustment Coder I - Sacramento (Central/South) Hybrid 25-234 page is loaded## Risk Adjustment Coder I - Sacramento (Central/South) Hybrid 25-234locations: Sacramento, Californiatime type: Full timeposted on: Posted 4 Days Agojob requisition id: R2344**Were delighted youre considering joining us!**At Hill Physicians Medical Group, were shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members.**Join Our Team!**Hill Physicians has much to offer prospective employees. Were regularly recognized as one of the Best Places to Work in the Bay Area and have been recognized as one of the Healthiest Places to Work in the Bay Area. When you join our team, youre making a great choice for your professional career and your personal satisfaction.**DE&I Statement:**At PriMed, your uniqueness is valued, celebrated, encouraged, supported, and embraced. Whatever your relationship with...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these...

Join Datavant, a pioneering data platform company transforming health data exchange. Our mission is to ensure that every healthcare decision is guided by accurate data at the right moment and in the most useful format. As a leading health data network, our platform offers secure, accessible, and actionable data, empowering various healthcare stakeholders, including life sciences firms, government agencies, and care providers. By becoming part of Datavant's high-performing and values-driven team, you'll play a vital role in creating innovative technology solutions that tackle significant challenges in healthcare. We celebrate a diverse team bringing together a wealth of professional, educational, and personal experiences to achieve our ambitious goals in the healthcare sector. Key Responsibilities: Conduct thorough audits of coded medical charts according to specific client guidelines as directed by the quality supervisor. Efficiently navigate and apply various client...