61 jobs found in Roseville, CA

Roseville Cancer Center Coding Specialist Located 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: Codes for cancer center encounters and maintains required quality and productivity standards while remaining compliant with third party, state and federal regulations. Reviews and resolves medical necessity edits that may apply for any outpatient surgical encounters, applying hospital and professional modifiers to CPT codes and processes any errors associated with the revenue cycle process. Assists in the design and implementation of workflow changes to reduce...

Job Description Located 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. 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: Works independently performing program, compliance, and risk-based reviews of health care related activities to ensure accuracy of related medical record documentation, coding, billing and policies. Provides written audit summary of findings to include audit recommendations. Conducts revenue cycle investigations to determine and mitigate risk through findings, reports, and recommended actions through an action plan. Responsible for coordinating, developing, and conducting educational training based on audit...

Inpatient Coder IV Mercy Healthcare, Rancho Cordova, California The Coder IV is a member of the Health Information Management Team responsible for ensuring the accuracy and completeness of clinical coding, validating the information in the databases for outcome management and specialty registries, across the entire integrated healthcare system. The purpose of this position is to apply the appropriate diagnostic and procedural codes to individual patient health information records for data retrieval, analysis and claims processing. This position is expected to perform duties in alignment with the mission and policies within the Dignity Health organization, TJC, CMS, and other regulatory agencies. Principle Duties and Accountabilities: Assign codes for diagnoses, treatments, and procedures according to the appropriate classification system for inpatient admissions. Can also code ancillary, emergency department, same-day surgery, and observation charts if needed. Review...

A leading healthcare provider is seeking a Senior Coder to lead a coding team remotely. The role involves training new coders, auditing their work, and providing guidance on coding standards. Candidates should have at least 4 years of coding experience and hold a CPC or CCS-P certification. This position offers a salary range of $32.38 - $48.17 per hour and contributes to a healthcare environment that values quality and accuracy in patient care. #J-18808-Ljbffr

This position is work from home within California. Job Summary And Responsibilities As a Coder I, you will review and process clinic professional charges for Dignity Health Medical Foundation. This position works closely with medical groups physicians and providers to ensure all services billed are supported by the documentation and correctly coded for maximum reimbursement. Essential Functions May Include Applies coding principles consistent with government regulatory standards payer specific guidelines and Dignity Health Medical Foundation policy. Codes Primary Care Radiology and Hospitalist professional charges for assigned providers. Reviews all ICD E&M CPT and HCPCS codes to ensure documentation supports all services rendered. Queries providers as needed when encounters lack clear documentation or when missing documentation is discovered in the medical record. Provides education to physicians and providers on coding and documentation as needed. Assists clinic and...

Job Summary and Responsibilities As a Senior Coder, you will act as the lead coder for your designated team. This position will train staff on department policies, procedures, systems and correct coding requirements. The Sr. Coder additionally will monitor staff workload, audit coders, fill in for out of office coders, and make recommendations to Physician Coding leadership to help improve the efficiency of the team. To be successful in this role, you must combine accuracy and attention to detail with a strong knowledge of coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time. Responsibilities Train all new coders on department policies, procedures and correct coding principles Provide routine education, training, and auditing to their designated coding teams Analyze coder's workload and make recommendations to assigned supervisor to ensure all...

Join to apply for the Sr Coder role at Dignity Health 1 day ago Be among the first 25 applicants Position Summary The Senior Coder (Sr. Coder) acts as the lead coder for their designated team. This position will train staff on department policies, procedures, systems, and correct coding requirements. The Sr. Coder additionally will monitor staff workload, audit coders, fill in for out-of-office coders, and make recommendations to Physician Coding leadership to improve team efficiency. Responsibilities This position is remote. Train all new coders on department policies, procedures, and correct coding principles. Provide routine education, training, and auditing to their designated coding teams. Analyze coder's workload and make recommendations to ensure timely completion of all work. Research and guide coders and staff on coding-related questions or concerns. Create and update coder job aids for accurate coding of all services. Assist with provider education and...

A leading healthcare organization in California is seeking a Senior Coder to lead coding efforts for their team. This role involves training new coders, monitoring workload, and ensuring compliance with coding standards. Ideal candidates will have a minimum of 4 years of professional coding experience and relevant certifications. The position is full-time and offers a competitive pay range of $30.55 - $44.30 per hour, along with opportunities for professional development. #J-18808-Ljbffr

Coding Educator Sutter Health is seeking experienced Professional Fee (Pro Fee)focused Coding Educators to support large-scale chart review, coding accuracy validation, physician education, and documentation improvement initiatives.

Professional Fee Coder If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. This is a Stanford Health Care job. A brief overview of the Professional Fee Coder position follows: The Professional Fee Coder is part of a team which has full responsibility for the efficient and accurate flow of coded charges. Applies the appropriate diagnoses, surgical and procedural codes to individual patient health information for data retrieval, analysis and claims processing. Works closely with departments to optimize reimbursement, ensure charge capture, reduce late charges and provide feedback to providers. Provides physicians routine feedback on documentation and compliance standards. Resolves pre-bill edits and appropriate follow-up. Exercises judgment within generally defined practices and policies in selecting methods and techniques for obtaining solutions....

Medical Coding Specialist Under the general direction of the supervisor, the medical coding specialist will abstract medical services provided by the healthcare system and its affiliates. The incumbent will identify all billable servicesincluding IP professional, outpatient professional and facility, hospital service departments, freestanding, and ancillary servicesand assign CPT-4, ICD-10, and HCPCS codes for billing purposes to government agencies, insurance companies, and patients. You will be responsible for the accuracy of procedure and diagnosis coding relative to documentation and standards, while ensuring compliance with all federal, state, and carrier-specific rules and regulations. 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...

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. This role is located in 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 professional and...

Responsibilities Heritage Oaks Hospital is part of the UHS Family of Providers which has been highly regarded as an integral part of the greater Sacramento and Northern California mental health system since 1988. Conveniently located in northern Sacramento, Heritage Oaks is a fully accredited, 125-bed acute psychiatric hospital offering a full range of individually tailored treatment services to adolescents, adults, and senior adults, including treatment for substance abuse and chemical dependency issues with drugs and alcohol. Heritage Oaks is a Medicare provider in addition to contracts with most commercial health insurance plans. We are committed to providing service excellence to all and ensuring our patients receive the optimal level of care that will be most beneficial to their health and recovery. Website: https://heritageoakshospital.com/ Heritage Oaks is looking for a Full‑Time Health Information Management (HIM) Supervisor to join the team! Under the general direction...

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...

JOB DESCRIPTION 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. REQUIRED SKILLS AND EXPERIENCE • Current CPC certification through AAPC or AHIMA, must be kept current and in good standing. • Minimum of 2 years of experience in medical coding. • Knowledge and understanding of medical coding including insurance payor guidelines, ICD1O, CPT Billing, E/M coding. • Ability to work in collaboration with the Billing Manager to provide clinician education on coding guidelines. • Ability to analyze medical records in an Electronic Health Record system to identify documentation deficiencies and verify documentation supports diagnoses,...

Job Posting We are dedicated to providing exceptional care to every patient, every time. St. Luke's Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. Committed to values of human dignity, compassion, justice, excellence, and stewardship St. Luke's Hospital for over a decade has been recognized for "Outstanding Patient Experience" by HealthGrades. Position Summary: Performs data quality reviews on patient records to validate coding appropriateness, missed secondary diagnoses and procedures, and ensures compliance with all coding related regulatory mandates and reporting requirements. Monitors Medicare and other payer bulletins and manuals and reviews the current OIG Work Plans for coding risk areas. Responsible for...

Non-Clinical - Health and Information Management Pay: $1961.00 to $2190.00 weekly Assignment Length: 13 Weeks Schedule: 5x8-Hour 08:00 - 17:00 Openings: 1 Start Date: 12-22-2025 Experience: 1 year Log in to view details

divh2Remote Coding Professional/h2pThis is a remote position/ppWe are seeking a highly motivated and dedicated coding professional to join our team. The ideal candidate must have at least 5 years of coding experience for physician practices, with various surgical specialties, with a focus in orthopedic surgeries, as well as E/M. The position requires one to be resourceful, organized, and extremely driven. The ideal candidate will bring deep expertise in surgical and outpatient coding, strong knowledge of payer guidelines, and proven experience working with denials related to orthopedic and neurosurgical services./ph3Key Responsibilities:/h3ulliResolve Claim Edits and Denials by reviewing clinical documentation, identifying root causes, correcting coding or modifier issues, and submitting appeals or corrected claims as needed./liliReview and Assign Accurate CPT, ICD-10-CM, and HCPCS Codes for orthopedic and neurosurgical procedures, including inpatient and outpatient surgeries and...

A community health provider in California is seeking a Coding Auditor and Educator to ensure coding accuracy supported by clinical documentation. This role involves conducting audits, educating teams on compliance, and engaging in coding for PACE participants. Applicants should possess an Associates Degree or equivalent experience with a strong background in HCC coding. This position offers competitive wages, benefits, and opportunities for advancement. #J-18808-Ljbffr

Become a part of our caring community and help us put health first The Medical Coding Auditor reviews medical claims submitted against medical records to ensure correct coding guidelines are met (e.g., ICD‑10‑CM, CPT, HCPCS). The role requires interpretation and independent determination of the appropriate courses of action, contributing to overall cost reduction by increasing the accuracy of provider contract payments in our payer systems and ensuring correct claims payment for appropriate CPT/HCPCS code assignments. The Auditor analyzes, enters and manipulates database data, responds to or clarifies internal requests for medical information, understands departmental, segment and organizational strategy and operating objectives, and follows established guidelines and procedures while making decisions in ambiguous situations. Where you come in The Medical Coding Auditor reviews medical claims submitted against medical records to ensure correct coding guidelines are met (e.g.,...

A leading health insurance organization is seeking a Medical Coding Auditor based in California to review and ensure the accuracy of coding guidelines for medical claims. The ideal candidate will have a minimum of 3 years post-certification experience, solid judgment, and strong attention to detail. This remote role allows for some flexibility within typical business hours and offers professional development opportunities along with competitive benefits including health coverage. Applicants must have relevant certifications and coding experience in outpatient specialty procedures. #J-18808-Ljbffr

WelbeHealth PACE (All-Inclusive Care for the Elderly) program provides seniors with the opportunity to continue living in their homes and in their communities. Our innovative and comprehensive range of medical services to participants is what ignites our passion to treat the whole person and not the symptoms! We employ a collaborative interdisciplinary team (IDT) approach to evaluate and guide participant care, which is key to WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring coding is accurate and properly supported by clinical documentation within the health records, as well as educating our teams on best practices to promote compliance. Essential Job Duties: Assist with retrospective and concurrent coding for PACE (All-inclusive Care for the Elderly) Dual participants Conduct pre-visit chart preparations and post-visit chart reviews Oversee audits and participate...

Our vision aims to empower our clients by actively leveraging our broad range of services. With our global presence, we have career opportunities all across the world which can lead to a unique, exciting and fulfilling career path. Pick your path today! To see what career opportunities we have available, explore below to find your next career! Please be aware of employment scams where hackers pose as legitimate companies and recruiters to obtain personal information from job seekers. Please be vigilant and verify the authenticity of any job offers or communications. We will never request sensitive information such as Social Security numbers or bank details during the initial stages of the recruitment process. If you suspect fraudulent activity, contact us directly through our official channels. Stay safe and protect your personal information. ***This position is contingent upon contract award and will be located onsite in either the southeast, southwest, or central United States....

Senior Medical Billing Specialist Location: SF Bay Area, CA (Onsite – 5 days/week) Employment Type: Full-Time, Permanent Compensation: Competitive base salary + annual bonus + full benefits About the Opportunity We are partnering with an innovative medical technology and healthcare services organization that supports patients through technology-enabled care programs. This team plays a critical role in managing and optimizing reimbursement across professional medical billing, payer engagement, and revenue cycle operations for outpatient and digitally delivered healthcare services. This role is ideal for a hands-on, detail-oriented medical billing professional who thrives in end-to-end ownership, payer research, data analysis, and continuous process improvement. You will serve as a key contributor ensuring accurate, compliant, and efficient reimbursement while collaborating closely with cross-functional teams including operations, IT, and finance. Key Responsibilities Perform...