79 analyst coder jobs found

Default Work Shift: Day (United States of America) Hours: 40 Salary range: $23.97 - $36.42 Schedule: Full Time Shift Hours: 8 Employee Department: Patient Financial Services Job Objective Responsible for performing revenue cycle integrity audits within the Charge Descriptive Master and other revenue cycle charge capture and reconciliation processes. Job Description Education: Required: High school diploma, GED or higher level degree if hired after March 1, 2025. Preferred: Medical coding coursework or bachelor’s degree in related field. Licensure/Certification: Required: Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) within one (1) year if hired into position after January 1, 2021. Experience: Required: Two (2) years of medical billing, charge capture, coding or patient account auditing experience. Preferred: Revenue cycle experience, hospital/clinical experience. Reports To: Manager or Director. Supervises: N/A. Ages of Patients: N/A. Blood Borne...

Professional Fee Coder - Analyst II Under the direction of the Revenue Manager and Associate Director, the Analyst II will provide support in revenue operations related to coding, auditing, and training. The incumbent will provide education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines, perform an in‑depth review of physician documentation and present findings with recommendations, assign codes based on review of clinical charts, resolve coding issues based on denials, and identify areas of improvement in coding processes. Responsibilities Provide education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines. Perform an in‑depth review of physician documentation and present findings along with recommendations to the department. Assign codes based on review of clinical charts. Resolve coding issues based on denials. Identify areas of improvement in coding...

Professional Fee Coder - Analyst II, under the direction of their Revenue Manager and Associate Director, will provide support in areas of revenue operations related to coding, auditing, and training for their designated areas. Responsibilities include providing education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines. Analyst II will perform an in-depth review of physician documentation and is responsible for presenting findings along with recommendations to the department on physician education. The incumbent should be familiar with all applicable billing and coding regulations and be able to effectively communicate these regulations to all levels of faculty, management and staff. This position will also assign codes based on a review of clinical charts, resolve coding issues based on denials, and identify areas of improvement. Professional Fee Coder - Analyst II, under the direction of their Revenue Manager and...

A healthcare organization in Emeryville is seeking a Professional Fee Coder - Analyst II to support revenue operations related to coding, auditing, and training. In this role, you will provide education to physicians, review documentation for compliance, and assign codes based on clinical chart reviews. A Bachelor's degree and coding experience are required, and familiarity with healthcare regulations is preferred. The position requires onsite work in the Emeryville office, offering a chance to contribute significantly to coding processes and compliance training. #J-18808-Ljbffr

Job Description Professional Fee Coder – Analyst II, under the direction of their Revenue Manager and Associate Director, will provide support in areas of revenue operations related to coding, auditing, and training for their designated areas. Responsibilities include providing education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines, performing in‑depth reviews of physician documentation, presenting findings and recommendations to the department, assigning codes based on clinical chart reviews, resolving coding issues from denials, and identifying areas for improvement. Responsibilities Provide education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines. Perform in‑depth reviews of physician documentation. Present findings and recommendations to the department on physician education. Assign codes based on review of clinical charts. Resolve coding issues based...

Hcc Coding Analyst Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. This position is hybrid-remote in Orange, CA. The Hierarchical Condition Categories (HCC) Coding Analyst will effectively interface with provider partners, to successfully, monitor and implement HCC coding strategies. Audit all RAPS submissions to ensure accuracy in the data provided to Centers for Medicare and Medicaid...

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. This position is hybrid- remote in Orange, CA. The Hierarchical Condition Categories (HCC) Coding Analyst will effectively interface with provider partners, to successfully, monitor and implement HCC coding strategies. Audit all RAPS submissions to ensure accuracy in the data provided to Centers for Medicare and Medicaid Services (CMS). Provide...

Hybrid | Full-Time | Technical + Marketing Leadership About Azarian Growth Agency Azarian Growth Agency was founded in 2020 by Hamlet Azarian, specializing in data-driven, full-funnel growth marketing strategies. We combine serious engineering with AI agent workflows to build marketing systems that run 24/7 across content, PPC, integrations, and analytics. We’re not just running campaigns – we’re building reusable, observable, self-optimizing systems. You’ll work on the same stack that powers our content engine, PPC engine, integrations, and website analysis – and help extend it. About the Role You are the technical owner of our marketing systems: you build new features and services, maintain production backends and automation, and grow the platform so the team can scale from campaign execution to system orchestration. You’ll work in our real codebase: TypeScript microservices (Express, Prisma, PostgreSQL, Redis, BullMQ), Next.js/React frontends, Docker, and observability...

Committed to Our Community in the Heart of the Redwoods. Removing Barriers to Healthcare Access Greenway Admin Open Door Community Health Centers (ODCHC) relies on billing for services rendered and generated revenue for a significant portion of its operating budget. ODCHC is committed to proper billing procedures, documentation and review in compliance with federal and state laws and regulations and private payor requirements. The Coder I, working in collaboration with other Billing and Coding staff and the Coding Manager, is responsible for ensuring that documentation submitted by providers are accurately coded, including a congruence of final diagnoses, professional services, and procedures. As needed, Coder I will query providers as needed to resolve discrepancies in documentation, apply proper assignment of ICD, CPT and HCPCS codes and/or perform coding addendums to assure timely reimbursement. Compensation Range: $30.00-$34.68 All new hires will begin at the base...

Position Summary Reporting to the Manager of Coding, the Coder III performs abstracting and coding, using ICD-10-CM and PCS, on all inpatient visits at UCI Medical Center. The purpose of this position is to apply the appropriate diagnostic and procedural codes to individual patient health information for data retrieval, analysis, and claims processing. Accounts are coded utilizing the 3m360 Sulventum encoder and EPIC systems for coding and data entry. Additional duties include participating in departmental PI projects and performing related duties as assigned to meet operational needs. Required Qualifications User-level experience using personal computers, particularly with encoding, abstracting and prospective payment grouper systems Skill, knowledge and ability essential to the successful performance of the job duties Skill to effectively assign codes Must demonstrate customer service skills appropriate to the job Minimum of four (4) years of acute hospital trauma level 1,...

Who We Are UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459‑bed acute care hospital in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties, and ambulatory care centers across the region. Listed among America’s Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County’s only National Cancer Institute‑designated comprehensive cancer center, high‑risk perinatal/neonatal program and American College of Surgeons‑verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los...

Medical Social Services Clinical Supervisor Involves crisis intervention, psychosocial patient assessments and interventions, mandated reporting, information and referral, non-medical discharge planning, and coordination of health and mental health services with community providers. Works in concert with physicians, nurses, utilization management, discharge planners, and other allied health professionals; maybe a member of a structured case management team. Assists patients and their families with addressing and resolving the social, financial, and psychological problems related to their health condition and facilitates the patient movement through health continuum. At UCSF Benioff Children's Hospital, we understand that hospitalization, illness or injury can be extremely stressful. Clinical Social Workers are available in every area of the hospital to help patients and their families cope with a broad range of psychological stressors related to illness and being in the medical...

Medical Billing Specialist III/IV Under general direction, performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare, and general insurance reimbursement requirements. The ideal candidate has specialized expertise in mental health billing, including CPT, ICD-10, and HCPCS coding for Medicare and Medi-Cal. Skilled in the Medi-Cal Provider Manual and TAR process, they ensure timely, compliant submissions that support access to behavioral health services. They communicate effectively with peers, patients, and payers, resolve billing discrepancies, and address compliance issues in collaboration with the compliance office. Experienced in leading and training staff on Managed Care, Medicaid, Medi-Cal, Medicare, and Commercial Insurance, they ensure accuracy, efficiency, and regulatory adherence in all mental health billing operations. Medical Billing Specialist III ($25.99 - $32.99 per...

Facility: Copley Drive City San Diego Department Job Status Regular Shift Day FTE 1 Shift Start Time Shift End Time Certified Coding Specialist--Physician-based (CCS-P) - The American Health Information Management Association (AHIMA); Certified Professional Coder (CPC) - AAPC Hours : Shift Start Time: Variable Shift End Time: Variable AWS Hours Requirement: 8/40 - 8 Hour Shift Additional Shift Information: Flex hours are 6:00-9:00 am to 14:30-17:30 pm Weekend Requirements: As Needed On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $34.170 - $44.090 - $49.370 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position.? The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates,...

Lead Medical Biller Skilled Wound Care is looking for a Lead Medical Biller to join our rapidly growing company! We are a mobile surgical physician wound care group expanding into new markets of the United States. The Lead Medical Biller is a critical leader responsible for ensuring the financial health of our organization by overseeing the daily operations of the billing team. This role requires advanced expertise in the end-to-end claims lifecycle, ensuring maximum revenue capture through accurate, compliant, and timely submission of medical claims across all payer types (private, government, and third-party). You will be the primary subject matter expert, driving team performance, resolving complex billing issues, and upholding strict adherence to all federal, state, and FQHC-specific billing regulations. Position is hybrid at our office in Playa Vista, CA Responsibilities: Supervise & Train: Lead the training and mentorship of new billing hires, ensuring rapid...

Job Opportunity Job Information Job Opening ID 9337 Date Opened 10/12/2023 Job Type Contract Language Skills English Location Orange, CA Industry Health Care City Orange State/Province California Country United States Zip/Postal Code 92856 Job Description Responsibilities Reports to: Manager, Coding The radiation oncology coder will be responsible to abstract orders, charges and related diagnoses from radiation oncology records to ensure services billed are consistent with the record documentation The coder will ensure compliance with all the clinical billing and coding regulations and will work with the faculty and staff to ensure accurate documentation of billable services The coder will determine and input appropriate ICD-10 CM and other codes for all radiation therapy procedures and analyze and validate that all charges are interfaced with the appropriate ICD10 and CPT codes The coder will be become efficient with the record and verify system ARIA where they...

Clinical Policy Clinical Coder RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $102,183.00 (Min.) - $163,492.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Clinical Policy Clinical Coder RN II is responsible for analyzing, interpreting, and operationalizing medical and utilization management policies to ensure accurate coding, appropriate...

Health Coder - Hcc & Risk Adjustment Burlingame, CA 94010 Overview Salary Range $42.79 - $48.75 Hourly Description The Healthcare Coder plays a critical role in supporting accurate and compliant coding for NEMS MSO operations with a focus on Medicare Risk Adjustment (RA) programs. This position ensures accurate capture of Hierarchical Condition Category (HCC) coding and improves risk adjustment scores by conducting chart audits, providing provider education, and supporting clinical documentation improvement (CDI) initiatives. The Healthcare Coder will collaborate closely with providers, clinical staff, and leadership to improve coding accuracy and compliance, directly impacting the organization's quality outcomes and financial performance. Essential Job Functions: Hcc Coding and Risk Adjustment (Ra) Program Support Perform comprehensive review of patient charts to identify and validate diagnosis codes in alignment with Hcc and risk adjustment guidelines. Ensure all...

Coder I Committed to Our Community in the Heart of the Redwoods. Removing Barriers to Healthcare Access Open Door Community Health Centers (ODCHC) relies on billing for services rendered and generated revenue for a significant portion of its operating budget. ODCHC is committed to proper billing procedures, documentation and review in compliance with federal and state laws and regulations and private payor requirements. The Coder I, working in collaboration with other Billing and Coding staff and the Coding Manager, is responsible for ensuring that documentation submitted by providers are accurately coded, including a congruence of final diagnoses, professional services, and procedures. As needed, Coder I will query providers as needed to resolve discrepancies in documentation, apply proper assignment of ICD, CPT and HCPCS codes and/or perform coding addendums to assure timely reimbursement. Compensation Range: $30.00-$34.68 All new hires will begin at the base wage of this...

The Health Information Coder III is a senior‑level inpatient coder who utilizes the ICD‑10‑CM and ICD‑10‑PCS classification systems to code acute academic, teaching inpatient cases. The coder applies knowledge of code sequences and Diagnoses‑Related Groups, and abstracts records in compliance with UCSF Health policies, coding guidelines, practice standards, and the HIMS coder code of ethics. The focus of coding and abstracting is on a range of all primary hospital services, with minimal review for quality. Responsibilities and Essential Job Functions Retrieve and analyze comprehensive medical records and information systems for appropriate documentation and follow‑up as appropriate. Required Qualifications High school diploma or equivalent Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) certification 3+ years of inpatient DRG coding and abstracting...

Mission Healthcare, located in seven states, is the largest home health and hospice company in the western United States. Our critical mission—to take care of our people. We provide a comprehensive array of services that meet the needs of patients and families across the healthcare continuum. We believe our people, partners, patients and their families deserve care delivered with C ompassion, A ccountability, R espect, E xcellence and S ervice (CARES), Mission Healthcare’s core values. By joining our team, you will have an opportunity to impact patient lives daily and grow your career in a culture of collaboration, compassion, and commitment. We are excited to continue to grow our mission family. Benefits Available to All Benefit-Eligible Employees 401(k) retirement savings plan Employee Assistance Program (EAP) Paid vacation, sick leave, and holidays Additional Benefits for Employees Regularly Scheduled 30+ Hours per Week: Medical, dental, and vision insurance Flexible...

Description Are you looking for a career that will make an impact? The Leidos Military and Veterans Health Solutions Operation has an opening for a Clinical Informaticist / Clinical Coder to join the Operational Readiness Directorate at the Naval Health Research Center in San Diego, CA. This position will provide support to the Epidemiology and Data Management Support Department and involves clinical coding and data abstraction to support research on the physical and mental health of military personnel to improve overall health and readiness. The person in this position will work closely with department professionals in records management, information technology, and research teams to ensure alignment of clinical coding with research needs. Are you ready for unique and exciting work? This is a full-time position in San Diego. The candidate for this position must be located within commuting distance of San Diego to work on-site at the Naval Health Research Center as...

Duties: Job Summary: Under the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a key role in reviewing and analyzing specialty coding and billing for charge processing. This role is responsible for reviewing and accurately coding office, hospital, and surgical/procedures for reimbursement and ensuring accurate and compliant medical coding for inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients. The Specialty Physician Coder works with the Coding Compliance Manager on discovered coding trends, irregularities, and needed action items. Job 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 ICD-10-CM, CPT, and/or HCPCS codes to the diagnoses/procedures of office, inpatient, and/or outpatient...

Lead Outpatient Medical Coder The Lead Outpatient (OP) Medical Coder assists the HIM OP Coding Manager with administrative functions specific to all outpatient coding operations. Duties may be varied and may include many of the following: assisting the OP Coding Manager to organize work schedules, create work assignments, review timecards for accuracy, conduct quality assurance audits of production-coder performance, develop and implement quality improvement activities, train and mentor staff, provide feedback coding error findings and developmental needs, collect/analyze/report on data, prepare reports on performance and metrics, and other responsibilities of a similar nature and level. The Lead OP Medical Coder is responsible for serving as a subject matter expert in coding processes, providing advanced technical guidance, and ensuring coding accuracy, compliance, and productivity standards are met. The position supports coders and auditors through consultation, mentoring, and...