53 casc coder jobs found

Medical Billing Specialist Job Objective: A brief overview of the position. Reviews E&M and simple visit charges submitted by providers in assigned work queue(s) to validate Level of Service, place of service, new verses established, and modifier review to ensure valid creation of claim. Reviews and enters manual charges submitted by providers for external services. Reviews and resolves simple NCCI, LCD and MUE edits. Reports to Billing Manager Supervises None Ages of Patients None Blood Borne Pathogens Minimal/No Potential Qualifications Education Required: High School Diploma or GED Preferred: Currently enrolled in a coding certification program or holding an Apprentice Certificate in coding- CPC or CCS Preferred: General College Studies Preferred: One year coding certificate or courses in Medical Terminology, Anatomy and Physiology and extensive training or experience in coding Licensure/Certification Required: Within 18 months complete a coding...

Salary: $51.13 - $61.15 Hourly Location : San Rafael, CA Job Type: Full Time, Temporary Job Number: 1019-TC-26-03 Department: Health & Human Services Division: Public Health Opening Date: 03/13/2026 Closing Date: 3/20/2026 11:59 PM Pacific Vacancies: 1 Weekly Schedule: 36.8 hrs. Equal Employment Opportunity (EEO): The County of Marin is an Equal Opportunity Employer. Persons of color, women, individuals with disabilities, veterans, and adults of all ages are strongly encouraged to apply. Individuals with Disabilities: If you are a person with a disability and are unable to complete an online application or require an accommodation to participate in a recruitment, you must contact Human Resources at least five work days in advance of the testing step or interview. Please contact the Human Resources Staffing Division at (415) 473-2126 (CRS DIAL 711) . ABOUT US At the County of Marin, our employees overwhelmingly report feeling their work is...

Job Description Job Description About Us In 1886, the company was one of the first physicians’ exchanges and nurses’ registries in San Francisco. By 1906, King Ambulance emerged with the company’s earliest affiliation with Hahnemann Hospital, a homeopathic institution built in San Francisco in 1884. Headquartered in a beautifully renovated Victorian (circa 1886) on Bush Street in the center of the city since its beginning, King Ambulance grew and, in 1954, merged with American Ambulance. King-American Ambulance Company has established itself as the longest-operating private ambulance company in the U.S. Our Mission To provide the highest-quality non-emergency and emergency medical services and pre-hospital medical care with respect and compassion for all. Position Summary The billing specialist completes accounting, customer service, and organizational tasks to promote the financial health of King American Ambulance Company. They are responsible for overseeing the...

Professional Fee Coder Radiology Full Time 88249BR Job Summary The ZSFG Department of Radiology performs approximately 200,000 studies yearly and professional fee income from clinical activity constitutes a significant percentage of the department's funding. The department's financial stability is dependent on the ability to process charges as well as manage, analyze, track and report on revenue cycle issues. Under the supervision of the ZSFG Radiology Site Director, the Professional Fee Coder is responsible for managing, organizing and maintaining the timely flow of activity for the department's revenue cycle, with an emphasis on coding, billing and charge management. This position will handle billing and coding activities, and address questions and issues from the UCSF Clinical Practice Group (CPG) as well as providers and administration from the department. S/he will interface with department providers if questions arise around completeness or clarity of documentation. The...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Senior auditor responsible for clinical or physician compliance topics. Assigned the most complex clinical/documentation/coding/billing reviews. Provides guidance to other auditors within AHN on audit approach and analysis. Responsible for creating and overseeing orientation of auditors. Leads all hospital or physician audits/investigations, auditing support and responses related to external audit activity. ESSENTIAL RESPONSIBILITIES: Establishes and implements orientation for all members of the AHN audit compliance team. Evaluates the progress of team members including review of reports and audit activities. Works with senior management responsible for AHN-wide case management/physician programs to develop processes that meet Medicare and 3rd party payor requirements. Provides guidance to staff auditors on audit topics and reports. (20%) Conducts educational sessions for...

Overview Coding Educator (Temp-to-Hire, 13 Weeks) – Location: Within *** Footprint (Hybrid – Mostly Remote with Local Travel). Type: Contingent / Temp-to-Hire. 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. These roles are high-visibility and require strong communication and presentation skills to engage directly with clinicians and support Sutter's revenue cycle, audit, and education functions. Candidates must live within the *** geographic footprint and be available for occasional on-site work and local travel. Positions are structured as 13-week temp-to-hire with conversion opportunities. Key Responsibilities Coding Education & Training: Deliver physician and coder education for assigned groups, with emphasis on Pro Fee (ASC, surgery, outpatient) environments. Facilitate individual and group training sessions; must...

Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 outpatient locations in 14 states providing more than 2.5 million patient visits annually. It is one of the nation’s leading health systems with nearly 57,000 employees and physicians. Eighteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team! Responsibilities The Outpatient Coder Auditor Trainee reviews and analyzes documentation present in the medical record for outpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the Coders or Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software. The Outpatient Coder Auditor Trainee finalizes the coding and abstracting of the medical record upon ensuring the assignment of...

Medical Billing Specialist Job Objective: A brief overview of the position. Reviews E&M and simple visit charges submitted by providers in assigned work queue(s) to validate Level of Service, place of service, new verses established, and modifier review to ensure valid creation of claim. Reviews and enters manual charges submitted by providers for external services. Reviews and resolves simple NCCI, LCD and MUE edits. Reports to Billing Manager Supervises None Ages of Patients None Blood Borne Pathogens Minimal/No Potential Qualifications Education Required: High School Diploma or GED Preferred: Currently enrolled in a coding certification program or holding an Apprentice Certificate in coding- CPC or CCS Preferred: General College Studies Preferred: One year coding certificate or courses in Medical Terminology, Anatomy and Physiology and extensive training or experience in coding Licensure/Certification Required: Within 18 months complete a coding certification...

Outpatient Coder Auditor Trainee Prime Healthcare is actively seeking new members to join our corporate team! The Outpatient Coder Auditor Trainee reviews and analyzes documentation present in the medical record for outpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the Coders or Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software. The Outpatient Coder Auditor Trainee finalizes the coding and abstracting of the medical record upon ensuring the assignment of International Classifications of Diseases, Ninth Revision (ICD-9-CM) or Tenth revision (ICD-10/PCS), Current Procedural Terminology (CPT), and Health Care Procedure Coding System (HCPCS), are accurate and supported by the clinical documentation of the respective medial record. Holding a senior coding position, assumes primary responsibility for DRG validation/accuracy, primary role in assisting CDS and medical staff members with improving quality of clinical...

Inpatient Coder Under direct supervision, the Inpatient Coder is responsible for the accurate coding and abstracting of inpatient cases or services (diagnosis, conditions and procedures) from medical record documentation. Assign codes and modifiers using the appropriate version of ICD-CM, ICD-PCS, CPT and HCPCS as well as other specialty systems as required by diagnostic category. The Inpatient Coder is expected to code and abstract Observation (OBS), Hospital Ambulatory Surgery (HAS), Emergency Department (ED), and complex Hospital Outpatient Visit (CHOY) services when needed. All work must be performed in accordance with the rules, regulations and coding conventions of ICD-CM Official Guidelines for Coding and Reporting, Coding Clinic published by the American Hospital Association, the ICD-CM, ICD-PCS, CPT and HCPCS code book, CPT Assistant, NCCI Edits, CMS, OSHPD and Kaiser Permanentes organizational and institutional coding guidelines. Essential Responsibilities: Coding...

Associate Director, Medical Safety Review Mirum Pharmaceuticals is a biopharmaceutical company dedicated to transforming the treatment of rare diseases. We are passionate about advancing scientific discoveries to become important medicines for rare disease patients. We are collaborative, creative, and experienced professionals and we're looking to augment our team with other individuals who embody our values: care, be real, get it done, and have fun, seriously. Position Summary Mirum Pharmaceutical is seeking an Associate Director of Medical Safety Review. The ideal candidate will have experience performing activities related to ICSR medical review, evaluation of safety data, signal detection and preparation of aggregate reports. This role will report to the Director of Medical Safety Science. Job Functions/Responsibilities Conduct medical review of ICSRs from any source including, but not limited to, clinical trials, literature, and post marketing reports Confirm that...

Professional Fee Coder - Analyst II FPO - Revenue Management Full Time 87835BR Job Summary 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 to present 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....

Job Summary 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. Compensation The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the...

Company Description This is a Position-Based Test conducted in accordance with CSC Rule 111A. Learn more about the City’s hiring process here: https://careers.sf.gov/knowledge/process/ Application Opening – November 17, 2025 Application Deadline – The final day to apply is December 2, 2025 Compensation: $124,514.00-$151,346.00 Yearly https://careers.sf.gov/classifications/?classCode=2924 List ID: PBT-2924-160877; RTF0160876-01059367 At the San Francisco Human Services Agency, we believe in a San Francisco where everyone has the opportunity and support to achieve their full potential. We are comprised of the Department of Benefits and Family Support, and the Department of Disability and Aging Services, and are united by our commitment to deliver essential services that support and protect people, families, and communities. From financial, nutritional and employment support to child and adult protective services, health care coverage, affordable childcare, and in‑home services...

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...

Job Description Job Description Description: This position will perform collections and medical billing for various regional and national payers, including Federal, State, Third Party (HMO, PPO, IPA, TPA Indemnity) and Patient Billing. Qualified candidates must be able to (1) Review accounts for billing accuracy in order to maximize reimbursement. (2) Persuasive and tenacious follow-up on claims status (3) Appeal, and re-bill or forward claims for recalculation and / or adjudication as necessary. Must possess detailed knowledge of all medical benefit levels and have a thorough understanding of Federal, State, PPO, HMO, and Indemnity Plans structure. Must meet or exceed the standard level of performance on assigned accounts. ESSENTIAL RESPONSIBILITIES: • Data entry, correct insurance assignment to patient accounts, insurance eligibility verification. Review/update demographics and patient information for accuracy. • Working knowledge of appropriate coding systems; CPT, ICD-9...

Medical Billing Specialist III/IV - Behavioral Health Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5037514) Apply  Medical Billing Specialist III/IV - Behavioral Health Salary $54,060.11 - $76,162.64 Annually Location Ventura and may require travel throughout Ventura County, CA Job Type Full-Time Regular Job Number 0840HCA-25AA (NW) Department Health Care Agency Division Behavioral/Mental Health Opening Date 08/27/2025 Closing Date Continuous Description Benefits Questions Description THE POSITION Under general direction (III, IV), 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. IDEAL CANDIDATE The ideal candidate has specialized expertise in mental health billing, including CPT, ICD-10, and HCPCS coding for Medicare and Medi-Cal....

Medical Social Services Clinical Supervisor SOCIAL SERVICES Full Time 88372BR Job Summary 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. The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at...

Riverside University Health System (RUHS) is seeking two skilled Coding Compliance Auditors (Administrative Services Manager I) to support the Health System's Compliance Department. Key responsibilities of this role include conducting thorough reviews of medical records to ensure compliance with coding regulations, while providing feedback and education to coders and physicians to enhance coding accuracy and documentation quality. The position involves performing annual, periodic, and focused audits of physician, inpatient, and outpatient coding as requested. It also requires effective communication with all RAC stakeholders to ensure timely and accurate responses to inquiries. Additionally, the role supports ongoing program development through training initiatives and process improvements, delivers coding presentations to diverse audiences including physicians and other staff. The ideal candidate will have at least five years of progressive experience in an acute care hospital...

Join Datavant, the trusted data collaboration platform for healthcare. Our mission is to make health data secure, accessible, and actionable. We provide vital data solutions for healthcare providers, health plans, researchers, and life sciences companies. From assisting with individual patient requests to advancing AI in healthcare, our team is dedicated to shaping the future of health data. By becoming a Datavanter, you will be part of a dynamic and collaborative team committed to transformative change in the healthcare landscape. What We’re Looking For We are seeking experienced and certified inpatient coders to join our team. The ideal candidate will have exceptional attention to detail and a solid understanding of medical terminology. This fully remote position offers a flexible schedule, allowing you to influence the future of healthcare from wherever you work best! Key Responsibilities: Assign diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS...

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 to clarify or correct documentation as needed. Ensure all medical records are complete,...

Job Summary The ZSFG Department of Radiology performs approximately 200,000 studies yearly; professional fee income from clinical activity constitutes a significant percentage of the department’s funding. The department’s financial stability depends on the ability to process charges and manage, analyze, track, and report on revenue cycle issues. Responsibilities Under the supervision of the ZSFG Radiology Site Director, the Professional Fee Coder is responsible for managing, organizing, and maintaining the timely flow of activity for the department’s revenue cycle, emphasizing coding, billing, and charge management. This position handles billing and coding activities, addressing questions and issues from the UCSF Clinical Practice Group (CPG), providers, and department administration. The incumbent interfaces with department providers to clarify documentation, reconciles charges in Epic by resolving issues in various work queues, reviews and batches charges, submits and tracks all...

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. ***** FT and PRN Openings *** Up to $5,000 Sign On Bonus ***** 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 for this role possesses high attention to detail and a depth of knowledge in medical...

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. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...