52 certified irc coder jobs found

Job TitleLocation 2450 Sister Mary Columba Dr, Red Bluff, CA, 96080, United StatesBase Pay $25.75 - $33.99 / HourEmployee Type FT Non-ExemptManage Others NoMinimum Experience 1 YearContact InformationName Kristen GrayPhone 530-528-4430Email kgray@redoaksmedical.comDescription

A healthcare organization in California is seeking a Medical Coder to perform chart reviews, coding audits, and provide training on ICD-10 codes. The ideal candidate will have an AA or AS degree, relevant coding credentials, and two years of healthcare experience. Responsibilities include coding audits, maintaining knowledge of coding guidelines, and assisting with billing inquiries. This role offers competitive benefits including free medical, dental, and vision insurance. #J-18808-Ljbffr

Expatiate Communication, Inc. Expatiate Communications is a management consulting firm specializing in special education. We partner with school districts, COEs, state agencies, and families to strengthen instruction, services, staffing, compliance, and operations. Our work focuses on delivering high-quality, sustainable special education programs that improve outcomes for students with disabilities by meeting IEP needs and building capacity across educator teams. Job Title: Medical Biller The Medical Biller will be responsible for achieving billing standards as defined by the established billing timeliness policy. As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. Location: Pasadena, CA Employment Type: Per Diem (Variable) Pay Range: $22.00 - $27.00 per hour Responsibilities: Ensures timely resolution and...

Expatiate Communications, Inc. in Pasadena, CA seeks a Medical Biller responsible for timely insurance billing, claims submission, and documentation collection from clients, under per diem terms. The role requires at least 3 years of billing experience, familiarity with Medi-Cal, Managed Care, CPT/ICD codes, and strong communication and data-entry skills; per-diem compensation ranges $22–$27 per hour. #J-18808-Ljbffr

HRC Fertility Clinic and Klassic Recruiting have partnered together in a search for a Charge Poster / Medical Data Entry role in Pasadena, California. Work Expectations: Excellent communication and organizational skills; ability to interface with the team members, nurses, physicians, patients and managers. Work Schedule: 80 hours per pay period, 8-hour workday Job Description Note: This document is intended to describe the general nature and level of work performed. It is not intended to serve as an exhaustive list of all duties, skills, and responsibilities required of personnel so classified. JOB FUNCTIONS AND RESPONSIBILITIES: Adhere to HRC Policies and Procedures. Perform the charge entry of Superbills for the various offices as assigned by the Billing Supervisor. Perform reconciliation of billed services. Assist the Billing Supervisor in conducting any research projects, audits and any other special projects. Other duties as assigned which may include preparing...

Astrana Health Management is seeking a Risk Adjustment Coding Specialist II to support the Orange County market. Candidates should have 3-5 years of risk adjustment coding experience and be able to travel up to 75% for the role. You will review provider documentation, conduct education sessions, and ensure compliance with coding regulations. AAPC or AHIMA certification is required. The role offers a competitive salary range of $70,000 - $85,000 per year. #J-18808-Ljbffr

Astrana Health, Inc. is seeking a Senior DRG Coder to ensure coding accuracy and compliance. You will review inpatient medical records, assign appropriate codes, and collaborate with various teams for accurate reimbursement. This role requires at least 5 years of inpatient coding experience with a strong background in ICD-10-CM and ICD-10-PCS methodologies. The position is remote but requires occasional in-person meetings. #J-18808-Ljbffr

Astrana Health is seeking a Risk Adjustment Coding Specialist to support Orange County operations. You will conduct high-volume chart reviews to identify coding gaps, then translate findings into education for providers and practice leaders, driving HCC recapture and KPI improvements. olla You will travel to provider offices up to 75% and collaborate with IPA teams, offering auditing and education to ensure CMS, Medicare and payer guidelines are met while staying current on ICD-10/HCC updates. #J-18808-Ljbffr

Junior Quality Improvement Coder Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members. The Junior Quality Improvement Coder is responsible for providing director support to all departmental QI initiatives. In this role, the Junior QI Coder will partner with the Director to collaborate with network providers and IPA's to improve the quality of care through quality improvement activities that will include RAF, HEDIS, CMS Star Ratings and other health plan reporting. Essential Duties And Responsibilities Include The Following: Analyze data from contracted IPA network providers that allows for proper review of data to evaluate...

Join to apply for the Compliance Coding Auditor , ATM role at Advanced Medical Management, Inc. Your actual pay will be based on your skills and experience. Talk with your recruiter to learn more. Base pay range: $75,000 to $80,000 per year. Role Overview As a member of AMM’s Compliance and Ethics team, the Compliance Coding Auditor is an important driver of our mission. They are responsible for supporting the Company’s Compliance & Ethics Program (the Program) auditing, tracking, and monitoring initiatives. Robust auditing, testing, and monitoring capabilities are essential to fulfilling the expectations of AMM’s key stakeholders, including patients, families, and government agencies. The Program is led by AMM’s Chief Compliance & Ethics Officer, who reports to the CEO and the Board, and oversees the AMM Compliance Committee. This role requires sound, risk‑aware judgment, productive collaboration across the Company, and demonstrated success in performing audits to...

JOB DESCRIPTION Job SummaryProvides support for medical coding activities, including ensuring that ICD-10 and CPT codes are reported accurately to maintain compliance, and minimize risk and denials. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties Performs on-going member medical chart reviews. Abstracts and reports ICD-10 and CPT diagnosis codes accurately and in compliance with established coding and billing principles - minimizing risk and denials. Demonstrates understanding of current provider office billing practices - ensuring that diagnosis and CPT codes are submitted accurately. Documents results/findings from chart reviews and provides feedback to leadership, providers and office staff. Provides training and education to provider network regarding risk adjustment and coding updates related to risk adjustment. Builds positive relationships between providers and the business by providing coding assistance as...

Alliance Medical Center, Inc. is seeking a skilled Medical Coder to translate diagnoses, procedures, and services into CPT, ICD-10, and HCPCS for accurate billing, reimbursement, and data tracking. You will work closely with physicians and billing teams to resolve documentation gaps, ensure compliance, and maintain efficient claim processing within a fast-paced health center environment. #J-18808-Ljbffr

Description Summary: Reviews patient medical charts and documents to translate diagnoses, procedures, and services into universal codes for billing, insurance reimbursement, and data tracking. Core responsibilities include analyzing patient records, assigning the correct codes according to medical coding systems such as CPT and ICD-10, communicating with physicians to clarify documentation, and ensuring compliance with coding guidelines to prevent claim denials. This role is responsible for processing claims in a timely manner and managing assigned work queues to adhere to health center and Ochin EPIC best practices. This position is responsible for recovering costs for medical care by billing patients, insurers, third-party payers, or various medical aid programs. Also, may perform complex technical accounting assignments generally related to medical billing. This position will navigate complex PPS/APM payment models while maintaining compliance with state and federal healthcare...

Job Description Summary Position reports to the Supervisor Benefit Distribution & Installation and performs in-depth pharmacy and medical plan coding of new and existing business accounts. This position will ensure that all new and existing health (medical/dental/pharmacy) insurance plans underwritten by Western Growers Assurance Trust (WGAT) and those of Pinnacle Claims Management, Inc. (PCMI) are in compliance with the respective employers’ summary plan descriptions. Job Description Summary Position reports to the Supervisor Benefit Distribution & Installation and performs in-depth pharmacy and medical plan coding of new and existing business accounts. This position will ensure that all new and existing health (medical/dental/pharmacy) insurance plans underwritten by Western Growers Assurance Trust (WGAT) and those of Pinnacle Claims Management, Inc. (PCMI) are in compliance with the respective employers’ summary plan descriptions. Duties And Responsibilities Plan...

We are seeking a detail-oriented Medical Biller/AR Specialist to join our dynamic team. As a Medical Biller/Specialist, you will play a crucial role in ensuring the accurate and timely processing of medical claims, facilitating efficient reimbursement, and maintaining compliance with healthcare regulations. You will work closely with healthcare providers, insurance companies, and patients to manage the billing and revenue cycle, contributing to the financial health of our organization.Responsibilities:Review high volume of claims to ensure they meet billing guidelines.Submit high volume of electronic claims accurately and timely.Submit claims to secondary insurance with appropriate supporting documents.Effectively review EOB denials and underpayments to determine best course of action (resubmission/appeals).Perform follow ups and obtain claims status through insurance portals and over the phone.Perform verification of benefits and obtain authorizations when required.Maintain...

Job Description Employment Duration: 3 months Department: Faculty Practice Revenue Management Operations (FPRMO) The Patient Record Abstractor fulfills a role as a Medical Coder for UCSF's physician practices. The position reviews patient records, discharge summaries, operative reports, and other clinical documentation to assign standardized codes for diagnoses, procedures, and services. The role applies national and international coding classifications to ensure records reflect the care delivered, supporting accurate reimbursement and reliable clinical data. It requires knowledge of Current Procedural Terminology (CPT), International Classification of Diseases, 10th Edition, Clinical Modification (ICD-10-CM), and Healthcare Common Procedure Coding System (HCPCS). The position operates within a healthcare records or billing team and requires close liaison with clinicians, clinical coders, and administrative staff to resolve documentation queries. The coder must maintain currency...

Mercor is hiring PhD and Master's scientists to author AI evaluation tasks (Sci Code) Mercor is partnering with leading AI labs on a new benchmark for scientific computing. You will author original, executable research problems that today's frontier models cannot solve. Domains — depth required in at least two subdomains (with a coding focus) Biology — ecology, biochemistry, genetics What you'll do Source your own material: a published paper, a Kaggle dataset, an open-source repository, or a scenario you design Write scientific prompts based on the input Build the grading criteria that define a correct answer Calibrate against frontier models — a task ships only when strong models fail it more often than they succeed Required PhD in biology, biological sciences, biochemistry, genetics, ecology, or a closely related field Demonstrated depth in at least two of the following subdomains: ecology, biochemistry, genetics Working proficiency in Python, R, or another relevant...

DATALAND Inc. is seeking both a Senior and Junior Creative Coder to their team in Los Angeles. They are looking for visionary programmers who are passionate about interactive and immersive AV installations, eager to push the boundaries of art, data, and technology. Their ideal candidates bring hands-on experience in environments such as vvvv, Unity3D, Unreal, TouchDesigner, or similar platforms. Prior vvvv expertise is highly valued, but not required — in-depth training will be provided during onboarding. #J-18808-Ljbffr

Astrana Health, Inc. in Monterey Park, CA is seeking a Risk Adjustment Coding Specialist II to verify provider documentation, educate providers, and support CMS risk adjustment initiatives. The role requires travel to provider sites (about 75%) and reports to the Supervisor - Risk Adjustment. Requires CCS/CPC or similar certification and 3+ years of risk adjustment coding, with strong ICD-10-CM/HCC knowledge and EHR proficiency. Competitive salary is $75,000–$85,000 per year. #J-18808-Ljbffr

Risk Adjustment Coding AuditorHuntington Beach Office - Huntington Beach, CA 92647OverviewSalary Range $72,800.00 - $80,000.00 Salary Position Type Full TimeDescriptionAre you ready to make a lasting impact and transform the healthcare space? We are one of Southern California's fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership growth.Clever Care was created to meet the unique needs of the diverse communities we serve. Our innovative benefit plans combine Western medicine with holistic Eastern practices, offering benefits that align with our members' culture and values.Why Join Us? We're on a mission! Our rapid growth reflects our commitment to making healthcare accessible for underserved communities. At Clever Care, you'll have the opportunity to make a real difference, shape the future of healthcare, and be part of a fast-moving, game-changing organization that celebrates diversity and innovation.Job SummaryThe Risk Adjustment Coding...

Certified Medical CoderIntegrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.We've stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity.Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right candidates. We forge partnerships that...

Integrated Resources, Inc. is seeking a Certified Medical Coder for a 3+ month engagement. The role is a full-time remote coder position with an initial 7–10 day onsite training period, after which you will code remotely and visit the site every 4–6 weeks. Candidates must hold AHIMA or AAPC certification (CPC or CCS-P) and have outpatient coding experience, including ED and observation coding. You will assign ICD-10 and CPT codes from medical records while maintaining accuracy and productivity. #J-18808-Ljbffr

Why Join Us: If you’re looking for a role where you can do meaningful work without burnout, you’ve found it. We’ve built a stress‑free, clinician‑first environment that removes unnecessary barriers so you can focus on what you do best—supporting students and making a real impact. Our team is backed by strong administrative, technical, and leadership support, ensuring you’re never working alone. About Expatiate Communication, Inc. Expatiate Communications is a management consulting firm specializing in special education. We partner with school districts, COEs, state agencies, and families to strengthen instruction, services, staffing, compliance, and operations. Our work focuses on delivering high‑quality, sustainable special education programs that improve outcomes for students with disabilities by meeting IEP needs and building capacity across educator teams. Description The Medical Biller will be responsible for achieving billing standard as defined by the established billing...