135 clinical documentation coder jobs found

Medical Coder and Biller (Vascular Procedures) Location: Sacramento, CA (or Remote) Schedule: Full-Time and Part-Time positions Salary: Competitive Salary & Bonus Program Benefits: Health, Dental, Vision, EAP, 401(k), FSA, Costco, AAA, etc. About Us With a growing network of locations, California Foot & Ankle Centers (CALFAC) and the Vascular Institutes in Sacramento, Dallas, and Houston provide comprehensive care and surgery, including advanced wound care and amputation-prevention therapies, lower extremity peripheral nerve surgery, vascular surgery and endovascular procedures. We have been serving patients for over 60 years, building a loyal patient base keeping our clinic locations busy with little to no marketing during that time. Our highly-competent doctors and medical staff all believe in giving a caring approach to each patient, as well as our utilizing the most modern technology available. Further, we conduct clinical trials and podiatric research at all of...

Medical Coding Specialist Codes and abstracts documents such as patient charts and pathology reports utilizing diagnostic codes. Enters data into computer system(s). Essential Duties: Abstracts and assigns accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic). Reviews and edits previously submitted charges as needed due to identified billing errors and/or insurance requirement changes. Provides completed patient data to billing staff or designated personnel. Answer incoming calls from billers, front desk staff and clinical staff as needed assisting in what may be necessary to satisfactory resolution of the issues. Review and resolve insurance denials by examining the provider documentation. Consults with medical providers to clarify missing or inadequate record information and to...

Humana Inc in Sacramento seeks a Senior Market Consultation / Partnership Professional (Nurse Medical Coder) to support their Clinical Support Team (CST). This role involves ensuring the accuracy and compliance of medical documentation and coding practices to enhance program quality. The ideal candidate will possess an active RN license and strong expertise in ICD-10-CM coding. This position includes collaboration with clinical teams and requires detailed medical record reviewing skills. #J-18808-Ljbffr

Job Summary Under supervision, is primarily responsible for assigning accurate diagnosis and procedure codes to the patient's health information record for Inpatient and Newborn records. May also be assigned the responsibility for assigning accurate diagnosis and procedure codes to the patient's health information record for Outpatient records (Observation Hospital Ambulatory Surgery, Complex Hospital Outpatient Visit - Cardiac Catheterization PCI Lab, Interventional Radiology, Extended Emergency & Emergency Departments, as well as other select records). This responsibility requires that the new coder be on-site for up to one calendar year and will require appropriate code assignment for physician-documented patient diagnoses, conditions and procedures; utilizing various coding classification schemes including ICD-10CM, ICD-10PCS, and HCPCS/CPT. All work will be carried out in accordance with the International Classification of Diseases - Official Coding Guidelines for coding...

Requisition number: 2339773 Job category: Medical & Clinical Operations Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital professional accounts...

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...

Specialty Physician Coder | Onsite | Fountain Valley CA What You'll Do Review and analyze specialty coding and billing for charge processing. Review and accurately code office, hospital, and surgical/procedure services for reimbursement. Ensure accurate and compliant medical coding for inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients. Work with the Coding Compliance Manager on discovered coding trends, irregularities, and needed action items. Achieve productivity standards as established by management, Achieve 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 according to established coding guidelines. Review and natively code surgical operative and/or procedure reports. Follow established workflow for working claim denials in the Follow-Up work queues and identify opportunities for billing...

Job Description Job Description Benefits: Dental insurance Employee discounts Health insurance Paid time off Vision insurance Location: Brentwood, CA Work Arrangement: In person Employment Type: Full time, exempt Schedule: Monday through Friday, business hours Compensation: $71,000 to $75,000 annually, depending on experience and qualifications Bonus Eligibility: Eligible for quarterly performance incentives based on measurable revenue cycle goals Celebrations Speech Group is seeking an experienced Medical Biller & Revenue Cycle Manager to support accurate billing, timely claims submission, AR follow-up, credentialing visibility, payer compliance, and revenue cycle reporting across our clinic, home, and school-based services. This is a hands-on role for someone who understands medical billing from start to finish, takes ownership of follow-up, and enjoys bringing structure to detailed billing processes. The ideal candidate is organized, accountable, and...

Coder page is loaded## Coderlocations: Arcata, CAtime type: Full timeposted on: Posted 2 Days Agojob requisition id: JR100530**Committed to Our Community in the Heart of the Redwoods. Removing Barriers to Healthcare Access**Greenway AdminOpen 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...

Job Description Job Description Description: Reporting to the Billing Director, the primary function of the Biller and Coder is to perform accurate medical coding and billing functions to ensure timely and appropriate reimbursement for services rendered to clients in a medical setting. This role requires expertise in assigning correct ICD-10-CM, CPT, and HCPCS codes to diagnoses and procedures, as well as managing the full billing cycle from claim submission through payment posting. The Biller and Coder is responsible for reviewing clinical documentation, verifying insurance coverage, submitting clean claims to insurance carriers, County, State, and Federal agencies, and resolving coding and billing discrepancies in a timely manner. Additionally, this position involves maintaining detailed records of all billing and coding activities, preparing reports on billing trends and outcomes, and collaborating closely with medical staff, providers, and insurance representatives to resolve...

Health Information Management It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Works under the direction of the HIM Director/Coding Compliance Manager. Performs ICD-10 HCPCS coding, data abstracting and computer data entry on all inpatient and outpatient medical records. Performs other duties as assigned. Demonstrates competency with accurate and compliant coding utilizing ICD-10 and HCPCS classification using established governing guidelines for complete reporting of conditions and services rendered. Thoroughly reviews chart to ascertain all appropriate diagnosis/procedures, if there is a question regarding the diagnoses/code, refers chart to Coding Compliance Manager. Queries providers for clarification of non-specific diagnoses/procedures. Utilizes computerized coding/abstracting applications. Codes all diagnoses/procedures in accordance to ICD-10 and HCPCS coding...

Job Summary and Responsibilities As a Coder, you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed efficiently. Every day you will accurately translate patients’ medical records into standardized codes for diagnoses and treatments. Using your expertise and training, you will ensure compliance with legal, regulatory, and organizational standards. 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. Review patient medical record information via population health tools on both a retroactive and prospective basis to identify, assess, monitor and review network coding opportunities as it pertains to risk adjustment. Ensure that the diagnosis codes for each chronic or...

Salary : $52,374.40 - $70,179.20 Annually Location : San Bernardino, CA Job Type: Full-time Job Number: 26-13105-01 Department: Public Health Opening Date: 06/20/2026 Closing Date: 7/6/2026 5:00 PM Pacific The Job San Bernardino County, Department of Public Health (DPH) is recruiting for Health Information Coder Trainees. Health Information Coder Trainees, under training conditions, abstract and code medical records according to the International Classification of Diseases and Current Procedural Terminology. Duties include reviewing charts (in paper or electronic format) and identifying procedures; abstracting and coding (or providing guidance on) patient charts, utilizing ICD-10-CM, CPT and HCPCS coding classifications; evaluating charts for completeness and accuracy in conformance with current-relevant standards and regulations; and contacting clinic/hospital staff to complete charts, make corrections, and/or clarify information for coding purposes. For...

PACE Medical Coder The PACE Medical Coder will review clinical documentation and diagnostic results as necessary to verify the appropriate assignment of the ICD-10 CM, CPT and HCPCS codes as per Official Guidelines for Coding and Reporting. This position is intended to be a hybrid role, where the incumbent will be expected to primarily work remotely. There is a minimum expectation to attend On-Site Quarterly Meetings; additional on-site presence may be required based on business need. To be considered for this role, candidates must either currently live in California or demonstrate a willingness to relocate prior to employment. Essential Functions of the Job: Review the Chart Progress Notes, patient documentation for diagnoses, procedures, and services performed by physicians and other qualified healthcare providers. Verifies all diagnostic procedural codes from the electronic health record using ICD-10 CPT and HCPCS coding classifications. Communicates effectively with...

We are looking for experienced HCC Risk Adjustment Auditors/Coders, Sr. to join our team! Position Summary The HCC Risk Adjustment/Auditor is responsible for maintaining and monitoring the Quality Assurance auditing plan for outpatient clinical data. This position works to improve the quality of coding documentation and data in the medical record and HCC database. The HCC Risk Adjustment/Auditor reports on the accuracy and consistency of the data in accordance with accepted and established standards. Risk Adjustment Auditors collaborate with the Manager to provide expertise in the use and application of coding classifications, such as ICD-9-CM and/or ICD-10-CM. Auditors also record documentation to ensure compliance in the collection of outpatient diagnoses and services. Essential Duties and Responsibilities Works as an integral member of the Finance Department. Code review super bills and patient medical records for proper use of diagnosis and procedure codes. Interface...

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 feedback...

3 days ago Be among the first 25 applicants Description Reviews all assigned charge review errors and claim edits for hospital-based services, including surgical procedures. Ensures correct charge capture and coding with proper CPT, HCPCS, and ICD‑10 codes, as well as proper modifiers, adhering to local ministry and Trinity practices and policies. May require analyzing medical documentation to verify principle and secondary diagnoses and procedures; assigning diagnostic codes, selecting the surgical/procedural codes and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS); performing charge entry; and performing discrepancy resolution. Serves as a liaison between Centralized Coding/Revenue Site Operations and physicians/clinical sites/departments. Assists in orienting and training new employees in the coding and charge capture area as well as cross‑training established coders in new specialties. Employment Type Full time Shift Day...

Hcc Risk Adjustment Auditor/Coder We are looking for HCC Risk Adjustment Auditors/Coders to join our team! Position Summary: The HCC Risk Adjustment/Auditor is responsible for maintaining and monitoring the Quality Assurance auditing plan for outpatient clinical data. This position works to improve the quality of coding documentation and data in the medical record and HCC database. The HCC Risk Adjustment/Auditor reports on the accuracy and consistency of the data in accordance with accepted and established standards. Risk Adjustment Auditors collaborate with the Manager to provide expertise in the use and application of coding classifications, such as ICD-9-CM and/or ICD-10-CM. Auditors also record documentation to ensure compliance in the collection of outpatient diagnoses and services. Essential Duties and Responsibilities include the following: Works as an integral member of the Finance Department. Code review super bills and patient medical records for proper use...

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...

Coder The Coder reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM, ICD-10-PCS, and CPT codes to support diagnoses, procedures, and treatment results. Codes are used for billing, internal and external reporting, research, and regulatory compliance activities. Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all official coding guidelines. Verifies that all ICD-10-CM and CPT codes are correctly captured. Verify that physician is correctly abstracted. Keeps abreast of coding guideline changes by self-study, assigned education, coding meeting attendance or related in-services. Participates in internal and external quality review meetings. Performs other duties as assigned. Resolves billing related errors and assists with workflow changes and process improvement projects. Meets ongoing productivity and quality standard of 95% accuracy rate or better....

Coder III Coder III is responsible conducting clinically based concurrent and retrospective reviews of inpatient medical records. This review is to evaluate that the clinical documentation is reflective of quality of care outcomes and reimbursement compliance for acute care services provided. The CDS will work closely with the medical staff to facilitate appropriate clinical documentation of patient care. The CDS/Coder III abstracts and codes the diagnostic and procedural information for Inpatient Services and Surgery medical records utilizing the current version of International Classifications of Diseases in accordance with regulatory agencies and hospital specific guidelines. The CDS/Coder III enters the coded data and other abstracted data from the medical record into the electronic information system. This position assumes primary responsibility for clarifying ambiguous documentation, DRG optimization with the primary role in assisting medical staff members with improving...

Technical Compliance Auditor The Technical Compliance Auditor audits and reviews technical components of Conditions of Participation and Conditions of Payment, billing and other non-clinical items included in the annual Compliance Auditing and Monitoring Plan to ensure compliance with all regulatory guidelines and quality initiatives. Job Responsibilities Conducts prospective and retrospective documentation audits to confirm compliance with documentation and billing rules and regulations set forth by the Centers for Medicare and Medicaid Services (CMS), Medicare carrier and Fiscal Intermediary State regulations and internal policies. Presents findings as directed. Interacts with department leaders and/or their staff to discuss billing compliance issues and uses the information for recommending change of existing procedures or processes. Develops reports identifying positive and negative billing trends through audits and interaction with departments. Selects targeted accounts to...

Position Summary 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, delivering coding presentations to diverse audiences including physicians and other staff. Schedule & Location Schedule: 9/80 work schedule - hybrid Location: 7898...