64 cln coder certified jobs found

Medical Billing Supervisor At Solano County, our mission is to serve the people and to provide a safe and healthy place to live, learn, work and play. The mission of Solano County Health and Social Services Department is to promote healthy, safe and stable lived. To learn more about the Health and Social Services Department click here. The Medical Billing Supervisor plans, organizes and supervises the medical insurance billing functions and accounting/clerical staff for the Department of Health and Social Services' Medical Billing Unit; assists in developing, implementing and maintaining the department-specific patient accounting and billing systems; serves as the electronic health record billing liaison between the County and the State; and resolves technical billing problems in coordination with the claim management system and clearing house provider. The ideal candidate will be highly organized and detail-oriented with extensive experience in reviewing, reconciling,...

Coding Compliance Auditor The Coding Compliance Auditor is a member of the Compliance Office and contributes to the Community Health System's mission to better the lives of all those we serve. As a Coding Compliance Auditor, you will be responsible for conducting coding and documentation audits to ensure accurate code assignment, appropriate billing, integrity of the medical record, and compliance with federal and state healthcare program requirements. The role requires a highly confident coder who can audit both facility coding and professional fees for partners, as well as audit other coders and physicians. Qualifications Education: Associate's Degree in Business, Information Systems, Nursing, Health Care, or a related field required Bachelor's Degree in Business, Information Systems, Nursing, Health Care, or a related field preferred Experience: Experience performing medical record and billing audits/reviews, including clinical documentation, medical terminology,...

Clinical Informaticist / Clinical Coder 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...

Job Description Your Role As a Clinical Coding Analyst, Experienced specializing in code governance, you will play a pivotal role in ensuring coding standards, compliance, and best practices across development teams. Your responsibilities will include implementing and maintaining a code governance framework, conducting code reviews, optimizing development workflows, and ensuring adherence to industry standards. You will collaborate with cross-functional teams to establish coding guidelines, automate governance processes, and enhance overall software quality and security. Your expertise will drive efficiency, consistency, and compliance in coding practices, supporting scalable and maintainable solutions. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining...

Description This is a REMOTE position. You must reside within the Providence footprint states: AK, MT, CA, OR, TX, NM, and WA to be eligible for this position To maximize reimbursement and minimize denials by assuring that proper coding guidelines have been met. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: 2 years coding knowledge (CPT/ICD9/HCPCS), medical terminology and data entry work experience. Excellent problem resolution experience. Experience in ambulatory or acute care professional coding (CPT, ICD-9, HCPC). Experience with chart auditing. PC/CRT experience. Experience in an Ambulatory Medical Office or Acute Care Facility....

Benefits: Employee discounts Training & development Wellness resources Company Snapshot Health Atlast is a high-volume, integrated, multi-disciplinary healthcare organization in West Los Angeles. We operate under real-world payer scrutiny and expect operational excellence. This is not entry-level billing and not a training role. Role Summary (Read Carefully) We are hiring a seasoned Medical Billing Specialist with direct, hands-on experience billing PM&R-based services in an outpatient, multi-provider environment. This role is not suitable for candidates whose background is limited to: Hospital billing Ambulance billing Pharmacy Psychiatry / Behavioral Health Sober Living / Substance Abuse If that is your background, do not apply. Required Experience (Non-Negotiable) Minimum 3–5 years of recent medical billing experience in outpatient PM&R settings Proven billing experience in ALL or MOST of the following: Physical Therapy...

Certified Medical Coder & Biller Are you in search of a fulfilling and meaningful position? Do you want to work for an organization that promotes growth and development? Here at Men's Health Foundation we envision a world where inequity and stigma do not separate people from healthcare. "Reimagining Healthcare" is our commitment to affirming the unique experience of every patient. We prioritize our patients' evolving needs and strive to help each patient feel comfortable, understood, and respected. Why Men's Health Foundation? Men's Health Foundation is seeking compassionate, mission-driven individuals. We believe that by reimagining how healthcare is delivered, we can help create greater health equity for those most at risk, breaking down barriers to care. We welcome all backgrounds, gender identities, and expressions. We recognize our staff as the heart of our organization and seek to provide a generous and competitive benefits package to support our employee's...

Title: Sr. Specialty Physician Coder Location: Fountain Valley, CA / Predominantly Remote Department: Document Improvement Status: Full-Time Shift: Days (8hr) Pay Range*: $35.46/hr - $51.46/hr MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups - consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your...

Coding Position This is a remote position. You must reside within the Providence footprint states: AK, MT, CA, OR, TX, NM, and WA to be eligible for this position. To maximize reimbursement and minimize denials by assuring that proper coding guidelines have been met. Providence caregivers are not simply valued they're invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: 2 years coding knowledge (CPT/ICD9/HCPCS), medical terminology and data entry work experience. Excellent problem resolution experience. Experience in ambulatory or acute care professional coding (CPT, ICD-9, HCPC). Experience with chart auditing. PC/CRT experience. Experience in an Ambulatory Medical Office or Acute Care Facility. Preferred...

Summary Incumbent serves as the Medical Instrument Technician Supervisor that provides oversight over medical instrument technician workload assessments, assigning work, and assuring proper staffing coverage provide performance input for evaluation and award purposes, evaluate training records and determine educational needs of the technical staff. They participate in quality improvement measures, recommending and implementing practice change when indicated. Learn more about this agency Duties Help Duties: Supervises Medical Instrument Technician to accomplish daily work. Exercises supervisory authorities and responsibilities involving work assignments and review, and the administrative and personnel management functions relative to the staff supervised. Collaborate with the charge nurse to assist and delegate as appropriate to ensure flow of patients and assist with other unit needs within the medical instrument technician scope of practice Functions as a...

Coding Compliance Auditor In accordance with current federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review of previously coded accounts to ensure appropriate CPT, ICD-10-CM, and HCPCS assignments and accuracy and completeness of all ICD-10-CM, CPT, and HCPCS codes assigned by professional revenue coders and providers. All assigned codes must be supported by professional documentation contained within the medical record and must be in compliance with federal coding compliance regulations, Official Coding Guidelines, AHA Coding Clinic, and CPT Assistant. The Coding Compliance Auditor will also provide detailed reports, Excel spreadsheets, coding audit summary analysis, and data analytics Re: coding accuracy rates, compliance rates, denial analytics, etc. Recommend education topics based on audit findings and assist in the continuing education of professional coders and providers. Understands coding/billing computer systems...

NORCAL Ambulance Billing Specialist NORCAL Ambulance was founded with a vision to operate differently in the emergency services industry. We prioritize the well-being of our employees, foster inclusivity, and attract individuals who take pride in their work. Since our establishment in 2004, we have experienced remarkable growth, with 13 stations and offices throughout northern California, a fleet of over 150 ambulances, and a team of over 900 dedicated professionals responding to countless calls each week. Our success can be directly attributed to the extraordinary efforts of our staff in delivering exceptional patient care. The Position Responsible for the accurate and timely submission of medical claims to insurance and private payors, contracted facilities and/or Medicare, Medi-Cal and all other government programs. Responsibilities Conduct insurance verification and validation to ensure benefits are accurate for claim submission. Identify and bill secondary or...

Under the direction of the Senior Assistant Attorney General, the Investigative Auditor IV Supervisor in the Cybercrime Section supervises auditors experienced in the discipline of forensic accounting, unauthorized intrusions, internet fraud, scams, or confidence schemes committed by means of electronic media, money laundering via cryptocurrency or electronic transfer, cryptocurrency blockchain tracing, organized retail crimes involving significant digital evidence, cyberstalking, and cyber-extortion or cyber-exploitation. Auditors in the section often work independently during criminal investigations in major, multi-jurisdictional, complex cases, typically involving various forms of financial fraud, cyber-related crimes, and the underground economy. Auditors review evidence in criminal cases, input financial data, interview witnesses, prepare reports, spreadsheets, and summaries, advise prosecutors and investigators on technical accounting matters, draft search warrants for...

Responsibilities Come and join the RMC Family! We have been in the community since 1935. Our mission is to provide comprehensive multi-specialty medical services in the greater Riverside region. Your passion, inspiration, and talents are invaluable to us and our mission to serve others. Our facility can provide a place for you to thrive and continue your professional development. Quality Healthcare is our passion, improving lives is our reward. We are working to change lives and transform the delivery of healthcare. Riverside Medical Clinic is the best place to work, practice medicine, and receive care. Summary Responsible for abstracting, reviewing, auditing and the education of all coding and compliance processes, as they relate to CPT, HCPCS and ICD 10 and/or HCC activity. Qualifications To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill,...

Drive Accuracy. Influence Outcomes. Protect Revenue. We are seeking a highly experienced Senior Risk Adjustment Coder to play a critical role in risk adjustment accuracy, audit readiness, provider education, and clinical documentation excellence. Job Title: Senior Risk Adjustment Coder Location: Newark, CA (Candidates must currently reside within approximately 100 miles of the Newark area due to onsite operational needs.) Employment Type: Full-Time (Direct Hire) Salary Range: $91,000 – $119,000 annually, based on experience, skills, and internal equity   About the Role: We are seeking a senior-level Risk Adjustment professional to support a leading healthcare organization focused on accurate HCC capture, audit readiness, documentation integrity, and provider engagement. This role is highly operational and collaborative in nature and is not a traditional production-only coding position. The ideal candidate will bring strong expertise across Risk...

Overview Become a part of our caring community and help us put health first Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Responsibilities Where you Come In The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting...

Job Description Job Description Benefits: 401(k) 401(k) matching Dental insurance Health insurance Paid time off Victory Hematology and Oncology has a Medical Billing Specialist position available for a well-organized and knowledgeable Medical Billing and Coding Specialist with a Hematology and Oncology practice in Sherman Oaks, California. Qualifications: The successful candidate must have an excellent understanding of medical billing, which includes Insurance billing and payments processing: EOBs, ICD-10 and CPT coding. Candidates must have a strong understanding and working knowledge of the appeals and denials processes for Medicare, Medi-Cal and other commercial health insurances. Candidate is going to ensure all compliance and quality requirements are met. Candidate can efficiently communicate insurance company, clinical staffs and patients regarding billing issues. In addition, this position is the main link between our facility and our referring...

Title: Sr. Specialty Physician Coder - Interventional Radiology Location: Fountain Valley, CA / Predominantly Remote Department: Document Improvement Status: Full-Time Shift: Days (8hr) Pay Range*: $35.46/hr - $51.46/hr At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our employees. Memorial Care stands for excellence in Healthcare.Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability.Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation and teamwork. Position Summary Under the direction of the Coding Compliance Manager, the Senior Specialty Physician Coder plays a key role in reviewing and analyzing specialty coding and...

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...

Benefits Employee discounts Training & development Wellness resources Company Snapshot Health Atlast is a high-volume, integrated, multi-disciplinary healthcare organization in West Los Angeles. We operate under real-world payer scrutiny and expect operational excellence. This is not entry-level billing and not a training role. Role Summary (Read Carefully) We are hiring a seasoned Medical Billing Specialist with direct, hands‑on experience billing PM&R‑based services in an outpatient, multi‑provider environment. Not Suitable for… This role is not suitable for candidates whose background is limited to: Hospital billing Ambulance billing Pharmacy Psychiatry / Behavioral Health Sober Living / Substance Abuse If that is your background, do not apply . Required Experience (Non‑Negotiable) Minimum 3–5 years of recent medical billing experience in outpatient PM&R settings Proven billing experience in ALL or MOST of the following: Physical Therapy...

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...

Overview GeBBS Healthcare Solutions, an industry leader in Health Information Management (HIM) and Revenue Cycle Management (RCM) solutions, is seeking highly motivated individuals with a passion for excellence & collaboration, for careers in the healthcare industry. We are looking for a full-time Inpatient Facility Coder . This is a remote W-2 position with flexible work schedules. This position will be responsible for medical coding for one of facility clients. Coder will be responsible for reviewing charts, coding appropriate charges and ensuring high quality standards are achieved. Responsibilities The Inpatient Coder is responsible for assigning diagnostic and procedural codes to patient charts using ICD-10-CM, ICD-10-PCS or any other designated coding classification system in accordance with coding rules and regulations. The coder will abstract required clinical information. This position requires a thorough knowledge of medical terminology, disease processes,...

Payment Integrity Nurse Coder RN III Salary Range: $102,183.00 (Min.) - $163,492.00 (Max.) 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. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Job Summary The Payment Integrity Nurse Coder RN III is responsible for investigating, reviewing, and providing clinical and/or coding expertise/judgement in the application of medical and reimbursement policies within the claim adjudication process through medical record review for Payment Integrity and Utilization Management projects. The position serves as a subject matter expert (SME), performing medical records reviews to include quality audits as well as validation of accuracy and completeness of all coding elements. The position is also responsible for guidance related to Payment Integrity initiatives to...