401 coder 1 jobs found

Job Description Please Note: This is a hybrid position ; however, applicants must reside in California and live within a 2-hour radius of Redlands, CA to be considered. Department: UHC: Managed Care Job Summary: The Coder 1 - Risk Adjustment is responsible for concurrent, prospective, and retrospective clinical documentation review as it pertains to Risk Adjustment Data Validation (RADV) timelines, with an emphasis on completeness and accuracy of provider documentation related to severity of illness and supporting clinical care plan(s) for the validation of Hierarchical Condition Category (HCC) diagnoses. Initiates communication, verbal and written, with providers to facilitate clarification of need for greater specificity, clinical support, and/or completeness of the progress notes. Provides compliant education related to documentation integrity, completeness, and consistency. Keeps providers up to date on CMS, ICD-10-CM, AHA Coding, health plan etc. guidelines as...

Job Posting Location: 2450 Sister Mary Columba Dr, Red Bluff, CA, 96080, United States Base Pay: $25.75 - $33.99 / Hour Employee Type: FT Non-Exempt Manage Others: No Minimum Experience: 1 Year Contact Information Name: Kristen Gray Phone: 530-528-4430 Email: kgray@redoaksmedical.com Description

Remote Medical Biller & Coder Rooted Talent Solutions is actively seeking remote medical billers and coders to join our healthcare support team. This is a remote, independent contractor opportunity involving medical claim processing, coding, and administrative support for healthcare providers. We're hiring both experienced professionals and motivated individuals looking to enter the field. If you're detail-oriented, organized, and eager to work from home, this could be the right opportunity for you. Responsibilities Process and submit medical claims accurately and on time Assign appropriate ICD-10, CPT, and HCPCS codes Review documentation for coding compliance Follow up on denied or unpaid claims as needed Communicate with providers, payers, or clients when necessary Maintain HIPAA compliance and data security standards Qualifications Preferred: Experience with medical billing, coding, or claim processing Familiarity with EHR or billing software Strong...

## Certified Professional CoderApplyremote type: In Personlocations: Commerce, CA 90040time type: Full timeposted on: Posted Todayjob requisition id: JR9585**Grow Healthy**If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day.**Job Overview**Assigned codes to patient symptoms, diagnosis, operations, and treatments to process reimbursements, knowledge and expertise in reviewing and adjudicating coding services,...

Certified Coder Clinica Sierra Vista is excited to be one of the largest Federally Qualified Health Centers in the Nation! We're honored to serve the men and women of the fields. We also offer care and support to the inner city, the rural and isolated, those of low, moderate, and fixed incomes, and families from an array of cultural backgrounds who speak several languages. We don't inquire about immigration status because we simply don't need to know. If you come to us, we will treat you like any other patient. As we grow our team, we are looking for individuals who believe the patient is always #1. Why work for us? Competitive pay which matches your abilities and experience Health coverage for you and your family Generous number of vacation days per year A robust wellness plan and health club discounts Continuing education assistance to grow and further your talents 403(B) plan with company matching We're looking for someone to join our team as a Certified Coder who:...

Medical Coder Cypress Healthcare Partners is now hiring remote candidates for the Medical Coder position. This position is responsible for abstracting provider services accurately into billable codes from the medical documentation in accordance to the coding ethics of American Academy of Professional Coders (AAPC), American Health Information Management Association (AHIMA) and/or National Alliance of Medical Auditing Specialists (NAMAS) and payer coverage guidelines. Furthermore, responsible for posting and reconciling charges and communicating with provider/staff of medical necessity of services, unspecified, truncated, and lack of supporting diagnoses along with incomplete or missing documentation. Key Responsibilities & Duties: Responsible for abstracting provider services into billable codes (CPT, HCPCS, & ICD-10) from the medical documentation in accordance with the coding ethics of AAPC, AHIMA, and NAMAS and payer coverage guidelines in an accurate and timely...

Kaiser Permanente is seeking an Inpatient Coder in Oakland, California. This position involves accurate coding and abstracting of inpatient cases from medical records, ensuring compliance with various coding regulations and guidelines. The ideal candidate will have at least three years of recent hospital coding experience, a High School Diploma/GED with relevant medical coding education, and a certification from an accredited body. Responsibilities include reviewing medical records, coding diagnoses, and maintaining data integrity. #J-18808-Ljbffr

Job Summary 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 books, CPT Assistant, NCCI Edits, CMS, OSHPD, and Kaiser Permanente organizational and institutional coding guidelines. Essential Responsibilities Coding and...

The University of California - San Diego Medical Centers is seeking a Coding Specialist to assign ICD and CPT codes for patients receiving surgical services. This role requires thorough knowledge of interventional radiology coding and involves responsibilities such as handling all aspects of coding within EPIC. Candidates with a CPC, RHIT, or RHIA certification and extensive experience in surgical case coding are preferred. The position offers potential remote work options and is subject to a background check. #J-18808-Ljbffr

Coding Compliance Auditors (Administrative Services Manager I) 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...

Base Pay $19.6 - $35.00 / Hour Employee Type Nonexempt FT Come and join our team! We are a local growing private medical practice specializing in the diagnosis and treatment of patients with diseases of the retina and vitreous. We are looking for individuals who would like to establish a career in healthcare working for a company with nationally recognized physicians. We provide on the job training giving you the ability to grow and advance your skills along with gaining innovative knowledge. Established in 1977, we have locations all over Northern California including Sacramento, Grass Valley, Roseville, Stockton, Modesto, Merced, Fairfield, Elk Grove, Folsom, Yuba City and Chico. Our physicians are nationally known, and we continue to be on the leading edge of retina care by utilizing the latest equipment and both participating in and designing new clinical trials to advance the state of care for retinal diseases. Join 240+ other team members working for our nationally...

Healthcare Administration - Medical Biller/Coder Cure Healthcare is seeking a Healthcare Administration - Medical Biller/Coder for positions in Roseville, California. Current California license and AHA BLS and ACLS required and additional certifications related to this specialty. To qualify for this travel assignment, the candidate's primary residence must be located at least 50 miles from the facility address. This shift is 5x8 Days. Required: 2 years of recent experience in Medical Biller/Coder. Please inquire for specific job details and confirm shift required by facility.

Job Description Shift: Days Job type: Full Time Hours: 8am-5pm Mon-Fri General Duties: The Coder II is responsible for accurate coding and abstracting of clinical information from the medical record. The position is responsible for maintaining Tenet standards for coding data quality and integrity, as well as productivity within established guidelines. The Coder II is responsible for coding of Tenet facilities as assigned, assisting with productive coding to maintain DNFC, and assisting with the training of new coders, resolving coding edits, CARDS edits and/or other projects. The Coder II codes and abstracts Ancillary, Emergency Department, Outpatient Surgery, Observation, or low acuity Inpatient encounters according to the Tenet Coding Quality Standards policy/procedure. Coding function includes diagnosis, PCS, CPT, HCPCS, modifiers, CARDS and coding edit resolution. Responsibilities Department Specific Duties: Complies with established departmental policies and...

Certified Coder II (CPC or CCS) Lifekind Health is looking for a full-time Certified Coder II (CPC or CCS) to join our team. The Medical Coder II performs more complex coding assignments. This role requires independent judgment, strong knowledge of coding guidelines, and the ability to resolve more advanced coding issues. Our mission is to bring care that's whole, human, and healing. Blending medical, behavioral, and lifestyle support into a single plan because restoring life takes more than a prescription. At Lifekind Health we strive every day to live up to that definition by providing the best care possible for our complex patient population. Our team of medical doctors, psychologists, chiropractors, acupuncturists, and dietitians work together within a revolutionary transdisciplinary model that addresses the quadruple aim of healthcare: enhancing patient experience, improving patient health, reducing healthcare costs, and increasing employee satisfaction. Location: Remote...

Job Title 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 program: CPC-A,...

Job Title Coder II Job Description The Coder II is primarily responsible for coding of outpatient surgical, interventional radiology / cardiology procedures and Observation accounts. This position is responsible for reviewing the entire patient record including the electronic record to assign appropriate codes for the following areas: Outpatient: Day patients, cardiac catheterization lab, other interventional radiology and Observation patients and Labor and Deliver Observation. Coding should be complete, timely, and in accordance with CMS, Coding Clinic Guidelines, CPT Assistant, and organizational policies and procedures. The Coder II is responsible for entering charges for Observation hours, infusion and injections, and bedside procedures for Observation and Labor and Delivery Observations accounts following all regulatory requirements. Strong knowledge of appropriate modifier use. Minimum Qualifications Education: High School Diploma or GED preferred. Completion of AHIMA...

Riverside Medical Clinic 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. 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. Medical Coding Specialist 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, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. EDUCATION...

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 more detailed information, refer to the Health Information Coder Trainee job description. EXCELLENT BENEFITS To review job-specific benefits, refer to: Summary of Benefits Memorandum of Understanding (MOU) CONDITIONS OF...

Per Diem Inpatient Coder (Sr Coder) Southwest Healthcare is seeking a Per Diem Inpatient Coder (Sr Coder) who collaborates with staff across the Region. This position is fully remote and responsible for: Inpatient records are charged/coded in accordance to established Coding guidelines and regulations. Assist with other areas of coding as needed. Collaborates with Health Information Management (HIM) Leadership, as needed, to review charts for performance improvement initiatives and assists with the resolution of coding issues. Qualifications Experience/Training/Experience: High School Graduate or equivalent required. Associate's degree from an accredited College or University in Health Information Management preferred. Three (3) to Five (5) years of experience in coding related functions with proficiency in inpatient coding required, acute care experience required. Certifications/Licenses: Current Registered Health Information Administrator Certificate (RHIA) or a current...

Title: Specialty Physician Coder - General Surgery (Surgical Breast Oncology and General Hematology/Oncology) Location: Fountain Valley, CA (Predominately Remote / Must be located in California) Department: Document Improvement Status: Full-Time Shift: Days (8hr) Pay Range*: $33.79/hr - $49.00/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...

Responsibilities Come and join the RMC Family! We have been in the community since 5. 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 and/or HCC activity. Qualifications EDUCATION and/or EXPERIENCE : One year minimum experience in the HCC coding field and/or CPT, HCPCS and ICD experience. Proficient in excel and computer friendly. CERTIFICATES, LICENSES, AND...

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...

Clinical Educator, Imaging Services Location: Long Beach MemorialCare Medical Center Status: Full Time Shift: Days (8hr) Pay Range*: $45.00/hr - $65.00/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 full potential in an environment of respect, innovation,...

Job Title Radiation Oncology Coder 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 will review the department daily charges for accuracy prior to interface from ARIA to EPIC Is always compassionate and empathetic for both patients and team members; makes eye contact, smiles and or greets every...