26 coder iii professional billing jobs found

Professional Fee Coding AuditorAt NorthBay Health the Professional Fee Coding Auditor is responsible for auditing professional fee coding across all service lines (Ambulatory/Hospitalist, Surgery, and Emergency Medicine), resolving pre-billing coding edits, and reviewing post-billing coding-related denials.This role ensures coding accuracy, documentation integrity, and compliance with CPT, HCPCS, ICD-10-CM, and payer-specific rules. The position supports coding quality improvement, identifies trends, provides coder feedback and physician education based on audit and edit findings, and partners with leadership to strengthen coding workflows across the organization.PRIMARY JOB DUTIESAudit ResponsibilitiesPerforms routine and targeted professional fee coding audits across all service lines: Ambulatory/Hospitalist (including Urgent Care and Pools), Surgery, and ED ProFee.Reviews documentation for completeness, accuracy, and compliance with CPT, HCPCS, ICD-10-CM, and payer...

DESCRIPTION OF POSITION This job description is a record of the essential functions of the listed job. The job description provides the employee, CEO, Human Resources, applicants, and other agencies with a clear understanding of the job, where it fits into the organization, and the skill and work requirements in relation to other jobs. Jobs are always changing to some degree and the existence of the approved job description is not intended to limit normal change and growth. The facility will make reasonable accommodations to otherwise qualified individuals who are capable of performing the essential functions of the job with or without reasonable accommodation. POPULATION SERVED The position involves no direct patient care for a population of patients ages 18 and older. Age specific experience and/or special training and/or expertise are not required. POSITION SUMMARY The Inpatient Coder is responsible for admissions, concurrent and discharge coding; assembling of...

Job Description Primary Duties And Responsibilities The Coder reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM and ICD-10-PCS 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 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. Medical Coding - Hospital Based Resolves billing related errors and assists with workflow changes and process improvement projects. Meets...

JOB SUMMARY The Health Information Coder III PD is a senior-level inpatient coder with advanced knowledge and skill set to utilize the ICD-10-CM, ICD-10-PCS, CPT, HCPCS classification systems. The skill set extends to advanced knowledge and comprehension of code sequences into Diagnoses-Related Groups. Cases are coded to comply with the official guidelines for coding and reporting, practice standards and code of ethics for HIMS coder. Cases are abstracted according to UCSF Health policies and procedures. The focus of coding and abstracting is on a range of all primary hospital services. This is a per diem position with no set schedule. OTHER FUNCTIONS AND RESPONSIBILITIES Demonstrate understanding of DRG coding mission within UCSF Health. Demonstrate understanding of DRG coding, AR, and data submission information flow. Ability to solve problems and troubleshoot computer issues. Perform data searches. Maintain patient confidentiality and IT security. Treat others with...

Please note: this is a temporary assignment (3 months) with potential to extend. Fully remote. UCSF's Temporary Employment Program (TEP) recruits and hires temporary employees for immediate clerical and technical support services to UCSF Departments and various off-campus locations. UCSF departments deploy temporary employees to work on special projects, fill in for regular employees who are on vacation or leave, or to temporarily fill a vacant position during recruitment. Frequently temporary employees become successful candidates for career and limited appointment positions. The Health Information Coder III is a senior level inpatient coder with an advance knowledge and skill set to utilize the ICD-10-CM, ICD-10-PCS, CPT, HCPCS classification systems. The skill set extends to advanced knowledge and comprehension of code sequences into Diagnoses Related Groups. Cases are coded to comply with the official guidelines for coding and reporting, practice standards and code of...

The Coder reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM and ICD-10-PCS 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 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. Job Description Primary Duties And Responsibilities The Coder reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM and ICD-10-PCS to support diagnoses, procedures, and treatment...

Position Overview The Inpatient Coder III performs independent coding of inpatient medical records, ensuring accuracy assigning ICD-10-CM and ICD-10-PCS codes for inpatient hospital encounters in compliance with official coding guidelines, regulatory agencies, and hospital policies. This role requires prior coding experience and strong knowledge of DRG (Diagnosis Related Group) assignment, clinical documentation, and coding compliance. Primary Department, Division, or Unit: Facility Coding, UHS Revenue Cycle Operations Primary Work Shift: Day Regular Scheduled Weekly Hours: 40 Compensation Range: $33.63 - $50.45 per hour, depending on experience ----- Education/Experience Minimum High School Diploma Two (2) years of inpatient coding experience Preferred Associates degree in HIT or related field License/Certification Minimum Required CPC, RHIA, RHIT, CCS, OR CIC Certification Preferred CIC Certification ----- Why You’ll Love Working at UHS At United Health Services...

Job Description At NorthBay Health, the Coder I is a member of the Health Information Management Team responsible for converting diagnoses and procedures for emergency and outpatient cases into ICD-10, CPT and HCPCS codes in an accurate and timely manner. The Coder I can understand the clinical content of the health record and utilize an EHR system/encoder to perform job duties. Abstracts demographic and physician data to meet both internal and regulatory requirements for reporting utilizing the hospital’s abstracting system. All work is carried out in accordance with the rules, regulations, and coding conventions of the American Hospital Association (Coding Clinic), ICD, CMS, HCAI, and NorthBay Health coding guidelines. Education Qualifications High School diploma or equivalent preferred. Certification Requires one of the following credentials: Certified Coding Specialist (CCS) or Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA)...

Medical Records Coder II (20660517) job at CalOpps. San Francisco, CA. Description San Mateo County Health is seeking experienced individuals for the position of Medical Records Coder II for Correctional Health to provide coding for CalAIM billable services including ancillary services and clinic visits. Medical Records Coder II is the journey level class of this series, fully competent to independently code ICD10 and CPT Procedural coding or perform coding audits, provide physician education on coding issues or EM levels, and analyze and resolve billing edits. The successful candidate will be responsible for performing billing functions related to the Department of Health Care Services (DHCS) justice-involved CalAIM initiative. This initiative allows eligible incarcerated individuals to enroll in Medi-Cal and receive reimbursement for health care services provided within the 90 days prior to their release, supporting their successful reentry into the community. The vacant...

$1360.00/week - Job Summary: The Certified Professional Coder (CPC) is responsible for translating patient diagnoses and procedures into standardized codes essential for billing, compliance, and medical records. This role ensures accurate coding to facilitate proper reimbursement and adherence to healthcare regulations. Responsibilities: Review medical documentation, including physician notes and operative reports, to verify coding accuracy. Assign appropriate ICD-10-CM, CPT, and HCPCS Level II codes based on reviewed documentation. Support the medical billing process by verifying claims and ensuring proper reimbursement. Maintain regulatory compliance by adhering to healthcare laws, payer guidelines, and privacy standards like HIPAA. Investigate and resolve claim denials by correcting codes and communicating with providers or billing teams. Collaborate with healthcare staff to clarify incomplete or ambiguous clinical documentation. Qualifications: Hold a valid CPC certification...

1.0 FTE Full time Day - 08 Hour R2658919 Remote USA 108610021 Admin Compliance Business & Administration Day - 08 Hour (United States of America) This is a Stanford Health Care job. A Brief Overview Billing and Coding Compliance Auditors conduct audits and monitoring activities to identify and address compliance risks related to billing and coding practices. They review and evaluate healthcare regulatory compliance, focusing on the detection of documentation, coding, and billing errors. Responsibilities include assessing the adequacy and accuracy of documentation supporting billed services, including ICD, CPT, HCPCS, and other third-party payer codes, as well as adherence to Teaching Physician guidelines, Evaluation & Management criteria, DRG and APC assignments, medical necessity, and reimbursement accuracy. Auditors serve as a communication channel, partnering with Billing and Coding Compliance Educators to address compliance issues. They are responsible for conducting...

UCI Health is seeking a Biller III to manage billing and collection of hospital charges from a variety of payers. The role involves payment posting, reconciliation, and ensuring timely collection of accounts using our computerized billing system. Candidates should have knowledge of revenue cycle processes in healthcare, CPT/HCPCS/ICD codes, and strong English communication skills. Bi-lingual abilities are a plus, with emphasis on accuracy and customer service. #J-18808-Ljbffr

Job Description Job Description Primary Purpose of the Position: The Revenue Cycle Medical Coder II is responsible for assigning diagnosis, procedural, and modifier(s) codes for medical billing purposes which includes verification of charge capture. Position also performs a wide variety of duties, which may include coding accuracy and completeness prior to tickets being processed for billing, insurance filing, and revenue reporting. Monitors daily flow of charge tickets to ensure claim accuracy. This is not a Remote position as you will be expected to come into the Los Angeles Office. Essential Duties of the Position May Include The Following: • Reviews charge tickets, identifies and corrects errors, prepares tickets for review, including proper CPT and ICD-10 codes and proper linkage between the two. • Abstracts all surgical and designated diagnostic procedures and assigns appropriate procedure codes and modifiers using the International Classification of Diseases...

Health Information Services Coder I/II - Full TimeKern Medical has been a community cornerstone since its founding in 1867. Today, we are an acute care teaching center with 222 beds, offering the only advanced trauma care between Fresno and Los Angeles. Kern Medical cares for 15,500 inpatients and 125,000 clinic patients a year. Kern Medical strives to recruit the highest quality candidates, resulting in a high performance workforce that consistently delivers quality patient care.Career Opportunities within Kern Medical include many benefits such as:New Hire Premium: +6% of base rate of pay, matched up to 6% if contributed to Deferred Compensation Plan.A Comprehensive Benefits Package: includes Holidays, Vacation, Medical, Dental, Vision and Life Insurance.CompensationThe estimated pay for this position is $23.8776 to $38.2097 per hour. The rates shown include a 6% premium pay (base=$-$ plus 6%). This reflects only a portion of the total compensation package for this position....

Position Overview The Inpatient Coder III performs independent coding of inpatient medical records, ensuring accuracy assigning ICD-10-CM and ICD-10-PCS codes for inpatient hospital encounters in compliance with official coding guidelines, regulatory agencies, and hospital policies. This role requires prior coding experience and strong knowledge of DRG (Diagnosis Related Group) assignment, clinical documentation, and coding compliance. Primary Department, Division, or Unit: Facility Coding, UHS Revenue Cycle Operations Primary Work Shift: Day Regular Scheduled Weekly Hours: 40 Compensation Range: $33.63 - $50.45 per hour, depending on experience ----- Education/Experience Minimum High School Diploma Two (2) years of inpatient coding experience Preferred Associates degree in HIT or related field License/Certification Minimum Required CPC, RHIA, RHIT, CCS, OR CIC Certification Preferred CIC Certification ----- Why You’ll Love Working at UHS At United Health Services...

Medical Billing Specialist I/II The Department: As a vital department of Ventura County Health Care Agency (HCA), Ventura County Behavioral Health (VCBH) provides comprehensive mental health and substance use treatment services tailored to meet the needs of our community. From mobile crisis response to outpatient treatment, our array of programs ensures individuals receive the support they need at every stage of their journey. The Position: Under general supervision at the (I) level, or direction at the (II) level, the incumbent is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare, and general insurance reimbursement requirements. What We Offer: The County of Ventura offers an attractive compensation and benefits package. Aside from our base salary range, an employee within this position will also be eligible for the following: Educational Incentive - An educational incentive of 2.5%...

A leading health care provider in San Diego is seeking a full-time Coder II. This position requires accurate coding of medical diagnoses and procedures for various visits, and involves interaction with physicians to enhance documentation clarity. Applicants must be local or willing to relocate and should be ready to work weekends. A collaborative environment with opportunities for professional development awaits the right candidate. #J-18808-Ljbffr

Coder II Travel medical coder/biller position available in Costa Mesa, CA. Shift details include afternoon shift, 8 hours per day. Job duration is 13 weeks starting October 12, 2026, and ending January 9, 2027.

Job TitleBiller IVJob DescriptionUCI Health is one of California's largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a 1,461-bed health system that includes UCI Health — Orange, UCI Health — Irvine, four Community Network hospitals and a growing network of ambulatory care centers across Orange and Los Angeles counties.As Orange County's only academic health systems, UCI Health is home to the only National Cancer Institute-designated comprehensive cancer center based in the county, the region's only American College of Surgeons-verified Level I adult and Level II pediatric trauma center, American College of Emergency Physicians Gold Level 1 Geriatric Emergency Department and a nationally recognized regional burn center verified by the American Burn Association. Powered by UC Irvine, UCI Health serves 5.6 million people across Orange County, western Riverside County and southeast...

Coder IIOur client, a healthcare company, is looking for a Coder II for their Costa Mesa, CA location.Responsibilities:The coder reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM 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. Verify that all ICD-10-CM 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. Coding - client Clinic: In addition to the above, the coder meets ongoing productivity and quality standard of...

MISSION, VISION, AND VALUES Our mission is to provide quality, comprehensive healthcare and supportive services to our community. Our vision is "Improving the Health and Well-Being of Our Community." Our core values are Integrity, Compassion, and Excellence. Employees are expected to demonstrate a strong commitment to the mission, policies, goals, and philosophy of Harbor Community Health Centers. JOB SUMMARY Reporting to the Revenue Cycle Manager (RCM), the Medical Biller II is responsible for the billing and collection activities for the clinic's primary care, pediatric, behavioral health, and dental services. This position works closely with providers, Front Office staff, and the Quality Improvement Department. ESSENTIAL DUTIES & RESPONSIBILITIES Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. An individual must be able to perform each essential duty satisfactorily to be successful in this...

Job Description Align yourself with an organization that has a reputation for excellence! Cedars Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company's Workplace of the Year. This annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We provide an outstanding benefit package that includes health care, paid time off and a 403(B). Join us! Discover why U.S. News & World Report has named us one of America's Best Hospitals. What you will be doing in this role: The Claims Edit Coder (Coder II) operated under the general direction of an audit supervisor and involves responsibilities across various work units, as well as duties specific to the reporting team. In this role, the Coder II reviews ICD-10-CM diagnosis coding and Current Procedural Terminology (CPT)...

Overview The HIM Coding Specialist II is required to have a full understanding and active participation in fulfilling the mission, vision and values of San Gabriel Valley Medical Center. The employee shall support San Gabriel Valley Medical Center's strategic plan and the goals and direction of the department Performance Improvement Plan (PIP). The HIM Coding Specialist II is required to ensure that all patient records are coded within the bill-hold limits (4 days). HIM Coding Specialist II is further responsible to ensure that all charts pass the SMART cycle and are adjusted as needed. The HIM Coding Specialist II must have a comprehensive knowledge of ICD-10-CM, ICD-10 PCS, CPT conventions in accordance with Official Guidelines for Coding and Reporting. The HIM Coding Specialist II is responsible for abstracting data into Evident/Thrive system using 3M encoder. Furthermore, the HIM Coding Specialist II will work internally and externally with coding staff, HIM director and...

HYBRID: This is a hybrid position and must be located within 100 miles of any of the Mayo Clinic campuses for on-site expectations based on business needs. This position will be for a Surgical Coder II Float Coder with experience in the following Specialties: Cardiovascular and Thoracic Surgery, Cath Lab, Plastic Surgery, and Orthopedic Surgery. The Surgical Coder reviews, analyzes, and codes professional/physician medical record documentation to include, but not limited to, medical diagnostic and procedural information for various practices. This coder works collaboratively with surgeons to ensure the accuracy of the code sets on the surgical case. High School diploma and 6 years of physician/professional/procedural/surgical coding experience OR Associate's Degree and 4 years of physician/professional/procedural/surgical coding experience required; Bachelor's Degree and 4 years of physician/professional/procedural/surgical coding experience. Registered Health Information...