69 coder lead jobs found

A leading healthcare provider in California seeks a Senior Inpatient Coder responsible for accurately coding inpatient and emergency room encounters. Candidates should have an Associate's degree in Health Informatics or similar and at least three years of inpatient coding experience. Certifications such as RHIT, RHIA, or CCS are required. Effective communication and knowledge of coding systems are essential in this role that aims for the highest quality of coding compliance in a supportive healthcare environment. #J-18808-Ljbffr

A leading healthcare organization in California is seeking a Senior Coder to lead coding efforts for their team. This role involves training new coders, monitoring workload, and ensuring compliance with coding standards. Ideal candidates will have a minimum of 4 years of professional coding experience and relevant certifications. The position is full-time and offers a competitive pay range of $30.55 - $44.30 per hour, along with opportunities for professional development. #J-18808-Ljbffr

A leading technology company in Los Angeles is looking for a Creative Coder to drive audio experiences in innovative projects. The role requires over 7 years of experience in implementing sonic experiences and at least 5 years in development with languages like C++, Kotlin, and Python. You will collaborate with various teams to enhance audio functionality and create immersive audio systems. The position offers a competitive salary, equity, and benefits, emphasizing creativity and technical insights in sound technology. #J-18808-Ljbffr

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 high-performing teams,...

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 high-performing teams,...

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 high-performing teams,...

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...

Salary Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $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 authorization requirements, compliant claims processing, and effective utilization oversight. This position serves as a key clinical and coding...

The Position Medical Billing Supervisor – responsible for planning, organizing, and supervising the medical insurance billing functions and accounting/clerical staff for the Department of Health and Social Services’ Medical Billing Unit. This role includes assisting in the development, implementation, and maintenance of department‐specific patient accounting and billing systems, acting as the electronic health record billing liaison between the County and the State, and resolving technical billing problems in coordination with the claim management system and clearing house provider. Responsibilities Plan, organize, and supervise medical insurance billing and accounting/clerical staff. Assist in developing, implementing, and maintaining the department's patient accounting and billing systems. Serve as the electronic health record billing liaison between the County and the State. Resolve technical billing problems in coordination with the claim management system and clearing...

Medical Billing Supervisor 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, processing, and maintaining fiscal transactions, accounts, and/or statistical data and records. A strong foundation in medical billing is expected in this role. The candidate should have a working knowledge of methods, practices, and terminology used in insurance and medical billing and also possesses knowledge of...

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 high-performing teams,...

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 high-performing teams,...

Clinical Coding Analyst 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...

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 high-performing teams,...

Salary : $83,155.86 - $101,076.47 Annually Location : Fairfield, CA Job Type: Full-Time Job Number: 26-705030-01 Department: Health & Social Services Dept Division: H&SS-Administration Div Opening Date: 04/30/2024 Contact: Melaniece Lovejoy, 707-784-7830 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 County of Solano's diverse workforce is committed to fulfilling this mission and does so by exemplifying our IDEAL Core Values, engaging in our day-to-day work of serving the public with Integrity, Dignity, Excellence, Accountability, and Leadership. 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 THE POSITION The Medical Billing Supervisor plans, organizes and supervises the medical insurance billing functions and accounting/clerical...

Come lead with us at Corporate At Houston Methodist, the Senior Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient, emergency room, therapy, and/or clinic encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION Associate’s degree or higher in a Commission on Accreditation for Health Informatics and Information Management accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree EXPERIENCE Three years of relevant inpatient coding experience or successful completion of the Houston Methodist Senior Inpatient Coder Transition Program LICENSES AND CERTIFICATIONS Required Must have one of the following: RHIT - Certified Health Information Technician (AHIMA) RHIA - Registered Health...

4 days ago Be among the first 25 applicants This range is provided by PrismHR. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $24.00/hr - $2,428.00/hr Direct message the job poster from PrismHR Huntington Valley Healthcare Center is a 140-bed facility centrally located in Huntington Beach, CA. We are seeking an experienced Medical Biller with a background in Skilled Nursing Facility (SNF) billing. About the Role Responsibilities Process and submit claims for Skilled Nursing Facility services Manage billing for Cal Optima, Medi-Cal, Medicare, and HMO plans Follow up on claims to ensure timely reimbursement Resolve billing discrepancies and denials Verify patient insurance eligibility and benefits Maintain compliance with industry regulations and payer guidelines Work closely with facility staff and insurance providers to ensure accurate billing Qualifications Must have experience in SNF billing (applications...

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...

at Zócalo Health Remote, California residents only (Full Time) Compensation: $28- $32 per hour About Us Zócalo Health is the first tech-driven provider built specifically for Latinos, by Latinos. We are developing a new approach to care that is designed around our very own shared and lived experiences and brings care to our gente. Founded in 2021 on the idea that our communities deserve more than just safety nets, we are backed by leading healthcare and social impact investors in the country to bring our vision to life. Our mission is to improve the lives of our communities—communities that have dealt with generations of poor experiences. These experiences include waiting hours in waiting rooms, spending mere minutes with doctors who don't speak their language, and depending on their youngest kids to help them navigate our complex healthcare system. At Zócalo Health, we meet our members where they are, bringing care into their homes and neighborhoods through our team of...

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...

Overview Coding Educator (Temp-to-Hire, 13 Weeks) – Location: Within *** Footprint (Hybrid – Mostly Remote with Local Travel). Type: Contingent / Temp-to-Hire. is seeking experienced Professional Fee (Pro Fee)–focused Coding Educators to support large-scale chart review, coding accuracy validation, physician education, and documentation improvement initiatives. These roles are high-visibility and require strong communication and presentation skills to engage directly with clinicians and support Sutter's revenue cycle, audit, and education functions. Candidates must live within the *** geographic footprint and be available for occasional on-site work and local travel. Positions are structured as 13-week temp-to-hire with conversion opportunities. Key Responsibilities Coding Education & Training: Deliver physician and coder education for assigned groups, with emphasis on Pro Fee (ASC, surgery, outpatient) environments. Facilitate individual and group training sessions; must...

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: 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 Chiropractic Acupuncture General Medicine Durable Medical Equipment (DME) Daily use of CPT,...

Nurse Manager Provides tactical support to meet the goals and objectives of the organization and service for the assigned shift. Responsible for the assessment, evaluation, discipline, coaching and monitoring of staff. Functions in a leadership role contributing to the efficient and effective operations of the service. Maintains clinical competency and utilizes the nursing process when carrying out clinical duties. Assures that care, equipment and services provided are appropriate for the ages and needs of the population served. Ensures ongoing regulatory readiness of the staff and service, participating in chart reviews, monitoring and other performance improvement activities as assigned. Adheres to the highest customer service standards and hold staff accountable for the same. Provides prompt service recovery when indicated. Understands and adheres to the California Nurse Practice Act, The American Nurses Association (ANA) Code of Ethics for Nurses, the ANA Bill of Rights for...