110 coder provider practice jobs found

Experienced Associate, Healthcare Forensics The Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients. Job Duties Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance matters Contributes to forensic engagements related to medical coding and...

DRG CoderThe DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS to determine the appropriate Diagnosis-Related Group (DRG) assignment. This role ensures coding accuracy, reimbursement integrity, and compliance with federal and state regulations, payer guidelines, and internal policies. In an Independent Practice Association (IPA) and Management Services Organization (MSO) environment, the DRG Coder partners with utilization management, care management, finance, and provider network teams to support accurate payment, risk adjustment, quality reporting, and medical expense analysis.

Medical CoderPay Rate: $23.00 Location: Modesto, CA Position Type: Full-TimeBusy specialty medical office is seeking an experienced Medical Coder with one year minimum experience to support a high-volume, multi-provider practice. This role is ideal for someone who is accurate, detail-oriented, dependable, and able to manage medical coding responsibilities in a fast-paced environment.Responsibilities:Review patient records, physician notes, lab reports, procedures, and diagnosesAssign and enter standardized medical codes accuratelyPerform hospital charge posting and coding supportEnsure coding documentation is complete and compliantMaintain accuracy and strong follow-through on all assigned workQualifications:Minimum 1 year of medical coding experience requiredExperience with hospital charge posting preferredStrong attention to detail and organizational skillsAbility to work efficiently in a fast-paced medical officeDependable with strong attendance and reliabilityProfessional...

Coder II incumbents work under general supervision performing moderately complex coding and abstracting of assigned work tasks that may include but are not limited to outpatient, inpatient, or specific medical-service medical records. For training purposes, Coder II incumbents may work with moderately complex inpatient records. Coders at all levels must perform work in accordance with official Federal and State coding guidelines, as well as the coding policies of the Santa Clara Valley Health and Hospital System (SCVHHS). Please note: All applicants are required to attach proof of a valid medical coding certificate. Because we serve patients throughout multiple hospitals and clinics, you may have to work at different sites. We will meet any obligations we may have when this occurs. The Power of WE : Together, we can make a greater impact. Bringing better care and expanding healthcare services across the community. Santa Clara Valley Healthcare (SCVH) is the second largest...

Base Pay $19.60 - $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...

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 recognized retina specialty practice in a fast paced, high volume...

Description 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 recognized retina specialty practice in a fast paced,...

Job description Experienced Associate, Healthcare Forensics The Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients. Job Duties: Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance matters Contributes to forensic engagements related to...

Job Summary We are seeking an experienced Sr. Biller and Coder for a direct hire opportunity in San Leandro, CA. This role is ideal for a senior revenue cycle professional with strong Medi-Cal billing expertise, advanced coding knowledge, and a proven ability to improve claims accuracy, reduce denials, and support timely reimbursement. This position offers the opportunity to join a mission-driven nonprofit healthcare environment where accuracy, compliance, teamwork, and community impact matter. The Sr. Biller and Coder will work closely with providers, clinical teams, and billing staff in a collaborative setting with supportive leadership, opportunities to mentor others, and a clear focus on quality patient care and financial performance. Key Responsibilities Assign accurate ICD-10-CM, CPT, and HCPCS codes based on provider documentation and payer requirements. Submit and manage electronic and paper claims for Medi-Cal, managed Medi-Cal plans, Medicare, commercial carriers, and...

Experienced Associate, Healthcare ForensicsThe Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients.Job Duties:Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance mattersContributes to forensic engagements related to medical coding and...

Experienced Associate, Healthcare ForensicsThe Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients.Job Duties:Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance mattersContributes to forensic engagements related to medical coding and...

Astrana Health is seeking a Risk Adjustment Coding Specialist to support Orange County operations. You will conduct high-volume chart reviews to identify coding gaps, then translate findings into education for providers and practice leaders, driving HCC recapture and KPI improvements. olla You will travel to provider offices up to 75% and collaborate with IPA teams, offering auditing and education to ensure CMS, Medicare and payer guidelines are met while staying current on ICD-10/HCC updates. #J-18808-Ljbffr

Build Your Future with a Trusted Chiropractic Practice! Join a long-standing, reputable chiropractic office where your expertise truly makes a difference. Our client is seeking an experienced Back Office Medical Coder/Biller who can also serve as the friendly and professional face of their practice. This is a full-time, direct hire position offering long-term stability and growth potential. If you're organized, personable, and well-versed in medical coding, billing, and terminology, this could be your ideal next step. Bilingual in Spanish is a plus! Description -First point of contact for in person patients and on the phone -Ability to manage multiple front office duties and back-office duties simultaneously -Schedule future appointments in person and on the phone -Check patients in and out ensuring all insurance and billing information is obtained -Responsible for diagnosis translation and coding correctly for submission to various insurance companies and parties Description...

Job DescriptionJob DescriptionSUMMARYThe Certified Risk Adjustment Coder is responsible for accurately abstracting provider services into ICD-10 codes from medical documentation.This role adheres to the coding ethics of organizations such as the American Academy of Procedural Coders (AAPC), American Health Information Management Association (AHIMA), and the National Alliance of Medical Auditing Specialists (NAMAS), as well as payer guidelines.The coder conducts concurrent, prospective, and retrospective reviews of medical record documentation to ensure the accurate and complete capture of the clinical picture, severity of illness, and complexity of patients.Additional duties include provider communication and education to support the closure of both risk adjustment and quality care gaps, as well as providing ongoing feedback to physicians regarding coding guidelines and requirements.ESSENTIAL JOB FUNCTIONSPerform coding quality audits of medical records to ensure ICD-10 codes are...

Who We Are UCI 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 Los Angeles...

Job TitleCoder IIJob 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...

Job Description Job Description   Our growing Ophthalmology practice has a vacancy for a Full Time Biller/ Coder role. This role will work on-site in our Chula Vista location and provide billing support to the corporate office as well as other satellite clinics. The ideal candidate has experience working in a collections role for an ophthalmology practice. This person will thrive in a busy, fast-paced environment and can multi-task while keeping a superb professional demeanor. The role will report to the Billing Manager. What do we need? We are seeking a talented and proficient Claims Denial Resolution Specialist/ Coder to join our growing team. At American Eye Associates we provide our Specialists the opportunity to learn, be challenged, and grow your career within the Revenue Cycle industry. Ideal candidates will possess claims processing experience and a competitive desire to maximize returns. What will you provide? · Understanding and proficient use of medical...

Job PostingLocated in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.Job Summary:Reviews SDS and OBV records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines. Records types including same day surgery and observation encounter types. Works on routine assignments within defined parameters, established guidelines and precedents. Follows established procedures and receives daily instructions on work.Job Requirements:Education and Work Experience:High School Education/GED or...

Santa Fe Springs, California, United States $49,655.00 - 68,445.00 (US Dollar) JM Services and Consulting, LLC is a leading healthcare consulting firm that provides revenue cycle management services to healthcare providers across the United States. We specialize in coding, billing, and compliance services for medical practices of all sizes. Our team of experienced professionals is dedicated to helping our clients maximize their revenue and ensure compliance with all industry regulations. Job Description We are seeking a skilled and detail-oriented Remote Medical Coder to join our team. The ideal candidate will have a strong understanding of medical coding guidelines and regulations, as well as experience with various coding systems such as ICD-10, CPT, and HCPCS. This is a full-time, remote position that offers a competitive salary and benefits package. Key Responsibilities Review and analyze medical records to accurately assign codes for diagnoses, procedures, and...

Job Description Job Description 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 clients. In this role, you will maintain a solid rapport with all our clients...

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...

Summary: The Creative Audio team is seeking a Creative Coder for the Tech & Prototypes department. This role collaborates closely with Engineering and Product Design to define sound functionality and deliver advanced audio systems. It involves developing advanced audio solutions, optimizing performance, refining tools, and solving complex technical challenges. As a key contributor and leader to Meta's day-to-day sound design, the Creative Coder provides creative and technical insights to drive immersive and agentic audio experiences, offering a long runway for creativity, innovation, and empowerment to push the boundaries of sound technology and make a meaningful impact. Required Skills: Creative Coder Responsibilities: Identity potential large scale opportunities within Meta and partner with design and engineering teams to deliver state of the art audio functionality, tooling and pipeline solutions Provide audio engineering leadership to cross-functional...