91 coder provider practice jobs found

E/M Multi-Specialty Coder - Coder II (Remote) Join to apply for the E/M Multi-Specialty Coder - Coder II (Remote) role at Cedars-Sinai 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 times for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company’s Workplace of the Year. Discover why U.S. News & World Report has named us one of America’s Best Hospitals! What will you be doing in this role? In this remote role, under the general direction of the Coding Supervisor, assigns ICD-10-CM and CPT codes for patients receiving services at CSMC. Accurately assigns all applicable modifiers for all patients to assure optimal reimbursement and the highest quality data possible. Duties of this Coder II include: Performs accurate and timely coding (CPT, ICD-9, ICD-10, HCPCS, modifiers). Maintains...

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...

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 Intrigued? We'd love to hear from you! Please review the job details below...

Clinica Sierra Vista Job Opportunity 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 A 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 Intrigued? We'd love to hear from you! Please...

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...

Tamalpais Pediatrics is a welcoming, progressive high quality medical practice specializing in the care of children from birth through adolescence, with offices in Larkspur and Novato. We are looking for a Medical Biller that will share our team's dedication to working with, listening to and providing the highest quality of care for our patients and their families. About Tamalpais Pediatrics Tamalpais Pediatrics is a patient-centered practice that provides exceptional care and evolves to meet the needs of our patients, their families, and our community. Our goal is to achieve optimum health by continuing to grow, learn, collaborate and address gaps in pediatric care for our patients and community.We specialize in the care of children from birth through adolescence. With two offices and twenty providers, we are well equipped to offer families high-quality, accessible health care in a fun, friendly, and compassionate environment. Description Job Summary: We are looking...

At Habitat Health, we envision a world where older adults experience an independent and joyful aging journey in the comfort of their homes, enabled by access to comprehensive health care. Habitat Health provides personalized, coordinated clinical and social care as well as health plan coverage through the Program of All-Inclusive Care for the Elderly (”PACE”) in collaboration with our leading healthcare partners, including Kaiser Permanente. Habitat Health offers a fully integrated experience that brings more good days and a sense of belonging to participants and their caregivers. We build engaged, fulfilled care teams to deliver personalized care in our centers and in the home. And we support our partners with scalable solutions to meet the health care needs and costs of aging populations. Habitat Health is growing, and we’re looking for new team members who wish to join our mission of redefining aging in place. To learn more, visit https://www.habitathealth.com. Role Scope We...

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...

Job Summary The ZSFG Department of Radiology performs approximately 200,000 studies yearly; professional fee income from clinical activity constitutes a significant percentage of the department’s funding. The department’s financial stability depends on the ability to process charges and manage, analyze, track, and report on revenue cycle issues. Responsibilities Under the supervision of the ZSFG Radiology Site Director, the Professional Fee Coder is responsible for managing, organizing, and maintaining the timely flow of activity for the department’s revenue cycle, emphasizing coding, billing, and charge management. This position handles billing and coding activities, addressing questions and issues from the UCSF Clinical Practice Group (CPG), providers, and department administration. The incumbent interfaces with department providers to clarify documentation, reconciles charges in Epic by resolving issues in various work queues, reviews and batches charges, submits and tracks all...

Benefits: 401(k) 401(k) matching Competitive salary Dental insurance Health insurance Opportunity for advancement We are seeking a motivated, punctual, and outgoing Orthodontic Dental Biller and Coder to join our team! In this role, you will be responsible for customer focused, compassionate, and dedicated to facilitating solutions to patient's dental health needs. The Orthodontic Dental Billing Specialist will work in a growing practice with a great team that makes coming to work engaging and supportive. We offer training to those who are looking for a career with growth potential and the opportunity to fulfill our mission to provide quality affordable dental care to our patients. In working with new & existing team members with an open heart & mind; additional responsibilities including the below: SPECIFIC DUTIES Accurately prepare and submit insurance claims, including working with state-sponsored insurance programs Ensure all billing codes...

We are looking for HCC Risk Adjustment Auditors/Coders to join our team! Position Summary: The HCC Risk Adjustment/Auditor is responsible for maintaining and monitoring the Quality Assurance auditing plan for outpatient clinical data. This position works to improve the quality of coding documentation and data in the medical record and HCC database. The HCC Risk Adjustment/Auditor reports on the accuracy and consistency of the data in accordance with accepted and established standards. Risk Adjustment Auditors collaborate with the Manager to provide expertise in the use and application of coding classifications, such as ICD-9-CM and/or ICD-10-CM. Auditors also record documentation to ensure compliance in the collection of outpatient diagnoses and services. Essential Duties and Responsibilities include the following: Works as an integral member of the Finance Department. Code review super bills and patient medical records for proper use of diagnosis and procedure...

RN, Clinical Supervisor Location: Long Beach, CA Department: Adult CCU Status: Full Time Shift: Nights Pay Range*: $66.32/hr - $99.47/hr $10,000 signing bonus available to external hires new to MHS employment, contingent upon satisfaction of employment requirements At MemorialCare Health System, we believe in providing extraordinary health care to our communities and an exceptional working environment for our employees. Memorial Care stands for excellence in Health Care. 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 Requires full understanding and active participation in fulfilling the mission of MemorialCare. Demonstrates behavior...

Job Description Located 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. 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 patient records to identify the diagnosis and procedure codes performed during the patient’s stay are valid and in accordance with coding conventions and guidelines. 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 equivalent: Preferred Associate's/Technical Degree or equivalent combination of education/related...

Job Description Job Description Description: We are seeking a detail-oriented and knowledgeable Medical Biller to join our medical practice. The ideal candidate will be responsible for managing billing processes, ensuring accurate coding and submission of claims, and maintaining medical records. This role is crucial in facilitating the financial operations of our medical office while ensuring compliance with healthcare regulations. Requirements: Responsibilities Oversees the operations of the billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management Plans and directs patient insurance documentation, workload coding, billing and collections, and data processing to ensure accurate billing and efficient account collection Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues Follow up on claims using...

Job Description Job Description South Los Angeles based FQHC looking for onsite Certified HCC coder . *This is not a remote position Conduct the necessary audits of medical record to verify the physicians have appropriately documented the diagnoses then code these diagnoses in ICD-10 for Medicare Risk Adjustments/Medicare Advantage. Evaluate medical information (Outpatient/Inpatient) documentation from a clinical standpoint for evidence of the possibility of additional medical conditions that may not have been documented in the past, and ensure accurate coding of the encounter data and recommend processes for accurate coding practices. This process involves a very strong understanding of medical coding. Ascertain that medical record documentations have accurate diagnoses and conditions to assure not to up-code, fraudulently or misrepresent the patient condition and ensure compliance to prepare for random CMS medical records audit HEDIS coding and record collection...

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...

Job Summary:We are looking for someone who is detail-oriented, analytical and inquisitive with good communication skills and ability to multi-task well.  This role will contribute to all aspects of the billing and collections process to ensure timely claims submission and optimized reimbursement. This position must work in the office. This is not a remote position.Job Duties include, but are not limited to:Prepare and submit clean claims for provider charges to various insurance companies electronicallyReview physician chart notes for accuracy with the charges being billedCall insurance companies on old claims that have not yet been paidAnswer  questions from patients and insurance companies about patient billsIdentify and resolve patient billing complaintsPerform various collection actions including contacting patients by phone; correct and resubmit claims to third-party payersProcess payments from insurance companies and prepare a daily depositEnter demographic and insurance...

Health Coder - Hcc & Risk Adjustment Burlingame, CA 94010 Overview Salary Range $42.79 - $48.75 Hourly Description The Healthcare Coder plays a critical role in supporting accurate and compliant coding for NEMS MSO operations with a focus on Medicare Risk Adjustment (RA) programs. This position ensures accurate capture of Hierarchical Condition Category (HCC) coding and improves risk adjustment scores by conducting chart audits, providing provider education, and supporting clinical documentation improvement (CDI) initiatives. The Healthcare Coder will collaborate closely with providers, clinical staff, and leadership to improve coding accuracy and compliance, directly impacting the organization's quality outcomes and financial performance. ESSENTIAL JOB FUNCTIONS: HCC Coding and Risk Adjustment (RA) Program Support Perform comprehensive review of patient charts to identify and validate diagnosis codes in alignment with HCC and risk adjustment guidelines. Ensure all...

Professional Fee Coder - Analyst II FPO - Revenue Management Full Time 87835BR Job Summary Professional Fee Coder - Analyst II, under the direction of their Revenue Manager and Associate Director, will provide support in areas of revenue operations related to coding, auditing, and training for their designated areas. Responsibilities include providing education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines. Analyst II will perform an in-depth review of physician documentation and is responsible to present findings along with recommendations to the department on physician education. The incumbent should be familiar with all applicable billing and coding regulations and be able to effectively communicate these regulations to all levels of faculty, management and staff. This position will also assign codes based on a review of clinical charts, resolve coding issues based on denials, and Identify areas of improvement....

Job Description Job Description Location: Washington State Employment Type: Part-Time Reports To: COO Position Summary The Medical Billing and Coding Specialist is responsible for accurately coding medical services, submitting insurance claims, and ensuring timely reimbursement in compliance with federal regulations, Washington State laws, and payer-specific guidelines. This role plays a critical part in maintaining revenue cycle integrity while supporting compliance with HIPAA and Washington healthcare regulations. Key ResponsibilitiesMedical Coding • Assign accurate ICD-10-CM, CPT, and HCPCS Level II codes to diagnoses, procedures, and services. • Review clinical documentation to ensure coding accuracy and completeness. • Ensure compliance with CMS guidelines, Washington State Medicaid (Apple Health) requirements, and commercial payer policies. • Identify documentation deficiencies and communicate with providers for clarification. Medical Billing • Prepare and submit...

Job Description Job Description Benefits: Competitive salary Paid time off Training & development About ZapZzz: ZapZzz is a specialized sleep apnea treatment program with a mission of improving patients overall health and quality of life by providing advanced, patient-centered solutions for sleep apnea. We are committed to excellence in care, professionalism, and compliance while ensuring patients have access to the treatment they need. We are seeking a dedicated and detail-oriented Medical Biller with experience in sleep apnea billing. The ideal candidate will bring both technical expertise and a proactive approach to managing insurance claims, billing processes, and revenue cycle operations. Position Summary: The Medical Biller will be responsible for accurately preparing, submitting, and managing insurance claims related to sleep apnea treatment and oral appliance therapy. This role requires a thorough understanding of insurance verification, billing...

Business Office Representative Are you compassionate, collaborative, respectful, and strive for excellence? If so, you share our core values and we invite you to join our team as a Business Office Representative. Certified Coder Job Description Reports to: Revenue Cycle Manager, Billing Office Supervisor Organizational Peers: Billing Specialist Direct Reports: None Job Details: Full time, 40 hours/week, Monday-Friday, Non-Exempt, Pay Range: $25.75-$33.99/hour Job Summary: A Certified Coder is a nonexempt position responsible for front office and general coding billing duties. Responsible for Coding Audits, Claim, Billing review and Compliance. Performance Requirements: Knowledge: 1. Knowledge of billing practices and clinic policies and procedures. 2. Knowledge of coding and clinic operating policies. 3. Knowledge of medical terminology. 4. Knowledge of health care insurance claim practices and compliance. 5. Knowledge of computer systems, programs, and applications....

Description Are you Compassionate, Collaborative, Respectful and strive for Excellence? If so, you share our CORE Values and we invite you to join our team as a Business Office Representative. Certified Coder Reports to: Business Office Manager Organizational Peers: Business Office Personnel Direct Reports: N/A Position Details: Non Exempt, Full Time, M-F, 40 hours a week Pay Range : $25.75-33.99/hour Job Summary: Responsible for precise and accurate translation of patient medical records into CPT, ICD-10-CM, and HCPCS codes within an office environment as well as conducting provider audits. Essential Job Responsibilities: New Clinician Audits Clinician audits for correct coding and optimal reimbursement (Random Audits) Provider education to clinicians with coding/documentation Reports quarterly on Bell Curves Possesses expertise in ICD-10, CPT, and HCPCS codes, as well as HIPAA regulations and LCD/NCCI edits....

The Healthcare Coder plays a critical role in supporting accurate and compliant coding for NEMS MSO operations with a focus on Medicare Risk Adjustment (RA) programs. This position ensures accurate capture of Hierarchical Condition Category (HCC) coding and improves risk adjustment scores by conducting chart audits, providing provider education, and supporting clinical documentation improvement (CDI) initiatives. The Healthcare Coder will collaborate closely with providers, clinical staff, and leadership to improve coding accuracy and compliance, directly impacting the organization's quality outcomes and financial performance. ESSENTIAL JOB FUNCTIONS: HCC Coding and Risk Adjustment (RA) Program Support Perform comprehensive review of patient charts to identify and validate diagnosis codes in alignment with HCC and risk adjustment guidelines. Ensure all coding adheres to CMS and ICD-10 guidelines, focusing on accuracy, completeness, and compliance. Conduct...