115 coder provider practice jobs found

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...

Medical Coder Pay Rate: $23.00 Location: Modesto, CA Position Type: Full-Time Busy 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 diagnoses Assign and enter standardized medical codes accurately Perform hospital charge posting and coding support Ensure coding documentation is complete and compliant Maintain accuracy and strong follow-through on all assigned work Qualifications: Minimum 1 year of medical coding experience required Experience with hospital charge posting preferred Strong attention to detail and organizational skills Ability to work efficiently in a fast-paced medical office Dependable with strong attendance...

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...

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...

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...

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...

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....

The Medical Coder is primarily responsible for performing chart reviews and coding audits; reviewing appropriate ICD-10 diagnoses codes, and CPT and HCPCS procedure codes assigned for evaluation and management of the patient. Additional responsibilities include supporting pre-or post-payment coding audit for benchmark and/or reimbursement recovery, and other coding-related activities such as pre-appointment chart audits for HCC or risk adjustment, appeals of denied claims, providing information or education to providers for specificity of documentation to align with the coding guidelines to comply with federal, state, and regulatory requirements. ESSENTIAL JOB FUNCTIONS: Performs pre-appointment HCC or risk adjustment chart reviews, coding audits, or other coding-related projects Acts as internal resource for all coding inquiries from providers, Billing, Laboratory, Radiology, and other departments. Provides real time coding consultation and review and evaluation of...

Medical CoderAt Sprinter Health, our mission is reimagining how people access care by bringing it directly into their homes. Nearly 30% of patients in the U.S. skip preventive or chronic care simply because they can't get to a doctor's office. For many, the ER becomes their first touchpoint with the healthcare system—driving over $300B in avoidable costs every year.By using the same technologies that power leading marketplace and last-mile platforms, we deliver care where people are, especially those who need it most. So far, we've supported more than 2 million patients across 22 states, completed over 130,000 in-home visits, and maintained a 92 NPS. Our team of clinicians, technologists, and operators have raised over $125M to date from investors like a16z, General Catalyst, GV, and Accel and enjoy multi-year runway.As a Medical Coder, you will be responsible for reviewing and abstracting professional medical records to ensure accurate code assignment. You'll play a critical role...

Overview  Embark on a rewarding career with Desert Regional Medical Center hospital. If you are a compassionate healthcare professional eager to contribute to patient care, this is your opportunity where your skills make a difference every day. Join us in delivering exceptional healthcare with a personal touch. At Desert Regional Medical Center, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include: Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match Generous paid time off Career development and continuing education opportunities Health savings accounts, healthcare & dependent flexible spending accounts Employee Assistance program, Employee discount program Voluntary benefits include pet...

Certified CoderAt American Vision Partners (AVP), we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, Retinal Consultants of Arizona, M&M Eye Institute, Abrams Eye Institute, Southwest Eye Institute, Aiello Eye Institute, Moretsky Cassidy Vision Correction, Wellish Vision Institute, West Texas Eye Associates and Vantage Eye Center. We are focused on building the nation's largest and most comprehensive eye care practices and currently operate more than 100 eye care centers in Arizona, New Mexico, Nevada, California and Texas – including 25 ambulatory surgical centers. At AVP we value teamwork, providing exceptional experiences, continuous improvement, financial strength, and hard work. We are committed to providing...