Coding auditor facility jobs | Healthcare Careers

Facility Outpatient Coding Auditor (Full & Part-Time, Remote)

Default GeBBS Healthcare Solutions CA, USA

Job DescriptionJob DescriptionDescription :Facility Outpatient Coding AuditorJob Type :Full-Time or Part-Time Remote Medical Coding Audit Outpatient Coding Facility CodingGrow Your Career with a National Leader in Outpatient Medical Coding & Auditing - Work from Home!Are you a certified outpatient medical coding auditor with experience in surgical coding, emergency department (ED) coding, interventional radiology , or facility outpatient services ? Join GeBBS Healthcare Solutions , an award-winning provider of HIM (Health Information Management) and RCM (Revenue Cycle Management) services.We are expanding and seeking experienced Remote Outpatient Facility Coding Auditors to support our national client base.Position Summary :As a Remote Outpatient Coding Auditor , you'll conduct quality assurance audits on coded outpatient medical records.Your audits will focus on multiple service areas including :Outpatient SurgeriesObservationsInterventional RadiologyCardiac...

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Full Time

Healthcare Coding Compliance Auditor

Riverside University Health System Medical Center Hybrid (Riverside, CA, USA)

Riverside University Health System (RUHS) is seeking two skilled Coding Compliance Auditors (Administrative Services Manager I) to support the Health System's Compliance Department. Key responsibilities of this role include conducting thorough reviews of medical records to ensure compliance with coding regulations, while providing feedback and education to coders and physicians to enhance coding accuracy and documentation quality. The position involves performing annual, periodic, and focused audits of physician, inpatient, and outpatient coding as requested. It also requires effective communication with all RAC stakeholders to ensure timely and accurate responses to inquiries. Additionally, the role supports ongoing program development through training initiatives and process improvements, delivers coding presentations to diverse audiences including physicians and other staff. The ideal candidate will have at least five years of progressive experience in an acute care hospital...

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Healthcare Coding Compliance Auditor - RUHS

Riverside County, CA Riverside, CA, USA

Salary : $101,536.34 - $139,533.58 Annually Location : Riverside Job Type: Regular Job Number: 26-74191-01 AL Department: RUHS-Medical Center Opening Date: 03/03/2026 Closing Date: Continuous For questions regarding this position, please contact the Recruiter listed in the Supplemental Information section. ABOUT THE POSITION Riverside University Health System (RUHS)is seeking two skilled Coding Compliance Auditors (Administrative Services Manager I) to support the Health System's Compliance Department. Key responsibilities of this role include conducting thorough reviews of medical records to ensure compliance with coding regulations, while providing feedback and education to coders and physicians to enhance coding accuracy and documentation quality. The position involves performing annual, periodic, and focused audits of physician, inpatient, and outpatient coding as requested. It also requires effective communication with all RAC stakeholders to ensure...

VC

Medical Billing Specialist III/IV - Behavioral Health

Ventura County Ventura, CA, USA

Medical Billing Specialist III/IV - Behavioral Health Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5037514) Apply Medical Billing Specialist III/IV - Behavioral Health Salary $54,060.11 - $76,162.64 Annually Location Ventura and may require travel throughout Ventura County, CA Job Type Full-Time Regular Job Number 0840HCA-25AA (NW) Department Health Care Agency Division Behavioral/Mental Health Opening Date 08/27/2025 Closing Date Continuous Description Benefits Questions Description THE POSITION Under general direction (III, IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare, and general insurance reimbursement requirements. IDEAL CANDIDATE The ideal candidate has specialized expertise in mental health billing, including CPT, ICD-10, and HCPCS coding for Medicare and Medi-Cal....

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Medical Billing Specialist III/IV - Behavioral Health

Government Jobs Ventura, CA, USA

Medical Billing Specialist III/IV Under general direction, performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare, and general insurance reimbursement requirements. The ideal candidate has specialized expertise in mental health billing, including CPT, ICD-10, and HCPCS coding for Medicare and Medi-Cal. Skilled in the Medi-Cal Provider Manual and TAR process, they ensure timely, compliant submissions that support access to behavioral health services. They communicate effectively with peers, patients, and payers, resolve billing discrepancies, and address compliance issues in collaboration with the compliance office. Experienced in leading and training staff on Managed Care, Medicaid, Medi-Cal, Medicare, and Commercial Insurance, they ensure accuracy, efficiency, and regulatory adherence in all mental health billing operations. Medical Billing Specialist III ($25.99 - $32.99 per...

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Coder - SRS

Sharp Healthcare San Diego, CA, USA

Job Title Hours Shift Start Time: 6 AM Shift End Time: 2:30 PM AWS Hours Requirement: 8/80 - 8 Hour Shift Additional Shift Information: 0600-0900 Start, 1430-1730 End Weekend Requirements: No Weekends On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $30.370 - $37.950 - $42.510 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. What You Will Do Ensure that all charges are submitted accurately, timely and meets department guidelines. Provides administrative and coding support to management, site support, staff and physicians. Identifies and reports documentation and coding opportunities and makes...

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HCC Risk Adjustment Coder I

Regal Medical Group Los Angeles, CA, USA

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...

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Medical Billing Specialist

Apex Med Family Healthcare Upland, CA, USA

Job Description Job Description ay: $22.00 - $25.00 per hour Job description: Pay: $22.00 – $25.00 per hour Expected Hours: 40 per week Schedule: Monday to Friday, 8-hour shift Work Location: In-person We are currently seeking a detail-oriented and highly organized Medical Biller to join our dedicated healthcare team. The ideal candidate will play a key role in overseeing the billing process, ensuring accuracy in medical coding, and securing timely reimbursements from insurance providers and patients. Key Responsibilities Prepare and submit accurate medical billing claims to insurance companies and government payers Communicate with healthcare providers to clarify any discrepancies in documentation. Collaborate with front desk staff to review and verify patients' insurance information Apply appropriate medical coding systems, including ICD-10 to ensure accurate billing Monitor and follow up on unpaid claims, including managing the medical collections...

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Medical Biller

BRIO CLINICAL, INC Ontario, CA, USA

Job Description Job Description Job Summary Medical Biller The Medical Biller reports to the Billing Manager in person at out office in Ontario, CA and is responsible for the accurate, compliant, and timely billing of clinical laboratory services, including blood testing, microbiology/culture testing, and toxicology services. This role requires strong expertise in Medicare Part A vs Part B billing, skilled nursing facility (SNF) workflows, and commercial payer laboratory billing rules. The Medical Biller manages claims from Pending Review through payment resolution while ensuring full compliance with Medicare, Medicaid, and commercial payor regulations. No Remote Work Available Supervisory Responsibilities None Essential Duties and Responsibilities Laboratory Billing & Claims Management Review laboratory patient demographics, insurance, ordering provider, and facility information. Prepare, review, and submit insurance claims for laboratory...

KM

Coding Compliance Auditor - Coding Services - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

Keck Medicine of USC Los Angeles, CA, USA

Coding Compliance Auditor In accordance with current federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review of previously coded accounts to ensure appropriate CPT, ICD-10-CM, and HCPCS assignments and accuracy and completeness of all ICD-10-CM, CPT, and HCPCS codes assigned by professional revenue coders and providers. All assigned codes must be supported by professional documentation contained within the medical record and must be in compliance with federal coding compliance regulations, Official Coding Guidelines, AHA Coding Clinic, and CPT Assistant. The Coding Compliance Auditor will also provide detailed reports, Excel spreadsheets, coding audit summary analysis, and data analytics Re: coding accuracy rates, compliance rates, denial analytics, etc. Recommend education topics based on audit findings and assist in the continuing education of professional coders and providers. Understands coding/billing computer systems...

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Medical Biller

All For Health,Health For All INC Glendale, CA, USA

Job Description Job Description All for Health, Health for All, Inc. (AFH) is a nonprofit Federally Qualified Health Center (FQHC) and a certified Patient-Centered Medical Home. For over 40 years, we have provided high-quality, accessible healthcare services to medically underserved and diverse populations across Los Angeles County, Orange County, and the state of Nevada. Our integrated, team-based model includes general family practice, pediatrics, behavioral health, mental health services, and adult day health care. In the past year alone, we served over 30,000 patients across more than 90,000 visits at a dozen clinic locations. AFH is currently seeking dedicated and compassionate individuals to join our mission-driven team. We are hiring Full-Time medical biller/collector. SUMMARY An individual must be able to perform each essential duty satisfactorily which includes billing, posting payments, answering patient questions and concerns by phone or personally in fast-paced,...

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Medical Records Coder II (20660517) at CalOpps San Francisco, CA

CalOpps San Francisco, CA, USA

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 ICD‑10 and CPT procedural coding, perform coding audits, provide physician education on coding issues or EM levels, and analyze and resolve billing edits. The successful candidate will perform 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 position for coding will focus on professional fee (pro‑fee) coding. Majority of work will be...

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Ambulatory Coding Compliance Auditor (CPC/CCS-P)

Sharp Healthcare San Diego, CA, USA

A healthcare provider in San Diego is seeking a Coding Auditor to conduct audits and ensure compliance with coding standards. The role requires strong knowledge of CPT and ICD-10 codes, exceptional communication skills, and the ability to train clinical staff. The ideal candidate has 3 years of experience in a healthcare setting and holds a CPC or CCS-P certification. Competitive hourly rate offered. #J-18808-Ljbffr

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Inpatient Medical Coding Auditor

Humana Sacramento, CA, USA

Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the...

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Health and Information Management - PB / ProFee Coder

TALENT Software Services Sacramento, CA, USA

Health and Information Management – PB / ProFee Coder 3 weeks ago Be among the first 25 applicants TALENT Software Services provided pay range This range is provided by TALENT Software Services. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $40.40/hr - $41.60/hr Coding Educator (Temp-to-Hire, 13 Weeks) Location: Within *** Footprint (Hybrid – Mostly Remote with Local Travel) Type: Contingent / Temp-to-Hire Overview 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. Key Responsibilities Coding Education & Training Deliver physician and coder education for...

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Health and Information Management - PB / ProFee Coder

TALENT Software Services Sacramento, CA, USA

Health and Information Management – PB / ProFee Coder 2 weeks ago – Be among the first 25 applicants Pay Range Base pay range: $40.40/hr – $41.60/hr Coding Educator (Temp‑to‑Hire, 13 Weeks) Location: Within *** Footprint (Hybrid – Mostly Remote with Local Travel) Type: Contingent / Temp‑to‑Hire Overview 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...

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Coding Compliance Auditor - Coding Services - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

University of Southern California (USC) Los Angeles, CA, USA

Coding Compliance Auditor In accordance with current federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review of previously coded accounts to ensure appropriate CPT, ICD-10-CM, and HCPCS assignments and accuracy and completeness of all ICD-10-CM, CPT, and HCPCS codes assigned by professional revenue coders and providers. All assigned codes must be supported by professional documentation contained within the medical record and must be in compliance with federal coding compliance regulations, Official Coding Guidelines, AHA Coding Clinic, and CPT Assistant. The Coding Compliance Auditor will also, provide detailed reports, Excel spreadsheets, coding audit summary analysis, and data analytics Re: coding accuracy rates, compliance rates, denial analytics, etc. Recommend education topics based on audit findings and assist in the continuing education of professional coders and providers. Understands coding/billing computer systems...

Ap

30 Jan 2026 Medical Coder - On Site

Appliedhospice Sacramento, CA, USA

The ICD-10 Home Health & Hospice Medical Coder is responsible for accurately reviewing, analyzing, and assigning ICD-10-CM diagnosis codes to clinical documentation for home health and hospice services. This role ensures compliance with CMS guidelines, OASIS requirements, and agency policies to support precise reimbursement, high-quality patient care, and regulatory compliance. The ideal candidate has demonstrated experience in Home Health ICD-10 coding , strong knowledge of OASIS/Evaluation criteria, and a thorough understanding of PDGM (Patient-Driven Groupings Model). Key Responsibilities Coding & Documentation Review Review clinical documentation to identify appropriate and accurate ICD-10-CM codes for home health and hospice encounters. Assign primary and secondary diagnoses following CMS, PDGM, and regulatory requirements. Validate medical necessity and ensure coding supports the plan of care and services rendered. Review and interpret physician orders, clinical...

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Remote Medical Coder

JM Services and Consulting, LLC Santa Fe Springs, CA, USA

Remote Company Overview: 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 services Ensure all codes are in compliance with coding...

UH

Health Information Coder 3, Per Diem

UCSF Health Emeryville, CA, USA

Overview Job Summary The Health Information Coder III is a senior-level inpatient coder with the knowledge and skill set to utilize the ICD-10-CM and ICD-10-PCS classification systems to code acute academic, teaching inpatient cases. The skill set extends to knowledge and comprehension of code sequences into Diagnoses-Related Groups on acute academic, teaching inpatient cases. 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. There is minimal review of coding for quality. HIMS Per Diem 87476BR Duties And Essential Job Functions Retrieve and analyze comprehensive medical records and information systems for appropriate documentation and follow-up as appropriate. Evaluate full episode of care of clinical data for inpatient cases and assign...

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Plan Coder

Western Growers Irvine, CA, USA

Western Growers Health Western Growers Health, a part of Western Growers Family of Companies, provides employer-sponsored health benefit plans to meet the needs of those working in the agriculture industry. The unmatched benefit options provided by Western Growers Health stem from the core mission of Western Growers Association (est. 1926) to support the business interests of employers in the agriculture industry. Our mission at Western Growers Health is to deliver value to employers by offering robust health plans that meet the needs of a diverse workforce. By working at Western Growers Health, you will join a dedicated team of employees who care about offering quality health benefits and excellent customer service to plan participants. If you want to start making a difference working in the health care industry, then apply to Western Growers Health today! Compensation: $46,669.19 - $65,668.50 with a rich benefits package that includes profit-sharing. This is a remote...

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Workers' Compensation Compliance Auditor

State of California Sacramento, CA, USA

This is a re-post. If you previously applied, there is no need to re-apply as your application is on file and will be considered. Under the general direction of a Supervising Workers' Compensation Compliance Officer within the DWC Audit and Enforcement Unit of the Division of Workers' Compensation, The Workers' Compensation Compliance Officer performs workers' compensation claim file audits on insurance companies, self-insured employers, and third-party administrators to ensure that they have met their obligations under the Labor Code and the California Code of Regulations. This posting may be used to fill future vacancies in accordance with 2 CCR §249.3 To be considered for this Workers Compensation Compliance Officer job opportunity, applicants must be either reachable on an employment list, have transfer eligibility or have reinstatement eligibility. To take the exam and gain employment list eligibility, please click here to access the exam bulletin:...

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Biller Coder

Clinica Romero Los Angeles, CA, USA

Position Title: Billing Coder Department: Revenue Cycle/Billing Position Reports to: Revenue Cycle & Billing Director Type: Full Time Location: Marengo Position Summary: Review medical records utilizing ICD-9 and ICD-10 and CPT coding conventions. Audits medical records to ensure specificity of diagnoses and procedures, and to ensure appropriate and optimal reimbursement from proper payer types. Responsibilities: Analyze medical records and ensure all appropriate International Classification of Disease (ICD-9 & 10) and /or current Procedural Terminology (CPT) coding for billing of proper patient programs. Enter and retrieve patient medical data from EPIC-Ochin System updating entries as necessary; audit medical record for accuracy and completeness, note deficiencies and refer for appropriate follow up and completion. Consult with physicians and other personnel on coding practices and conventions to provide detailed coding information or gather...

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Medical Biller/Coder

RETINA ASSOCIATES OF ORANGE COUNTY Laguna Hills, CA, USA

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...

61 coding auditor facility jobs found