140 coding specialist jobs found

Job Description Insight Global is seeking a fully remote Medical Coding Specialist (Outpatient / Profee) to support a Healthcare AI client. This is a part-time, fully remote opportunity where candidates will leverage their outpatient coding expertise to evaluate and improve AI-driven coding recommendations. This role is highly analytical and requires a strong understanding of outpatient coding guidelines, reimbursement logic, and payer rules across specialties. Laptop and equipment will be provided. Responsibilities: • Review outpatient encounters and evaluate AI-generated coding recommendations across settings such as same-day surgery, observation, ED, clinic, and ancillary services • Assess the accuracy and reasoning behind assigned CPT/HCPCS codes, modifiers, APC groupings, and LCD/NCD compliance • Identify discrepancies where AI-selected codes, modifiers, or APC assignments differ from correct coding practices and explain the rationale • Provide insight into coding...

Job Description JOB DESCRIPTION Insight Global is seeking a fully remote Medical Coding Specialist (Inpatient) to support a Healthcare AI client. This is a part-time, fully remote opportunity where candidates will leverage their inpatient coding expertise to evaluate and improve AI-driven coding recommendations. This role is highly analytical and requires a deep understanding of diagnosis/procedure coding, DRG assignment logic, and clinical reasoning within acute care settings. Laptop and equipment will be provided. Responsibilities: • Review inpatient encounters and evaluate AI-generated coding recommendations across diagnosis and procedure coding • Assess the accuracy and reasoning behind ICD-10-CM/PCS code assignments, sequencing, and DRG selection (MS-DRG/APR-DRG) • Identify discrepancies where AI-generated outputs diverge from correct inpatient coding practices and explain the rationale • Provide insight into complex coding decisions, including cases requiring...

A healthcare organization in California is seeking a Billing Specialist to process healthcare charges and ensure financial accuracy. This role requires a Medical Coder Certificate and proficiency in MS Word and Excel, with 2-3 years of related experience preferred. Responsibilities include managing patient requests, conducting billing operations, and preparing financial reports. A hybrid work schedule may be available after 90 days. Candidates must pass a drug test and provide proof of COVID-19 vaccination. #J-18808-Ljbffr

Position Overview This role is responsible for accurately assigning codes to physician diagnoses and procedures, ensuring compliance with the latest medical billing and reimbursement policies. The specialist reviews medical records to identify all appropriate coding, adhering to CMS guidelines and current reimbursement standards. Duties include generating invoices for insurance and patient billing, managing paperwork, handling insurance claims, and performing collections. Collaboration with clinical teams and patients is essential to ensure precise and complete charge preparation for each visit. Key Responsibilities Maintain a safe and clean work environment, following unit safety and infection control protocols. Coding: Utilize electronic health records (EHR) to support claim coding. Assign ICD-10-CM, CPT-4, and HCPCS codes for surgeries based on current guidelines. Review physician notes for accuracy and completeness. Communicate with physicians to clarify...

Position Overview This role is responsible for accurately determining codes for physicians' diagnoses and procedures, ensuring compliance with the latest medical reimbursement policies and CMS guidelines. The specialist reviews medical records to identify all appropriate coding, generates invoices for insurance and patient billing, and manages insurance claims and collections. Collaboration with clinical teams and patients is essential to ensure precise and complete charge preparation for patient visits. Key Responsibilities Maintain a safe and clean work environment, adhering to unit safety and infection control standards. Coding Duties: Utilize Electronic Health Records (EHR) to support claim coding. Assign ICD-10-CM, CPT-4, and HCPCS codes for surgeries based on current guidelines. Review physician notes for accuracy and completeness. Communicate with physicians to clarify or correct documentation as needed. Ensure all medical records are complete,...

Job Description Job Description Medical Biller Job Description: We are seeking a qualified and dedicated Medical Biller to join our administrative office. In this position, you will be responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment. As our Medical Biller, your daily duties will include maintaining billing software, appealing denied claims, and recording late payments. To succeed in this role, you must possess in-depth knowledge of billing software and medical insurance policies. The ideal candidate must also be able to demonstrate excellent written and verbal communication skills, as communicating with clients and various insurance agents will form a large part of the job. Responsibilities: Prepare and submit billing data and medical claims to insurance companies. Ensure the patient’s medical information is accurate and up to date. Prepare bills and invoices, and document amounts due for medical procedures and services....

A healthcare provider in San Diego is seeking a skilled Medical Coder to ensure accurate charge submissions and compliance with coding regulations. The ideal candidate must have a high school diploma or equivalent, along with a Certified Professional Coder (CPC) certification. Responsibilities include providing administrative and coding support, monitoring coding trends, and collaborating with clinical providers. This role requires proficiency in coding procedures and medical terminology, along with the ability to manage multiple priorities effectively. Competitive hourly pay is offered. #J-18808-Ljbffr

Mission Healthcare is seeking a skilled Medical Coder in Sacramento, CA, to ensure accurate coding for healthcare services. The role demands a minimum of 3-5 years of relevant experience, along with certifications such as CPC or CCS. Successful candidates will review medical codes for compliance, provide coding assistance to clinicians, and conduct audits to enhance coding accuracy. The position offers competitive pay starting at $28/hour, along with a comprehensive benefits package including medical and retirement options. #J-18808-Ljbffr

Default Work Shift: Day (United States of America) Hours: 40 Salary range: $23.97 - $36.42 Schedule: Full Time Shift Hours: 8 Employee Department: Patient Financial Services Job Objective Responsible for performing revenue cycle integrity audits within the Charge Descriptive Master and other revenue cycle charge capture and reconciliation processes. Job Description Education: Required: High school diploma, GED or higher level degree if hired after March 1, 2025. Preferred: Medical coding coursework or bachelor’s degree in related field. Licensure/Certification: Required: Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) within one (1) year if hired into position after January 1, 2021. Experience: Required: Two (2) years of medical billing, charge capture, coding or patient account auditing experience. Preferred: Revenue cycle experience, hospital/clinical experience. Reports To: Manager or Director. Supervises: N/A. Ages of Patients: N/A. Blood Borne...

Option to work fully remote or hybrid. Make an Impact Behind the Scenes at MCHC At MCHC, we are committed to delivering high‑quality, compassionate care to our communities. We believe every role contributes to the care our patients receive and as a Certified Coder your expertise helps ensure that care is accurately captured, supported, and sustained. If you take pride in precision, enjoy problem‑solving, and hold a current AAPC coding certification, this is your opportunity to be part of a team making a real difference. About the Role As a Certified Coder, you’ll play a key role in ensuring accurate coding, billing, and reimbursement across our clinics. You’ll serve as a subject matter expert for coding and billing practices, support clinic staff while helping optimize revenue cycle performance and maintain compliance with FQHC standards. What You’ll Do Accurately review, code, and submit claims using ICD-10, CPT, and HCPCS coding systems Manually enter in‑patient / hospital...

Recruitment Incentive Bonus: may be eligible for $3000 recruitment incentive bonus based on eligibility requirements. Job Summary: The Coder 2-HIM performs International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding and abstracts data from the legal medical record for facilities, licensed under LLUMC and contracted other LLUH facilities. Assigns diagnosis and procedure codes in compliance with the American Hospital Association Official Coding Guidelines. Ensures the quality and accuracy of coding and abstracted information in compliance with federal and state regulations, government and contract payers, and grant funding. Quality of data collected impacts the facility in multiple ways, including finance, legal, research, teaching, quality assurance, etc. The Coder 2-HIM must be able to perform Inpatient and/or Outpatient Surgery coding. Works with students and coding interns as requested. Performs other duties as needed. Education and...

Medical Billing Supervisor 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 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 click here. 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,...

UC Irvine is seeking a Coder III to abstract and code inpatient visits at UCI Medical Center. This role requires at least four years of inpatient coding experience, knowledge of ICD-10-CM, and strong analytical skills. As a Coder III, you will use the 3m360 Sulventum encoder and EPIC systems to ensure accurate coding and participate in departmental projects. This position supports a critical function within the healthcare system at UCI, providing essential data for patient care and administrative processes. #J-18808-Ljbffr

The Health Information Coder III is a senior‑level inpatient coder who utilizes the ICD‑10‑CM and ICD‑10‑PCS classification systems to code acute academic, teaching inpatient cases. The coder applies knowledge of code sequences and Diagnoses‑Related Groups, and abstracts records in compliance with UCSF Health policies, coding guidelines, practice standards, and the HIMS coder code of ethics. The focus of coding and abstracting is on a range of all primary hospital services, with minimal review for quality. Responsibilities and Essential Job Functions Retrieve and analyze comprehensive medical records and information systems for appropriate documentation and follow‑up as appropriate. Required Qualifications High school diploma or equivalent Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) certification 3+ years of inpatient DRG coding and abstracting...

Clinical Informaticist / Clinical Coder Are you looking for a career that will make an impact? The Leidos Military and Veterans Health Solutions Operation has an opening for a Clinical Informaticist / Clinical Coder to join the Operational Readiness Directorate at the Naval Health Research Center in San Diego, CA. This position will provide support to the Epidemiology and Data Management Support Department and involves clinical coding and data abstraction to support research on the physical and mental health of military personnel to improve overall health and readiness. The person in this position will work closely with department professionals in records management, information technology, and research teams to ensure alignment of clinical coding with research needs. Are you ready for unique and exciting work? This is a full-time position in San Diego. The candidate for this position must be located within commuting distance of San Diego to work on-site at the Naval Health...

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

UCSD Layoff from Career Appointment :Apply by 08 / 12 / 25 for consideration with preference for rehire.All layoff applicants should contact their Employment Advisor.Special Selection Applicants :Apply by 08 / 22 / 25.Eligible Special Selection clients should contact their Disability Counselor for assistance.Candidates hired into this position may have the ability to work remotely.DESCRIPTIONUC San Diego Health's Revenue Cycle department supports the organization's mission to deliver outstanding patient care and to create a healthier world - one life at a time.We are a diverse, patient-focused, high-performing team with a commitment to quality, collaboration, and continuous improvement that enables us to deliver the maximum standard of care to our patients.We offer challenging career opportunities in a fast-paced and innovative environment and we embrace individuals who demonstrate a deep passion for problem-solving and customer service.Under general supervision performs in depth...

Are you looking for a career that will make an impact? The Leidos Military and Veterans Health Solutions Operation has an opening for a Clinical Informaticist / Clinical Coder in the Operational Readiness Directorate at the Naval Health Research Center in San Diego, CA. This is a full‑time position. The employee must be located within commuting distance of San Diego to work on‑site at the Naval Health Research Center as needed. The number of days on‑site may vary, and the schedule is subject to change based on program and customer requirements. Work hours will coincide with the standard command business hours of 0700–1630. Primary Responsibilities Obtain and maintain required access to military electronic health records (EHR) systems, such as Joint Longitudinal Viewer (JLV) and Theater Medical Data Store (TMDS). Perform detailed reviews of health records and supporting documentation in multiple systems throughout the continuum of care to assign precise medical coding. Assign...

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...

Job Description Primary Duties And Responsibilities The Coder reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM, ICD-10-PCS, and CPT codes to support diagnoses, procedures, and treatment results. Codes are used for billing, internal and external reporting, research, and regulatory compliance activities. Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all official coding guidelines. Verifies that all ICD-10-CM and CPT codes are correctly captured. Verify that physician is correctly abstracted. Keeps abreast of coding guideline changes by self-study, assigned education, coding meeting attendance or related in-services. Participates in internal and external quality review meetings. Performs other duties as assigned. Medical Coding - Hoag Hospital Resolves billing related errors and assists with workflow changes and process improvement projects....

A healthcare provider located in Roseville, CA, is seeking a coding specialist for cancer center encounters. The role involves coding for outpatient complex cancer procedures, ensuring compliance with regulations and performing charge reviews. The ideal candidate will have a high school education, ROCC certification, and preferred experience with oncology-related coding tools such as Varian and Cerner. Join a team committed to the safety and well-being of patients and associates, with opportunities for professional growth. #J-18808-Ljbffr

Datavant is seeking an experienced outpatient coder to join their fully remote team in Sacramento, California. The ideal candidate possesses a minimum of 3+ years of outpatient coding experience along with CCS certification. Responsibilities include reviewing medical records, assigning accurate codes, and maintaining high coding accuracy rates. Datavant values collaboration and offers a flexible schedule along with benefits such as medical, dental, vision, and 401k matching. Candidates should have strong attention to detail and knowledge of medical terminology. #J-18808-Ljbffr

Company : Allegheny Health Network Job Description : General Overview This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. Essential Responsibilities Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. (5%) Performs...

Overview GeBBS Healthcare Solutions is a leader in Health Information Management and Revenue Cycle Management. We are dedicated to fostering a culture of excellence and collaboration in the healthcare industry. We are currently seeking credentialed Outpatient Facility Coding Specialists with a minimum of 3 years of experience to join our dynamic team. Position Overview As an Outpatient Facility Coding Specialist, you will play a crucial role in coding all diseases, operations, and procedures for outpatients in accordance with ICD-10-CM, UHDDS, and AMA CPT-4 standards. Your expertise in large trauma Level I facilities will be invaluable in ensuring the accuracy and compliance of our coding practices. Key Responsibilities Code all outpatient procedures according to client specifications. Abstract patient data, ensuring accuracy and compliance with client policies. Stay updated on coding policies and procedures; seek clarification on ambiguous information. Utilize healthcare...