28 edits denials coder jobs found

Professional Fee Coding AuditorAt NorthBay Health the Professional Fee Coding Auditor is responsible for auditing professional fee coding across all service lines (Ambulatory/Hospitalist, Surgery, and Emergency Medicine), resolving pre-billing coding edits, and reviewing post-billing coding-related denials.This role ensures coding accuracy, documentation integrity, and compliance with CPT, HCPCS, ICD-10-CM, and payer-specific rules. The position supports coding quality improvement, identifies trends, provides coder feedback and physician education based on audit and edit findings, and partners with leadership to strengthen coding workflows across the organization.PRIMARY JOB DUTIESAudit ResponsibilitiesPerforms routine and targeted professional fee coding audits across all service lines: Ambulatory/Hospitalist (including Urgent Care and Pools), Surgery, and ED ProFee.Reviews documentation for completeness, accuracy, and compliance with CPT, HCPCS, ICD-10-CM, and payer...

Accredited CPC Medical Coding SpecialistWinchester, CA $46,089 - $62,079 a yearFull TimePosition OverviewThis 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 ResponsibilitiesMaintain 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...

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. 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. 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...

Position: Medical Coder and Biller (Vascular Procedures) Location: Sacramento, CA (or Remote) Schedule: Full-Time and Part-Time positions Salary: Competitive Salary & Bonus Program Benefits: Health, Dental, Vision, EAP, 401(k), FSA, Costco, AAA, etc. ABOUT US With a growing network of locations, California Foot & Ankle Centers (CALFAC) and the Vascular Institutes in Sacramento, Dallas, and Houston , provide comprehensive care and surgery, including advanced wound care and amputation-prevention therapies, lower extremity peripheral nerve surgery, vascular surgery and endovascular procedures.. We have been serving patients for over 60 years, building a loyal patient base keeping our clinic locations busy with little to no marketing during that time. Our highly-competent doctors and medical staff all believe in giving a caring approach to each patient, as well as our utilizing the most modern technology available. Further, we conduct clinical trials and podiatric...

Medical Coder and Biller (Vascular Procedures)Location: Sacramento, CA (or Remote)Schedule: Full-Time and Part-Time positionsSalary: Competitive Salary & Bonus ProgramBenefits: Health, Dental, Vision, EAP, 401(k), FSA, Costco, AAA, etc.About UsWith a growing network of locations, California Foot & Ankle Centers (CALFAC) and the Vascular Institutes in Sacramento, Dallas, and Houston provide comprehensive care and surgery, including advanced wound care and amputation-prevention therapies, lower extremity peripheral nerve surgery, vascular surgery and endovascular procedures.We have been serving patients for over 60 years, building a loyal patient base keeping our clinic locations busy with little to no marketing during that time. Our highly-competent doctors and medical staff all believe in giving a caring approach to each patient, as well as our utilizing the most modern technology available. Further, we conduct clinical trials and podiatric research at all of our...

Accredited CPC Medical Coding Specialist Anza, CA $52,089 - $67,099 a year Full Time 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...

Accredited CPC Medical Coding Specialist Winchester, CA $46,089 - $62,079 a year Full Time 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...

GeBBS Healthcare Solutions , a nationally recognized leader in Health Information Management (HIM) and Revenue Cycle Management (RCM), is seeking an Profee Coder - Internal Med (per diem) . We are seeking coding professionals with a proven ability to work in a fast-paced, quality-driven environment for a W-2 position on a part time, remote basis. Schedule & Availability: Availability up to 15–20 hours per week required Pay for this role is around $25.50/hr at production for edits and $26.16/hr at production for Coding. Hours scheduled based on business needs (not guaranteed weekly) Coverage needs include planned PTO and fluctuating volumes Opportunity to pick up additional “call-in” hours on a first-come, first-served basis Must be available Monday–Friday between 6:00 AM – 6:00 PM PST Key Responsibilities: Perform Profee Internal Medicine coding for outpatient/clinic encounters Ensure accurate assignment of CPT, modifiers, and ICD-10 codes Meet productivity and quality...

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...

GeBBS Healthcare Solutions , a nationally recognized leader in Health Information Management (HIM) and Revenue Cycle Management (RCM), is seeking an Profee Coder - Internal Med (per diem) . We are seeking coding professionals with a proven ability to work in a fast-paced, quality-driven environment for a W-2 position on a part time, remote basis. Schedule & Availability: Availability up to 15–20 hours per week required Pay for this role is around $25.50/hr at production for edits and $26.16/hr at production for Coding. Hours scheduled based on business needs (not guaranteed weekly) Coverage needs include planned PTO and fluctuating volumes Opportunity to pick up additional “call-in” hours on a first-come, first-served basis Must be available Monday–Friday between 6:00 AM – 6:00 PM PST Key Responsibilities: Perform Profee Internal Medicine coding for outpatient/clinic encounters Ensure accurate assignment of CPT, modifiers, and ICD-10 codes Meet productivity and quality...

Job Description Job Description Primary Purpose of the Position: The Revenue Cycle Medical Coder II is responsible for assigning diagnosis, procedural, and modifier(s) codes for medical billing purposes which includes verification of charge capture. Position also performs a wide variety of duties, which may include coding accuracy and completeness prior to tickets being processed for billing, insurance filing, and revenue reporting. Monitors daily flow of charge tickets to ensure claim accuracy. This is not a Remote position as you will be expected to come into the Los Angeles Office. Essential Duties of the Position May Include The Following: • Reviews charge tickets, identifies and corrects errors, prepares tickets for review, including proper CPT and ICD-10 codes and proper linkage between the two. • Abstracts all surgical and designated diagnostic procedures and assigns appropriate procedure codes and modifiers using the International Classification of Diseases...

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...

GeBBS Healthcare Solutions , a nationally recognized leader in Health Information Management (HIM) and Revenue Cycle Management (RCM), is seeking an Profee Coder - Internal Med (per diem) . We are seeking coding professionals with a proven ability to work in a fast-paced, quality-driven environment for a W-2 position on a part time, remote basis. Schedule & Availability: Availability up to 15–20 hours per week required Pay for this role is around $25.50/hr at production for edits and $26.16/hr at production for Coding. Hours scheduled based on business needs (not guaranteed weekly) Coverage needs include planned PTO and fluctuating volumes Opportunity to pick up additional “call-in” hours on a first-come, first-served basis Must be available Monday–Friday between 6:00 AM – 6:00 PM PST Key Responsibilities: Perform Profee Internal Medicine coding for outpatient/clinic encounters Ensure accurate assignment of CPT, modifiers, and ICD-10 codes Meet productivity and quality...

GeBBS Healthcare Solutions , a nationally recognized leader in Health Information Management (HIM) and Revenue Cycle Management (RCM), is seeking an Profee Coder - Internal Med (per diem) . We are seeking coding professionals with a proven ability to work in a fast-paced, quality-driven environment for a W-2 position on a part time, remote basis. Schedule & Availability: Availability up to 15–20 hours per week required Pay for this role is around $25.50/hr at production for edits and $26.16/hr at production for Coding. Hours scheduled based on business needs (not guaranteed weekly) Coverage needs include planned PTO and fluctuating volumes Opportunity to pick up additional “call-in” hours on a first-come, first-served basis Must be available Monday–Friday between 6:00 AM – 6:00 PM PST Key Responsibilities: Perform Profee Internal Medicine coding for outpatient/clinic encounters Ensure accurate assignment of CPT, modifiers, and ICD-10 codes Meet productivity and quality...

Description Review emergency department medical records to assign accurate ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and applicable modifiers. Accurately assign facility Evaluation and Management (E/M) levels in accordance with client-specific emergency department leveling guidelines and facility charging methodologies, including knowledge of the ACEP tool. Analyze documentation from nursing staff, physicians, ancillary departments, and diagnostic services to ensure complete code assignment and charge capture. Apply official coding guidelines, CMS regulations, National Correct Coding Initiative (NCCI) edits, and payer-specific requirements. Review accounts for appropriate assignment of procedural services and injections/infusions when applicable. Identify documentation deficiencies and communicate within the appropriate channels regarding coding clarification needs. Maintain compliance with Medicare, Medicaid, commercial payer,...

Senior Specialty Physician Coder – InterventionalOur client, a healthcare company, is looking for a Senior Specialty Physician Coder – Interventional for their Fountain Valley, CA location.Responsibilities:Achievement of productivity standards as established by management.Achievement of quality standards as established by management. In adherence with standard work, analyze and interpret medical information in the medical record and assign and sequence the correct ICD-10-CM, CPT, and/or HCPCS codes to the diagnoses/procedures of office, inpatient and/or outpatient medical records according to established coding guidelines, including the ability to review and natively code surgical operative and/or procedure reports.In adherence with standard work, follow established workflow for working claim denials in the Follow-Up work queues and identify opportunities for billing/coding improvements.Participate in developing, implementing, and reviewing programs for coding compliance...

GeBBS Healthcare Solutions , a nationally recognized leader in Health Information Management (HIM) and Revenue Cycle Management (RCM), is seeking an Profee Coder - Internal Med (per diem) . We are seeking coding professionals with a proven ability to work in a fast-paced, quality-driven environment for a W-2 position on a part time, remote basis. Schedule & Availability: Availability up to 15–20 hours per week required Pay for this role is around $25.50/hr at production for edits and $26.16/hr at production for Coding. Hours scheduled based on business needs (not guaranteed weekly) Coverage needs include planned PTO and fluctuating volumes Opportunity to pick up additional “call-in” hours on a first-come, first-served basis Must be available Monday–Friday between 6:00 AM – 6:00 PM PST Key Responsibilities: Perform Profee Internal Medicine coding for outpatient/clinic encounters Ensure accurate assignment of CPT, modifiers, and ICD-10 codes Meet productivity and quality...

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...

Medical Billing Specialist, DMEPOS Unicare Health | Newbury Park, CA (Onsite) About Unicare Founded in 1988, Unicare Health helps patients with complex medical needs thrive at home through compassionate care, expert clinical support, and trusted partnership with families and healthcare providers. We are a leading, innovative provider of home respiratory care, durable medical equipment, and home medical supplies, poised for high growth. We don't just deliver machines; we deliver life-sustaining care and services. Our vision is to empower complex respiratory patients to live their most full, joyful, comfortable, and active lives possible. Our guiding principle is simple: serious care delivered with compassion. Our revenue cycle team is central to that mission, ensuring accurate, timely reimbursement so clinicians and families can stay focused on care. What We Stand For Relentless pursuit of improved outcomes. We proactively solve problems, move quickly, and collaborate so every...

Specialty Physician Coder Our client, a Healthcare company, is looking for a Specialty Physician Coder for their Fountain Valley, CA location. Responsibilities: Under the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a key role in reviewing and analyzing specialty coding and billing for charge processing. This role is responsible for reviewing and accurately coding office, hospital, and surgical/procedures for reimbursement and ensuring accurate and compliant medical coding for inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients. The Specialty Physician Coder works with the Coding Compliance Manager on discovered coding trends, irregularities, and needed action items. Achievement of productivity standards as established by management. Achievement of quality standards as established by management. Analyze and interpret medical information in the medical record and assign and sequence the...

Benefits: 401(k) 401(k) matching Dental insurance Health insurance Paid time off 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,...

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 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company's Workplace of the Year. This annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We offer an amazing benefits package that includes paid time off, health care and a 403(B). Join us! Discover why U.S. News & World Report has named us one of America's Best Hospitals. What you will be doing in this role: Working under the general direction of a coding supervisor, the Hospital Inpatient Coder is responsible for the assignment of ICD-10-CM and ICD-10-PCS codes by reviewing all appropriate documentation in accordance with standard coding guidelines. The Facility Inpatient Coder identifies the principal diagnosis,...

HYBRID: This is a hybrid position and must be located within 100 miles of any of the Mayo Clinic campuses for on-site expectations based on business needs. This position will be for a Surgical Coder II Float Coder with experience in the following Specialties: Cardiovascular and Thoracic Surgery, Cath Lab, Plastic Surgery, and Orthopedic Surgery. The Surgical Coder reviews, analyzes, and codes professional/physician medical record documentation to include, but not limited to, medical diagnostic and procedural information for various practices. This coder works collaboratively with surgeons to ensure the accuracy of the code sets on the surgical case. High School diploma and 6 years of physician/professional/procedural/surgical coding experience OR Associate's Degree and 4 years of physician/professional/procedural/surgical coding experience required; Bachelor's Degree and 4 years of physician/professional/procedural/surgical coding experience. Registered Health Information...