13 junior quality improvement coder jobs found

Junior Quality Improvement Coder Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members. The Junior Quality Improvement Coder is responsible for providing director support to all departmental QI initiatives. In this role, the Junior QI Coder will partner with the Director to collaborate with network providers and IPA's to improve the quality of care through quality improvement activities that will include RAF, HEDIS, CMS Star Ratings and other health plan reporting. Essential Duties And Responsibilities Include The Following: Analyze data from contracted IPA network providers that allows for proper review of data to...

Description About Us Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members. SUMMARY The Junior Quality Improvement Coder is responsible for providing director support to all departmental QI initiatives. In this role, the Junior QI Coder will partner with the Director to collaborate with network providers and IPA’s to improve the quality of care through quality improvement activities that will include RAF, HEDIS, CMS Star Ratings and other health plan reporting. ESSENTIAL DUTIES AND RESPONSIBILITIES Analyze data from contracted IPA network providers that allows for proper review of data to evaluate HEDIS and Risk...

Job Description Job Description Lifekind Health is looking for a full-time Certified Coder III (CPC or CCS) to join our team. The Medical Coder III is a senior-level role responsible for highly complex coding assignments. This role serves as a subject matter expert and contributes to coding education and process improvement within the Coding Team. Our mission is to bring care that’s whole, human, and healing. Blending medical, behavioral, and lifestyle support into a single plan because restoring life takes more than a prescription. At Lifekind Health we strive every day to live up to that definition by providing the best care possible for our complex patient population. Our team of medical doctors, psychologists, chiropractors, acupuncturists, and dietitians work together within a revolutionary transdisciplinary model that addresses the quadruple aim of healthcare: enhancing patient experience, improving patient health, reducing healthcare costs, and increasing employee...

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...

Become a part of our caring community The Senior Market Consultation / Partnership Professional (Nurse Medical Coder) supports Clinical Support Team (CST) initiatives by promoting accurate, compliant, and complete documentation and coding practices that enhance the quality and measurement of programs across risk adjustment. Work assignments involve moderately complex to complex issues where analysis of clinical documentation, coding accuracy, and risk adjustment data requires evaluation of multiple variable factors. Key Responsibilities Perform detailed medical record reviews to ensure accurate ICD-10-CM coding, risk adjustment capture, and alignment with CMS-HCC (e.g., V24/V28) models Validate diagnosis coding and ensure documentation meets compliance standards Identify and escalate coding trends and documentation gaps Serve as a coding subject matter expert supporting CST workflows, including PDV, chart review prioritization, and provider outreach...

Become a part of our caring community The 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 Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations. provide a second level review of codes assigned to medical diagnoses and clinical procedures, ensuring that medical billing conforms to legal and procedural requirements. Essential Functions You will verify and ensure the accuracy, completeness, specificity, and appropriateness of medical record documentation based on a patient's documented medical conditions You will confirm appropriate diagnosis and procedure code assignment, following all applicable coding guidelines You will use electronic tools (i.e., spreadsheets-web-based) that have been created based on the CMS-HCC model and established coding guidelines...

Overview Title: Sr. Specialty Physician Coder – Interventional Radiology Location: Fountain Valley, CA / Predominantly Remote Department: Document Improvement Status: Full-Time Shift: Days (8hr) Pay Range*: $35.46/hr - $51.46/hr At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our employees. Memorial Care stands for excellence in Healthcare. 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 Under the direction of the Coding Compliance Manager, the Senior Specialty Physician Coder plays a key role in reviewing and analyzing specialty coding and billing for charge...

Title: Sr. Specialty Physician Coder Location: Fountain Valley, CA / Predominantly Remote Department: Document Improvement Status: Full-Time Shift: Days (8hr) Pay Range*: $35.46/hr - $51.46/hr MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups - consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models. 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...

Job Summary:Supervises team to review and request primary source information and verifications. Proactively identifies, suggests improvements to, and provides resolution for complex gaps in vendor relationships. Serves as an escalation point of contact for external queries regarding practitioner status. Evaluates applications and supporting highly complex documents. Guides team to conduct improvements to credentialing and privileging processes. Guides and supervises team to evaluate complex practitioner sanctions. Participates in surveys and audits of credentialing entities. Facilitates and implements strategic initiatives cost-effective due process. Identifies and provides leadership to resolve adverse actions/issues. Leads and evaluates audits of data between different departments. Conducts and supervises the facilitation and orientation and training to newly appointed physician leaders. Develops highly complex informational documents. Maintains working relationships with key...

Effective July 1, 2025, in accordance with the applicable Memorandum of Understanding, the Personal Leave Program 2025 (PLP 2025) was implemented. PLP 2025 requires each full-time employee in Bargaining Unit 19 , and related Excluded, Exempt and Statutory Exempt employees, will have their base salary reduced by 3 percent and will receive 5 hours PLP 2025 leave credits monthly through June 2027. Salaries do not reflect the recent changes. Part-time employees are subject to the same conditions as full-time employees, on a prorated basis equivalent to their time-base. Permanent intermittent employees are subject to the same condition as full-time employees, based on the number of hours worked in the pay period.Please note: Individuals may be eligible to receive a $10,000 one-time recruitment and retention stipend should they meet the eligibility criteria, including but not limited to remaining employed with CCHCS for six months. Additionally, individuals may be eligible to receive a...

Title: Sr. Specialty Physician Coder Location: Fountain Valley, CA / Predominantly Remote Department: Document Improvement Status: Full-Time Shift: Days (8hr) Pay Range*: $35.46/hr - $51.46/hr Position Summary Under the direction of the Coding Compliance Manager, the Senior Specialty Physician Coder reviews and analyzes specialty coding and billing for charge processing. The role is responsible for accurately coding office, hospital, and surgical procedures for reimbursement and ensuring compliant medical coding for inpatient and outpatient services, diagnostic tests, and other medical services. The coder serves as a point of contact for contract coders, maintains contract coding operations, ensures implementation of MemorialCare policies and procedures, and collaborates with the Coding Compliance Manager on discovered coding trends, irregularities and action items. Essential Functions and Responsibilities Proficient in Microsoft Office suite. Proficient in Epic...

Hybrid | Full-Time | Technical + Marketing Leadership About Azarian Growth Agency Azarian Growth Agency was founded in 2020 by Hamlet Azarian, specializing in data-driven, full-funnel growth marketing strategies. We combine serious engineering with AI agent workflows to build marketing systems that run 24/7 across content, PPC, integrations, and analytics. We’re not just running campaigns – we’re building reusable, observable, self-optimizing systems. You’ll work on the same stack that powers our content engine, PPC engine, integrations, and website analysis – and help extend it. About the Role You are the technical owner of our marketing systems: you build new features and services, maintain production backends and automation, and grow the platform so the team can scale from campaign execution to system orchestration. You’ll work in our real codebase: TypeScript microservices (Express, Prisma, PostgreSQL, Redis, BullMQ), Next.js/React frontends, Docker, and observability...

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...