8 outpatient coder accurate coding denials expert jobs found

Fully Remote role - Must reside in CA - CPC, CCS, or equivalent certification required. Specialty coding certification is highly desired. **ROLE REQUIREMENTS** Surgical breast oncology (including plastic reconstructive breast surgery), Hematology/Oncology Must be able to abstract the chart review to capture all billable charges EPIC experience: charge entry and charge review experience required Strong Evaluation and Management (E/M) inpatient and outpatient coding experience Must reside in CA but can be remote Profee ONLY - NOT HCC/risk adjustment, ASC, or facility coding Desire to convert to full-time employment **Bonus/nice to have** Bonus: GYNONC coding experience Bonus: Experience working on denials Bonus: GI (CGIC coding certification) or OBGYN (COBGC coding certification) coding experience (1 year or more) Job Description: Under the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a key role in...

Senior Specialty Physician Coder – Interventional Our client, a Healthcare company, is looking for a Senior Specialty Physician Coder – Interventional for their Fountain Valley, CA location. Responsibilities: 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 processing. This role will be responsible for reviewing and accurately coding office, hospital, and surgical procedures for reimbursement and ensuring accurate and compliant medical coding for both inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients. In addition, the Senior Specialty Physician Coder will serve as a point of contact for contract coders, maintain the continuity of contract coding operations, and ensure the implementation of Client policies and procedures. The Senior Specialty Physician Coder will also work with the Coding Compliance...

Job Title: Specialty Physician Coder Job Location: Fountain Valley, CA Job Duration: 3 Months (possibility of extension) Payrate: $45.00 - $48.27/ hr. on w2 Job Summary: 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, ensuring accurate and compliant medical coding for inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients. The Specialty Physician Coder will also collaborate with the Coding Compliance Manager to identify coding trends, irregularities, and required action items. Essential Functions and Responsibilities: Meet productivity standards established by management Meet quality standards established by management In adherence with standard work, analyze...

Lead Outpatient Medical Coder The Lead Outpatient (OP) Medical Coder assists the HIM OP Coding Manager with administrative functions specific to all outpatient coding operations. Duties may be varied and may include many of the following: assisting the OP Coding Manager to organize work schedules, create work assignments, review timecards for accuracy, conduct quality assurance audits of production-coder performance, develop and implement quality improvement activities, train and mentor staff, provide feedback coding error findings and developmental needs, collect/analyze/report on data, prepare reports on performance and metrics, and other responsibilities of a similar nature and level. The Lead OP Medical Coder is responsible for serving as a subject matter expert in coding processes, providing advanced technical guidance, and ensuring coding accuracy, compliance, and productivity standards are met. The position supports coders and auditors through consultation, mentoring, and...

Salary : $105,597.80 - $145,114.92 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...

Payment Integrity Nurse Coder RN III Salary Range: $102,183.00 (Min.) - $163,492.00 (Max.) L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Job Summary The Payment Integrity Nurse Coder RN III is responsible for investigating, reviewing, and providing clinical and/or coding expertise/judgement in the application of medical and reimbursement policies within the claim adjudication process through medical record review for Payment Integrity and Utilization Management projects. The position serves as a subject matter expert (SME), performing medical records reviews to include quality audits as well as validation of accuracy and completeness of all coding elements. The position is also responsible for guidance related to Payment Integrity initiatives to...

Position Overview We are seeking a meticulous and detail-oriented Medical Coder specializing in professional services, experience coding General and Orthopedic surgery with emphasis on spine and sports medicine. The ideal candidate will possess a strong understanding of coding guidelines, regulations, and reimbursement methodologies relevant to professional services in healthcare. Responsibilities Accurately assign CPT, HCPCS, and ICD-10 codes for professional services. Review medical documentation to ensure coding compliance with regulatory and organizational guidelines. Collaborate with healthcare providers and coding auditors to resolve coding discrepancies or documentation issues. Maintain proficiency in current coding practices, regulations, and industry updates to ensure accurate and up-to-date coding. Support internal teams by providing coding insights, education, and training on best practices related to professional services coding. Identify and...

Our Client, a Healthcare company, is looking for a Specialty Physician Coder for their Remote, CA location. Responsibilities: Proficient in Microsoft Office suite. Proficient in Epic software. Strong analytical skills. Strong critical thinking skills. Detail oriented. The ability to anticipate, research, and resolve problems/strong problem-solving skills. Strong understanding of the healthcare revenue cycle. Excellent communication skills with the ability to communicate information accurately and clearly. The ability to manage interpersonal relationships and effectively communicate with clinical partners and fellow business center teams. Provide excellent customer service and address a moderate amount of incoming email and phone calls. Collaborative team player with the ability to adapt to the ever-changing healthcare environment. Professional demeanor at all times. The ability to handle complex and confidential information with...