165 physician coder jobs found

Specialty Physician Coder 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: GYNONC coding experience Experience working on denials 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 reviewing and analyzing specialty...

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...

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...

Our 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 monitoring, criteria for benchmark...

Title: Specialty Physician Coder - General Surgery (Surgical Breast Oncology and General Hematology/Oncology) Location: Fountain Valley, CA (Predominately Remote / Must be located in California) Department: Document Improvement Status: Full-Time Shift: Days (8hr) Pay Range*: $33.79/hr - $49.00/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...

Job Title Radiation Oncology Coder Job Description Responsibilities Reports to: Manager, Coding The radiation oncology coder will be responsible to abstract orders, charges and related diagnoses from radiation oncology records to ensure services billed are consistent with the record documentation The coder will ensure compliance with all the clinical billing and coding regulations and will work with the faculty and staff to ensure accurate documentation of billable services The coder will determine and input appropriate ICD-10 CM and other codes for all radiation therapy procedures and analyze and validate that all charges are interfaced with the appropriate ICD10 and CPT codes The coder will be become efficient with the record and verify system ARIA where they will review the department daily charges for accuracy prior to interface from ARIA to EPIC Is always compassionate and empathetic for both patients and team members; makes eye contact, smiles and or...

Responsibilities Position Summary: Under the supervision of the Director of HIM (Health Information Management), the HIM Coder is responsible for coding and abstracting medical records, including all diagnoses for inpatient and partial hospitalization medical records, using the International Classification of Diseases (ICD-10-CM), and entering coded information into the MIRA computer system. Performs related work as required. 100% on-site position. Remote work or hybrid schedules are not available for this role. Qualifications Education: Graduation from a HIM program preferred; high school or equivalent, with knowledge of general office skills required. Experience: RHIA or R.H.I.T required with 1 year coding experience or CCA with 2 years coding experience, or CCS or CC-P with 1 year coding experience, and at least one year of experience in a HIM department. Knowledge of medical terminology, anatomy, physiology, and ICD-10-CM classification system is required. Computer...

Medical Coder Busy specialty medical office is seeking an experienced Medical Coder with one year minimum experience to support a high-volume, multi-provider practice. This role is ideal for someone who is accurate, detail-oriented, dependable, and able to manage medical coding responsibilities in a fast-paced environment. Responsibilities Review patient records, physician notes, lab reports, procedures, and diagnoses Assign and enter standardized medical codes accurately Perform hospital charge posting and coding support Ensure coding documentation is complete and compliant Maintain accuracy and strong follow-through on all assigned work Qualifications Minimum 1 year of medical coding experience required Experience with hospital charge posting preferred Strong attention to detail and organizational skills Ability to work efficiently in a fast-paced medical office Dependable with strong attendance and reliability Professional communication and strong clerical...

DESCRIPTION OF POSITION This job description is a record of the essential functions of the listed job. The job description provides the employee, CEO, Human Resources, applicants, and other agencies with a clear understanding of the job, where it fits into the organization, and the skill and work requirements in relation to other jobs. Jobs are always changing to some degree and the existence of the approved job description is not intended to limit normal change and growth. The facility will make reasonable accommodations to otherwise qualified individuals who are capable of performing the essential functions of the job with or without reasonable accommodation. POPULATION SERVED The position involves no direct patient care for a population of patients ages 18 and older. Age specific experience and/or special training and/or expertise are not required. POSITION SUMMARY The Inpatient Coder is responsible for admissions, concurrent and discharge coding; assembling of...

Job Description Skilled Wound Care is looking for a Lead Medical Biller to join our rapidly growing company! We are a mobile surgical physician wound care group expanding into new markets of the United States. The Lead Medical Biller is a critical leader responsible for ensuring the financial health of our organization by overseeing the daily operations of the billing team. This role requires advanced expertise in the end-to-end claims lifecycle, ensuring maximum revenue capture through accurate, compliant, and timely submission of medical claims across all payer types (private, government, and third-party). You will be the primary subject matter expert, driving team performance, resolving complex billing issues, and upholding strict adherence to all federal, state, and FQHC-specific billing regulations. Position is hybrid at our office in Playa Vista, CA Responsibilities Supervise & Train: Lead the training and mentorship of new billing hires, ensuring rapid integration and...

Description Under direction of the Coding Supervisor and Coding Manager, performs coding audits of patient care billing documentation to ensure adherence with CPT and ICD coding guidelines and federal, state, and commercial payor billing and payment policy for all services provided by Providence Medical Foundation. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we Providence know that to inspire and retain the best people, we must empower them. Required qualifications: Upon hire: National Certification from American Academy of Professional Coders. Or Upon hire: National Certified Coding Associate - American Health Information Management Association. Or Upon hire: National Certified Coding Specialist - American Health Information Management...

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 and CPT 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-10 CM/CPT 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-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Sr. Cancer Center Specialty Certified Coder 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: Codes for cancer center encounters and maintains required quality and productivity standards while remaining compliant with third party, state and federal regulations. Reviews and resolves medical necessity edits that may apply for any outpatient surgical encounters, applying hospital and professional modifiers to CPT codes and processes any errors associated with the revenue cycle process. Assists in the design and implementation of workflow...

Job Posting 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 inpatient records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines. Records types including inpatient encounter types. Works on routine assignments within defined parameters, established guidelines and precedents. Follows established procedures and receives daily instructions on work. Job Requirements: Education and Work Experience: High School Education/GED or equivalent: Required...

Coding Auditor Under direction of the Coding Supervisor and Coding Manager, performs coding audits of patient care billing documentation to ensure adherence with CPT and ICD coding guidelines and federal, state, and commercial payor billing and payment policy for all services provided by Providence Medical Foundation. Providence caregivers are not simply valued they're invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we Providence know that to inspire and retain the best people, we must empower them. Required qualifications: Upon hire: National Certification from American Academy of Professional Coders. Or Upon hire: National Certified Coding Associate - American Health Information Management Association. Or Upon hire: National Certified Coding Specialist - American Health Information Management Association. Or...

Coder (Hospital Billing) The Coder (Hospital Billing) reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM and ICD-10-PCS 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. Responsibilities Verifies that all ICD-10-CM and ICD-10-PCS codes are correctly captured. Verifies that physician and other key information is correctly abstracted. Resolves billing related errors and assists with workflow changes and process improvement projects. Meets ongoing productivity and quality accuracy rate of 95% or better. Coder III assigns codes for diagnoses, treatment, and procedures for inpatient surgeries. Determines the correct principal diagnosis, co-morbidities,...

Certified Medical Records Coder Positions The County of Riverside - Riverside University Health System- Medical Records Department is seeking to fill multiple Certified Medical Records Coder positions. The incumbents will be responsible for performing advanced coding and abstracting of outpatient medical record entries according to the most current edition of International Classification of Diseases Clinical Modification System (ICD-CM) and Current Procedural Terminology (CPT); performs other related duties as required. The Certified Medical Records Coder - Outpatient classification performs coding and abstracting of a high volume of patient records in the Medical Records Department and reports to an appropriate supervisory or manager level position. Candidates with acute hospital experience are encouraged to apply. Applicants will be tested as part of the hiring process. Work Schedule: 5/40, M-F, Day Shift (rotating holidays required) Schedule & Availability: This...

Job Description Responsibilities Come and join the RMC Family! We have been in the community since 5. Our mission is to provide comprehensive multi-specialty medical services in the greater Riverside region. Your passion, inspiration, and talents are invaluable to us and our mission to serve others. Our facility can provide a place for you to thrive and continue your professional development. Quality Healthcare is our passion, improving lives is our reward. We are working to change lives and transform the delivery of healthcare. Riverside Medical Clinic is the best place to work, practice medicine, and receive care. SUMMARY: Responsible for abstracting, reviewing, auditing and the education of all coding and compliance processes, as they relate to CPT, HCPCS and ICD and/or HCC activity. QUALIFICATIONS : To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge,...

Responsibilities Come and join the RMC Family! We have been in the community since 5. Our mission is to provide comprehensive multi-specialty medical services in the greater Riverside region. Your passion, inspiration, and talents are invaluable to us and our mission to serve others. Our facility can provide a place for you to thrive and continue your professional development. Quality Healthcare is our passion, improving lives is our reward. We are working to change lives and transform the delivery of healthcare. Riverside Medical Clinic is the best place to work, practice medicine, and receive care. SUMMARY Responsible for abstracting, reviewing, auditing and the education of all coding and compliance processes, as they relate to CPT, HCPCS and ICD and/or HCC activity. Qualifications EDUCATION and/or EXPERIENCE : One year minimum experience in the HCC coding field and/or CPT, HCPCS and ICD experience. Proficient in excel and computer friendly. CERTIFICATES, LICENSES, AND...

Job Details Location: Huntington Beach Office, Huntington Beach, CA 92647. Position Type: Full Time. Salary Range: $72,800.00 – $80,000.00. This position operates on a hybrid work schedule. Candidate must reside in Los Angeles or Orange County. Job Summary The Risk Adjustment Coding Auditor is responsible for conducting retrospective and prospective coding audits, diagnosis validation reviews, provider documentation assessments, and compliance monitoring activities to support accurate Medicare Advantage risk adjustment reporting and CMS audit readiness. This role reviews medical record documentation and ICD-10-CM diagnosis coding to ensure compliance with CMS Risk Adjustment program requirements, Official Coding Guidelines, AHA Coding Clinic guidance, and organizational policies. Functions & Responsibilities Conduct retrospective, prospective, and targeted coding audits to assess the accuracy, completeness, and compliance of ICD-10-CM diagnosis coding and HCC capture....

Who We Are UCI Health is one of California's largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a 1,461-bed health system that includes UCI Health - Orange, UCI Health - Irvine, four Community Network hospitals and a growing network of ambulatory care centers across Orange and Los Angeles counties. As Orange County's only academic health systems, UCI Health is home to the only National Cancer Institute-designated comprehensive cancer center based in the county, the region's only American College of Surgeons-verified Level I adult and Level II pediatric trauma center, American College of Emergency Physicians Gold Level 1 Geriatric Emergency Department and a nationally recognized regional burn center verified by the American Burn Association. Powered by UC Irvine, UCI Health serves 5.6 million people across Orange County, western Riverside County and southeast Los Angeles...

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 also were awarded the Advisory Board Company’s Workplace of the Year. We provide an outstanding benefit package that includes healthcare, paid time off and a 403(b). Join us! Discover why U.S. News & World Report has named us one of America’s Best Hospitals. What will you be doing in this role? Under general direction of the Coding Supervisor, (using knowledge of CSMC and Official Coding guidelines, medical terminology, anatomy and physiology, and pathological basis of disease, documented treatment and procedures performed at CSMC and Cedars-Sinai Affiliates and their locations) assigns ICD-10-CM and CPT codes for patients receiving services at CSMC. Accurately assigns all applicable modifiers for all patients to assure...

Certified Coder Professional Reporting to the Manager Physician Coding Services, the Certified Coder Professional will be responsible for reviewing and evaluating clinical documentation within medical records to ensure high quality and compliant coding. The Certified Coder Professional will provide training, consultation, and feedback to clinicians on their documentation and coding to ensure Emanate Health Medical Group receives appropriate reimbursement and conforms to applicable guidelines and regulations. Collaborates with Emanate Health's Compliance team and with all third party billing and reimbursement requirements including, but not limited to, the requirements of Medicare and Medicaid programs. Serves as the coding subject matter expert for the physicians. Minimum Education Requirement: Associate degree preferred; college degree preferred, knowledge of Medical Terminology, Anatomy & Physiology and Computer experience. Minimum Experience Requirement: Minimum of 2+...

DRG Coder The Senior DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS to determine the appropriate Diagnosis-Related Group (DRG) assignment. This role ensures coding accuracy, reimbursement integrity, and compliance with federal and state regulations, payer guidelines, and internal policies. In an Independent Practice Association (IPA) and Management Services Organization (MSO) environment, the Senior DRG Coder partners with utilization management, care management, finance, and provider network teams to support accurate payment, risk adjustment, quality reporting, and medical expense analysis. What You'll Do Review inpatient hospital records and assign accurate diagnosis and procedure codes Determine the appropriate MS-DRG or APR-DRG assignment based on coding and clinical documentation Conduct coding validation and auditing to ensure compliance with payer and regulatory...