105 professional coder 2 jobs found

Coder page is loaded## Coderlocations: Arcata, CAtime type: Full timeposted on: Posted 2 Days Agojob requisition id: JR100530**Committed to Our Community in the Heart of the Redwoods. Removing Barriers to Healthcare Access**Greenway AdminOpen Door Community Health Centers (ODCHC) relies on billing for services rendered and generated revenue for a significant portion of its operating budget. ODCHC is committed to proper billing procedures, documentation and review in compliance with federal and state laws and regulations and private payor requirements. The Coder I, working in collaboration with other Billing and Coding staff and the Coding Manager, is responsible for ensuring that documentation submitted by providers are accurately coded, including a congruence of final diagnoses, professional services, and procedures. As needed, Coder I will query providers as needed to resolve discrepancies in documentation, apply proper assignment of ICD, CPT and HCPCS codes and/or...

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. This position is hybrid- remote in Orange, CA. The Hierarchical Condition Categories (HCC) Coding Analyst will effectively interface with provider partners, to successfully, monitor and implement HCC coding strategies. Audit all RAPS submissions to ensure accuracy in the data provided to Centers for Medicare and Medicaid Services (CMS). Provide...

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...

Lead Medical Biller 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...

Codes and abstracts documents such as patient charts and pathology reports utilizing diagnostic codes. Enters data into computer system(s). Essential Duties: Abstracts and assigns accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic). Reviews and edits previously submitted charges as needed due to identified billing errors and/or insurance requirement changes. Provides completed patient data to billing staff or designated personnel. Answer incoming calls from billers, front desk staff and clinical staff as needed assisting in what may be necessary to satisfactory resolution of the issues. Review and resolve insurance denials by examining the provider documentation. Consults with medical providers to clarify missing or inadequate record information and to determine...

Pharmacy Technician Location: Laguna Hills Department: Pharmacy Status: Full Time Shift: Variable Pay Range: $27.80/hr-$40.32hr Purpose Statement / Position Summary: Provide a summary of the position describing the primary objective of the position (e.g. Why does the position exist). This position requires the full understanding and active participation in fulfilling the mission of Saddleback Medical Center. It is expected that the employee demonstrate behavior consistent with our core values: Integrity, Accountability, Best Practices, Compassion and Synergy. The employee shall support Saddleback Medical Center's strategic plan and participate in and advocate performance improvement/patient safety activities. The Pharmacy Technician is an integral member of the Department of Pharmacy. The Pharmacy Technician, under the direct supervision of a Pharmacist, assists in preparation, dispensation, and inventory management of all medications and supplies in the Department of...

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...

UCI Health UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America's Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County's only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los...

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...

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. The Certified Medical Records Coder - Outpatient is distinguished from the Certified Medical Records Coder - Inpatient in that the latter requires extensive knowledge of complex code and Diagnosis Related Group (DRG)...

Medical Coding Specialist Codes and abstracts documents such as patient charts and pathology reports utilizing diagnostic codes. Enters data into computer system(s). Essential Duties: Abstracts and assigns accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic). Reviews and edits previously submitted charges as needed due to identified billing errors and/or insurance requirement changes. Provides completed patient data to billing staff or designated personnel. Answer incoming calls from billers, front desk staff and clinical staff as needed assisting in what may be necessary to satisfactory resolution of the issues. Review and resolve insurance denials by examining the provider documentation. Consults with medical providers to clarify missing or inadequate record information and to...

Stryker Corporation seeks a skilled coder to manage diagnostic and procedure coding for outpatient hospital professional accounts. The role is remote across the U.S., offering a chance to directly impact health outcomes. Qualified candidates will have a High School Diploma, professional coding certification, and 2+ years of relevant experience. Benefits include medical plans, paid time off, and 401(k) savings. #J-18808-Ljbffr

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Caring. Connecting. Growing together. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital professional accounts Assigns CPT and ICD-10 codes to all RAD-ONC Monitors assigned work queues to ensure all records are charged/coded in a timely manner Generates coding queries for clarification regarding physician documentation as needed Stays abreast of all changes in coding conventions and coding updates Ability to manage significant workload, and to work efficiently...

Requisition number: 2339773 Job category: Medical & Clinical Operations Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital professional accounts...

A healthcare organization is seeking a Senior Specialty Physician Coder to review and analyze specialty coding and billing for charge processing. In this role, you will be responsible for accurately coding procedures for reimbursement while ensuring compliance with regulations. Ideal candidates will have at least 5 years of experience in medical coding, including 2 years in specialty coding. The position offers a predominantly remote work environment and a full-time schedule. #J-18808-Ljbffr

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...

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...

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...

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...

Position Summary The Specialty ROCC Coder III performs abstracting and coding using ICD-10‑CM and CPT on all IR/Vascular and Radiation Oncology accounts at UCI Medical Center in accordance with practice policy and regulatory guidelines. The incumbent is responsible for Hospital and Professional coding on certain encounters, uses the 3M encoder and the Epic computer system for coding and data entry, communicates with physicians to obtain or clarify diagnosis and/or procedures via the query process, and prepares and compiles daily, weekly and monthly production reports. The coder also participates in departmental PI projects and performs related duties as assigned to meet operational needs. Required Qualifications Successful completion of a twelve‑month AHIMA approved coding certificate program. Skill, knowledge and ability essential to the successful performance of the job duties. Skill to effectively assign codes. Must be customer‑service oriented and possess excellent written...

Position Summary The Specialty ROCC Coder III performs abstracting and coding, using ICD‑10 CM and CPT, on all IR/Vascular accounts or Radiation Oncology accounts at UCI Medical Center in accordance with practice policy and regulatory guidelines. Incumbent will be responsible for Hospital and Professional coding on certain encounters. Accounts are coded utilizing the 3M encoder and the Epic computer system for coding and data entry. The coder will communicate with physicians to obtain or clarify diagnosis and/or procedures via the query process. Additional duties include preparing and compiling daily, weekly and monthly production reports, participating in departmental PI projects and performing related duties as assigned to meet operational needs. Responsibilities Abstract and code IR/Vascular and Radiation Oncology accounts using ICD‑10 CM and CPT. Identify and resolve coding queries with physicians. Enter coded data into the Epic system and 3M encoder. Prepare and compile...

Medical Coder The Medical Coder is responsible for assigning ICD-10-CM and/or CPT/HCPCS codes as appropriate and abstracting pertinent information from patient records. Minimum Requirements: Must hold at least one of the following certifications: RHIA, RHIT, CCS, CCS-P, CPC, CPC-H (COC) for a minimum of 2 years and have a minimum of 2 years relevant coding experience Must be at least 18 years of age Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: Competitive pay & weekly paychecks Health, dental, vision, and life insurance 401(k) savings plan Awards and recognition programs About Amergis Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work...