83 supervisor medical coding jobs found

Job Title: Medical Biller II Salary: $25hr-$28hr DOE Location: Tustin, CA Openings: 1 Position Purpose: The Medical Billing Specialist II supports the revenue cycle team by independently performing a broad range of billing functions with moderate complexity. This role is responsible for accurate insurance verification, charge entry, claim submission, payment posting, and resolution of routine denials to ensure compliance with payer requirements and timely reimbursement. Core Duties and responsibilities, include but are not limited to: Insurance & Eligibility Verification Verify complex insurance coverage (Medi-Cal, Medicare, Managed Care, Commercial, PPO/HMO). Research and resolve discrepancies in patient coverage or eligibility. Document eligibility outcomes in the EHR/PM system. Charge Entry & Coding Support Perform charge entry and apply CPT, ICD-10, and HCPCS codes. Review encounter forms for accuracy; flag missing or incorrect...

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. Researches and analyzes data needs for reimbursement. Analyzes medical records and identifies documentation deficiencies. Serves as resource and subject matter expert to other coding staff. Reviews and verifies documentation supports diagnoses, procedures and treatment results. Identifies diagnostic and procedural information. Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes. Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines. Follows coding conventions. Serves as coding consultant to care providers. Identifies discrepancies, potential quality of care, and billing issues. Researches, analyzes, recommends, and facilitates plan of action...

Sr Coder Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 138 hospital-based locations, in addition to its home-based services and virtual care offerings. The posted compensation range of $32.38 - $48.17 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law. As a Senior Coder, you will act as the lead coder for your designated team. This position will train staff on department policies, procedures, systems and correct coding...

Essential Duties Inpatient coding of all diagnostic and procedural information from the medical records using ICD-10-CM, ICD-10-PCS, and CPT/HCPCS, and Modifier classification systems and abstracting patient information as established and required by official coding laws, regulations, rules, guidelines, and conventions. Reviews the entire medical record; accurately classify and sequence diagnoses and procedures; ensure the capture of all documented conditions that coexist at the time of the encounter/visit, all medical necessity diagnoses, complications, co-morbidities, historical condition or family history that has an impact on current care or influences treatment, and all external causes of morbidity. Enter patient information into inpatient and outpatient medical record databases (ClinTrac/HDM). Ensures accuracy and integrity of medical record abstracted UB-04 & OSHPD data elements prior to billing interface and claims submission. Works cooperatively with HIM Coding...

Job Overview The HCC Auditor/Coder’s primary objective is to continually improve providers’ reporting and documentation of chronic health care conditions. This is achieved by auditing providers’ patient medical records, reviewing super bills and patient medical records for proper use of diagnosis and procedure codes, and providing education on best coding practices. The role works as an integral member of the Finance Department and interfaces effectively with physicians and office staff on coding issues while researching coding questions as needed. Responsibilities Conduct audits of provider office records and online records by reviewing patient medical records. Review a wide variety of document types, including primary and specialty care records, mental health, substance abuse, inpatient, outpatient, non-submittals (lab), ancillary and pharmaceutical services for HCC values. Provide education to providers and staff on audit findings and communicate best coding practices....

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, you will assign ICD‑10‑CM and CPT codes for patients receiving services at CSMC and Cedars‑Sinai affiliates and their locations. You will accurately assign all applicable modifiers for all patients to assure optimal reimbursement and the highest quality data possible. Performs accurate and timely coding (CPT, ICD‑10, HCPCS, modifiers). Maintains familiarity with issues like coding regulations,...

Job description TITLE: MEDICAL BILLING SPECIALIST DEPARTMENT: FISCAL SUPERVISOR: FINANCIAL SERVICES MANAGER CLASSIFICATION: FULL TIME NON-EXEMPT POSITION SUMMARY: Processes Medical billing in accordance with Fiscal Policies and Procedures. Maintains all billing records and computerized billing software. Biller to optimize reimbursements from third party payers. Ensures that the goals and objectives of the department are consistent with LCTHC policy and any governmental regulations. ESSENTIAL JOB FUNCTIONS: • Responsible for completing insurance claims for designated third party payers in a timely manner, • Responsible for correcting all errors in RPMS for orphan test, missing information, etc. prior to submission of claims to insurer. • Responsible for assuring that all coding (CPT, ICD-9, HCPCS, etc.) are applied and billed in the correct manner to the insurance company. • Validates compatibility and medical necessity between CPT and ICD-9 coding. • Inputs computer...

Mission Statement: The Mission of JWCH Institute is to improve the health status and well-being of under-served segments of the population of Los Angeles area through the direct provision or coordination of health care, health education, services, and research. Position Purpose: The Medical Biller is responsible for reviewing patient encounters, ensuring billing accuracy, and processing claims for various payer sources. This position plays a critical role in maximizing revenue by adhering to payer guidelines, investigating discrepancies, and ensuring timely payment processing. The Medical Biller will also work closely with the Billing Supervisor to provide updates on billing discrepancies, manage rebills, adjustments, write-offs, and ensure payment posting is up to date. Principal Responsibilities: Review all patient encounters for discrepancies in a timely manner to prevent submission errors to insurance providers. Monitor and update patient information in the...

Position Purpose: The Certified Medical Coder plays a crucial role in the Billing Department by ensuring precise and compliant coding of medical services. Under the guidance of the Billing Department Supervisor, the Coder will assign appropriate diagnosis and procedural codes for services provided by JWCH physicians, adhering to industry standards and legal requirements. This position involves validating and auditing coding practices to guarantee accuracy in billing, supporting optimal reimbursement, and maintaining adherence to regulatory guidelines. Duties and Responsibilities: Serve as the primary liaison between providers and the Billing Department, effectively communicating to clarify diagnoses, procedures, coding, and documentation requirements. Recommend appropriate ICD-10-CM, CDT diagnosis codes, CPT codes, and HCPCS codes. Regularly review diagnosis and procedure coding within NextGen to ensure optimal billing accuracy. Collaborate with clinicians on the...

Western Growers Health Western Growers Health provides employer-sponsored health benefit plans to meet the needs of those working in the agriculture industry. The unmatched benefit options provided by Western Growers Health stem from the core mission of Western Growers Association to support the business interests of employers in the agriculture industry. Our mission at Western Growers Health is to deliver value to employers by offering robust health plans that meet the needs of a diverse workforce. By working at Western Growers Health, you will join a dedicated team of employees who care about offering quality health benefits and excellent customer service to plan participants. If you want to start making a difference working in the health care industry, then apply to Western Growers Health today. Compensation: $46,669.19 - $65,668.50 with a rich benefits package that includes profit-sharing. This is a remote position and can reside anywhere in the U.S. Job Description...

Facility: Copley Drive City San Diego Department Job Status Regular Shift Day FTE 1 Shift Start Time Shift End Time Certified Professional Coder (CPC) - AAPC; Certified Coding Specialist--Physician-based (CCS-P) - The American Health Information Management Association (AHIMA) Hours : Shift Start Time: Variable Shift End Time: Variable AWS Hours Requirement: 8/40 - 8 Hour Shift Additional Shift Information: Flex hours are 6:00-9:00 am to 14:30-17:30 pm Weekend Requirements: As Needed On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $34.170 - $44.090 - $49.370 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position.? The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates,...

Billing Specialist - Leading TX Center for over 40 years This Jobot Job is hosted by: Jamal Elkhateib Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $23 - $28 per hour A bit about us: We are a long-standing nonprofit treatment provider with over five decades of service in the recovery community. For over 40 years, we’ve helped more than 50,000 individuals overcome health challenges through compassionate, evidence-based care. With 300+ residential beds and a dedicated team of 150+ staff, interns, and volunteers, we offer comprehensive services that promote long-term sobriety and personal growth. Why join us? Medical Dental Vision 401K Growth Options Job Details The billing specialist ensures accurate and timely billing for services provided. This role is responsible for preparing, reviewing, and submitting claims, resolving denied or unpaid claims, and maintaining compliance with local, state, and federal...

*Description* The HCC Auditor/Coder's primary objective is to continually improve providers' reporting and documentation of chronic health care conditions. This is done through auditing providers' patient medical records and providing education on best coding practices. Code review super bills and patient medical records for proper use of diagnosis and procedure codes. Works as an integral member of the Finance Department. Code review super bills and patient medical records for proper use of diagnosis and procedure codes. Interface effectively with physicians and office staff on coding issues. Research coding questions as needed. Code review a wide variety of document types, i.e., Primary and specialty care medical records, mental health, substance abuse, in-patient, out-patient, non-submittals (lab), ancillary and pharmaceutical services for HCC values. Perform both provider office audits and on-line audits via reviewing patient medical records. Provide education to...

We are looking for experienced HCC Risk Adjustment Auditors/Coders to join our team! Position Summary: The HCC Risk Adjustment/Auditor is responsible for maintaining and monitoring the Quality Assurance auditing plan for outpatient clinical data. This position works to improve the quality of coding documentation and data in the medical record and HCC database. The HCC Risk Adjustment/Auditor reports on the accuracy and consistency of the data in accordance with accepted and established standards. Risk Adjustment Auditors collaborate with the Manager to provide expertise in the use and application of coding classifications, such as ICD-9-CM and/or ICD-10-CM. Auditors also record documentation to ensure compliance in the collection of outpatient diagnoses and services. Essential Duties and Responsibilities include the following: Works as an integral member of the Finance Department. Code review super bills and patient medical records for proper use of diagnosis and...

Job Description Job Description Mission Statement: The Mission of JWCH Institute is to improve the health status and well-being of under-served segments of the population of Los Angeles area through the direct provision or coordination of health care, health education, services, and research. Position Purpose: The Medical Biller is responsible for reviewing patient encounters, ensuring billing accuracy, and processing claims for various payer sources. This position plays a critical role in maximizing revenue by adhering to payer guidelines, investigating discrepancies, and ensuring timely payment processing. The Medical Biller will also work closely with the Billing Supervisor to provide updates on billing discrepancies, manage rebills, adjustments, write-offs, and ensure payment posting is up to date. Principal Responsibilities: Review all patient encounters for discrepancies in a timely manner to prevent submission errors to insurance providers. Monitor and update...

Overview GeBBS Healthcare Solutions is a leader in Health Information Management and Revenue Cycle Management. We are dedicated to fostering a culture of excellence and collaboration in the healthcare industry. We are currently seeking credentialed Outpatient Facility Coding Specialists with a minimum of 3 years of experience to join our dynamic team. Position Overview As an Outpatient Facility Coding Specialist, you will play a crucial role in coding all diseases, operations, and procedures for outpatients in accordance with ICD-10-CM, UHDDS, and AMA CPT-4 standards. Your expertise in large trauma Level I facilities will be invaluable in ensuring the accuracy and compliance of our coding practices. Key Responsibilities Code all outpatient procedures according to client specifications. Abstract patient data, ensuring accuracy and compliance with client policies. Stay updated on coding policies and procedures; seek clarification on ambiguous information. Utilize healthcare...

Apply for Job Job ID 83608 Location Sacramento Full/Part Time Part Time Add to Favorite Jobs Email this Job Job Summary #CA-KN Under the general direction of the Supervisor, incumbent performs abstracting of medical services provided by UCDHS and affiliates. Incumbent identifies all billable services (IP Professional, Outpatient professional and facility, Hospital Service Departments, Freestanding, and Ancillary Services), CPT-4, ICD-10, and HCPCS codes for billing purposes to government agencies, insurance companies and patients. Incumbent is responsible for the accuracy of above procedure and diagnosis coding relative to corresponding documentation and standards. Incumbent will ensure compliance to all federal, state and carrier specific rules, regulations and requirements related to professional fee services are adhered to. Apply By Date: 3/9 /2026 at 11:59 pm - Interviews and recruiting process may occur at any time Minimum Qualifications - For full...

Job Description Job Description South Los Angeles based FQHC looking for onsite Certified HCC coder . *This is not a remote position Conduct the necessary audits of medical record to verify the physicians have appropriately documented the diagnoses then code these diagnoses in ICD-10 for Medicare Risk Adjustments/Medicare Advantage. Evaluate medical information (Outpatient/Inpatient) documentation from a clinical standpoint for evidence of the possibility of additional medical conditions that may not have been documented in the past, and ensure accurate coding of the encounter data and recommend processes for accurate coding practices. This process involves a very strong understanding of medical coding. Ascertain that medical record documentations have accurate diagnoses and conditions to assure not to up-code, fraudulently or misrepresent the patient condition and ensure compliance to prepare for random CMS medical records audit HEDIS coding and record collection...

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 I be Doing in this Role? Under the general direction of the HID Audit Supervisor, the role operates as a Coding Auditor and shall: Monitor coding compliance through prebill and retrospective reviews or audits of ICD and/or CPT codes assigned by coding staff. Monitor coding compliance by performing focused audits on high-risk areas identified by the Office of Inspector General (OIG) and the Centers of Medicare and Medicaid Services (CMS). Identify through focused audits...

Medical Biller/Collections Responsible for productive and timely revenue generation, maintaining accounts receivable assigned Private Pay Financial Classes. A significant goal is to lead, initiate, develop and maintain interdepartmental communication to prevent delinquent accounts. Assure steady positive cash flow as a member of the billing team. Expectations: Arrives on time and adheres to set schedule. Bills assigned accounts timely and accurately. Performs timely month closing, balancing reports accurately as per Camarena Health protocol. Consistently and openly communicates with Billing Supervisor, team members and other staff. Collects and records data accurately. Works flexible or extended hours when necessary. Participates in health center in-services, listening and respecting others' ideas. Abides by Rules of Confidentiality. Demonstrates awareness of, and compliance with, organizational mission and objective of Camarena Health to provide health care...

Position Purpose The Certified Medical Coder plays a crucial role in the Billing Department by ensuring precise and compliant coding of medical services. Under the guidance of the Billing Department Supervisor, the Coder will assign appropriate diagnosis and procedural codes for services provided by JWCH physicians, adhering to industry standards and legal requirements. This position involves validating and auditing coding practices to guarantee accuracy in billing, supporting optimal reimbursement, and maintaining adherence to regulatory guidelines. Duties and Responsibilities Serve as the primary liaison between providers and the Billing Department, effectively communicating to clarify diagnoses, procedures, coding, and documentation requirements. Recommend appropriate ICD-10-CM, CDT diagnosis codes, CPT codes, and HCPCS codes. Regularly review diagnosis and procedure coding within NextGen to ensure optimal billing accuracy. Collaborate with clinicians on the correct use of...

Join to apply for the Claims Edit Coder role at Cedars‑Sinai . Job Description Bring your whole self to exceptional care. Cedars‑Sinai was tied for #1 in California in U.S. News & World Report's "Best Hospitals 2024‑25" rankings, and it's all thanks to our team of 14,000+ remarkable employees! What you will be doing in this role The Claims Edit Coder (Coder II) operates under the general direction of an audit supervisor and involves responsibilities across various work units, as well as duties specific to the reporting team. In this role, the Coder II reviews ICD‑10‑CM diagnosis coding and Current Procedural Terminology (CPT) procedure code for claim edit fall outs. The position entails conducting modifier review and assignment, handling complex coding edits that necessitate research and resolution, and validating key data elements like the billing physician and date of service. You are expected to abstract coded data accurately and promptly into the applicable system...

Job Description Job Description Job Summary Medical Biller The Medical Biller reports to the Billing Manager in person at out office in Ontario, CA and is responsible for the accurate, compliant, and timely billing of clinical laboratory services, including blood testing, microbiology/culture testing, and toxicology services. This role requires strong expertise in Medicare Part A vs Part B billing, skilled nursing facility (SNF) workflows, and commercial payer laboratory billing rules. The Medical Biller manages claims from Pending Review through payment resolution while ensuring full compliance with Medicare, Medicaid, and commercial payor regulations. No Remote Work Available Supervisory Responsibilities None Essential Duties and Responsibilities Laboratory Billing & Claims Management Review laboratory patient demographics, insurance, ordering provider, and facility information. Prepare, review, and submit insurance claims for laboratory services...

Please note, pay rates for non-physician positions are determined based on related years of experience and internal equity. Physician compensation is based upon specialty and includes consideration of bonus potential. Additional information for non-physician positions on Cottage Health’s comprehensive Total Rewards program can be found at cottagehealth.org/careers/total-rewards. Job Description Codes and abstracts conditions, diseases, reason for encounters, social determinants of health and outpatient procedures to report accurate administrative and clinical data, utilizing approved coding guidelines as set forth in Official Coding Guidelines, ICD Book, Coding Clinic for ICD-CM/PCS, AHA Coding Clinic for HCPCS and CPT Book. Responsibilities This is not an exhaustive statement of duties, responsibilities, or requirements. Employees will be required to perform any job, with related instruction given by their supervisor, subject to reasonable accommodation. Codes and abstracts...