25 ccs certified coding specialist jobs found in Fairfield, CA

NorthBay Health is seeking an ED Professional Coder II to translate medical procedures into appropriate codes accurately and promptly. This role requires a deep understanding of medical coding guidelines and effective communication with healthcare providers. Ideal candidates should have significant coding experience and relevant certifications. The position works hybrid remote, allowing flexibility for qualified individuals located within the continental U.S. #J-18808-Ljbffr

NorthBay Health is seeking a Professional Surgical Coder to accurately translate medical procedures into ICD 10, CPT, and HCPCS codes. Candidates must have at least five years of surgical coding experience in both inpatient and outpatient settings. This remote position requires a strong understanding of coding guidelines and medical terminology. NorthBay Health offers a competitive compensation of $42.24 to $51.34 per hour based on experience, along with comprehensive benefits. #J-18808-Ljbffr

Radiation Oncology Certified Coder Assigns diagnosis and procedure codes for outpatient surgical or specialty encounters in the hospital or physician office setting. Abstracts required data elements for billing, reimbursement and state reporting. Queries providers regarding incomplete or inconsistent documentation. Resolves claim edits or claim denials related to coding. Ensures all collected data is accurate, complete and compliant with state and federal regulations as well as Official Guidelines for Coding and Reporting. Accurately assigns ICD-10 diagnosis and CPT procedure codes for outpatient specialty services in the hospital or office setting. Abstracts data elements based on defined standards and regulatory requirements. Recognizes incomplete or missing documentation necessary to support code assignment and escalates appropriately to ensure timely resolution. Ensures assigned codes reflect the highest degree of specificity supported by the provider documentation....

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

Medical Billing Supervisor At Solano County, our mission is to serve the people and to provide a safe and healthy place to live, learn, work and play. The mission of Solano County Health and Social Services Department is to promote healthy, safe and stable lived. To learn more about the Health and Social Services Department click here. The Medical Billing Supervisor plans, organizes and supervises the medical insurance billing functions and accounting/clerical staff for the Department of Health and Social Services' Medical Billing Unit; assists in developing, implementing and maintaining the department-specific patient accounting and billing systems; serves as the electronic health record billing liaison between the County and the State; and resolves technical billing problems in coordination with the claim management system and clearing house provider. The ideal candidate will be highly organized and detail-oriented with extensive experience in reviewing, reconciling,...

Overview At NorthBay Health, the ED Professional Coder II will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner. This person is a dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR/encoder system. They also effectively communicate with providers via email, query, phone call or in person to educate or discuss coding requirements. Abstracts demographic and physician data to meet both internal and regulatory requirements for reporting utilizing the hospital’s abstracting system. Work focuses on ED using the approved classification coding systems to include the modifiers. All work must be carried out in accordance with the rules, regulations and coding conventions of the AAPC/AMA CPT Guidelines, AAPC/AMA, American Hospital Association (Coding Clinic), ICD 10-CM CMS, HCAI, and NorthBay...

ED Professional Coder II Preferred candidates are local (Onsite) or Hybrid workers within a commutable distance to NorthBay Campuses in Fairfield California. Candidates must be available schedule 7am -5pm PST. At NorthBay Health, the ED Professional Coder II will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner. This person is a dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR/encoder system who can also effectively communicate with providers via email, query, phone call or in person to educate or discuss coding requirements. Abstracts demographic and physician data to meet both internal and regulatory requirements for reporting utilizing the hospital's abstracting system. Work focuses on ED using the approved classification Coding systems to include the modifiers. All work must...

At Solano County, our mission is to serve the people and to provide a safe and healthy place to live, learn, work and play. The County of Solano's diverse workforce is committed to fulfilling this mission and does so by exemplifying our IDEAL Core Values, engaging in our day-to-daywork of serving the public with Integrity, Dignity, Excellence, Accountability, and Leadership. The mission of Solano County Health and Social Services Department is to promote healthy, safe and stable lived. To learn more about the Health and Social Services Department click here. THE POSITION The Medical Billing Supervisor plans, organizes and supervises the medical insurance billing functions and accounting/clerical staff for the Department of Health and Social Services’ Medical Billing Unit; assists in developing, implementing and maintaining the department-specific patient accounting and billing systems; serves as the electronic health record billing liaison between the County and the State; and...

Job Description At NorthBay, the Professional Surgical Coder will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner for professional surgery charges in the outpatient and inpatient settings. The coder is dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR/encoder system. Can effectively communicate with providers via email, query, phone call or in person to educate or discuss coding requirements. Work is performed using the approved classification Coding systems to include the modifiers. All work carried out in accordance with the rules, regulations and coding conventions of the AAPC/AMA CPT Guidelines, AAPC/AMA. American Hospital Association (Coding Clinic), ICD 10-CM CMS, HCAI, and NorthBay Healthcare coding guidelines. Primary Job Responsibilities The coder independently...

Job Description Preferred candidates are local (Onsite) or Hybrid workers within a commutable distance to NorthBay Campuses in Fairfield California. Candidates must be available schedule 7am -5pm PST At NorthBay Health, the ED Professional Coder II will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner. This person is a dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR/encoder system who can also effectively communicate with providers via email, query, phone call or in person to educate or discuss coding requirements. Abstracts demographic and physician data to meet both internal and regulatory requirements for reporting utilizing the hospital's abstracting system. Work focuses on ED using the approved classification Coding systems to include the modifiers. All work must be...

Medical Billing Supervisor The Medical Billing Supervisor plans, organizes and supervises the medical insurance billing functions and accounting/clerical staff for the Department of Health and Social Services' Medical Billing Unit; assists in developing, implementing and maintaining the department-specific patient accounting and billing systems; serves as the electronic health record billing liaison between the County and the State; and resolves technical billing problems in coordination with the claim management system and clearing house provider. The ideal candidate will be highly organized and detail-oriented with extensive experience in reviewing, reconciling, processing, and maintaining fiscal transactions, accounts, and/or statistical data and records. A strong foundation in medical billing is expected in this role. The candidate should have a working knowledge of methods, practices, and terminology used in insurance and medical billing and also possesses knowledge of...

Sr. Professional Fee Coder - Analyst III (F/T) - (Child of 5165) ***New Hires are eligible for a Sign-On Bonus*** Under the general direction of the Revenue Manager/Associate Director, this position is expected to function as a senior coder with a high degree of accuracy, proficiency, and production in the areas and specialties covered by the Faculty Practice Revenue Management Operations coding team. Applies specialized coding knowledge to manage a large range of coding combinations (approximately 1,500 - 5,00 combinations). Breadth of understanding of application of moderate to complex coding, coding modifiers, and correct coding initiative guidelines to autonomously manage extensive ICD-10 and CPT procedural codes. May include both professional fee and technical coding application. Also guides a centralized coding team as a subject matter expert for their area of coding expertise to improve the accuracy and efficiency of professional fee coding by the team. Primary...

Location: Fully Remote Employment Duration: 3 months Patient Record Abstractor fulfills a role as a Medical Coder for UCSF's physician practices. They review patient records, discharge summaries, operative reports, and other clinical documentation to assign standardized codes for diagnoses, procedures, and services. They apply national and international coding classifications to ensure records reflect the care delivered, supporting accurate reimbursement and reliable clinical data. They have knowledge of Current Procedural Terminology (CPT), International Classification of Diseases, 10th Edition, Clinical Modification (ICD-10-CM), and Healthcare Common Procedural Coding System (HCPCS). The role operates within a healthcare records or billing team and requires close liaison with clinicians, clinical coders, and administrative staff to resolve documentation queries. Coders must maintain currency with coding updates, compliance requirements, and professional standards, and...

JOB SUMMARY The Health Information Coder III PD is a senior-level inpatient coder with advanced knowledge and skill set to utilize the ICD-10-CM, ICD-10-PCS, CPT, HCPCS classification systems. The skill set extends to advanced knowledge and comprehension of code sequences into Diagnoses-Related Groups. Cases are coded to comply with the official guidelines for coding and reporting, practice standards and code of ethics for HIMS coder. Cases are abstracted according to UCSF Health policies and procedures. The focus of coding and abstracting is on a range of all primary hospital services. This is a per diem position with no set schedule. OTHER FUNCTIONS AND RESPONSIBILITIES Demonstrate understanding of DRG coding mission within UCSF Health. Demonstrate understanding of DRG coding, AR, and data submission information flow. Ability to solve problems and troubleshoot computer issues. Perform data searches. Maintain patient confidentiality and IT...

Professional Fee Coder - Analyst II, under the direction of their Revenue Manager and Associate Director, will provide support in areas of revenue operations related to coding, auditing, and training for their designated areas. Responsibilities include providing education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines. Analyst II will perform an in-depth review of physician documentation and is responsible for presenting findings along with recommendations to the department on physician education. The incumbent should be familiar with all applicable billing and coding regulations and be able to effectively communicate these regulations to all levels of faculty, management and staff. This position will also assign codes based on a review of clinical charts, resolve coding issues based on denials, and identify areas of improvement and current work experience is essential. Note: The rate of pay starts at $45 per hour, and...

New Hires are eligible for a Sign-On Bonus New hires are eligible for a $2,000 sign‑on bonus. The bonus is payable after 30 days of continuous employment. The Health Information Coder III is a senior‑level inpatient coder with advanced knowledge and skill sets in ICD‑10‑CM, ICD‑10‑PCS, CPT, and HCPCS classification systems. The coder abstracts according to UCSF Health policies and procedures and focuses on all primary hospital services. Department Overview UCSF’s Health Information Management department maintains health records for all inpatient, outpatient, and same‑day surgery services. The coding department translates detailed clinical documentation into standardized codes that ensure accurate communication, billing, compliance, and data use across the healthcare system. Responsibilities Retrieve and analyze comprehensive medical records and information systems for appropriate documentation and follow‑up. Evaluate full episode of care for inpatient cases and assign...

JOB SUMMARY The Health Information Coder III PD is a senior-level inpatient coder with advanced knowledge and skill set to utilize the ICD-10-CM, ICD-10-PCS, CPT, HCPCS classification systems. The skill set extends to advanced knowledge and comprehension of code sequences into Diagnoses-Related Groups. Cases are coded to comply with the official guidelines for coding and reporting, practice standards and code of ethics for HIMS coder. Cases are abstracted according to UCSF Health policies and procedures. The focus of coding and abstracting is on a range of all primary hospital services. This is a per diem position with no set schedule. OTHER FUNCTIONS AND RESPONSIBILITIES Demonstrate understanding of DRG coding mission within UCSF Health. Demonstrate understanding of DRG coding, AR, and data submission information flow. Ability to solve problems and troubleshoot computer issues. Perform data searches. Maintain patient confidentiality and IT security. Treat others with...

Position Overview Under the general direction of the Revenue Manager/Associate Director, this senior coder role oversees a large range of coding combinations (approximately 1,500–5,000), applies specialized coding knowledge to manage ICD‑10 and CPT procedural codes, and guides a centralized coding team as a subject matter expert to improve accuracy and efficiency of professional fee coding. Responsibilities Lead as a subject matter expert, presenting information to the team. Audit and oversee team members’ accuracy and production. Ensure compliance with all federal, state, and local carrier guidelines. Provide education and training to coding staff and physicians. Perform high‑production coding to meet UCSF goals for accuracy and charge lag. Conduct in‑depth reviews of physician documentation and prepare documentation audits. Create coding analysis reports and online presentations with findings and recommendations. Determine methods and procedures for new assignments and...

Job Description ***New Hires are eligible for a Sign-On Bonus*** Under the general direction of the Revenue Manager/Associate Director, this position is expected to function as a senior coder with a high degree of accuracy, proficiency, and production in the areas and specialties covered by the Faculty Practice Revenue Management Operations coding team. Applies specialized coding knowledge to manage a large range of coding combinations (approximately 1,500 – 5,000 combinations). Breadth of understanding of application of moderate to complex coding, coding modifiers, and correct coding initiative guidelines to autonomously manage extensive ICD-10 and CPT procedural codes and current work experience. May include both professional fee and technical coding application. Also guides a centralized coding team as a subject matter expert to improve the accuracy and efficiency of professional fee coding by the team. Note: We are offering a new hire sign‑on bonus of $2,000. All new...

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy of billing data within...

#CA-KN The Coding Unit is composed of coders/abstractors who extract medical and demographic information from each patient record and convert that information into data which can be electronically stored, manipulated and retrieved. This data is used for medical research, hospital, and professional fee reimbursement. This unit also assures that all records are analyzed for deficiencies as identified by JCAHO, CMS, Title 22 and the medical staff. All data abstraction and coding is performed using OSHPD. JCAHO. CMA, UHDOS, and Title 22 documentation guidelines. The Inpatient Hospital-Based (HB) Coder is responsible for reviewing and abstracting clinical documentation from inpatient medical records to assign accurate ICD-10-CM/PCS diagnosis and procedure codes, MS-DRG or APR-DRG assignments, and Present on Admission (POA) indicators. This role directly supports the integrity of the revenue cycle, regulatory compliance, and quality reporting initiatives. The ideal candidate...

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you’ll help our clients evolve and adapt to the rapidly changing healthcare...

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare...

Medical Records Coder II/III San Mateo County Health is seeking an experienced Medical Records Coder II/III to join Correctional Health and support the coding of CalAIM billable services, including clinic visits and ancillary services. This position plays an important role in ensuring accurate reimbursement while supporting continuity of care for justice-involved individuals. The successful candidate will perform billing functions related to the Department of Health Care Services (DHCS) Justice-Involved CalAIM Initiative. This initiative allows eligible incarcerated individuals to enroll in Medi-Cal prior to their release and enables reimbursement for covered healthcare services provided during the 90 days before reentry, helping support successful transitions back into the community. This position requires independent proficiency in ICD-10 and CPT coding, coding audits, physician education on coding practices, Evaluation and Management (E/M) coding, and identifying and resolving...