116 certified medical coder jobs found in Los Angeles, CA

Job Description Job Description 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....

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...

A community health organization in California is seeking a Certified Professional Coder to assign codes for patient symptoms and diagnoses to ensure accurate processing of medical claims. The role involves utilizing coding systems like ICD-9-CM and CPT to uphold reimbursement standards. Required qualifications include a CPC certification and either a college degree or significant experience in medical coding. Candidates will benefit from a competitive salary and various professional development opportunities. #J-18808-Ljbffr

Certified Medical Records Coder Position The County of Riverside - Riverside University Health System- Medical Records Department is seeking to fill a Certified Medical Records Coder position. 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 position...

The County of Riverside - Riverside University Health System- Medical Records Department is seeking to fill a Certified Medical Records Coder position. 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) assignment. Certified Medical Records Coder - Outpatient is...

Certified Medical Records Coder – Outpatient The County of Riverside – Riverside University Health System Medical Records Department is seeking a Certified Medical Records Coder (Outpatient). Responsibilities include coding and abstracting a high volume of patient records using ICD‑CM and CPT, abstracting admission, discharge, transfer information, querying physicians for clarity, and communicating with treatment teams. Essential Duties Code medical record entries for diagnoses and procedures according to the current edition of ICD‑CM, and when applicable CPT; enter information into the system. Abstract patient information including admission, discharge, transfer (ADT), type of surgery, type of anesthesia, and attending physician. Query physicians when assistance is needed for proper identification of codes and communicate with physicians and others involved in patient care. Qualifications One year of medical record coding experience in an acute care setting using ICD‑CM and...

A local government agency in Riverside, California is seeking a Certified Medical Records Coder (Outpatient) to code and abstract patient records using ICD‑CM and CPT. The successful candidate will have at least one year of coding experience in an acute care setting, possess relevant certifications, and demonstrate strong communication skills. The role requires a blend of in-office and possibly hybrid work arrangements after a 10-week initial period. A proactive approach and attention to detail are essential for success in this position. #J-18808-Ljbffr

Position Summary MUST LIVE IN APPROVED STATE TO BE CONSIDERED: AL, AZ, CO, GA, FL, ID, IL, MA< MI, NV, NM, NC, PA, SC, TX, VA, and WA. Position Summary: This job posting encompasses all available Physician coding roles, including Physician Coder I, Physician Coder II, and Physician Senior Coder positions. Applicants will be considered for the appropriate role based on current organizational needs, manager discretion, years of relevant experience, passing a coding assessment and how well they meet the qualifications outlined for each position. Accurately and efficiently accesses wide range specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services. MUST LIVE IN APPROVED STATE TO BE CONSIDERED: AL, AZ, CO, GA, FL, ID, IL, MA< MI, NV, NM, NC, PA, SC, TX, VA, and WA. At Orlando Health, we are ordinary people with extraordinary...

Job Posting In accordance with federal & state coding compliance laws, rules, regulations, and guidelines, use current ICD-10-CM, ICD-10-PCS, CPT-4, and HCPCS code sets/systems to accurately abstract, code, and electronically/manually record into the 3M 360 Encompass/Computer-Assisted Coding (CAC), 3M Coding & Reimburse System (3M-CRS), and the coding abstracting system (3M-HDM/ARMS), all diagnoses, and minor invasive and non-invasive procedures documented by any physician in outpatient medical records (i.e. OP Ancillary Visits: Laboratory; Radiology/Imaging; Clinic Visits; Radiation Oncology; Recurring Visits, etc.). Address OCE/NCCI/Medical Necessity edits within 3M-360/ARMS/CRS and those returned to HIM Coding from Patient Financial Services (PFS). Respond timely to all internal/external coding audit results and any feedback from other revenue cycle stakeholder Depts. Understands PFS coding/billing DNFB/DNFC processes & systems such as Oracle's Soarian Financials...

Coding Compliance Auditor In accordance with current federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review of previously coded accounts to ensure appropriate CPT, ICD-10-CM, and HCPCS assignments and accuracy and completeness of all ICD-10-CM, CPT, and HCPCS codes assigned by professional revenue coders and providers. All assigned codes must be supported by professional documentation contained within the medical record and must be in compliance with federal coding compliance regulations, Official Coding Guidelines, AHA Coding Clinic, and CPT Assistant. The Coding Compliance Auditor will also provide detailed reports, Excel spreadsheets, coding audit summary analysis, and data analytics Re: coding accuracy rates, compliance rates, denial analytics, etc. Recommend education topics based on audit findings and assist in the continuing education of professional coders and providers. Understands coding/billing computer systems...

Physician Coding Compliance Auditor Align 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 paid vacation, wellness initiatives and a 403(b). Join us! Discover why U.S. News & World Report has named us one of America's Best Hospitals. What you be doing in this role: The Physician Compliance Auditor is responsible for reviewing and auditing claims, medical records, and charges to ensure compliance with applicable documentation, coding, and billing requirements. Works closely with providers and staff to educate and train or provide audit results feedback through the use of Teams or other remote meeting platforms. The Physician Compliance Auditor identifies issues and/or risks...

Medical Coder Opportunity A healthcare company is seeking a highly skilled medical coder to support our healthcare clients with exceptional coding expertise. The medical coder must have experience in orthopedic coding and meet the qualifications below. Key responsibilities include accurately assigning codes for orthopedic procedures and diagnoses, ensuring compliance with ICD-10, CPT, and HCPCS standards. Review and interpret clinical documentation to support precise coding for reimbursement and reporting. Collaborate remotely with physicians, clinical staff, and billing teams as needed. Utilize Epic and Athena software systems for documentation and workflow. Maintain patient confidentiality in accordance with HIPAA guidelines. Participate in ongoing quality assurance and coding accuracy initiatives. Requirements include a minimum of 5 years of experience in medical coding, specifically in orthopedic coding. Certification in medical coding (e.g., CPC, CCS, or equivalent) is...

Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed it's nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don't just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it's a calling that drives us forward every day. Job Overview Assigned codes to patient symptoms, diagnosis, operations, and treatments to process reimbursements; knowledge and expertise in reviewing and adjudicating coding services procedures and diagnoses on medical claims. Completes accuracy and timely entry of ICD-9-CM, HCPCS procedure codes and CPT codes into the NextGen system. Minimum Requirements...

Inpatient Coding Specialist In accordance with current federal coding compliance regulations and guidelines, use current ICD-10-CM/PCS, CPT-4, and HCPCS code sets/systems to accurately abstract, code, and electronically record into the 3M Coding & Reimburse System (3M-CRS) & the coding abstracting system (3M-ClinTrac), all diagnoses, surgical procedures, and other significant invasive and non-invasive procedures documented by any physician in any inpatient medical records (i.e. Medicare, non-Medicare, and all complex cases). Meet the productivity and accuracy/quality standards. Initiates appropriate clinical documentation querying CDI Specialists in order to acquire or clarify necessary medical record documentation needed to facilitate accurate and complete coding & abstracting. Understands PFS coding/billing processes & systems such as PBAR and nThrive/MedAssets/XClaim in a manner to assure claims drop timely with appropriate codes. Perform other coding...

Medical Coder Trajectory RCS joined the MedHQ family in 2024 after enjoying 10 years as a well-established revenue cycle company with an annual growth rate of 40% to 50% and 150 employees. Together they now serve small hospitals, physician groups, ambulatory surgery, and outpatient centers nationwide by optimizing healthcare cash flow through integration of both business office processes and clinical documentation. MedHQ, LLC, is a fast growing, leading provider of consulting and technology enabled expert services for outpatient healthcare. With a 97% long-term, client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide. The MedHQ RITE Values: Respect, Innovation, Trust, and Energy, permeate all service line offerings with a unique personalized approach balancing exceptional transactional and emotional intelligence, and above all excellent...

Align 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 paid vacation, wellness initiatives and a 403(b). Join us! Discover why U.S. News & World Report has named us one of America’s Best Hospitals. What you be doing in this role: The Physician Compliance Auditor is responsible for reviewing and auditing claims, medical records, and charges to ensure compliance with applicable documentation, coding, and billing requirements. Works closely with providers and staff to educate and train or provide audit results feedback through the use of Teams or other remote meeting platforms. The Physician Compliance Auditor identifies issues and/or risks associated with documentation, coding, and...

A healthcare services company seeks a Health Information Coder to perform medical coding duties, ensuring accurate billing and documentation. The ideal candidate will have a Professional Coder Certification and extensive knowledge of ICD-10, CPT, and healthcare billing processes. Responsibilities include analyzing physician notes, maintaining quality standards, and providing feedback on issues. This position offers a flexible schedule within department hours, contributing to an essential field of healthcare services. #J-18808-Ljbffr

A prestigious medical center in Los Angeles seeks a Claims Edit Coder to review and assign medical codes accurately for claims processing. The role involves analyzing documentation and coding procedures to ensure compliance with regulations. Candidates must hold relevant coding certifications and have at least 2 years of experience in a healthcare setting. The position offers a competitive salary between $31.98 and $49.57 per hour, along with comprehensive employee benefits including health and paid vacation. #J-18808-Ljbffr

Overview Payment Integrity Nurse Coder RN III role at L.A. Care Health Plan . Responsibilities 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 include concept and cost avoidance development. This position trains and mentors Payment Integrity Nurse Coder, RN staff. Acts as a Subject Matter Expert, serves as a resource and mentor for other staff. Performs quality audits to include validation of accuracy and completeness of ICD, Rev...

Senior Outpatient Coder Come lead with us at Corporate. At Houston Methodist, the Senior Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to day surgery and observation encounters based on documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt Qualifications Education : Associate’s or higher degree in a Commission on Accreditation for Health Informatics and Information Management accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree Experience : Three years of relevant outpatient coding experience or successful completion of the Houston Methodist Senior Outpatient Coder Transition Program Licenses and Certifications (Required) : Must have one of the following: RHIT – Certified Health Information Technician (AHIMA) RHIA – Registered...

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 using relevant applications such as EPIC (CS‑Link), EPIC HB and PB...

Job Title Health Information Coder Location(s) Los Angeles, CA (Remote) Description Various duties in assigned specialty, position responsible for work on full spectrum of claim edits related to medical coding. Duties include abstracting Evaluation and Management Codes both out‑patient and in‑patient, Medicare Annual Exams, Observation visits, ICD‑10 Diagnosis, Preventative visits and other assignments as directed by supervisor. Position may also require charge entry, coding research, and special project assignment. Primary responsibility will be in coding work queues related to customer service, charge entry, charge router, follow up, and claim edit rules that require coding knowledge to resolve. Duties and Tasks Reads and analyzes physicians' notes to assess them for documentation accuracy. This involves comparing physician documentation to established Evaluation and Management Guidelines to certify the appropriate category of billing and the correct level of billing within...

Creative Audio - Creative Coder Creative Audio is a centralized team that touches every product Meta produces, making our team integral to the company. We collaborate with product and creative teams across Meta to design audio for video, post‑production audio, final mixing and mastering, audio field recording, sound effects, and large‑scale content projects across a wide range of software and hardware, including but not limited to your phone, glasses, VR headsets, and a mix of AR/VR devices. We're a team of over 60 audio experts who design the experiences that connect people through the power of sound. The Creative Audio team is seeking a Creative Coder for the Tech & Prototypes department. This role collaborates closely with Engineering and Product Design to define sound functionality and deliver advanced audio features. It involves developing advanced audio solutions, optimizing performance, refining tools, leveraging machine learning and generative AI, and solving complex...

Summary Creative Audio is a centralized team that touches every product Meta produces, making our team integral to the company. We collaborate with product and creative teams across Meta to design audio for video, post-production audio, final mixing and mastering, audio field recording, sound effects, and large scale content projects across a wide range of software and hardware, including but not limited to your phone, glasses, VR headsets a mix of Augmented Reality/Mixed Reality across these devices. We're a team of over 60 audio experts who design the experiences that connect people through the power of sound.The Creative Audio team is seeking a Creative Coder for the Tech & Prototypes department. This role collaborates closely with Engineering and Product Design to define sound functionality and deliver advanced audio features. It involves developing advanced audio solutions, optimizing performance, refining tools, leveraging machine learning and generative AI, and solving...