23 clinical coding analyst experienced jobs found in Los Angeles, CA

Coding Compliance AuditorIn 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...

Benefits Employee discounts Training & development Wellness resources Role Overview Own the end-to-end medical billing lifecycle for a multi-specialty healthcare clinic. Drive clean claims, fast reimbursements, and zero leakage. This is an execution-heavy, accountability-driven role—not a passive billing position. Core Responsibilities Manage full-cycle billing: charge entry, claim submission, payment posting, and follow-up. Bill and reconcile across multiple payor types: Commercial insurance Medicare Personal injury (PI) Workers’ compensation Cash-based services Ensure accurate CPT, ICD-10, and modifier usage across: Medical Chiropractic Physical therapy Acupuncture Massage therapy Aggressively work A/R: Identify denials, underpayments, and delays. Execute timely appeals and corrections. Maintain compliance with: Medicare rules State and federal billing regulations Payor-specific policies Communicate clearly with: Front office Providers...

This position is located in the Health Administration Service (HAS), Health Information Management ( HIM) section at the VA Greater Los Angeles Healthcare System. MRTs (Auditor) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, group practices, multi-specialty clinics, and specialty centers. Basic Requirements Citizenship. Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.) Experience and Education (1) Experience. One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of a health records. OR, (2) Education. An associate's degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health information...

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, weve 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...

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 such as Cerner, MediTech,...

Job Overview Virtual Teammate is building the most capable AI-enabled healthcare virtual workforce in the market. Our Healthcare Billers are the revenue cycle backbone for SMB medical and dental clinics, PE-backed specialty groups, and surgical centers across the US. You will handle claim submission, denial management, A/R follow-up, and patient collections — fully supported by an AI agent that handles up to 55% of routine task volume so you can focus on the work that requires expert judgment. Key Responsibilities Submit clean claims across Medicare, Medicaid, and commercial payers with ≥ 95% first-pass rate Manage denial queues — identify root cause, correct, and resubmit within payer deadlines Work aged A/R buckets proactively; keep A/R over 90 days below 15% of total A/R Perform patient collections and balance follow-ups with professionalism and HIPAA discipline Navigate EMR and billing platforms (Athenahealth, eClinicalWorks, Kareo, AdvancedMD, or equivalent) Collaborate...

Primary City/State: Glendale, Arizona Department Name: Radiology-Support-Hosp Work Shift: Day Job Category: Clinical Care Banner Health believes leadership matters. We look for people who share our vision making health care easier, so life can be better. Our leaders are at the front of the health care transformation, planning the future of Banner Health. Location: Banner Thunderbird Medical Center - 5555 W Thunderbird Rd, Glendale, AZ 85306. Schedule: Monday-Friday, 8am-4:30pm, with flexibility to support operational needs as required. The Associate Director of Medical Imaging provides leadership and operational oversight for multiple imaging departments including CT, MRI, Nuclear Medicine, Ultrasound, X-Ray, Medical Imaging Assistants, and Front Desk staff. This role is responsible for driving excellence in patient care, quality, safety, staff engagement, and financial performance while ensuring efficient daily operations. Day-to-day: Provide day-to-day leadership and...

Certified Risk Coder Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Compensation: $56,000 - $85,000 / year Description The Certified Risk Coder plays a critical role in supporting Astrana Health's value-based care and risk adjustment initiatives by ensuring the accurate capture and validation of diagnoses through comprehensive medical record review and coding analysis. This position partners closely with providers and clinical teams to improve documentation quality, coding accuracy, and compliance with CMS risk adjustment guidelines. The ideal candidate brings strong coding expertise, a passion for provider education, and a commitment to enhancing organizational performance through accurate risk capture, regulatory compliance, and continuous process improvement. What You'll Do Review medical records and provider documentation to ensure accurate capture of risk-adjusting...

Job Description The HCC Coder will be responsible for evaluating the accuracy and consistency of coded clinical data quality results and reports in accordance with accepted and established standards. The HCC Coder will collaborate with the Billing Manager and Medical Director in providing expertise in the use and application of current coding classifications including but not limited to ICD-10-CM, CPT, E&M and record documentation to ensure compliance in the collection of outpatient diagnoses and services. Schedule Full-time (Non-Exempt) Flexible, may require some evening and weekends Primary Duties and Responsibilities Review of medical records to ensure accuracy and claims for proper documentation and coding and completeness. Communicate with providers when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes. Create training presentations to educate staff in Medicare coding guidelines, with focus on Quality Measures...

HCC CoderAdministration Office - Alhambra, CA 91801OverviewSalary Range $34.00 - $39.00 HourlyDescriptionPosition SummaryThe HCC Coder will be responsible for evaluating the accuracy and consistency of coded clinical data quality results and reports in accordance with accepted and established standards. The HCC Coder will collaborate with the Billing Manager and Medical Director in providing expertise in the use and application of current coding classifications including but not limited to ICD-10-CM, CPT, E&M and record documentation to ensure compliance in the collection of outpatient diagnoses and services.Schedule:Full-time (Non-Exempt)Flexible, may require some evening and weekendsPrimary Duties and ResponsibilitiesReview of medical records to ensure accuracy and claims for proper documentation and coding and completeness.Communicate with providers when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes.Create training...

HCC Coder Administration Office - Alhambra, CA 91801 Overview Salary Range $34.00 - $39.00 Hourly Description Position Summary The HCC Coder will be responsible for evaluating the accuracy and consistency of coded clinical data quality results and reports in accordance with accepted and established standards. The HCC Coder will collaborate with the Billing Manager and Medical Director in providing expertise in the use and application of current coding classifications including but not limited to ICD-10-CM, CPT, E&M and record documentation to ensure compliance in the collection of outpatient diagnoses and services. Schedule: Full-time (Non-Exempt) Flexible, may require some evening and weekends Primary Duties and Responsibilities Review of medical records to ensure accuracy and claims for proper documentation and coding and completeness. Communicate with providers when documentation in the record is inadequate, ambiguous, or otherwise unclear for...

Health Center Medical Biller I/II Gardena, CA 90249 Overview Salary Range $22.00 - $30.60 Hourly Level Experienced Position Type Full Time Job Shift Day Description Under the direct supervision of the Health Center Operations Director. The Medical Biller I is responsible for supporting the revenue cycle by accurately preparing, submitting, and following up on medical claims for services rendered within a health center setting. This role ensures timely reimbursement while maintaining compliance with payer guidelines, FQHC billing requirements, and organizational policies. The Medical Biller I works collaboratively with clinical and administrative teams to resolve billing issues and support continuity of care. Major Tasks, Duties and Responsibilities Prepare and submit accurate claims to Medi-Cal, Medicare, and commercial payers in a timely manner Review patient accounts for completeness, including insurance verification, coding, and required documentation Monitor...

EH Queen of the Valley Hospital - West Covina Full time R0012206 Current Emanate Health Employees - Please log into your Workday account to apply Everyone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the work you do at Emanate Health affects lives. When you join Emanate Health, you become part of a team that works together to strengthen our communities and grow as individuals. On Glassdoor's list of "Best Places to Work" in 2021, Emanate Health was named the #1 ranked health care system in the United States, and the #19 ranked company in the country. Job Summary Assigns and sequence diagnostic/procedural codes to in-patient and outpatient medical records for billing, reimbursement and data retrieval by following established coding guidelines. Reviews documentation for accurate abstracting of clinical data to meet regulatory and compliance requirements. Job Requirements Minimum Education Requirement:...

Everyone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the work you do at Emanate Health affects lives. When you join Emanate Health, you become part of a team that works together to strengthen our communities and grow as individuals. On Glassdoor's list of "Best Places to Work" in 2021, Emanate Health was named the #1 ranked health care system in the United States, and the #19 ranked company in the country. Delivering world-class health care one patient at a time. Job Summary 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...

Job Type Full-time Description Health Advocates is seeking a Medical Biller I for our main office in Chatsworth, CA . Job Summary The Biller is responsible for achieving billing standards as defined by the established billing timeliness policy. The Biller is also responsible for the timely resolution of outstanding accounts receivable due from all available sources of reimbursement according to established policies and procedures. Job duties include: bill accounts according to established policies and procedures within time frames, responsible for billing Hospital, Physician, Outpatient, Medi-Cal, Managed Care, HMO/PPO and out of state Medicaid claims, follow up on Outpatient Medi-Cal, Managed Care, HMO/PPO and out of state Medicaid claims, verify Insurance payment accuracy and assigning payment posting code, and perform miscellaneous related duties, as required. Qualifications • High School diploma or GED equivalent required; Medical Billing and Coding or...

Job TitleRadiation Oncology CoderJob DescriptionResponsibilities• 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 greets every...

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...

Specialty Physician Coder Our client, a Healthcare company, is looking for a Specialty Physician Coder for their Fountain Valley, CA location. Responsibilities: Under the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a key role in reviewing and analyzing specialty coding and billing for charge processing. This role is responsible for reviewing and accurately coding office, hospital, and surgical/procedures for reimbursement and ensuring accurate and compliant medical coding for inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients. The Specialty Physician Coder works with the Coding Compliance Manager on discovered coding trends, irregularities, and needed action items. Achievement of productivity standards as established by management. Achievement of quality standards as established by management. Analyze and interpret medical information in the medical record and assign and sequence the...

Job Title Specialty Coder Industry Healthcare Location Fountain Valley, CA Shift: 40 hours per week, 8 hours per day, 5 days per week. Note: this req is internally labeled Part Time despite this full time hour schedule, the same discrepancy seen on a prior MemorialCare req - worth confirming with the client. Client Overview You'd be working in the coding compliance department of a large nonprofit health system, reviewing and coding specialty physician charges for office visits, hospital care, and surgical procedures to support accurate billing and reimbursement. Top 3 Skills Medical coding (ICD-10-CM, CPT, HCPCS) Specialty coding certification (Cardiology, GI, Oncology, OBGYN, Pulmonology, General Surgery, or Radiation Oncology) Electronic medical records and coding compliance software (Epic) What You'll Do Analyze and interpret medical records to assign correct ICD-10-CM, CPT, and HCPCS codes Review and code surgical operative and procedure reports Work claim denials...

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....

Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation’s leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team! Responsibilities Coder Auditor Supervisor is responsible for coordinating the day-to-day operations of Coding Services at facility, supervises Coder Auditor Trainees and Coder Auditors. The Coder Auditor Supervisor works closely with Managers and Supervisors/ of Data Quality, Health Information Department and Director/Supervisor of Case Management to be instrumental in supplementing assistance to these departmental functions pertaining...

Location: Ontario, California, United StatesSalary: $32.00 to $47.04Company: Prime Healthcare Management IncPosted: OverviewPrime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation’s leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!ResponsibilitiesCoder Auditor Supervisor is responsible for coordinating the day-to-day operations of Coding Services at facility, supervises Coder Auditor Trainees and Coder Auditors. The Coder Auditor Supervisor works closely with Managers and Supervisors/ of Data Quality, Health Information Department and...