46 coder iii jobs found in Costa Mesa, CA

University of California Irvine Health is seeking a Specialty ROCC Coder III. The role involves abstracting and coding using ICD-10-CM and CPT for IR/Vascular and Radiation Oncology at UCI Medical Center. The ideal candidate should have at least two years of acute hospital coding experience and must be credentialed as ROCC, CCS, CCS-P, CPC, or CPC-H. This position requires strong communication skills and the ability to work effectively with physicians and other staff. #J-18808-Ljbffr

UC Irvine is seeking a Coder III to abstract and code inpatient visits at UCI Medical Center. This role requires at least four years of inpatient coding experience, knowledge of ICD-10-CM, and strong analytical skills. As a Coder III, you will use the 3m360 Sulventum encoder and EPIC systems to ensure accurate coding and participate in departmental projects. This position supports a critical function within the healthcare system at UCI, providing essential data for patient care and administrative processes. #J-18808-Ljbffr

UCI Health is seeking a Specialty ROCC Coder III in Irvine, California. This role involves abstracting and coding IR/Vascular and Radiation Oncology accounts while ensuring compliance with regulatory guidelines. The ideal candidate will have at least two years of hospital coding experience, a relevant AHIMA-approved certificate, and strong communication skills. The position also offers various benefits including medical insurance, vacation time, and retirement savings plans. #J-18808-Ljbffr

Coder III Coder III is responsible conducting clinically based concurrent and retrospective reviews of inpatient medical records. This review is to evaluate that the clinical documentation is reflective of quality of care outcomes and reimbursement compliance for acute care services provided. The CDS will work closely with the medical staff to facilitate appropriate clinical documentation of patient care. The CDS/Coder III abstracts and codes the diagnostic and procedural information for Inpatient Services and Surgery medical records utilizing the current version of International Classifications of Diseases in accordance with regulatory agencies and hospital specific guidelines. The CDS/Coder III enters the coded data and other abstracted data from the medical record into the electronic information system. This position assumes primary responsibility for clarifying ambiguous documentation, DRG optimization with the primary role in assisting medical staff members with improving...

University of California Irvine Health is seeking an Inpatient Health Info Coder 3 for full-time days in Irvine, California. The successful candidate will perform coding using ICD-10-CM and PCS for inpatient visits. Key qualifications include at least four years of inpatient coding experience, knowledge of anatomy and medical terminology, and CCS credentialing. The position offers a competitive salary and a range of benefits, including medical insurance and retirement plans. #J-18808-Ljbffr

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 and or...

Complexity of Work: Requires critical thinking skills, effective communication skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Proficient in basic computer skills and ability to utilize a computerized encoder and electronic medical record system. Required Work Experience: Three (3) years inpatient coding experience in a hospital setting or a graduate of the MHS coder intern program. Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS). Additional Education Info: Focused education of hospital based coding. Additional Credential Info: Can be Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS). Memorial Healthcare System is a community of caregivers dedicated to delivering quality patient- and family-centered...

Payment Integrity Nurse Coder RN III Salary Range: $102,183.00 (Min.) - $163,492.00 (Max.) L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Job Summary 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...

Coder III Who We Are: 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...

Who We Are 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 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...

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...

Your Role on the Team Position Summary: The Specialty ROCC Coder III performs abstracting and coding using ICD‑10 CM and CPT on all IR/Vascular or Radiation Oncology accounts at UCI Medical Center. Incumbent will be responsible for hospital and professional coding on certain encounters, using the 3M encoder and the Epic system for coding and data entry. The coder will communicate with physicians to obtain or clarify diagnoses and procedures via the query process. Additional duties include preparing daily, weekly and monthly production reports, participating in departmental PI projects, and performing related duties as assigned to meet operational needs. What It Takes to be Successful 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 Ability to effectively assign codes Demonstrated customer service skills appropriate to the job Minimum...

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...

UC Irvine is seeking a Specialty ROCC Coder III to perform coding and abstracting for IR/Vascular and Radiation Oncology accounts using ICD-10 CM and CPT. The successful candidate will have at least two years of acute hospital coding experience and must be credentialed as ROCC, CCS, CCS-P, CPC, or CPC-H. The position demands strong communication skills and the ability to work independently, with a comprehensive benefits package offered including medical insurance and retirement plans. #J-18808-Ljbffr

The University of California, Irvine is seeking a Specialty ROCC Coder III. This role involves abstracting and coding for IR/Vascular or Radiation Oncology accounts, requiring coding expertise with ICD-10 and CPT systems. Candidates must possess an AHIMA approved coding certificate and have at least two years of coding experience in an acute hospital setting. Benefits include medical insurance, retirement plans, and other perks. UCI is committed to diversity and providing equal employment opportunities. #J-18808-Ljbffr

Position Summary Reporting to the Manager of Coding, the Coder III performs abstracting and coding, using ICD-10-CM and PCS, on all inpatient visits at UCI Medical Center. The purpose of this position is to apply the appropriate diagnostic and procedural codes to individual patient health information for data retrieval, analysis, and claims processing. Accounts are coded utilizing the 3m360 Sulventum encoder and EPIC systems for coding and data entry. Additional duties include participating in departmental PI projects and performing related duties as assigned to meet operational needs. Required Qualifications User-level experience using personal computers, particularly with encoding, abstracting and prospective payment grouper systems Skill, knowledge and ability essential to the successful performance of the job duties Skill to effectively assign codes Must demonstrate customer service skills appropriate to the job Minimum of four (4) years of acute hospital trauma level 1,...

4 days ago Be among the first 25 applicants This range is provided by PrismHR. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $24.00/hr - $2,428.00/hr Direct message the job poster from PrismHR Huntington Valley Healthcare Center is a 140-bed facility centrally located in Huntington Beach, CA. We are seeking an experienced Medical Biller with a background in Skilled Nursing Facility (SNF) billing. About the Role Responsibilities Process and submit claims for Skilled Nursing Facility services Manage billing for Cal Optima, Medi-Cal, Medicare, and HMO plans Follow up on claims to ensure timely reimbursement Resolve billing discrepancies and denials Verify patient insurance eligibility and benefits Maintain compliance with industry regulations and payer guidelines Work closely with facility staff and insurance providers to ensure accurate billing Qualifications Must have experience in SNF billing (applications...

Salary : $70,044.85 - $104,320.89 Annually Location : Riverside Job Type: Regular Job Number: 26-13390-01 Department: RUHS-Medical Center Opening Date: 05/08/2026 For questions regarding this position, please contact the Recruiter listed in the Supplemental Information section. ABOUT THE POSITION The County of Riverside - Riverside University Health System - Medical Records Department is seeking to fill a Certified Medical Records Coder position located in Riverside. Under general supervision, performs advanced coding and abstracting of inpatient medical record entries according to the most current edition of International Classification of Diseases - Clinical Modification System (ICD-CM), Procedure Coding System (PCS) and Current Procedural Terminology (CPT); performs other related duties as required. The Certified Medical Records Coder - Inpatient classification performs the most complex coding and abstracting of a high volume of patient records in the...

Salary : $64,311.76 - $95,813.52 Annually Location : Riverside Job Type: Regular Job Number: 26-13451-01 Department: RUHS-Medical Center Opening Date: 04/23/2026 For questions regarding this position, please contact the Recruiter listed in the Supplemental Information section. ABOUT THE POSITION 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...

Salary : $105,597.80 - $145,114.92 Annually Location : Riverside Job Type: Regular Job Number: 26-74191-01 AL Department: RUHS-Medical Center Opening Date: 03/03/2026 Closing Date: Continuous For questions regarding this position, please contact the Recruiter listed in the Supplemental Information section. ABOUT THE POSITION Riverside University Health System (RUHS)is seeking two skilled Coding Compliance Auditors (Administrative Services Manager I) to support the Health System's Compliance Department. Key responsibilities of this role include conducting thorough reviews of medical records to ensure compliance with coding regulations, while providing feedback and education to coders and physicians to enhance coding accuracy and documentation quality. The position involves performing annual, periodic, and focused audits of physician, inpatient, and outpatient coding as requested. It also requires effective communication with all RAC stakeholders to...

A healthcare company seeks a Risk Adjustment Coding Specialist II in Orange, CA. The role involves reviewing medical records, educating providers, and performing coding audits. Candidates must have strong coding skills and certifications, along with 3-5 years of risk adjustment experience. This position requires up to 75% travel to provider offices and follows a hybrid work structure, allowing flexibility in work location. Competitive pay ranges from $70,000 to $85,000 per year. #J-18808-Ljbffr

Clinical Policy Clinical Coder RN II Shift: Full Time Pay Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Location: Los Angeles, 90017 Job Description The Clinical Policy Clinical Coder RN II is responsible for analyzing, interpreting, and operationalizing medical and utilization management policies to ensure accurate coding, appropriate authorization requirements, compliant claims processing, and effective utilization oversight. This position serves as a key clinical and coding resource, translating medical policy requirements into diagnosis, procedure, and service code logic, including determining which codes require prior authorization. Conducts in-depth research and analysis of legislation and regulatory requirements, clinical outcomes, utilization, claims, and financial data to identify utilization trends, fiscal risk, and opportunities for policy enhancement and cost containment. This position works cross‑functionally with internal teams to ensure...

Working Nurse in Los Angeles is seeking a Clinical Policy Clinical Coder RN II to ensure accurate medical coding and compliance with regulations. The role requires collaboration with stakeholders to implement policies and oversee utilization management. The ideal candidate has at least 8 years of clinical nursing experience, particularly with Medi-Cal and Medicare, and an Associate's degree in Nursing. This position offers a full-time shift with a competitive salary. #J-18808-Ljbffr

Salary Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Clinical Policy Clinical Coder RN II is responsible for analyzing, interpreting, and operationalizing medical and utilization management policies to ensure accurate coding, appropriate authorization requirements, compliant claims processing, and effective utilization oversight. This position serves as a key clinical and coding...