Cpc certified professional coder jobs in Acton, CA

Full Time

Coding Manager

CHLA Medical Group Hybrid (Los Angeles, CA)

Primary Purpose of the Position: The Revenue Cycle Coding Manager provides strategic and operational leadership for professional coding and charge capture. The Manager is accountable for coding quality, productivity, inventory, compliance remediation, workforce planning, vendor performance, physician and division engagement, and coding-related revenue integrity. The position establishes clear standards, analyzes trends, and develops corrective action plans to support accurate, timely, and compliant claim submission. Essential Duties of the Position May Include the Following: Leads day-to-day and long-range coding operations, including staffing, workload allocation, coverage planning, production priorities, and escalation management. Owns the coding operating model and clearly defines responsibilities among the Coding Manager, Coding Supervisor, internal coders, and external coding vendors. Establishes, monitors, and reports key performance indicators for...

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Bilingual Disability Claims Processor & ICD-9 Coder

Kaiser Permanente Lancaster, CA

Kaiser Permanente in California is seeking a Patient Business Services Disability Claims Processor. The role abstracts medical information and diagnoses using ICD-9 codes and coordinates disability claims with employers, insurers, unions, and state disability offices. The position requires a High School Diploma/GED, 1 year in health care, medical terminology/ICD-9 proficiency, and 45 WPM typing. Bilingual English/Spanish Level II is required. On-call hours may vary. #J-18808-Ljbffr

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Medical Biller and Coder

Marilynn Moore M. D. Pasadena, CA

Job Description Job Description We are hiring for a in office Part time Medical Biller and Coder.

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Medical Coding Specialist (CPC) - Multispecialty & Eye

Midwestern University Glendale, CA

Midwestern University in Glendale, AZ seeks a Medical Coding and Billing Specialist to ensure compliance with ICD-10, CPT, HCPCS, and Medicare guidelines. You will review EHR data for coding suitability, support provider education on documentation and charge capture, and assist in audits with internal and external vendors. This role collaborates with the Assistant Manager and Manager of Patient Accounts to reach revenue goals and maintain the revenue cycle. #J-18808-Ljbffr

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HCC Coder

Northeast Community Clinic Alhambra, CA

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...

NC

HCC Coder

Northeast Community Clinic Alhambra, CA

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...

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HCC Risk Adjustment Coder (ICD-10/CPT)

Northeast Community Clinic Alhambra, CA

NECC is seeking a detail‑oriented HCC Coder to ensure accurate outpatient coding and documentation. You will work with Billing and Medical Director to apply ICD-10-CM, CPT, HCPCS and HCC guidelines, promoting quality measures and risk adjustment accuracy. You will review records for accuracy, educate staff on Medicare rules, and lead coding process improvements, with travel up to 10% for facility coverage as needed. #J-18808-Ljbffr

NC

HCC Coder

Northeast Community Clinic Alhambra, CA

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...

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Senior Risk Adjustment Coder — Field Education & Analytics

Astrana Health, Inc. Monterey Park, CA

Astrana Health, Inc. is seeking a Risk Adjustment Coding Specialist II for the Northern California market. This role will conduct high-volume chart reviews to identify coding gaps and drive education for providers, with travel to provider offices up to 50% of the time in San Francisco, San Mateo, and Santa Clara. You will review data to ensure Medicare Advantage, ACA, and Commercial risk adjustment documentation requirements are met, and report on KPIs like HCC recapture and AWVs.

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Remote Risk Adjustment Coder & Provider Educator

Hatchproof Monterey Park, CA

Astrana Health is seeking a Certified Risk Coder to support risk adjustment initiatives by ensuring accurate capture and validation of diagnoses through medical record review and coding analysis. The role partners with providers and clinical teams to improve documentation quality, coding accuracy, and CMS risk adjustment compliance, while staying current on guidelines and driving process improvement across the organization. #J-18808-Ljbffr

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Remote Risk Adjustment Coder: Audit, Educate & Improve

Astrana Health, Inc. Monterey Park, CA

Astrana Health, Inc. is seeking a Certified Risk Coder to support value‑based care and risk adjustment through accurate diagnoses, coding reviews, and CMS guideline compliance with clinicians. This remote US‑based role requires CRC credential and 2+ years in risk adjustment or HCC coding, ICD‑10‑CM proficiency, and experience with EHRs. Salary ranges from $56,000 to $85,000 annually, with West/Central time zone preference. #J-18808-Ljbffr

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Certified Risk Coder

Hatchproof Monterey Park, CA

Certified Risk Coder 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. Our Values: Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team What You'll Do: Review medical records and provider documentation to ensure accurate capture of risk-adjusting diagnoses and compliance with CMS guidelines...

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Certified Risk Coder

Prospect Health Monterey Park, CA

Certified Risk CoderThe 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.Our Values:Put Patients FirstEmpower Entrepreneurial Provider and Care TeamsOperate with Integrity & ExcellenceBe InnovativeWork As One TeamWhat You'll DoReview medical records and provider documentation to ensure accurate capture of risk-adjusting diagnoses and compliance with CMS guidelinesPerform retrospective and...

AH

Certified Risk Coder

Astrana Health Monterey Park, CA

Certified Risk CoderThe 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.Our Values:Put Patients FirstEmpower Entrepreneurial Provider and Care TeamsOperate with Integrity & ExcellenceBe InnovativeWork As One Team

AH

Senior Risk Adjustment Coder Field Education & Analytics

Astrana Health, Inc. Monterey Park, CA

Astrana Health, Inc. is seeking a Risk Adjustment Coding Specialist II for the Northern California market. This role will conduct high-volume chart reviews to identify coding gaps and drive education for providers, with travel to provider offices up to 50% of the time in San Francisco, San Mateo, and Santa Clara. You will review data to ensure Medicare Advantage, ACA, and Commercial risk adjustment documentation requirements are met, and report on KPIs like HCC recapture and AWVs. #J-18808-Ljbffr

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Certified Risk Coder

Astrana Health, Inc. Monterey Park, CA

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...

Ha

Certified Risk Coder

Hatchproof Monterey Park, CA

Certified Risk CoderThe 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.Our Values:Put Patients FirstEmpower Entrepreneurial Provider and Care TeamsOperate with Integrity & ExcellenceBe InnovativeWork As One TeamWhat You'll Do:Review medical records and provider documentation to ensure accurate capture of risk-adjusting diagnoses and compliance with CMS guidelinesPerform retrospective and...

MV

Coder II - Surgical (Remote)

Medical Virtual Assistants Los Angeles, CA

Los Angeles, California, Job Description 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, (using knowledge of CSMC and Official Coding guidelines, medical terminology, anatomy and physiology, and pathological basis of disease, documented treatment and procedures performed at CSMC and Cedars‑Sinai Affiliates and their locations) assigns ICD-10-CM and CPT codes for patients receiving services at CSMC. Accurately assigns all applicable modifiers for...

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E/M Multi-Specialty Coder - Coder II (Remote)

Cedars-Sinai Los Angeles, CA

Job Description Align yourself with an organization that has a reputation for excellence! Cedars‑Sinai was awarded the National Research Corporation’s Consumer Choice Award 19 times for providing the highest‑quality medical care in Los Angeles. We were also awarded the Advisory Board Company’s Workplace of the Year. Discover why U.S. News & World Report has named us one of America’s Best Hospitals! What will you be doing in this role? In this remote role, under the general direction of the Coding Supervisor, (using knowledge of CSMC and Official Coding guidelines, medical terminology, anatomy and physiology, and pathological basis of disease, documented treatment and procedures performed at CSMC and Cedars‑Sinai Affiliates and their locations) assigns ICD‑10‑CM and CPT codes for patients receiving services at CSMC. Accurately assigns all applicable modifiers for all patients to assure optimal reimbursement and the highest quality data possible. Duties of this Coder II...

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Risk Adjustment Coder Needed Immediately!

Physicians DataTrust Los Angeles, CA

Risk Adjustment Coordinator Support the risk and quality team, IPA Administrators, and the VP of Operations on clinical initiatives to improve patient outcomes and group quality measures in Risk Adjustment, CMS 5 Star, and the commercial and Medi-Cal programs. Principal Duties and Responsibilities (* = essential functions): Outreach and coordinate care for IPA members who need preventative and/or chronic care services such as mammograms, colonoscopies, uncontrolled HbA1c, uncontrolled blood pressure, etc. Collaborate with Risk Adjustment and quality on provider education. Maintain knowledge of clinical initiatives and risk adjustment program requirements Maintain knowledge of 5 Star performance and risk adjustment factors for all IPAs. Collaborate with health plans on 5 Star, commercial, and Medi-Cal gap reports. Coordinate outreach to PCP offices on member due reports, including the No Annual Visits list. Provide PCP offices with ongoing education on quality...

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Risk Adjustment Coder Needed Immediately!

PHYSICIANS DATA TRUST Los Angeles, CA

Job Description Job Description Primary Purpose: Support the risk and quality team, IPA Administrators, and the VP of Operations on Clinical Initiatives to improve patient outcomes and group quality measures in Risk Adjustment, CMS 5 Star, and the commercial and Medi-Cal programs. Principal Duties and Responsibilities (* = essential functions): Outreach and coordinate care for IPA members who need preventative and/or chronic care services such as mammograms, colonoscopies, uncontrolled HbA1c, uncontrolled blood pressure, etc. Collaborate with Risk Adjustment and quality on provider education. Maintain knowledge of clinical initiatives and risk adjustment program requirements Maintain knowledge of 5 Star performance and risk adjustment factors for all IPAs. Collaborate with health plans on 5 Star, commercial, and Medi-Cal gap reports. Coordinate outreach to PCP offices on member due reports, including the No Annual Visits list. Provide PCP offices with...

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Senior Specialty Physician Coder - Cardiology & IR (Remote)

MemorialCare Health System Los Angeles, CA

MemorialCare is seeking a Sr. Specialty Physician Coder in California. The role involves reviewing and coding office, hospital, and surgical procedures to ensure accurate reimbursement for inpatient and outpatient services. The Senior Coder will interact with contract coders, maintain coding operations, and align with MemorialCare policies while supporting the coding compliance program. #J-18808-Ljbffr

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Remote E/M & Multi-Specialty Coder II

MedicalVirtual Los Angeles, CA

Cedars-Sinai in Los Angeles is seeking a remote Medical Coder II responsible for assigning ICD-10-CM and CPT codes for patients and ensuring accurate modifiers for optimal reimbursement. Candidates must be CPC certified, with at least 3 years in a multi-specialty setting; CEMC a plus. Knowledge of California and federal reporting requirements and adherence to official coding guidelines are required. This role offers growth and competitive benefits with remote work options across the region. #J-18808-Ljbffr

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Remote Pediatric Medical Coder ICD-10/CPT & Mentorship

Children's Hospital Los Angeles Los Angeles, CA

The Medical Coder, Outpatient at Children's Hospital Los Angeles provides coding and predefined abstracting services following mandated Federal and State Regulations, Joint Commission, CHLA Medical Staff Rules and Regulations, and hospital policies and procedures. Participates in providing quality coded data for outcomes, peer review, reimbursement, research, marketing and development. Performs as a mentor to non-credentialed coding staff. #J-18808-Ljbffr

139 cpc certified professional coder jobs found in Acton, CA