62 cpc certified professional coder jobs found in Burlingame, CA

Job Details Job Location: Burlingame, CA 94010 Salary Range: $42.79 - $48.75 Hourly ESSENTIAL JOB FUNCTIONS HCC Coding and Risk Adjustment (RA) Program Support Perform comprehensive review of patient charts to identify and validate diagnosis codes in alignment with HCC and risk adjustment guidelines. Ensure all coding adheres to CMS and ICD-10 guidelines, focusing on accuracy, completeness, and compliance. Conduct prospective and retrospective chart audits to assess risk adjustment coding accuracy. Provider Training and Clinical Documentation Improvement (CDI) Develop and deliver provider education sessions and materials on best practices for clinical documentation and HCC/RA coding. Provide one‑on‑one and group training to providers and clinical staff to improve documentation quality and accuracy. Serve as a resource and subject matter expert on HCC, risk adjustment, and related coding standards. Data Analysis and Reporting Analyze coding data to identify trends,...

Summary: 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 systems. It involves developing advanced audio solutions, optimizing performance, refining tools, and solving complex technical challenges. As a key contributor and leader to Meta's day-to-day sound design, the Creative Coder provides creative and technical insights to drive immersive and agentic audio experiences, offering a long runway for creativity, innovation, and empowerment to push the boundaries of sound technology and make a meaningful impact. Required Skills: Creative Coder Responsibilities: Identity potential large scale opportunities within Meta and partner with design and engineering teams to deliver state of the art audio functionality, tooling and pipeline solutions Provide audio engineering leadership to cross-functional...

Health Coder - Hcc & Risk Adjustment Burlingame, CA 94010 Overview Salary Range $42.79 - $48.75 Hourly Description The Healthcare Coder plays a critical role in supporting accurate and compliant coding for NEMS MSO operations with a focus on Medicare Risk Adjustment (RA) programs. This position ensures accurate capture of Hierarchical Condition Category (HCC) coding and improves risk adjustment scores by conducting chart audits, providing provider education, and supporting clinical documentation improvement (CDI) initiatives. The Healthcare Coder will collaborate closely with providers, clinical staff, and leadership to improve coding accuracy and compliance, directly impacting the organization's quality outcomes and financial performance. Essential Job Functions: Hcc Coding and Risk Adjustment (Ra) Program Support Perform comprehensive review of patient charts to identify and validate diagnosis codes in alignment with Hcc and risk adjustment guidelines....

Health Coder - Hcc & Risk Adjustment Burlingame, CA 94010 Overview Salary Range $42.79 - $48.75 Hourly Description The Healthcare Coder plays a critical role in supporting accurate and compliant coding for NEMS MSO operations with a focus on Medicare Risk Adjustment (RA) programs. This position ensures accurate capture of Hierarchical Condition Category (HCC) coding and improves risk adjustment scores by conducting chart audits, providing provider education, and supporting clinical documentation improvement (CDI) initiatives. The Healthcare Coder will collaborate closely with providers, clinical staff, and leadership to improve coding accuracy and compliance, directly impacting the organization's quality outcomes and financial performance. Essential Job Functions: Hcc Coding and Risk Adjustment (Ra) Program Support Perform comprehensive review of patient charts to identify and validate diagnosis codes in alignment with Hcc and risk adjustment guidelines. Ensure all...

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...

Job Summary: Must Reside in Northern California Under direct supervision, the Inpatient Coder is responsible for the accurate coding and abstracting of inpatient cases or services (diagnosis, conditions and procedures) from medical record documentation. Assign codes and modifiers using the appropriate version of ICD-CM, ICD-PCS, CPT and HCPCS as well as other specialty systems as required by diagnostic category. The Inpatient Coder is expected to code and abstract Observation (OBS), Hospital Ambulatory Surgery (HAS), Emergency Department (ED), and complex Hospital Outpatient Visit (CHOY) services when needed. All work must be performed in accordance with the rules, regulations and coding conventions of ICD-CM Official Guidelines for Coding and Reporting, Coding Clinic published by the American Hospital Association, the ICD-CM, ICD-PCS, CPT and HCPCS code book, CPT Assistant, NCCI Edits, CMS, OSHPD and Kaiser Permanentes organizational and institutional coding guidelines....

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...

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...

A healthcare organization in California is seeking a Medical Coder to perform chart reviews, coding audits, and provide training on ICD-10 codes. The ideal candidate will have an AA or AS degree, relevant coding credentials, and two years of healthcare experience. Responsibilities include coding audits, maintaining knowledge of coding guidelines, and assisting with billing inquiries. This role offers competitive benefits including free medical, dental, and vision insurance. #J-18808-Ljbffr

The Medical Coder is primarily responsible for performing chart reviews and coding audits; reviewing appropriate ICD-10 diagnoses codes, and CPT and HCPCS procedure codes assigned for evaluation and management of the patient. Additional responsibilities include supporting pre-or post-payment coding audit for benchmark and/or reimbursement recovery, and other coding-related activities such as pre-appointment chart audits for HCC or risk adjustment, appeals of denied claims, providing information or education to providers for specificity of documentation to align with the coding guidelines to comply with federal, state, and regulatory requirements. ESSENTIAL JOB FUNCTIONS: Performs pre-appointment HCC or risk adjustment chart reviews, coding audits, or other coding-related projects Acts as internal resource for all coding inquiries from providers, Billing, Laboratory, Radiology, and other departments. Provides real time coding consultation and review and evaluation of...

University of California, San Francisco seeks a senior coder to lead the Faculty Practice Revenue Management Operations coding team. You will apply specialized ICD-10 and CPT knowledge to manage extensive code combinations and guide a centralized coding team as a subject matter expert for accuracy and efficiency. The role demands leadership in presenting information, auditing team performance, and ensuring compliance with federal/state guidelines. #J-18808-Ljbffr

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 responsibilities of this position include leadership as the subject matter expert to...

Medical Coder We are seeking a Medical Coder to join our team. In this role, you will transcribe patient records and process claims for reimbursements. You will be responsible for selecting the correct codes and functions to be assigned to each instance. The ideal candidate is detail-oriented with strong people skills and computer skills. Responsibilities: Account for coding and abstracting of patient medical appointments Research and analyze data needs for reimbursement Ensure codes are properly sequenced Analyze, file, and process medical records Keep detailed documentation of any deficiencies or issues with medical records Provide education and training to other coding staff Review and verify documentation Requirements: High school diploma/GED or equivalent Previous experience as a Medical Coder or in a similar position Familiar with coding software and other computer programs Strong written and verbal communication skills Highly organized and able to...

Job Summary: Must reside in Northern California Under direct supervision, the Inpatient Coder is responsible for the accurate coding and abstracting of inpatient cases or services (diagnosis, conditions and procedures) from medical record documentation. Assign codes and modifiers using the appropriate version of ICD-CM, ICD-PCS, CPT and HCPCS as well as other specialty systems as required by diagnostic category. The Inpatient Coder is expected to code and abstract Observation (OBS), Hospital Ambulatory Surgery (HAS), Emergency Department (ED), and complex Hospital Outpatient Visit (CHOY) services when needed. All work must be performed in accordance with the rules, regulations and coding conventions of ICD-CM Official Guidelines for Coding and Reporting, Coding Clinic published by the American Hospital Association, the ICD-CM, ICD-PCS, CPT and HCPCS code book, CPT Assistant, NCCI Edits, CMS, OSHPD and Kaiser Permanentes organizational and institutional coding guidelines....

CM with padding in San Francisco is looking for a Medical Biller and Coder to join our Revenue Cycle Team. This role involves reviewing patient claims, appealing denials, and ensuring coding compliance. The ideal candidate will have excellent communication and organizational skills, a CPC certification, and 5+ years of experience in a primary care environment. We offer competitive compensation and benefits, including flexible time-off and health insurance. #J-18808-Ljbffr

Millennium Physician Group is seeking a skilled Medical Coder to abstract and assign ICD-10-CM diagnosis codes from encounter documentation and perform retrospective audits of medical records to validate coding accuracy and claim quality. You will review VBAT-driven provider actions to identify outliers, analyze Medicare Risk Adjustment data, and communicate risks and opportunities to leadership. This role requires independent work, strong organizational skills, and proficiency with MS Office. #J-18808-Ljbffr

About Us We are a virtual-first primary care organization reimagining how people access and experience healthcare. Our mission is to deliver comprehensive, high-quality, and compassionate care that integrates technology, data, and human connection through a seamless digital platform complemented by in-person visits when needed. While our care is provided exclusively to patients in the United States, our team is distributed across the United States and Canada, bringing together clinicians, technologists, and operators who share a commitment to making high-quality healthcare delightful, personal, and accessible to everyone. More about us can be found on our website. Role Overview We are seeking an eager, detail-oriented Medical Biller and Coder to join our Revenue Cycle Team at Circle Medical Technologies. As we continue to grow, we constantly search for exceptional talent to join our team. What you will own Review patient claims for accuracy and completeness and proactively...

Job Summary: Must reside in Northern California Under direct supervision, the Inpatient Coder is responsible for the accurate coding and abstracting of inpatient cases or services (diagnosis, conditions and procedures) from medical record documentation. Assign codes and modifiers using the appropriate version of ICD-CM, ICD-PCS, CPT and HCPCS as well as other specialty systems as required by diagnostic category. The Inpatient Coder is expected to code and abstract Observation (OBS), Hospital Ambulatory Surgery (HAS), Emergency Department (ED), and complex Hospital Outpatient Visit (CHOY) services when needed. All work must be performed in accordance with the rules, regulations and coding conventions of ICD-CM Official Guidelines for Coding and Reporting, Coding Clinic published by the American Hospital Association, the ICD-CM, ICD-PCS, CPT and HCPCS code book, CPT Assistant, NCCI Edits, CMS, OSHPD and Kaiser Permanentes organizational and institutional coding guidelines....

Job Summary Under direct supervision, the Inpatient Coder is responsible for the accurate coding and abstracting of inpatient cases or services (diagnosis, conditions and procedures) from medical record documentation. Assign codes and modifiers using the appropriate version of ICD-CM, ICD-PCS, CPT and HCPCS as well as other specialty systems as required by diagnostic category. The Inpatient Coder is expected to code and abstract Observation (OBS), Hospital Ambulatory Surgery (HAS), Emergency Department (ED), and complex Hospital Outpatient Visit (CHOY) services when needed. All work must be performed in accordance with the rules, regulations and coding conventions of ICD-CM Official Guidelines for Coding and Reporting, Coding Clinic published by the American Hospital Association, the ICD-CM, ICD-PCS, CPT and HCPCS code book, CPT Assistant, NCCI Edits, CMS, OSHPD and Kaiser Permanente organizational and institutional coding guidelines. Essential Responsibilities Coding and...

Kaiser Permanente in Oakland, CA is seeking an Inpatient Coder to accurately code and abstract inpatient cases using ICD-CM, ICD-PCS, CPT and HCPCS. The role involves reviewing medical records, ensuring correct code sequencing, DRG assignment, and data abstraction to support compliant reporting. Under supervision, you will collaborate with physicians to clarify documentation, maintain productivity/quality standards, and uphold confidentiality. #J-18808-Ljbffr

University HealthCare Alliance (dba Stanford Medicine Partners) is the medical foundation of Stanford Health Care and Stanford Medicine. Stanford Medicine Partners was born out of the aspiration for Stanford Medicine and local, leading providers to partner together to bring high-quality care to patients within surrounding communities. Together, we are committed to delivering outstanding, leading-edge care to our patients. How We Work With Stanford Health Care Anchored by Stanford Health Care and the Stanford School of Medicine, Stanford Medicine Partners is dedicated to providing the highest standards of clinical excellence in order to ensure access for Bay Area patients to leading providers, while contributing to Stanford University’s well-respected Stanford Hospital and Clinics’ transformation into a broader and more integrated regional health system. Together, SMP and Stanford are pioneering new ways to practice medicine across multiple locations, using Stanford’s advanced...

UCSF Health is seeking a senior coder to lead the Faculty Practice Revenue Management Operations coding team. You will manage extensive ICD-10 and CPT codes, guide a centralized team, and ensure accurate coding aligned with federal and state guidelines. The role emphasizes education, audits, and high production coding to support UCSF goals for accuracy and charge lag. A CCS, CPC, or related licensure is required and a strong revenue cycle background is essential. #J-18808-Ljbffr

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...