150 cpc certified professional coder jobs found in Costa Mesa, CA

Specialty Physician Coder – Cardiology Location: Fountain Valley, CA (Predominately Remote / Must be located in California) Department: Document Improvement Status: Full-Time Shift: Days (8 hr) Pay Range: $33.79/hr - $49.00/hr Position Summary Under the direction of the Coding Compliance Manager, the Specialty Physician Coder reviews and analyzes specialty coding and billing for charge processing and ensures accurate, compliant medical coding for inpatient and outpatient services, diagnostic tests, and other medical services. The coder will work with the Coding Compliance Manager on identified coding trends and irregularities and needed action items. Essential Functions and Responsibilities Proficient in Microsoft Office suite. Proficient in Epic software. Strong analytical skills. Strong critical thinking skills. Detail oriented. Ability to research and resolve problems (strong problem‑solving skills). Strong understanding of the healthcare revenue cycle. Excellent...

A leading healthcare organization is seeking a Specialty Physician Coder for a full-time position in California, primarily remote. The role involves reviewing and analyzing specialty coding and billing while ensuring accurate medical coding for various services. Qualified candidates should have significant coding experience and be familiar with ICD10, CPT, and HCPCS. The position offers a pay range of $33.79/hr to $49.00/hr, emphasizing analytical skills, problem-solving, and effective communication in a collaborative environment. #J-18808-Ljbffr

Sr. Specialty Physician Coder - Interventional Radiology PositionRemote Opportunity for CA Residents OnlyPosition Type: TemporarySchedule: M-F, 20 - 30 hours/wk (Remote; Must reside in California)Assignment Length: Approximately 3-Months, possibly LongerDescription: Under the direction of the Coding Compliance Manager, the Senior Specialty Physician Coder is responsible for reviewing and accurately coding physician services to ensure compliant reimbursement and complete charge capture.This role is highly specialized in Interventional Radiology (IR) and requires a coder who can independently perform complex IR coding from day one. The coder will also support coding operations, identify trends and irregularities, and collaborate with leadership on compliance and process improvement initiatives.Essential Duties & ResponsibilitiesPerform independent, high-level Interventional Radiology (IR) coding for outpatient (Profee) servicesReview and abstract medical records to ensure...

Specialty Physician CoderUnder 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.Job Responsibilities: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 correct ICD-10-CM, CPT, and/or HCPCS codes to the diagnoses/procedures of office, inpatient, and/or outpatient medical records...

Specialty Physician Coder | Remote (Southern California) Contract 3-6+ MonthsHave your specialty coding skills, but tired of feeling like a number? We're looking for an experienced Specialty Physician Coder to join a growing Coding Compliance team, remote, with real variety in your day-to-day work.Why coders like this role:Fully remote (must reside in Southern California)M-F, 8:00 am to 5:00 pm, a schedule you can actually plan your life around3 to 6 month assignment with strong potential to extendReal variety: office, hospital, surgical, inpatient, and outpatient coding, not the same claim type on repeatDirect collaboration with physicians and revenue cycle teams, not buried in a queueA seat at the table for coding compliance and documentation improvement initiativesWhat you'll be doing:Reviewing physician documentation and assigning accurate ICD-10-CM, CPT, and HCPCS codesCoding office visits, hospital encounters, outpatient and inpatient services, and surgical or procedure...

Sr. Specialty Physician Coder - Interventional Radiology Position Remote Opportunity for CA Residents Only Position Type: Temporary Schedule: M-F, 20 - 30 hours/wk (Remote; Must reside in California) Assignment Length: Approximately 3-Months, possibly Longer Description: Under the direction of the Coding Compliance Manager, the Senior Specialty Physician Coder is responsible for reviewing and accurately coding physician services to ensure compliant reimbursement and complete charge capture. This role is highly specialized in Interventional Radiology (IR) and requires a coder who can independently perform complex IR coding from day one. The coder will also support coding operations, identify trends and irregularities, and collaborate with leadership on compliance and process improvement initiatives. Essential Duties & Responsibilities Perform independent, high-level Interventional Radiology (IR) coding for outpatient (Profee) services Review and abstract medical...

Title: Specialty Physician Coder - General Surgery (Surgical Breast Oncology and General Hematology/Oncology) Location: Fountain Valley, CA (Predominately Remote / Must be located in California) Department: Document Improvement Status: Full-Time Shift: Days (8hr) Pay Range*: $33.79/hr - $49.00/hr MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups - consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and...

Title: Sr. Specialty Physician Coder Location: Fountain Valley, CA / Predominantly Remote Department: Document Improvement Status: Full-Time Shift: Days (8hr) Pay Range*: $35.46/hr - $51.46/hr MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups - consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your...

Overview Title: Sr. Specialty Physician Coder – Interventional Radiology Location: Fountain Valley, CA / Predominantly Remote Department: Document Improvement Status: Full-Time Shift: Days (8hr) Pay Range*: $35.46/hr - $51.46/hr At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our employees. Memorial Care stands for excellence in Healthcare. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation and teamwork. Position Summary Under the direction of the Coding Compliance Manager, the Senior Specialty Physician Coder plays a key role in reviewing and analyzing specialty coding and billing for charge...

Our Client, a Healthcare company, is looking for a Specialty Physician Coder for their Fountain Valley, CA location. Responsibilities: 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 correct ICD10CM, CPT, and/or HCPCS codes to the diagnoses/procedures of office, inpatient, and/or outpatient medical records according to established coding guidelines. Review and natively code surgical operative and/or procedure reports. Follow established workflow for working claim denials in the Follow Up work queues and identify opportunities for billing and coding improvements. Participate in developing, implementing, and reviewing programs for coding compliance monitoring, benchmark comparisons, organizational policies and procedures, and physician clinical documentation improvement programs. Work in...

Specialty Physician Coder | Remote (Southern California) Contract 3-6+ Months Have your specialty coding skills, but tired of feeling like a number? We're looking for an experienced Specialty Physician Coder to join a growing Coding Compliance team, remote, with real variety in your day-to-day work. Why coders like this role: Fully remote (must reside in Southern California) M-F, 8:00 am to 5:00 pm, a schedule you can actually plan your life around 3 to 6 month assignment with strong potential to extend Real variety: office, hospital, surgical, inpatient, and outpatient coding, not the same claim type on repeat Direct collaboration with physicians and revenue cycle teams, not buried in a queue A seat at the table for coding compliance and documentation improvement initiatives What you'll be doing: Reviewing physician documentation and assigning accurate ICD-10-CM, CPT, and HCPCS codes Coding office visits, hospital encounters, outpatient and...

MemorialCare in Fountain Valley, CA seeks a Specialty Physician Coder to review and code office, hospital, and surgical procedures for reimbursement. This predominantly remote position requires California residency and supports compliant medical coding for inpatient and outpatient services. Proficiency with Microsoft Office and Epic, plus strong analytical and communication skills, are essential. Full-time, 8-hour days; pay ranges from $33.79 to $49.00 per hour with potential bonuses based on #J-18808-Ljbffr

Job Description Job Description Duties: Position Summary: Reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM, and CPT-4 codes. Codes are used for billing, internal and external reporting, research and regulatory compliance activities. Resolves billing related errors and assists with workflow changes and process improvement projects. Meets ongoing productivity and quality standard of 95% accuracy rate or better. Verifies that all ICD-10 codes are correctly captured. Verifies that physician is correctly abstracted. Keeps abreast of coding guideline changes. May identify chargeable items for facility level for given department. May assign codes for diagnoses and treatment for ancillary outpatient encounters. Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all official coding guidelines. Performs other duties as assigned. Additionally, the Coder III utilize0s...

Who We Are UCI Health is one of California's largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a 1,461-bed health system that includes UCI Health - Orange, UCI Health - Irvine, four Community Network hospitals and a growing network of ambulatory care centers across Orange and Los Angeles counties. As Orange County's only academic health systems, UCI Health is home to the only National Cancer Institute-designated comprehensive cancer center based in the county, the region's only American College of Surgeons-verified Level I adult and Level II pediatric trauma center, American College of Emergency Physicians Gold Level 1 Geriatric Emergency Department and a nationally recognized regional burn center verified by the American Burn Association. Powered by UC Irvine, UCI Health serves 5.6 million people across Orange County, western Riverside County and southeast Los Angeles...

Specialty Rocc Coder III UCI Health is one of California's largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a 1,461-bed health system that includes UCI Health Orange, UCI Health Irvine, four Community Network hospitals and a growing network of ambulatory care centers across Orange and Los Angeles counties. As Orange County's only academic health systems, UCI Health is home to the only National Cancer Institute-designated comprehensive cancer center based in the county, the region's only American College of Surgeons-verified Level I adult and Level II pediatric trauma center, American College of Emergency Physicians Gold Level 1 Geriatric Emergency Department and a nationally recognized regional burn center verified by the American Burn Association. Powered by UC Irvine, UCI Health serves 5.6 million people across Orange County, western Riverside County and southeast Los...

Job Description Summary Position reports to the Supervisor Benefit Distribution & Installation and performs in-depth pharmacy and medical plan coding of new and existing business accounts. This position will ensure that all new and existing health (medical/dental/pharmacy) insurance plans underwritten by Western Growers Assurance Trust (WGAT) and those of Pinnacle Claims Management, Inc. (PCMI) are in compliance with the respective employers’ summary plan descriptions. Job Description Summary Position reports to the Supervisor Benefit Distribution & Installation and performs in-depth pharmacy and medical plan coding of new and existing business accounts. This position will ensure that all new and existing health (medical/dental/pharmacy) insurance plans underwritten by Western Growers Assurance Trust (WGAT) and those of Pinnacle Claims Management, Inc. (PCMI) are in compliance with the respective employers’ summary plan descriptions. Duties And Responsibilities Plan...

JOB DESCRIPTION SUMMARYPosition reports to the Supervisor Benefit Distribution & Installation and performs in-depth pharmacy and medical plan coding of new and existing business accounts. This position will ensure that all new and existing health (medical/dental/pharmacy) insurance plans underwritten by Western Growers Assurance Trust (WGAT) and those of Pinnacle Claims Management, Inc. (PCMI) are in compliance with the respective employers’ summary plan descriptions.DUTIES AND RESPONSIBILITIESPlan CodingPlan code new business and plan changes.Verify new and existing plans loaded on the company’s claim management system against the appropriate Summary Plan Description to determine the accuracy of present and future claims payments.Respond to work orders received from examiners to investigate plan issues and irregularities.Evaluate testing requests for all new plans prior to loading them into the production system.AdministrativeKeep a detailed log of open and completed...

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...

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

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...

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

UCI Health is seeking a Specialty ROCC Coder III to perform abstracting and coding on IR/Vascular and Radiation Oncology accounts using ICD-10-CM and CPT. The role requires a minimum of two years in acute hospital coding and AHIMA-approved certificate, with strong communication skills. You will interact with physicians for query clarification, generate production reports, and support departmental PI projects to improve coding accuracy and compliance within UCI Health. #J-18808-Ljbffr

Junior Quality Improvement Coder Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members. The Junior Quality Improvement Coder is responsible for providing director support to all departmental QI initiatives. In this role, the Junior QI Coder will partner with the Director to collaborate with network providers and IPA's to improve the quality of care through quality improvement activities that will include RAF, HEDIS, CMS Star Ratings and other health plan reporting. Essential Duties And Responsibilities Include The Following: Analyze data from contracted IPA network providers that allows for proper review of data to...