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

Title: Pro Fee Oncology Coder Location: Fountain Valley, CA Department: Document Improvement Status: Full-Time Shift: Days (8hr) Pay Range*: $28.89/hr - $41.90/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 Manager, Coding Compliance, the OP Ancillary/Physician Coder will play a key role in reviewing and analyzing billing and coding for processing. This role will be responsible for reviewing and accurately...

Title: OP Ancillary/Physician Coder Location: Fountain Valley, CA (Predominantly Remote) Department: Coding Status: Full-Time Shift: Days (8hr) Pay Range*: $27.26/hr - $39.52/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 Manager, Coding Compliance, the OP Ancillary/Physician Coder will play a key role in reviewing and analyzing billing and coding for processing. This role will be responsible for...

Title: HCC Coider Location: Fountain Valley, CA Department: Risk Adjustment Status: Full-Time Shift: Days (8hr) Pay Range*: $33.11/hr - $48.04/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 MemorialCare Medical Foundation (MCMF) works closely with physicians and other health care professionals to provide best practice medicine to improve the health and wellbeing of individuals, families and our communities. The certified coding...

JOB DESCRIPTION Job Summary Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance. Creates solutions from initial concept to fully tested production and communicates results to a broad range of audiences. Effectively uses current and emerging technologies. KNOWLEDGE/SKILLS/ABILITIES With limited supervision, the Sr. Analyst, Data is responsible for...

Job Description The HIM Coder codes and abstracts clinical and demographic data from Inpatient/Outpatient Surgery/Observation patient records to support reimbursement and reporting. Assists in maintaining accurate and complete medical records in accordance with hospital policies and procedures. Reviews records for completeness, accuracy and compliance with regulations. Responsibilities Reviews, codes and abstracts, utilizing ICD-10 and CPT coding conventions, electronic health records of hospital(s) and clinic(s) patients, both retrospectively and concurrently, in a manner consistent with administrative, ethical, legal and regulatory requirements and to meet company established DNFB standards. Monitors incoming records daily and provides timely coding according to policy. Maintains strictest confidentiality of protected health information (PHI) in accordance with the Health Insurance Portability and Accountability Act (HIPAA). Reviews the medical record to assure...

Job Description Job Description Our company is seeking a Durable medical equipment (DME) Biller to conduct our Medi- cal/MediCare/independent Insurance billing process. A Billing Specialist/ Medical Coder is expected to assist with all internal billing needs and compliance. The Billing Specialist/ Medical Coder is responsible for insurance follow up and Accounts Receivable Management. This position is also responsible for Charge Review, Claims Mailing, Documentation Attachment and other duties as necessary to get charges submitted. **Prior experience in DME Medical Billing and Coding is a *Required* DME Medical Biller Tasks: - Conduct our Medi- cal/MediCare/independent Insurance billing process. - Run eligibility for patients - Timely filing of claims - Actively working to maintain a high percentage of net collection rate - Experience in dealing with denied claims - Work in multiple software systems to accomplish AR results - Furnish invoices for claims when requested -...

**Primary City/State:** Mesa, Arizona **Department Name:** Banner Staffing Services-AZ **Work Shift:** Day **Job Category:** Revenue Cycle **Primary Location Salary Range:** $25.03 - $37.55 / hour, based on education & experience In accordance with State Pay Transparency Rules. A rewarding career that fits your life. Banner Staffing Services offers a world of opportunities to make an impact on one of the countrys leading health systems. If youre looking to leverage your abilities - you belong at Banner Staffing Services. As part of the **Banner Health Revenue Cycle Team,** there are opportunities within that team. We specialize in Inpatient coding on the facility side. We do not do pro-fee coding. We are a team of 4 Inpatient Coding Managers who cover for each other and report to the Director of Acute Care Coding. These positions offer opportunities for growth both within the coding department, including roles such as Coding Educator, Coding...

Description We are seeking a LVN Coder/QA for our Cerritos office Essential Duties and Responsibilities Knowledge of home health regulations and OASIS documentation requirements and Medicare PDGM Reimbursement System. Remain expert on all OASIS and coding changes and their effect on Case Mix Weight and patient outcomes. Review and correction of all SOC, ROC, Recertification and Discharge OASIS for accuracy and timeliness; Review and correct diagnosis codes, and all other factors related to OASIS. Review and correction of items for the Plan of Care (485) including, but not limited to, projected visits, orders, medications and verbal order signature date. Responsible for ensuring OASIS documents are completed timely for month-end closing process. Provide new staff orientation related to OASIS, coding and documentation. Provide education to clinicians related to OASIS and diagnosis coding updates. Identify trends in...

Facility Inpatient Multispecialty Auditor/Coder Long Beach , CA 90802 Job Description Facility Inpatient Multispecialty Coder/Auditor Part-Time/Full-Time | Remote Founded in 1994, Managed Resources, Inc. (MRI)/CodingAID,headquartered in Long Beach, California, partners with clients nationwide to help them solve complex healthcare revenue cycle and compliance challenges. In our 25+ years of operations, MRI/CodingAID has had the pleasure of working with many of the most prestigious healthcare organizations and medical groups in the country that span from the Hawaiian Islands to the East Coast. We hope you'll apply to join us if the following opportunity aligns with your experience and aspirations! The primary responsibility of theFacility Inpatient Multispecialty Coder is to code ICD-10-CM/PCS, present on admission indicators (“POA”), APR-DRG & MS-DRG, HCPCS, CPT, Modifiers & APC assignment and identify documentation improvement based on medical record...

Overview: Monterey Park Hospital , located in the San Gabriel Valley of Los Angeles County, is currently recruiting for a Coder II for the Medical Records Department . This is a full time, 8 hour, non-exempt, day shift position. Monterey Park Hospital is a 101 bed acute care community hospital. We rank highest in patient satisfaction among the six (6) hospitals within the AHMC Healthcare Inc. system. Monterey Park Hospital has provided our community with advanced medical and culturally sensitive healthcare services for over 50 years. The Coder II reports to the HIM Director. Responsibilities: The Coder II will a ssign codes for diagnoses, treatments, and procedures according to the appropriate classification system for inpatient encounters and outpatient encounters. Use official coding guidelines and APCs reimbursement expertise to assign appropriate ICD-10, CPT-4, and HCPCS diagnoses and procedures. Abide by the Standards of Ethical Coding/AHIMA and adhere...

CSI Companies is actively hiring for a REMOTE Risk Adjustment Medical Coder for full-time hours ( minimum 35 hours a week) to join our growing Managed Services team.Working for CSI as a Risk Adjustment Medical coder in our Managed Services team will offer you the opportunity to: Work with nationally recognized healthcare client companies that are industry leaders Work on various projects as desired in 4 risk models (Rx HHS, CDPS, CMS and CAI), in multiple coding platforms, offering project variety while improving skill sets and always in a CSI Team environment with training, supportive coaching and tools proprietary to CSI Have access to our internal learning platform, CSI University, for CSI proprietary risk adjustment educational content and free CEU's Have the ability to move from project to project year round as clients require unique services, including risk adjustment coding, validation auditing and Code All ICD This is not just another contract, it's the...

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: High School Diploma or equivalent work experience required; college degree preferred with coursework in Medical Terminology/Anatomy & Physiology and...

Job Description Job Description Salary Range: $24.00 to $28.00 Hourly Summary : Responsible and accountable for performing chart reviews, physician education, and maintaining comprehensive knowledge of coding rules and regulations. Provide overall coding expertise as well as administrative and technical oversight to ensure successful integration of Arroyo Vista Family Health Center initiatives. DUTIES AND RESPONSIBILITIES: Develops an understanding of current billing practices in provider offices to ensure that diagnosis and CPT codes are submitted accordingly Performs on-going chart reviews and abstracts diagnosis codes, clarifying documentation with provider for coding accuracy as needed. Documents results/findings from chart reviews and provides feedback to management, providers, and office staff Provides training and education to network of providers on how to improve their HEDIS coding knowledge as well as provide coding updates related to HEDIS Builds...

Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance. Creates solutions from initial concept to fully tested production and communicates results to a broad range of audiences. Effectively uses current and emerging technologies. KNOWLEDGE/SKILLS/ABILITIES With limited supervision, the Sr. Analyst, Data is responsible for data compilation, data management, data...

Our mission is to participate in Jesus Christ's ministry, bringing health, healing, and wholeness to humanity by: Creating a supportive faculty practice framework that allows Loma Linda University School of Medicine physicians and surgeons to educate, conduct research, and deliver quality health care with optimum efficiency, deploying a motivated and competent workforce trained in customer service and whole person care principles and providing safe, seamless and satisfying health care encounters for patients while upholding the highest standards of fiscal integrity and clinical ethics. Our core values are compassion, integrity, humility, excellence, justice, teamwork and wholeness. The Coder Auditor-Risk Adjustment is responsible for the reconciliation of Clinical Documentation Integrity (CDI) clarification against final coded outcomes to ensure accurate and timely encounter data submission as outlined within Risk Adjustment Health Plans (i.e. Medicare Advantage). Evaluates...

JOB DESCRIPTION Job Summary Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance. Creates solutions from initial concept to fully tested production and communicates results to a broad range of audiences. Effectively uses current and emerging technologies. KNOWLEDGE/SKILLS/ABILITIES With limited supervision, the Sr. Analyst, Data is responsible for...

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? This role is under the general direction of the Supervisor, Coding using knowledge of CSMC and Coding Clinic guidelines, medical terminology, anatomy and physiology, and pathological basis of disease, documented treatment and procedures performed at CSMC. Assigns ICD-10-CM/PCS and for patients receiving services at CSMC. Correctly assigns ICD-10-CM codes for patients receiving services at CSMC. Works under general direction of the HID Coding...

Job Description Job Description CHA Hollywood Presbyterian (CHA HPMC) is a nationally recognized acute care facility that has been caring for the Hollywood community and Los Angeles Areas since 1924. Join our Global Network and be a CHA Global Ambassador CHA HPMC is also a part of the world-renown CHA Health System (CHS). CHS has CHA University which consists of 14 education institutions including medical school, nursing school and pharmacy. CHA global network operates 81 hospitals and specialty clinics, 30 research and 31 bio/pharmaceutical/healthcare companies with 14,000 employees in seven countries. Our New Facility is seeking for Top Talents The best women’s hospital in Los Angeles is looking for current RN candidates to staff Operating Room, Emergency Department, Labor & Delivery and Mother-Baby care units to be housed in our expanding new patient tower facility scheduled to open next year. Come be a part of this dedicated and caring team right in...

Job Description Job Description Position Purpose: Under the direction of the Billing Department Supervisor, the Certified Medical Coder will be responsible for assigning diagnosis and procedural codes and modifiers for comprehensive medical services performed by JWCH physicians. The Certified Medical Coder must apply all appropriate coding guidelines and legal requirements to ensure compliance. The Coder will verify and perform audits on clinician-completed charge tickets by ensuring accuracy of code assignment and billing data. Duties and Responsibilities: Acts as the primary staff liaison between the providers and the Billing Dept.; and, effectively communicates to clarify diagnoses, procedures coding and documentation requirements. Recommends appropriate ICD-10-CM, CDT diagnosis codes, CPT codes and HCPC codes. Review diagnosis and procedure coding within Next-Gen, on a regular basis; and, ensure appropriate coding for optimal billing. Work closely with...

Company Description Simplified IT is a global IT Staffing and Managed Services company. We have been rated top 10 staffing companies in the country for 3 years in a row. We serve technology, financial, auto, logistics & distribution companies across the United States, providing either IT staffing or technology solutions - or both. With decades of experience and a nationwide network of highly qualified, certified IT professionals, our goal is to build a lasting relationship with each client based on trust and consistent, reliable services. Job Description THIS IS A W2 POSITION AND ONLY US BASED CANDIDATES ONLY Responsibilities This position will provide high quality ICD-10, E/M, and procedure coding. Proficiency in profee inpatient E/M and bedside procedures for internal medicine and pulmonary. Qualifications This is a W2 position for a long-term project Current CPC, CCS, or equivalent through AAPC or AHIMA is required Must have at least 3 years of active E/M...

Overview: Under the direction of the Coding Supervisor, codes and abstracts inpatient and outpatient hospital medical records under two coding systems, ICD-9-CM and CPT-4, which is used for hospital reimbursement, statistical purposes, and reporting purposes required by different state regulatory agencies. Responsibilities: Must posses and maintain current certification as Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) from the American Health Information Management Association (AHIMA). Must have a minimum of three years experience coding inpatient and outpatient cases utilizing ICD-9 and CPT coding classifications. Qualifications: Prefer Registered Record Administrator, Accredited Record Technician, or Certified Coding Specialist. Non-registered and/or non-accredited Health Record Analyst must have 3 years inpatient coding experience in ICD-9-CM and CPT-4 coding and attained a Coding...

Salary : $55,848.00 - $76,835.20 Annually Location : Throughout San Bernardino County, CA Job Type: Full-time Job Number: 23-13107DBH-02 Department: Department of Behavioral Health Opening Date: 04/15/2023 Closing Date: Continuous The Job The County is recruiting for full-time Health Information Coder II for the Department of Behavioral Health (DBH) , who abstract and code outpatient charts at the hospital and clinic settings, using International Coding of Diseases (ICD-10-CM), Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) Level II coding classifications. Duties include reviewing charts (in paper or electronic format) and identifying procedures; abstracting and coding (or providing guidance on) patient charts, utilizing ICD-10-CM, CPT and HCPCS coding classifications; evaluating charts for completeness and accuracy in conformance with current-relevant standards and regulations; and contacting clinic/hospital...

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 Reporting to the Director of Ambulatory Business Services, the Coding Auditor provides professional services auditing including training, consultation, audit and feedback to clinicians on their documentation and coding to ensure Emanate Health Medical Group receives appropriate reimbursement and conforms to applicable guidelines and regulations. Advocates compliance with all third party billing and reimbursement requirements including, but not limited to, the requirements of Medicare and Medicaid...

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. J ob S u mma r y Reporting to the Director of Ambulatory Business Services, the Coding Auditor provides professional services auditing including training, consultation, audit and feedback to clinicians on their documentation and coding to ensure Emanate Health Medical Group receives appropriate reimbursement and conforms to applicable guidelines and regulations. Advocates compliance with all third party billing and reimbursement...