150 cpc certified professional coder jobs found in Fullerton, CA

Company Description AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas – immunology, oncology, neuroscience, and eye care – and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at www.abbvie.com . Follow @abbvie on X , Facebook , Instagram , YouTube , LinkedIn and Tik Tok . Job Description This role is field-based, and candidates should live within a reasonable distance from the primary city. Talent will be hired at a level commensurate with experience. Execute brand strategy and tactics in field, sales performance, effectively manage assigned territory and targeted accounts, build strong customer relationships and customer needs solving capability to maximize short and long term sales performance placing the...

Description About Us 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. SUMMARY 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 Analyze data from contracted IPA network providers that allows for proper review of data to evaluate HEDIS and Risk...

DRG Coder The Senior DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS to determine the appropriate Diagnosis-Related Group (DRG) assignment. This role ensures coding accuracy, reimbursement integrity, and compliance with federal and state regulations, payer guidelines, and internal policies. In an Independent Practice Association (IPA) and Management Services Organization (MSO) environment, the Senior DRG Coder partners with utilization management, care management, finance, and provider network teams to support accurate payment, risk adjustment, quality reporting, and medical expense analysis. What You'll Do Review inpatient hospital records and assign accurate diagnosis and procedure codes Determine the appropriate MS-DRG or APR-DRG assignment based on coding and clinical documentation Conduct coding validation and auditing to ensure compliance with payer and regulatory...

Astrana Health Management is seeking a Risk Adjustment Coding Specialist II to support the Orange County market. Candidates should have 3-5 years of risk adjustment coding experience and be able to travel up to 75% for the role. You will review provider documentation, conduct education sessions, and ensure compliance with coding regulations. AAPC or AHIMA certification is required. The role offers a competitive salary range of $70,000 - $85,000 per year. #J-18808-Ljbffr

Astrana Health is seeking a Risk Adjustment Coding Specialist to support Orange County operations. You will conduct high-volume chart reviews to identify coding gaps, then translate findings into education for providers and practice leaders, driving HCC recapture and KPI improvements. olla You will travel to provider offices up to 75% and collaborate with IPA teams, offering auditing and education to ensure CMS, Medicare and payer guidelines are met while staying current on ICD-10/HCC updates. #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...

Astrana Health, Inc. is seeking a Senior DRG Coder to ensure coding accuracy and compliance. You will review inpatient medical records, assign appropriate codes, and collaborate with various teams for accurate reimbursement. This role requires at least 5 years of inpatient coding experience with a strong background in ICD-10-CM and ICD-10-PCS methodologies. The position is remote but requires occasional in-person meetings. #J-18808-Ljbffr

Astrana Health Management is seeking a Senior DRG Coder to review inpatient medical records and assign diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS. The role is critical to ensuring coding accuracy and compliance within hospital reimbursement frameworks. Candidates should possess an associate’s degree, at least five years of inpatient coding experience, and relevant certifications. The position offers a competitive hourly wage and requires remote work capabilities with occasional in-person meetings. #J-18808-Ljbffr

Job Posting This class is online 8 hrs/wk. Requirements / Qualifications The application will be considered disqualified if it does not meet the criteria listed below and must have the following documentation attached to your online EdJoin application prior to the position closing date/time: • Completed Application A copy of basic skills will be required upon hire (refer to www.ctc.ca.gov for requirements) A detailed online copy of the credentials from the CTC Website. Letter(s) of Recommendation (Two letters of recommendation) Resume Career Technical Education Teaching Credential - Health Science and Medical Technology Comments and Other Information • Resume (Employee information on the resume must be consistent with the employment information on the Edjoin Application) • Letters of recommendation (Two (2) Letters of recommendation are required and must be attached to your application. Both letters must include the following: Date Must be...

JM Services and Consulting, LLC is seeking a Remote Medical Coder to join our healthcare revenue cycle team. You will review records, assign codes using ICD-10, CPT, and HCPCS, and ensure compliance with guidelines. The role is full-time, remote, with a competitive salary and benefits. You’ll collaborate with billers and providers, stay current on coding changes, and maintain HIPAA compliance. #J-18808-Ljbffr

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

Specialty Physician Coder Under 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...

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 Title Signs and Sequence Diagnostic/Procedural Codes Job Description Signs and sequence diagnostic/procedural codes to in-patient and out-patient 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 Computer experience. Minimum Experience Requirement: One to three years of prior coding experience. Knowledge of MS-DRG, APR-DRG, ICD-10CM/PCS and CPT required. Knowledge of computerized encoder programs. Excellent customer service skills required. Minimum License Requirement: CCS required. Pay Range: $33.95 - $48.55

A health care provider in West Covina is seeking a coding specialist to assign diagnostic and procedural codes to medical records for billing and compliance. The ideal candidate will possess a High School Diploma (or equivalent experience) and have 1-3 years of coding experience along with a CCS license. Knowledge of coding systems such as MS-DRG and ICD-10 is essential. The pay ranges from $33.95 to $48.55 per hour, reflecting the value placed on delivering world-class health care. #J-18808-Ljbffr

Job Summary As signs and sequence diagnostics/procedural codes to inpatient 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 Computer experience. Minimum Experience Requirement: One to three years of prior coding experience. Knowledge of MS-DRG, APR-DRG, ICD-10CM/PCS and CPT required. Knowledge of computerised encoder programs. Excellent customer service skills required. Minimum License Requirement: CCS required. Delivering world-class health care one patient at a time. Pay Range: $33.95 - $48.55 #J-18808-Ljbffr

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. 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...