116 cpc certified professional coder jobs found in Irvine, CA

Job Title: Certified Medical Coder / Certified Professional Coder (CPC) Duration: 3 months Location: Orange, CA 92868 Shift: Monday through Friday, 8:00 a.m. - 5:00 p.m. Mode: Onsite Pay Rate: $27.98-$43.37/hr Role & Responsibilities: Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Supports the manager in ensuring current coding methodology and modifier rules are applied to appropriate reimbursement and ensures the organization is following Medicare and Medi-Cal protocol for payment of claims. Maintains and monitors code listing updates for International Classification of Diseases (ICD)-10-Clinical Modification (CM)/Procedure Coding System (PCS), Current Procedural Terminology (CPT) and...

Who We Are UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America's Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County's only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and...

Western Growers Health Western Growers Health provides employer-sponsored health benefit plans to meet the needs of those working in the agriculture industry. The unmatched benefit options provided by Western Growers Health stem from the core mission of Western Growers Association to support the business interests of employers in the agriculture industry. Our mission at Western Growers Health is to deliver value to employers by offering robust health plans that meet the needs of a diverse workforce. By working at Western Growers Health, you will join a dedicated team of employees who care about offering quality health benefits and excellent customer service to plan participants. If you want to start making a difference working in the health care industry, then apply to Western Growers Health today. Compensation: $46,669.19 - $65,668.50 with a rich benefits package that includes profit-sharing. This is a remote position and can reside anywhere in the U.S. Job Description...

A healthcare firm supporting agriculture seeks a Claims Auditor for remote work, ensuring compliance with health benefits plans. The role involves coding new business, verifying plans, and maintaining efficiency in processes. Candidates should have a BS/BA degree and at least two years in claims auditing. The position offers a salary range of $46,669.19 - $65,668.50 and a benefits package including profit-sharing. #J-18808-Ljbffr

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 include the following: Analyze data from contracted IPA network providers that allows for proper review of data to...

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 technical...

We are seeking a Locum Tenens Coder II - Hoag Clinic in California. Locum Tenens Coder II - Hoag Clinic Position Type: Specialty: Non-Clinical - Patient Accounting Location: California Rate: Open & Negotiable Shift: Monday-Friday, morning shift (Remote eligible - see REQ notes for allowed locations) Start Date: 06/23/2025 End Date: 11/22/2025 Position Details: Patient Population: N/A Setting: Remote (Hoag Memorial Hospital Presbyterian, Costa Mesa, CA) Responsibilities: Review clinical documentation and diagnostic results. Apply appropriate ICD-10-CM, CPT, E/M, and procedure codes. Ensure accurate abstraction and documentation. Maintain coding accuracy of 95% or higher. Serve as a resource and coding consultant. Perform charge reviews and claim edits using Epic or other EMR. Required Procedures: ICD-10-CM, CPT, E/M, modifiers EMR System: Epic (or similar) Support Staff: N/A Days Per Month: 20 On-Call/Weekends: None Submission...

Coder (Hospital Billing) The Coder (Hospital Billing) reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM and ICD-10-PCS codes to support diagnoses, procedures, and treatment results. Codes are used for billing, internal and external reporting, research, and regulatory compliance activities. 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. Responsibilities: Verifies that all ICD-10-CM and ICD-10-PCS codes are correctly captured. Verifies that physician and other key information is correctly abstracted. Resolves billing related errors and assists with workflow changes and process improvement projects. Meets ongoing productivity and quality accuracy rate of 95% or better. Coder III assigns codes for diagnoses, treatment, and procedures for inpatient surgeries. Determines the correct principal diagnosis, co-morbidities,...

Position Summary Title: Specialty Physician Coder - Cadiology 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 Overview 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...

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 accountability. Whatever your...

A leading healthcare organization is seeking a Specialty Physician Coder specializing in General Surgery and Hematology/Oncology. This full-time role, primarily remote, involves reviewing and coding medical services for compliance and reimbursement. Ideal candidates will have 3 years of medical coding experience, including 1 year in specialty coding, and expertise in ICD10, CPT, and HCPCS. Excellent teamwork and communication skills are essential for collaborating within a fast-paced healthcare environment. #J-18808-Ljbffr

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...

A reputable healthcare provider is seeking a Senior Specialty Physician Coder to ensure accurate coding for interventional radiology services. This role requires strong analytical skills and expertise in medical coding standards, with a focus on compliance and accuracy. Candidates should have significant experience in coding and hold relevant certifications. The position offers a hybrid work model with a competitive pay range. #J-18808-Ljbffr

A leading healthcare organization is looking for a Specialty Physician Coder in Cardiology, preferably working remote but must be located in California. The job involves coding medical documents, collaborating with clinical teams, and ensuring high-quality service. The ideal candidate has at least three years of coding experience, in-depth knowledge of ICD10, CPT, and HCPCS coding, and relevant certifications. Join a dedicated and supportive team that focuses on patient-centric healthcare. #J-18808-Ljbffr

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 greets every individual using the...

POSITION Specialty Physician Coder Position Type: Temporary Schedule : M-F, 8:00 am - 4:30 pm Assignment Length: Approximately 3-Months, possibly longer. DESCRIPTION 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 will be 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 will also work with the Coding Compliance Manager on discovered coding trends and irregularities and needed action items. Essential Functions and Responsibilities of the Job Accurately abstract and review medical records to capture all billable professional charges Assign correct ICD-10-CM, CPT, and HCPCS codes...

POSITION OP Ancillary/Physician Coder Position Type: Temporary Schedule : M-F, 8:00 am - 4:30 pm Assignment Length: Approximately 3-Months, possibly longer. DESCRIPTION Under the direction of the Coding Compliance Manager, the OP Ancillary/Physician Coder plays a key role in reviewing and analyzing billing and coding for charge processing. This position is responsible for accurately reviewing and coding office, hospital, and surgical procedures to ensure compliant reimbursement. The coder will assign and sequence appropriate ICD-10-CM, CPT, and HCPCS codes for inpatient and outpatient services, diagnostic tests, and other medical services rendered. This is a ProFee coding-only role (no HCC coders) with a strong emphasis on diagnostic radiology coding and bundling rules . Essential Duties & Responsibilities Analyze and interpret medical records to assign accurate ICD-10-CM, CPT, and HCPCS codes Review and code office, hospital, inpatient,...

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. In adherence with standard work, 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 according to established coding guidelines, including the ability to review and natively code surgical operative and/or procedure reports. In adherence with standard work, follow established workflow for working claim denials in the Follow-Up work queues and identify opportunities for billing/coding improvements. Participate in developing, implementing, and reviewing programs for coding compliance monitoring, criteria for benchmark comparisons,...

Title: Specialty Physician Coder - Cadiology 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 accountability.Whatever your role and whatever expertise you bring, we are...

POSITION Specialty Physician Coder Position Type: Temporary Schedule : M-F, 8:00 am - 4:30 pm; Onsite Assignment Length: Approximately 3-Months, possibly longer. DESCRIPTION Under the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a critical role in reviewing and analyzing specialty physician coding and billing to support accurate charge capture and compliant reimbursement. This position is responsible for coding office, inpatient, outpatient, and surgical/procedural services with a focus on surgical breast oncology (including plastic reconstructive breast surgery) and Hematology/Oncology. The coder will identify coding trends, irregularities, and opportunities for improvement while collaborating closely with providers and revenue cycle partners. Essential Duties & Responsibilities Review and abstract medical records to capture all billable professional charges Assign accurate ICD-10-CM, CPT, and HCPCS codes for...

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...

Job Description Job Description Description: We are seeking a detail-oriented and knowledgeable Medical Biller to join our medical practice. The ideal candidate will be responsible for managing billing processes, ensuring accurate coding and submission of claims, and maintaining medical records. This role is crucial in facilitating the financial operations of our medical office while ensuring compliance with healthcare regulations. Requirements: Responsibilities Oversees the operations of the billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management Plans and directs patient insurance documentation, workload coding, billing and collections, and data processing to ensure accurate billing and efficient account collection Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues Follow up on claims using...

About AmeriPharma AmeriPharma is a rapidly growing healthcare company where you will have the opportunity to contribute to our joint success on a daily basis. We value new ideas, creativity, and productivity. We like people who are passionate about their roles and people who like to grow and change as the company evolves. AmeriPharma's Benefits Full benefits package including medical, dental, vision, life that fits your lifestyle and goals Great pay and general compensation structures Employee assistance program to assist with mental health, legal questions, financial counseling etc. Comprehensive PTO and sick leave options 401k program Plenty of opportunities for growth and advancement Company sponsored outings and team-building events Casual Fridays Job Summary As an Insurance Coordinator at AmeriPharma, you will be responsible for accurate and timely verifications of patients' medical insurance coverage and securing medical prior authorization to...

Plans, teaches, directs, and supervises all student learning experiences in the classroom, skills lab, and clinical areas, following the curriculum of the school approved by the Accreditation Bureau. This is a faculty position. PERSONAL: Willingness Biller, Insurance, Medical, Coder, Program Director, Healthcare, Education