90 cpc certified professional coder jobs found in Murrieta, CA

Responsibilities Join the Southwest Healthcare Team! About Us: Creating Health and Harmony, Southwest Healthcare is a comprehensive network of care with convenient hospital and ambulatory care/outpatient locations here to serve the Southern California community. With over 7,000 passionate providers and healthcare employees, our shared goal is to provide convenient access to a wide range of healthcare services in a way that benefits you, your family, and the entire community. Southwest Healthcare is comprised of five acute care hospitals and several non-hospital access points, including: Corona Regional Medical Center, Palmdale Regional Medical Center, Southwest Healthcare Rancho Springs Hospital, Southwest Healthcare Inland Valley Hospital and Temecula Valley Hospital, Temecula Valley Day Surgery, A+ Urgent Care Centers, Apex Heart Specialists, and Riverside Medical Clinics. We've won various awards throughout our region and focus on career development and promotion....

A healthcare services company is seeking a Per Diem Inpatient Coder to support effective coding of inpatient records. This fully remote position requires proficiency in coding and collaboration with healthcare leaders. Ideal candidates will have a background in health information management and extensive experience in inpatient coding. The company offers a range of benefits including competitive compensation, generous PTO, and continued education reimbursement. If you're dedicated to delivering quality care through coding, this role might be for you. #J-18808-Ljbffr

Position Overview This role is responsible for accurately determining codes for physicians' diagnoses and procedures, ensuring compliance with the latest medical reimbursement policies and CMS guidelines. The specialist reviews medical records to identify all appropriate coding, generates invoices for insurance and patient billing, and manages insurance claims and collections. Collaboration with clinical teams and patients is essential to ensure precise and complete charge preparation for patient visits. Key Responsibilities Maintain a safe and clean work environment, adhering to unit safety and infection control standards. Coding Duties: Utilize Electronic Health Records (EHR) to support claim coding. Assign ICD-10-CM, CPT-4, and HCPCS codes for surgeries based on current guidelines. Review physician notes for accuracy and completeness. Communicate with physicians to clarify or correct documentation as needed. Ensure all medical records are complete,...

Coder III Coder III is responsible conducting clinically based concurrent and retrospective reviews of inpatient medical records. This review is to evaluate that the clinical documentation is reflective of quality of care outcomes and reimbursement compliance for acute care services provided. The CDS will work closely with the medical staff to facilitate appropriate clinical documentation of patient care. The CDS/Coder III abstracts and codes the diagnostic and procedural information for Inpatient Services and Surgery medical records utilizing the current version of International Classifications of Diseases in accordance with regulatory agencies and hospital specific guidelines. The CDS/Coder III enters the coded data and other abstracted data from the medical record into the electronic information system. This position assumes primary responsibility for clarifying ambiguous documentation, DRG optimization with the primary role in assisting medical staff members with improving...

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...

Insurance Coordinator 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...

Certified Medical Records Coder Positions The County of Riverside - Riverside University Health System- Medical Records Department is seeking to fill multiple Certified Medical Records Coder positions. The incumbents will be responsible for performing advanced coding and abstracting of outpatient medical record entries according to the most current edition of International Classification of Diseases Clinical Modification System (ICD-CM) and Current Procedural Terminology (CPT); performs other related duties as required. The Certified Medical Records Coder - Outpatient classification performs coding and abstracting of a high volume of patient records in the Medical Records Department and reports to an appropriate supervisory or manager level position. The Certified Medical Records Coder - Outpatient is distinguished from the Certified Medical Records Coder - Inpatient in that the latter requires extensive knowledge of complex code and Diagnosis Related Group (DRG)...

Responsibilities Come and join the RMC Family! We have been in the community since 1935. Our mission is to provide comprehensive multi-specialty medical services in the greater Riverside region. Your passion, inspiration, and talents are invaluable to us and our mission to serve others. Our facility can provide a place for you to thrive and continue your professional development. Quality Healthcare is our passion, improving lives is our reward. We are working to change lives and transform the delivery of healthcare. Riverside Medical Clinic is the best place to work, practice medicine, and receive care. SUMMARY: Responsible for abstracting, reviewing, auditing and the education of all coding and compliance processes, as they relate to CPT, HCPCS and ICD 10 and/or HCC activity. QUALIFICATIONS : To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill,...

Riverside Medical Clinic Coding Specialist Responsible for abstracting, reviewing, auditing and the education of all coding and compliance processes, as they relate to CPT, HCPCS and ICD 10 and/or HCC activity. Qualifications: To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and/or Experience: One year minimum experience in the HCC coding field and/or CPT, HCPCS and ICD 10 experience. Proficient in excel and computer friendly. Certificates, Licenses, and Registrations: Current Medical Coding certificate specific to CRC, CPC or CCS required. Essential Functions: Essential functions are those tasks, duties and responsibilities that comprise the means of accomplishing the job's purpose and...

Coder (Cert) - Full Time Join the RMC Family! We have been in the community since 1935. Our mission is to provide comprehensive multi-specialty medical services in the greater Riverside region. Your passion, inspiration, and talents are invaluable to us and our mission to serve others. Our facility can provide a place for you to thrive and continue your professional development. Quality healthcare is our passion, improving lives is our reward. We are working to change lives and transform the delivery of healthcare. Riverside Medical Clinic is the best place to work, practice medicine, and receive care. Summary: Responsible for abstracting, reviewing, auditing and the education of all coding and compliance processes, as they relate to CPT, HCPCS and ICD 10 and/or HCC activity. Qualifications: To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill,...

Salary : $70,044.85 - $104,320.89 Annually Location : Riverside Job Type: Regular Job Number: 26-13390-01 Department: RUHS-Medical Center Opening Date: 05/08/2026 For questions regarding this position, please contact the Recruiter listed in the Supplemental Information section. ABOUT THE POSITION The County of Riverside - Riverside University Health System - Medical Records Department is seeking to fill a Certified Medical Records Coder position located in Riverside. Under general supervision, performs advanced coding and abstracting of inpatient medical record entries according to the most current edition of International Classification of Diseases - Clinical Modification System (ICD-CM), Procedure Coding System (PCS) and Current Procedural Terminology (CPT); performs other related duties as required. The Certified Medical Records Coder - Inpatient classification performs the most complex coding and abstracting of a high volume of patient records in the...

Salary : $64,311.76 - $95,813.52 Annually Location : Riverside Job Type: Regular Job Number: 26-13451-01 Department: RUHS-Medical Center Opening Date: 04/23/2026 For questions regarding this position, please contact the Recruiter listed in the Supplemental Information section. ABOUT THE POSITION The County of Riverside - Riverside University Health System- Medical Records Department is seeking to fill multiple Certified Medical Records Coder positions. The incumbents will be responsible for performing advanced coding and abstracting of outpatient medical record entries according to the most current edition of International Classification of Diseases Clinical Modification System (ICD-CM) and Current Procedural Terminology (CPT); performs other related duties as required. The Certified Medical Records Coder - Outpatient classification performs coding and abstracting of a high volume of patient records in the Medical Records Department and reports to an...

Position Overview This role is responsible for accurately assigning codes to physician diagnoses and procedures, ensuring compliance with the latest medical billing and reimbursement policies. The specialist reviews medical records to identify all appropriate coding, adhering to CMS guidelines and current reimbursement standards. Duties include generating invoices for insurance and patient billing, managing paperwork, handling insurance claims, and performing collections. Collaboration with clinical teams and patients is essential to ensure precise and complete charge preparation for each visit. Key Responsibilities Maintain a safe and clean work environment, following unit safety and infection control protocols. Coding: Utilize electronic health records (EHR) to support claim coding. Assign ICD-10-CM, CPT-4, and HCPCS codes for surgeries based on current guidelines. Review physician notes for accuracy and completeness. Communicate with physicians to clarify...

Please Note: This is a hybrid position ; however, applicants must reside in California and live within a 2-hour radius of Redlands, CA to be considered. Department: UHC: Managed Care Job Summary The Coder 1 * Risk Adjustment is responsible for concurrent, prospective, and retrospective clinical documentation review as it pertains to Risk Adjustment Data Validation (RADV) timelines, with an emphasis on completeness and accuracy of provider documentation related to severity of illness and supporting clinical care plan(s) for the validation of Hierarchical Condition Category (HCC) diagnoses. Initiates communication, verbal and written, with providers to facilitate clarification of need for greater specificity, clinical support, and/or completeness of the progress notes. Provides compliant education related to documentation integrity, completeness, and consistency. Keeps providers up to date on CMS, ICD-10-CM, AHA Coding, health plan etc. guidelines as it pertains to Risk...

$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high-quality health services. As Senior Inpatient Medical Coder you will provide coding services directly to providers. You'll play a key part in healing the health system by making sure our high standards for documentation...

UnitedHealth Group is seeking a Senior Inpatient Medical Coder for a remote position, responsible for accurately assigning codes in a hospital setting. Candidates should have a High School Diploma, professional coding certification, and at least 3 years of inpatient coding experience. This role offers a competitive salary between $23.41 to $41.83 per hour, flexible scheduling options, and a comprehensive benefits package. Join us to make an impact on health outcomes across communities while enjoying a supportive work environment. #J-18808-Ljbffr

Job Description Please Note: This is a hybrid position ; however, applicants must reside in California and live within a 2-hour radius of Redlands, CA to be considered. Department: UHC: Managed Care Job Summary: The Coder 1 - Risk Adjustment is responsible for concurrent, prospective, and retrospective clinical documentation review as it pertains to Risk Adjustment Data Validation (RADV) timelines, with an emphasis on completeness and accuracy of provider documentation related to severity of illness and supporting clinical care plan(s) for the validation of Hierarchical Condition Category (HCC) diagnoses. Initiates communication, verbal and written, with providers to facilitate clarification of need for greater specificity, clinical support, and/or completeness of the progress notes. Provides compliant education related to documentation integrity, completeness, and consistency. Keeps providers up to date on CMS, ICD-10-CM, AHA Coding, health plan etc. guidelines as...

Loma Linda University Health is hiring a Coder 1 for Risk Adjustment in Redlands, CA. This hybrid role involves reviewing clinical documentation for Risk Adjustment, ensuring completeness and accuracy. Ideal candidates will have a Bachelor's degree in Health Information Management or equivalent, with over 2 years of clinical experience, including 1 year in Risk Adjustment coding. The position requires certification as a Risk Adjustment Coder and comprehensive medical coding skills. Residency in California within a 2-hour radius of Redlands is mandatory. #J-18808-Ljbffr

Job Title Coder (Hospital Billing) Job Description 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...

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...

UC Irvine is seeking a Coder III to abstract and code inpatient visits at UCI Medical Center. This role requires at least four years of inpatient coding experience, knowledge of ICD-10-CM, and strong analytical skills. As a Coder III, you will use the 3m360 Sulventum encoder and EPIC systems to ensure accurate coding and participate in departmental projects. This position supports a critical function within the healthcare system at UCI, providing essential data for patient care and administrative processes. #J-18808-Ljbffr

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

UC Irvine is seeking a Specialty ROCC Coder III to perform coding and abstracting for IR/Vascular and Radiation Oncology accounts using ICD-10 CM and CPT. The successful candidate will have at least two years of acute hospital coding experience and must be credentialed as ROCC, CCS, CCS-P, CPC, or CPC-H. The position demands strong communication skills and the ability to work independently, with a comprehensive benefits package offered including medical insurance and retirement plans. #J-18808-Ljbffr

Western Growers Health — a part of Western Growers Family of Companies — provides employer-sponsored health benefit plans to meet the needs of those working for the agriculture industry. The unmatched benefit options provided by Western Growers Health stem from the core mission of Western Growers Association (est. 1926) 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...