70 cpc certified professional coder jobs found in Oakland, CA

Job Summary Under direct supervision, the Inpatient Coder is responsible for the accurate coding and abstracting of inpatient cases or services (diagnosis, conditions and procedures) from medical record documentation. Assign codes and modifiers using the appropriate version of ICD-CM, ICD-PCS, CPT and HCPCS as well as other specialty systems as required by diagnostic category. The Inpatient Coder is expected to code and abstract Observation (OBS), Hospital Ambulatory Surgery (HAS), Emergency Department (ED), and complex Hospital Outpatient Visit (CHOY) services when needed. All work must be performed in accordance with the rules, regulations and coding conventions of ICD-CM Official Guidelines for Coding and Reporting, Coding Clinic published by the American Hospital Association, the ICD-CM, ICD-PCS, CPT and HCPCS code book, CPT Assistant, NCCI Edits, CMS, OSHPD and Kaiser Permanente organizational and institutional coding guidelines. Essential Responsibilities Coding and...

Kaiser Permanente in Oakland, CA is seeking an Inpatient Coder to accurately code and abstract inpatient cases using ICD-CM, ICD-PCS, CPT and HCPCS. The role involves reviewing medical records, ensuring correct code sequencing, DRG assignment, and data abstraction to support compliant reporting. Under supervision, you will collaborate with physicians to clarify documentation, maintain productivity/quality standards, and uphold confidentiality. #J-18808-Ljbffr

University of California, San Francisco is seeking a Health Information Coder III to perform inpatient DRG coding with advanced knowledge of ICD‑10‑CM, ICD‑10‑PCS and CPT. You will abstract data per UCSF Health policies and support DRG assignments for hospital services. The role requires certification in CCS/CIC or RHIT/RHIA, 3+ years of inpatient coding experience, and strong EHR/encoder skills. Excellent communication and time management are essential for success in a fast‑paced environment. #J-18808-Ljbffr

New Hires are eligible for a Sign-On Bonus New hires are eligible for a $2,000 sign‑on bonus. The bonus is payable after 30 days of continuous employment. The Health Information Coder III is a senior‑level inpatient coder with advanced knowledge and skill sets in ICD‑10‑CM, ICD‑10‑PCS, CPT, and HCPCS classification systems. The coder abstracts according to UCSF Health policies and procedures and focuses on all primary hospital services. Department Overview UCSF’s Health Information Management department maintains health records for all inpatient, outpatient, and same‑day surgery services. The coding department translates detailed clinical documentation into standardized codes that ensure accurate communication, billing, compliance, and data use across the healthcare system. Responsibilities Retrieve and analyze comprehensive medical records and information systems for appropriate documentation and follow‑up. Evaluate full episode of care for inpatient cases and assign...

The University of California - San Francisco is seeking a Health Information Coder III PD. This senior-level position involves advanced inpatient coding using ICD-10-CM, ICD-10-PCS, and CPT systems, ensuring compliance with coding guidelines and standards. Responsibilities include analyzing medical records, coding clinical data, and participating in audits. Candidates should hold relevant certifications and possess strong analytical and communication skills. #J-18808-Ljbffr

JOB SUMMARY The Health Information Coder III PD is a senior-level inpatient coder with advanced knowledge and skill set to utilize the ICD-10-CM, ICD-10-PCS, CPT, HCPCS classification systems. The skill set extends to advanced knowledge and comprehension of code sequences into Diagnoses-Related Groups. Cases are coded to comply with the official guidelines for coding and reporting, practice standards and code of ethics for HIMS coder. Cases are abstracted according to UCSF Health policies and procedures. The focus of coding and abstracting is on a range of all primary hospital services. This is a per diem position with no set schedule. OTHER FUNCTIONS AND RESPONSIBILITIES Demonstrate understanding of DRG coding mission within UCSF Health. Demonstrate understanding of DRG coding, AR, and data submission information flow. Ability to solve problems and troubleshoot computer issues. Perform data searches. Maintain patient confidentiality and IT security. Treat others with...

UCSF Health is seeking a senior coder to lead the Faculty Practice Revenue Management Operations coding team. You will manage extensive ICD-10 and CPT codes, guide a centralized team, and ensure accurate coding aligned with federal and state guidelines. The role emphasizes education, audits, and high production coding to support UCSF goals for accuracy and charge lag. A CCS, CPC, or related licensure is required and a strong revenue cycle background is essential. #J-18808-Ljbffr

Position Overview Under the general direction of the Revenue Manager/Associate Director, this senior coder role oversees a large range of coding combinations (approximately 1,500–5,000), applies specialized coding knowledge to manage ICD‑10 and CPT procedural codes, and guides a centralized coding team as a subject matter expert to improve accuracy and efficiency of professional fee coding. Responsibilities Lead as a subject matter expert, presenting information to the team. Audit and oversee team members’ accuracy and production. Ensure compliance with all federal, state, and local carrier guidelines. Provide education and training to coding staff and physicians. Perform high‑production coding to meet UCSF goals for accuracy and charge lag. Conduct in‑depth reviews of physician documentation and prepare documentation audits. Create coding analysis reports and online presentations with findings and recommendations. Determine methods and procedures for new assignments and...

Location: Fully Remote Employment Duration: 3 months Patient Record Abstractor fulfills a role as a Medical Coder for UCSF's physician practices. They review patient records, discharge summaries, operative reports, and other clinical documentation to assign standardized codes for diagnoses, procedures, and services. They apply national and international coding classifications to ensure records reflect the care delivered, supporting accurate reimbursement and reliable clinical data. They have knowledge of Current Procedural Terminology (CPT), International Classification of Diseases, 10th Edition, Clinical Modification (ICD-10-CM), and Healthcare Common Procedural Coding System (HCPCS). The role operates within a healthcare records or billing team and requires close liaison with clinicians, clinical coders, and administrative staff to resolve documentation queries. Coders must maintain currency with coding updates, compliance requirements, and professional standards, and...

UCSF Health is seeking a senior coder to lead the Faculty Practice Revenue Management Operations coding team. You will manage extensive ICD-10 and CPT codes, guide a centralized team, and ensure accurate coding aligned with federal and state guidelines. The role emphasizes education, audits, and high production coding to support UCSF goals for accuracy and charge lag. A CCS, CPC, or related licensure is required and a strong revenue cycle background is essential. #J-18808-Ljbffr

JOB SUMMARY The Health Information Coder III PD is a senior-level inpatient coder with advanced knowledge and skill set to utilize the ICD-10-CM, ICD-10-PCS, CPT, HCPCS classification systems. The skill set extends to advanced knowledge and comprehension of code sequences into Diagnoses-Related Groups. Cases are coded to comply with the official guidelines for coding and reporting, practice standards and code of ethics for HIMS coder. Cases are abstracted according to UCSF Health policies and procedures. The focus of coding and abstracting is on a range of all primary hospital services. This is a per diem position with no set schedule. OTHER FUNCTIONS AND RESPONSIBILITIES Demonstrate understanding of DRG coding mission within UCSF Health. Demonstrate understanding of DRG coding, AR, and data submission information flow. Ability to solve problems and troubleshoot computer issues. Perform data searches. Maintain patient confidentiality and IT...

The University of California - San Francisco is seeking a Senior Coder to oversee a diverse range of coding combinations, manage a centralized coding team, and enhance accuracy in professional fee coding. This role demands strong analytical skills and qualifications in coding. New hires are eligible for a $2,000 sign-on bonus. The starting salary is $119,809, depending on experience. Candidates must be authorized to work in the United States without future visa sponsorship. #J-18808-Ljbffr

Professional Fee Coder - Analyst II, under the direction of their Revenue Manager and Associate Director, will provide support in areas of revenue operations related to coding, auditing, and training for their designated areas. Responsibilities include providing education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines. Analyst II will perform an in-depth review of physician documentation and is responsible for presenting findings along with recommendations to the department on physician education. The incumbent should be familiar with all applicable billing and coding regulations and be able to effectively communicate these regulations to all levels of faculty, management and staff. This position will also assign codes based on a review of clinical charts, resolve coding issues based on denials, and identify areas of improvement and current work experience is essential. Note: The rate of pay starts at $45 per hour, and...

Job Description ***New Hires are eligible for a Sign-On Bonus*** Under the general direction of the Revenue Manager/Associate Director, this position is expected to function as a senior coder with a high degree of accuracy, proficiency, and production in the areas and specialties covered by the Faculty Practice Revenue Management Operations coding team. Applies specialized coding knowledge to manage a large range of coding combinations (approximately 1,500 – 5,000 combinations). Breadth of understanding of application of moderate to complex coding, coding modifiers, and correct coding initiative guidelines to autonomously manage extensive ICD-10 and CPT procedural codes and current work experience. May include both professional fee and technical coding application. Also guides a centralized coding team as a subject matter expert to improve the accuracy and efficiency of professional fee coding by the team. Note: We are offering a new hire sign‑on bonus of $2,000. All new...

Radiation Oncology Certified Coder Assigns diagnosis and procedure codes for outpatient surgical or specialty encounters in the hospital or physician office setting. Abstracts required data elements for billing, reimbursement and state reporting. Queries providers regarding incomplete or inconsistent documentation. Resolves claim edits or claim denials related to coding. Ensures all collected data is accurate, complete and compliant with state and federal regulations as well as Official Guidelines for Coding and Reporting. Accurately assigns ICD-10 diagnosis and CPT procedure codes for outpatient specialty services in the hospital or office setting. Abstracts data elements based on defined standards and regulatory requirements. Recognizes incomplete or missing documentation necessary to support code assignment and escalates appropriately to ensure timely resolution. Ensures assigned codes reflect the highest degree of specificity supported by the provider documentation....

Job Summary: Must reside in Northern California Under direct supervision, the Inpatient Coder is responsible for the accurate coding and abstracting of inpatient cases or services (diagnosis, conditions and procedures) from medical record documentation. Assign codes and modifiers using the appropriate version of ICD-CM, ICD-PCS, CPT and HCPCS as well as other specialty systems as required by diagnostic category. The Inpatient Coder is expected to code and abstract Observation (OBS), Hospital Ambulatory Surgery (HAS), Emergency Department (ED), and complex Hospital Outpatient Visit (CHOY) services when needed. All work must be performed in accordance with the rules, regulations and coding conventions of ICD-CM Official Guidelines for Coding and Reporting, Coding Clinic published by the American Hospital Association, the ICD-CM, ICD-PCS, CPT and HCPCS code book, CPT Assistant, NCCI Edits, CMS, OSHPD and Kaiser Permanentes organizational and institutional coding guidelines....

CM with padding in San Francisco is looking for a Medical Biller and Coder to join our Revenue Cycle Team. This role involves reviewing patient claims, appealing denials, and ensuring coding compliance. The ideal candidate will have excellent communication and organizational skills, a CPC certification, and 5+ years of experience in a primary care environment. We offer competitive compensation and benefits, including flexible time-off and health insurance. #J-18808-Ljbffr

Millennium Physician Group is seeking a skilled Medical Coder to abstract and assign ICD-10-CM diagnosis codes from encounter documentation and perform retrospective audits of medical records to validate coding accuracy and claim quality. You will review VBAT-driven provider actions to identify outliers, analyze Medicare Risk Adjustment data, and communicate risks and opportunities to leadership. This role requires independent work, strong organizational skills, and proficiency with MS Office. #J-18808-Ljbffr

About Us We are a virtual-first primary care organization reimagining how people access and experience healthcare. Our mission is to deliver comprehensive, high-quality, and compassionate care that integrates technology, data, and human connection through a seamless digital platform complemented by in-person visits when needed. While our care is provided exclusively to patients in the United States, our team is distributed across the United States and Canada, bringing together clinicians, technologists, and operators who share a commitment to making high-quality healthcare delightful, personal, and accessible to everyone. More about us can be found on our website. Role Overview We are seeking an eager, detail-oriented Medical Biller and Coder to join our Revenue Cycle Team at Circle Medical Technologies. As we continue to grow, we constantly search for exceptional talent to join our team. What you will own Review patient claims for accuracy and completeness and proactively...

Kaiser Permanente in San Francisco, CA is seeking an Inpatient Coder to accurately code and abstract inpatient records using ICD-CM, ICD-PCS, CPT and HCPCS. The role requires collaboration with physicians to clarify documentation, ensuring accurate DRG assignments and compliance with coding guidelines. Minimum three years hospital coding experience and relevant certifications preferred. This position emphasizes data integrity, confidentiality, and adherence to regulatory standards within a Labor #J-18808-Ljbffr

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.Join us to start Caring. Connecting. Growing together. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital professional accounts Assigns CPT and ICD-10 codes to all RAD-ONC Monitors assigned work queues to ensure all...

The Revenue Cycle Management CPC Auditor is responsible for conducting comprehensive audits across all phases of the revenue cycle to ensure accuracy, compliance, and optimal reimbursement. This role is critical in identifying revenue leakage, reducing denials and strengthening internal controls and staff productivity requirements. The Auditor will evaluate charge capture, coding accuracy, documentation integrity, billing workflows, payment posting, denial follow-up, Appeals, and AR follow-up for RCM, clinical, and provider teams to drive continuous process improvement. *This is a remote role. We are only hiring in the following states: AZ, CA, NM, NV, OR, TX and WA. What you will do: Audit execution & oversight by performing routine and ad hoc audits across the full revenue cycle process, including: Charge entry and charge capture accuracy CPT, HCPCS, and ICD-10 coding compliance Modifier usage Workers' compensation billing rules and state-specific...

The Medical Coder is primarily responsible for performing chart reviews and coding audits; reviewing appropriate ICD-10 diagnoses codes, and CPT and HCPCS procedure codes assigned for evaluation and management of the patient. Additional responsibilities include supporting pre-or post-payment coding audit for benchmark and/or reimbursement recovery, and other coding-related activities such as pre-appointment chart audits for HCC or risk adjustment, appeals of denied claims, providing information or education to providers for specificity of documentation to align with the coding guidelines to comply with federal, state, and regulatory requirements. ESSENTIAL JOB FUNCTIONS: Performs pre-appointment HCC or risk adjustment chart reviews, coding audits, or other coding-related projects Acts as internal resource for all coding inquiries from providers, Billing, Laboratory, Radiology, and other departments. Provides real time coding consultation and review and evaluation of...