32 cpc certified professional coder jobs found in Rancho Cordova, CA

This position is work from home within California. Job Summary And Responsibilities As a Coder I, you will review and process clinic professional charges for Dignity Health Medical Foundation. This position works closely with medical groups physicians and providers to ensure all services billed are supported by the documentation and correctly coded for maximum reimbursement. Essential Functions May Include Applies coding principles consistent with government regulatory standards payer specific guidelines and Dignity Health Medical Foundation policy. Codes Primary Care Radiology and Hospitalist professional charges for assigned providers. Reviews all ICD E&M CPT and HCPCS codes to ensure documentation supports all services rendered. Queries providers as needed when encounters lack clear documentation or when missing documentation is discovered in the medical record. Provides education to physicians and providers on coding and documentation as needed. Assists clinic and...

Job Summary and Responsibilities 2 days ago Be among the first 25 applicants This position is a remote position; however, the successful candidate must reside in the State of California. Please check our website for other remote or non‑remote coder opportunities in and outside of the State of California. $5,000 Sign‑On Bonus Available The Coder IV is a member of the Health Information Management Team responsible for ensuring the accuracy and completeness of clinical coding. The role validates information in databases for outcome management and specialty registries across the integrated healthcare system. Principle Duties And Accountabilities Assign codes for diagnoses, treatments, and procedures according to the appropriate classification system for inpatient admissions. Code ancillary emergency department, same‑day surgery, and observation charts if needed. Review provider documentation to determine the principal diagnosis, comorbidities, complications, secondary...

Join to apply for the Remote Coder IV role at Dignity Health $5,000 Sign-On Bonus Available This position is a remote position; however, the successful candidate must reside in the State of California. Please check our website (Search Category: Medical Coding) for other remote or non-remote coder opportunities in and outside of the State of California. Position Summary The Coder IV is a member of the Health Information Management Team responsible for ensuring the accuracy and completeness of clinical coding validating the information in the databases for outcome management and specialty registries across the entire integrated healthcare system. The purpose of this position is to apply the appropriate diagnostic and procedural codes to individual patient health information records for data retrieval analysis and claims processing. This position is expected to perform duties in alignment with the mission and policies within the Dignity Health organization TJC CMS and other...

Join to apply for the Sr Coder role at Dignity Health 1 day ago Be among the first 25 applicants Position Summary The Senior Coder (Sr. Coder) acts as the lead coder for their designated team. This position will train staff on department policies, procedures, systems, and correct coding requirements. The Sr. Coder additionally will monitor staff workload, audit coders, fill in for out-of-office coders, and make recommendations to Physician Coding leadership to improve team efficiency. Responsibilities This position is remote. Train all new coders on department policies, procedures, and correct coding principles. Provide routine education, training, and auditing to their designated coding teams. Analyze coder's workload and make recommendations to ensure timely completion of all work. Research and guide coders and staff on coding-related questions or concerns. Create and update coder job aids for accurate coding of all services. Assist with provider education and...

Join to apply for the Sr Coder role at CommonSpirit Health 2 days ago Be among the first 25 applicants Join to apply for the Sr Coder role at CommonSpirit Health Get AI-powered advice on this job and more exclusive features. Position Summary The Senior Coder (Sr. Coder) acts as the lead coder for their designated team. This position will train staff on department policies, procedures, systems and correct coding requirements. The Sr. Coder additionally will monitor staff workload, audit coders, fill in for out of office coders, and make recommendations to Physician Coding leadership to help improve the efficiency of the team. *Responsibilities* This position is remote.* Position Summary The Senior Coder (Sr. Coder) acts as the lead coder for their designated team. This position will train staff on department policies, procedures, systems and correct coding requirements. The Sr. Coder additionally will monitor staff workload, audit coders, fill in for out of office coders,...

We are seeking a certified CPC Medical Coder to support our Sacramento based client’s mission of delivering high‑quality, inclusive care to diverse patient populations. This role ensures accurate coding and billing for Medi‑Cal, Medicare, Quest Lab and other clinical services, supporting timely billing, regulatory compliance, and optimized reimbursement. The ideal candidate will hold a current CPC certificate combined with at least 1 year experience of certified coding in EPIC for Medi‑Cal, Medicare and Laboratory coding. BASE PAY RANGE : $28.00/hr – $36.00/hr PRIMARY RESPONSIBILITIES: Perform accurate coding and documentation review using ICD‑10, CPT, HCPCS, and E/M guidelines to ensure compliant and optimized charge processing. Research and resolve coding discrepancies, including ambiguous or missing documentation, by consulting providers and referencing regulatory standards. Apply modifiers and specialty codes (e.g., 340B) as needed for billing accuracy and reimbursement...

Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary: Serves as a subject matter expert in hospital and professional coding and interacts with other teams and departments across the organization such as patient financial services, revenue integrity (charge description master) team, provider teams and/or compliance on a routine basis. Performs coding for cardiac/IVR procedures and maintains required quality and productivity standards while remaining compliant with third party, state and federal regulations. Reviews and resolves medical necessity edits that may...

Certified Coder, Acute Hospital ED, Cancer & Edits Join to apply for the Certified Coder, Acute Hospital ED, Cancer & Edits role at Adventist Health. Location: Roseville, California, in the metropolitan area of Sacramento. Adventist Health corporate headquarters have been based there for more than 40 years, and in 2019 we unveiled our WELL‑certified campus – a rejuvenating place for associates systemwide to collaborate, innovate and connect. Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to a welcoming space designed to promote well‑being and inspire your best work. Job Summary Reviews acute hospital outpatient emergency department (ED), medical oncology, adult outpatient rehab including cardiac rehab patient records, including charge capture/entry to identify the diagnosis and procedure codes performed during the patient’s stay. Record types include ED, medical oncology, cancer, and adult outpatient rehab including cardiac...

Coding Specialist Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. Job Summary Coding Specialists are an important part of the Team at CorroHealth. The Coding Team Member will provide CPT, HCPCS, and ICD-10-CM coding a minimum of 1-4 specialties. Will be Coding Professional Fee, Facility, or HCC. Professional Fee Specialties could include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Ortho, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, or ED. Facility Chart types could include OT, PT, Urgent Care, ED, or a...

Hospital Coder The Hospital Coder applies skills and knowledge of currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (including applicable modifiers), and other codes representing healthcare services (including substances, equipment, supplies, or other items used in the provision of healthcare services). This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements. Essential Duties And Responsibilities: Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM-CPT4. Support the reporting of healthcare data elements (e.g. diagnoses and procedure codes, hospital acquired conditions, patient safety indicators)...

Silver Cross Hospital is an extraordinary place to work. We're known for our culture of excellence and delivery of unrivaled experiences for our patients, their families, the communities we serveand for each other. Come join us! It's the way you want to be treated. Position Summary: Codes accurately and productively with abstraction to assigned inpatient medical records to meet the reimbursement, indexing and statistical requirements of the hospital. Consistently maintaining production and accuracy standards at all times. Essential Duties and Responsibilities: Accurately codes and sequences all diagnoses and procedures documented in the medical record according to the established official coding guidelines, principles and appropriate reimbursement standards Utilizes Computer Assisted Coding software program following assigned workflows Accurately abstracts required data entering into Computer Assisted Coding system Works with Clinical Documentation Improvement...

Coder Vi Specialist - Hospital Inpatient The Coder VI Specialist- Hospital Inpatient analyzes the ICD 10 codes, suggested by computer assisted coding software, to ensure they align with official coding guidelines and the electronic medical record documentation. In collaboration with the Clinical Documentation Specialist, analyzes the circumstances of the visit to determine the most accurate diagnosis related group (DRG). This position also abstracts key data elements necessary for billing and data analysis. With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. What You Can Expect Accurately review and code patient records in the following clinical areas: hospital acute inpatient services. Meet defined coding accuracy and production...

Job Description Job Description Position: Medical Coder and Biller (Vascular Procedures) Location: Sacramento, CA (or Remote) Schedule: Full -Time and Part-Time positions Salary: Competitive Salary & Bonus Program Benefits: Health, Dental, Vision, EAP, 401(k), FSA, Costco, AAA, etc. ABOUT US With a growing network of locations, California Foot & Ankle Centers (CALFAC) and the Vascular Institutes in Sacramento, Dallas, and Houston , provide comprehensive care and surgery, including advanced wound care and amputation-prevention therapies, lower extremity peripheral nerve surgery, vascular surgery and endovascular procedures. We have been serving patients for over 60 years, building a loyal patient base keeping our clinic locations busy with little to no marketing during that time. Our highly-competent doctors and medical staff all believe in giving a caring approach to each patient, as well as our utilizing the most modern technology available. Further, we conduct...

The Billing Medical Coder is responsible for the day-to-day coding and billing operations for all services billable under grants, federal, state, and county programs including Medicare, Medi-Cal, managed care and private insurances. Location: This role is located in Midtown - Sacramento, CA (95811). This role allows a hybrid schedule requiring 1-2 days per week on site. Training Period : 4–6 weeks onsite, 5 days per week ESSENTIAL FUNCTIONS Review and adjudicate coding of services from documentation in a timely manner. Code physician/provider visit procedure notes to identify appropriate ICD10 and CPT4 codes for charge processing. Ensures that all diagnosis ICD10 codes and procedure CPT, HCPCS codes are identified, sequenced, and coded in an accurate and ethical manner for optimized reimbursement. Assigns Evaluation and Management codes and key concepts/elements documented in the patient note, utilizing defined coding guidelines applicable to professional and technical standards...

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim denials across the entire revenue cycle to ensure optimal reimbursement...

Overview: Policy and Audit Risk Adjustment Coder:   The Policy and Audit Risk Adjustment Coder ensures accurate and compliant coding within a medicare risk adjustment framework strong focus on Risk Adjustment coding accuracy, audit readiness, and policy development. This position will support Health Plan coding and compliance initiatives, with a strong focus on Risk Adjustment coding accuracy, audit readiness, and policy development. Job Summary: Facilitates strategy development by defining moderately complex business problems and opportunities and identifying, weighing, and recommending alternative approaches. Performs moderately complex analysis and ensures interpretation of market data and tests hypotheses using advanced knowledge of qualitative and quantitative analytical tools to drive towards insightful and actionable insights for the business. Assembles moderately complex proposals for projects and programs to ensure progress on deliverables and effective execution to...

Charge Coder (Administrative) Come and join our team! We are a local growing private medical practice specializing in the diagnosis and treatment of patients with diseases of the retina and vitreous. We are looking for individuals who would like to establish a career in healthcare working for a company with nationally recognized physicians. We provide on the job training giving you the ability to grow and advance your skills along with gaining innovative knowledge. Established in 1977, we have locations all over Northern California including Sacramento, Grass Valley, Roseville, Stockton, Modesto, Merced, Fairfield, Elk Grove, Folsom, Yuba City and Chico. Our physicians are nationally known, and we continue to be on the leading edge of retina care by utilizing the latest equipment and both participating in and designing new clinical trials to advance the state of care for retinal diseases. Join 240+ other team members working for our nationally recognized retina specialty practice...

Facility Inpatient Complex Senior Coder – Banner Health Estimated Pay Range: $27.72 - $46.20 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. Department: Coding – Acute Care Hospital Work Shift: Day Job Category: Revenue Cycle Looking for a motivated, experienced Inpatient Facility, Acute Care, Remote Medical Complex Coder to join our talented Inpatient Facility‑coding team. Candidate should have experience coding all service lines including, but not limited to: Trauma, ICU, Cardiac, Transplant, Orthopedics, High‑Risk OB, NICU, and more. This is a facility‑based coding position requiring strong PCS coding experience as well as ability to code a wide range of complex charts. Requirements 5 years recent experience in Inpatient Facility‑based coding (clearly reflected in your attached resume). Experienced in ICD‑10‑PCS & ICD‑10‑CPT coding. Must be currently certified through AAPC or Ahima, as defined in minimum...

Physician-based Oncology Senior Complex Coder Join to apply for the Physician-based Oncology Senior Complex Coder role at Banner Health Estimated Pay Range: $26.82 - $40.22 / hour, based on location, education, & experience. Department Name: Coding Ambulatory Work Shift: Day Job Category: Revenue Cycle Note: In accordance with State Pay Transparency Rules. Banner Health is committed to workplace excellence. The organization has earned Great Place To Work Certification, reflecting investment in the happiness, satisfaction, wellbeing and fulfilment of team members. Position Summary This position performs a full range of complex professional coding in support of specialty or multi-specialty physician practices by evaluating medical records and validating that appropriate clinical diagnosis and procedure codes are assigned in accordance with nationally recognized coding guidelines. Utilize coding knowledge and expertise to support department projects, validation edits and...

Job Type Full-time Description Your Passion: Certified Coder & Billing Compliance Specialist Who We Are Snowline Health is a nonprofit healthcare organization proudly serving the western slope of El Dorado County and the Greater Sacramento Region for 45+ years. Rooted in community and compassion, we support patients and families with exceptional care throughout life's most meaningful transitions. We are committed to quality, dignity, and trauma-informed practices - supporting both our patients and our team members. Our culture celebrates collaboration, continuous learning, and excellence in service. Position: Certified Coder & Billing Compliance Specialist The Certified Coder & Billing Compliance Specialist plays a vital role in ensuring accurate medical coding, billing integrity, and compliance across Snowline's care programs. This position supports clinical and financial operations by reviewing documentation, assigning correct codes, and...

Certified Medical Coder We are looking for an experienced and detail-oriented Certified Medical Coder with strong expertise in Primary Care and Pro Fee coding. The ideal candidate will accurately assign and sequence diagnostic and procedural codes based on clinical documentation to ensure proper billing, reimbursement, and regulatory compliance. This role involves collaboration with providers, clinical staff, and internal teams to maintain the highest standards of coding accuracy and data integrity. Key Responsibilities: Review clinical documentation to assign and sequence ICD-10, CPT, and HCPCS codes for various patient types (Hospital, Clinic, Ancillary, and Physician Pro Fee). Analyze facility and provider records to ensure accurate APC and Evaluation & Management (E/M) coding. Abstract clinical data and validate documentation adequacy to support diagnoses, procedures, and discharge dispositions. Serve as a resource for providers and client staff regarding...

Claims Resolution Coder Responsible for reviewing medical documentation to assign modifiers to insurance claims with issues identified by the National Correct Coding Initiative (NCCI), Medicare Outpatient Code Editor (OCE), or other third party payer specific claims processing guidelines. Works with Coding, Billing and Reimbursement staff to resolve edits. Is additionally responsible for trending errors, supporting identification of root causes, and effective communication with coding and training staff to improve coding accuracy and clean claims processing. Researches regulations to ensure accuracy of CPT codes and documentation. Associates degree in Health Information Technology or Medical Billing preferred. 2 years direct application of coding, medical billing or reimbursement in health care setting, hospital or physician office required. CPC or CCS coding certification required at time of hire. Thorough knowledge of lab, radiology and other ancillary, CPT, HCPCS related...

Coding Position This level 2 coding position provides support to the Enterprise Coding Department for coding of physician's fees and/or facility fees. This position requires experience in coding and requires certification with AAPC or AHIMA. Function/Duties of Position Coding Review clinical documentation of services to be coded in EPIC, and any other source of documentation available to ensure compliance with the Center for Medicare and Medicaid Services (CMS). Assign correct CPT, ICD-10-CM, and HCPCS codes for facility and/or professional charges, which could include E&M services; diagnostic services; procedural services; facility services; and/or Charge Routers and Charge entry. Establish and maintain procedures and other controls necessary in carrying out all procedure and diagnostic coding and insurance billing activity for applicable work queues assigned in facility and/or professional services at OHSU. Monitor activity for compliance with federal and/or state...

Pro Fee Coder Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). The Pro Fee Coder will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the requirements of hospital data or physician data retrieval for billing and reimbursement. Coder II may validate APC calculations to accurately capture the diagnoses/procedures documented in the clinical record for hospitals. The Coder II performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements. Coder II...