80 cpc certified professional coder jobs found in Riverside, CA

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...

Certified Medical Records Coder Position The County of Riverside - Riverside University Health System- Medical Records Department is seeking to fill a Certified Medical Records Coder position. 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. Candidates with acute hospital experience are encouraged to apply. Applicants will be tested as part of the hiring process. Work Schedule: 5/40, M-F, Day Shift (rotating holidays required) This position requires new hires to work in the...

We are hiring an Inpatient Coder for one of our clients in Colton, CA. Job Description: The client is in need of one (1) inpatient coder. Credentials: Must possess and maintain one (1) of the following: Registered Health Information Administrator (RHIA) issued by the American Health Information Management Association (AHIMA). Registered Health Information Technician (RHIT) issued by the American Health Information Management Association (AHIMA). Certified Coding Specialist (CCS) issued by the American Health Information Management Association (AHIMA). Certified Professional Coder (CPC) issued by the American Academy of Professional Coders (AAPC). -AND- Experience: OPTION 1: Two (2) years of experience (within the past five (5) years) coding inpatient stays in a Level I or II Trauma Center utilizing ICD-10 (International Coding of Diseases) and CPT (Current Procedural Terminology) coding classifications. Indicate the level on supplemental...

Regional Hospital Inpatient Coder - Fontana - FT - Onsite Under supervision, is primarily responsible for assigning accurate diagnosis and procedure codes to the patients health information record for Inpatient and Newborn records. May also be assigned the responsibility for assigning accurate diagnosis and procedure codes to the patients health information record for Outpatient records (Observation Hospital Ambulatory Surgery, Complex Hospital Outpatient Visit - Cardiac Catheterization PCI Lab, Interventional Radiology, Extended Emergency & Emergency Departments, as well as other select records). This responsibility requires that the new coder be on-site for up to one calendar year and will require appropriate code assignment for physician-documented patient diagnoses, conditions and procedures; utilizing various coding classification schemes including ICD-10CM, ICD-10PCS, and HCPCS/CPT.All work will be carried out in accordance with the: International Classification of...

Job Summary: Under supervision, is primarily responsible for assigning accurate diagnosis and procedure codes to the patients health information record for Inpatient and Newborn records. May also be assigned the responsibility for assigning accurate diagnosis and procedure codes to the patients health information record for Outpatient records (Observation Hospital Ambulatory Surgery, Complex Hospital Outpatient Visit - Cardiac Catheterization PCI Lab, Interventional Radiology, Extended Emergency & Emergency Departments, as well as other select records). This responsibility requires that the new coder be on-site for up to one calendar year and will require appropriate code assignment for physician-documented patient diagnoses, conditions and procedures; utilizing various coding classification schemes including ICD-10CM, ICD-10PCS, and HCPCS/CPT.All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding...

Recruitment Incentive Bonus: may be eligible for a $3,000 recruitment incentive bonus based on eligibility requirements. Job Summary: The Coder 2-HIM performs ICD and CPT coding and abstracts data from legal medical records for facilities licensed under LLUMC and contracted LLUH facilities. Assigns diagnosis and procedure codes in compliance with the American Hospital Association Official Coding Guidelines. Ensures the quality and accuracy of coding and abstracted information, complying with federal and state regulations, government and contract payers, and grant funding. The quality of data impacts various aspects of the facility, including finance, legal, research, teaching, and quality assurance. The Coder 2-HIM must perform Inpatient and/or Outpatient Surgery coding and may work with students and interns as needed. Performs other duties as assigned. Education and Experience: High School Diploma or GED required. Completion of a Coding Certificate program or an Associate's...

Job Summary: The Coder 1-HIM performs International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding and abstracts data from the legal medical record for facilities, licensed under LLUMC and contracted other LLUH facilities. Assigns diagnosis and procedure codes in compliance with the American Hospital Association Official Coding Guidelines. Ensures the quality and accuracy of coding and abstract information are in compliance with federal and state regulations, government and contract payers, and grant funding. Quality of data collected impacts the facility in multiple ways, including finance, legal, research, teaching, quality assurance, etc. The Coder 1-HIM must be able to perform coding in Outpatient and/or Emergency area. Works with students and coding interns as requested. Performs other duties as needed. Education and Experience: Completion of Coding Certificate program or Associate's Degree in Health Information Management required. Minimum...

Job Summary The Coder 3-HIM performs International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding and abstracts data the legal medical record for facilities, licensed under LLUMC and contracted other LLUH facilities. Assigns diagnosis and procedure codes in compliance with the American Hospital Association Official Coding Guidelines. Ensures the quality and accuracy of coding and abstracted information are in compliance with federal and state regulations, government and contract payers, and grant funding. Quality of data collected impacts the facility in multiple ways, including finance, legal, research, teaching, quality assurance, etc. Coder 3-HIM performs coding in all areas including, Inpatient, Outpatient, Emergency, Interventional Radiology etc. Performs secondary coding reviews as needed. Works with students and coding interns as requested. Performs other duties as needed. Education and Experience Completion of Coding Certificate program or...

Shared Services: Compliance- (Full-Time, Day Shift) - Job Summary: The Compliance Auditor-Physician monitors and audits established mechanisms and controls to ensure compliance with regulations. Audits the activities of various departments for compliance with plans, policies and procedures prescribed by management. Prepares and submits reports on the results of audits, recommending improvements in policies and procedures. Cooperates with outside auditors in any undertaking that may expedite their work. Performs other duties as needed. Conducts full range of physician-based audits/projects and develops partnerships with internal and external customers. Performs other duties as needed. Education and Experience: Bachelor's Degree required. Master's Degree preferred. Minimum three years of experience in auditing within healthcare, compliance, regulatory oversight agency, quality management, quality assurance or business analysis. Knowledge and Skills: Experience with...

Department: UHC: Managed Care-LLUHC/41077 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 Adjustment for the purpose of, documentation trends and opportunities for improvement related to documentation integrity. Performs other duties as...

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. T...

Job Description Job Description Salary: $30hr-$35hr DOE Position Purpose: The Jr. Coder is responsible for accurately assigning standardized codes to diagnoses, procedures, and treatments for patient records, insurance claims, and billing processes. This role ensures compliance with applicable coding standards, regulations, and payer policies to facilitate timely and accurate reimbursement. Core Duties and responsibilities, include but are not limited to: Reviewing patient charts to accurately assign the appropriate billing codes (ICD-10-CM, CPT, HCPCS) for diagnoses, procedures, and services rendered, in accordance with FQHC requirements across all lines of business Assist in the submission of accurate claims to payers after correction Ensuring coding compliance with federal and state regulations as well as insurance requirements Communicate with patients and insurance companies to resolve billing discrepancies Maintain knowledge of the latest coding updates, billing...

Medical 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). Medical Coders are responsible for review and submission of 64 encounters per day or 8 per hour related to evaluation & management, procedures, testing, monitoring and hospital services daily. Must be comfortable with discussing coding and guidelines with providers in a collaborative and professional manner. This position will assist with work que evaluation and update of pending encounter status and service lines. Will work with leadership on projects for coding as needed to assist with workflows. Medical coding of...

We Are More Than A Health System We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more in our careers and in our communities. Job Description Summary: This position performs facility coding and abstracting functions of Inpatient. Responsibilities And Duties: 1. 60% Assigns appropriate admit, principal and secondary diagnoses and/or procedure codes by reading documentation present in medical record and applying knowledge of correct coding guidelines as appropriate for hospital service and/or patient type while maintaining 95% quality and meeting and maintaining the minimum Coder productivity requirements. Assign Present on Admission PO indicators to all inpatient account diagnoses as required by official coding guidelines. Accurately Assign DRG/MSDRG/APR-DRG at the...

Medical Record Reviewer Position Status Label: Non-Exempt Labor Category: Admin Remote/Onsite: Remote Additional Informations: This job is for new sourcing The purpose of this position is to review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and/or professional charges; Retrieves information from medical records, ensuring ...

Job Title: Lead Inpatient Coder How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. The Lead Inpatient Coder serves as a key expert in ICD-10-CM, ICD-10-PCS, and DRG assignment, providing specialized knowledge and guidance to the Inpatient Coding team. This role is responsible for addressing complex coding questions, reviewing, and resolving external audit findings, and contributing to coding improvement initiatives. Additionally, the Lead Inpatient Coder plays a critical role in delivering ongoing education and training to the coding team, helping to minimize...

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 individual’s name, if known; treats...

Job Posting Job Information Job Opening ID: 9337 Date Opened: 10/12/2023 Job Type: Contract Language Skills: English Location: Orange, CA Industry: Health Care City: Orange State/Province: California Country: United States Zip/Postal Code: 92856 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...

Scheduled Hours 40 Position Summary Performs advanced coding and appeal activities; investigates payer issues; responsible for timely filing of appeals to insurance companies; handles charge corrections. Job Description Primary Duties & Responsibilities: Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment. Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-10 code. Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required. Assists with efforts to increase physician awareness of documentation requirements. Prepares case reports and initiates follow-up for billing process. Performs...

Revenue Cycle Specialist Apply the appropriate diagnostic and procedural code to patient health records for purposes of document retrieval, analysis and claim processing. Abstract pertinent information from patient records. Assign the International Classification of Diseases, Clinical Modification (ICD), Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes, creating Ambulatory Patient Classification (APC) or Diagnosis-Related Group (DRG) assignments. Perform complex coding. Obtain acceptable productivity/quality rates as defined per coding policy. Query physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Maintain knowledge of, comply with and keep abreast of coding guidelines and reimbursement reporting requirements. Conduct chart audits for physician documentation requirements & internal coding. Provides associate/physician &...

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 Title Knowledge of medical terminology, anatomy and physiology, coding conventions (ICD 10 CM/PC, CPT, and HCPCS), and CMS coding requirements Computer proficiency, ability to research coding questions and utilize educational resources required One of the following: Credentialed through American Health Information Management Association in one of the following: Registered Health Information Technician (RHIT) Registered Health Information Administrator (RHIA) Certified Coding Specialist (CCS) Certified Coding Associate (CCA) OR Credentialed through American Academy of Professional Coders (AAPC) in one of the following: Certified Outpatient Coder (COC, COC-A) Certified Inpatient Coder (CIC) Certified Professional Coder (CPC, CPC-A) Associate degree 1 year coding experience in an acute care facility Responsibilities Assigns and sequences code for complex outpatient accounts according to established regulatory guidelines, industry best practices, and IH...

Coder, Hospital Outpatient It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: $1,000 sign on bonus available (Check with recruiter for eligibility) Qualifications: Urgent Care coding experience is required. Come join us as a Coder, Hospital Outpatient at SSM Health! Your expertise in coding will ensure that our organization maintains compliance with all coding guidelines and regulations. This is a remote position, allowing you to work from the comfort of your own home while contributing to the success of SSM Health. Remote work: This position is eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance. Candidates to reside in MO, IL, OK, or WI (additional states may be considered) Job Summary: Responsible for coding and abstracting inpatient accounts in accordance with coding guidelines. Job...