130 cpc certified professional coder jobs found in Riverside, CA

Medical Records Technician Reviews medical records for completeness, including required identifiers, signatures, dates, and reports associated with services rendered. Evaluates documentation for accuracy, consistency, medical necessity, and appropriate modifier usage; verifies that final diagnoses accurately reflect care provided. Reviews provider documentation to ensure appropriate Evaluation and Management (E/M) levels and correct CPT code assignment. Assigns and sequences ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures. Ensures diagnostic and procedural terminology aligns with current medical nomenclature and official coding guidelines.

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. 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) Schedule & Availability: This...

Job Description Responsibilities Come and join the RMC Family! We have been in the community since 5. 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 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,...

Responsibilities Come and join the RMC Family! We have been in the community since 5. 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 and/or HCC activity. Qualifications EDUCATION and/or EXPERIENCE : One year minimum experience in the HCC coding field and/or CPT, HCPCS and ICD experience. Proficient in excel and computer friendly. CERTIFICATES, LICENSES, AND...

Employer County of Riverside 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 Description Benefits Questions 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...

Kaiser Permanente in Fontana, CA seeks an Experienced Hospital Coder to accurately assign ICD-10-CM/ICD-10-PCS codes for inpatient and newborn records, with possible outpatient scope. The role emphasizes clinician communication for documentation clarification, adherence to CMS, OSHPD, NCCI, and internal KP guidelines. On-site for up to one year, heavy focus on data integrity and coding accuracy. Candidates should have at least 6 consecutive years of hospital coding experience and a Certified #J-18808-Ljbffr

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...

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...

A healthcare organization in San Bernardino is seeking a Coder 2-HIM to perform ICD and CPT coding and ensure data quality for multiple facilities. Candidates must have a Coding Certificate or Associate's Degree, with at least three years of coding experience, ideally in Inpatient and Outpatient Surgery. Certification as a CCS, RHIA, or RHIT is also required. The position offers a recruitment incentive of up to $3000 based on eligibility. #J-18808-Ljbffr

Overview The Coder 2-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 abstracted information 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 2-HIM must be able to perform Inpatient and/or Outpatient Surgery coding. Works with students and coding interns as requested. Performs other duties as needed. Responsibilities Assigns diagnosis and procedure codes in compliance with the American Hospital Association Official Coding Guidelines. Ensures...

Job Description Recruitment Incentive Bonus: may be eligible for $3000 recruitment incentive bonus based on eligibility requirements. Job Summary: The Coder 2-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 abstracted information 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 2-HIM must be able to perform Inpatient and/or Outpatient Surgery coding. Works with students and coding interns as requested. Performs other duties as needed....

Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0 million patient visits annually. It is one of the nation’s leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team! Responsibilities The Inpatient Coder Auditor reviews and analyzes documentation present in the medical record for Inpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the Coders or Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software. The Inpatient Coder Auditor finalizes the coding and abstracting of the medical record upon ensuring the assignment of International...

Prime Healthcare, headquartered in Ontario, CA, seeks an Inpatient Coder Auditor to verify inpatient documentation and assign ICD-10/PCS, CPT, and HCPCS codes accurately. The senior role leads DRG validation and supports CDS and medical staff to enhance clinical documentation. Candidates should have CCS and at least 1 year of acute care experience, with encoder software proficiency. Full-time, day shift, with competitive compensation and benefits. #J-18808-Ljbffr

Overview JOB SUMMARY The Coder II is primarily responsible for coding of outpatient surgical, interventional radiology / cardiology procedures and Observation accounts. This position is responsible for reviewing the entire patient record including the electronic record to assign appropriate codes for the following areas: Outpatient: Day patients, cardiac catherterization lab, other interventional radiology and Observation patients and Labor and Deliver Observation. Coding should be complete, timely, and in accordance with CMS, Coding Clinic Guidelines, CPT Assistant, and organizational policies and procedures. The Coder II is responsible for entering charges for Observation hours, infusion and injections, and bedside procedures for Observation and Labor and Delivery Observations accounts following all regulatory requirements. Strong knowledge of appropriate modifier use. MINIMUM QUALIFICATIONS Education: High School Diploma or GED preferred. Completion of AHIMA approved coding....

San Antonio Community Hospital in Upland, California is seeking a Coder II responsible for coding outpatient surgical, interventional radiology, and Observation accounts. The role requires reviewing patient records and accurately assigning codes following regulatory guidelines. The ideal candidate will have two years coding experience in related fields and a current RHIT or CCS certification. A strong knowledge of medical terminology and anatomy is required. Pay ranges from $28.52 to $42.78, depending on experience. #J-18808-Ljbffr

Responsibilities Canyon Ridge Hospital is currently seeking a talented HIM Coder/Technician to join our team. At Canyon Ridge Hospital we understand that not all wounds are visible. Depression, anxiety, trauma, PTSD, addiction, and suicide affects millions of individuals and families. Our mission is to be a leader in behavioral healthcare, dedicated to excellent service in the community. Canyon Ridge Hospital has serviced the Greater Inland Empire since 1989. Canyon Ridge is a 157-bed acute, locked psychiatric facility offering services to adolescents ages 13-17, adults and older adults. We believe in an individualized, patient-focused approach to diagnosis and treatment. For some, anxiety or drug dependence looks different from others with the same diagnoses, and in some cases, behavioral health and substance use disorders occur simultaneously. In these cases of dual diagnosis, we treat the patients in the best way possible given their specific needs. POSITION SUMMARY...

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...

Certified Coder Professional Reporting to the Manager Physician Coding Services, the Certified Coder Professional will be responsible for reviewing and evaluating clinical documentation within medical records to ensure high quality and compliant coding. The Certified Coder Professional will provide training, consultation, and feedback to clinicians on their documentation and coding to ensure Emanate Health Medical Group receives appropriate reimbursement and conforms to applicable guidelines and regulations. Collaborates with Emanate Health's Compliance team and with all third party billing and reimbursement requirements including, but not limited to, the requirements of Medicare and Medicaid programs. Serves as the coding subject matter expert for the physicians. Minimum Education Requirement: Associate degree preferred; college degree preferred, knowledge of Medical Terminology, Anatomy & Physiology and Computer experience. Minimum Experience Requirement: Minimum of 2+...

Certified Coder Professional Reporting to the Manager Physician Coding Services, the Certified Coder Professional will be responsible for reviewing and evaluating clinical documentation within medical records to ensure high quality and compliant coding. The Certified Coder Professional will provide training, consultation, and feedback to clinicians on their documentation and coding to ensure Emanate Health Medical Group receives appropriate reimbursement and conforms to applicable guidelines and regulations. Collaborates with Emanate Health's Compliance team and with all third party billing and reimbursement requirements including, but not limited to, the requirements of Medicare and Medicaid programs. Serves as the coding subject matter expert for the physicians. Minimum Education Requirement: Associate degree preferred; college degree preferred, knowledge of Medical Terminology, Anatomy & Physiology and Computer experience. Minimum Experience Requirement: Minimum of...

Junior Quality Improvement Coder 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. 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...

DRG Coder The Senior DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS to determine the appropriate Diagnosis-Related Group (DRG) assignment. This role ensures coding accuracy, reimbursement integrity, and compliance with federal and state regulations, payer guidelines, and internal policies. In an Independent Practice Association (IPA) and Management Services Organization (MSO) environment, the Senior DRG Coder partners with utilization management, care management, finance, and provider network teams to support accurate payment, risk adjustment, quality reporting, and medical expense analysis. What You'll Do Review inpatient hospital records and assign accurate diagnosis and procedure codes Determine the appropriate MS-DRG or APR-DRG assignment based on coding and clinical documentation Conduct coding validation and auditing to ensure compliance with payer and regulatory...

Astrana Health Management is seeking a Risk Adjustment Coding Specialist II to support the Orange County market. Candidates should have 3-5 years of risk adjustment coding experience and be able to travel up to 75% for the role. You will review provider documentation, conduct education sessions, and ensure compliance with coding regulations. AAPC or AHIMA certification is required. The role offers a competitive salary range of $70,000 - $85,000 per year. #J-18808-Ljbffr

Astrana Health Management is seeking a Senior DRG Coder to review inpatient medical records and assign diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS. The role is critical to ensuring coding accuracy and compliance within hospital reimbursement frameworks. Candidates should possess an associate’s degree, at least five years of inpatient coding experience, and relevant certifications. The position offers a competitive hourly wage and requires remote work capabilities with occasional in-person meetings. #J-18808-Ljbffr

Astrana Health, Inc. is seeking a Senior DRG Coder to ensure coding accuracy and compliance. You will review inpatient medical records, assign appropriate codes, and collaborate with various teams for accurate reimbursement. This role requires at least 5 years of inpatient coding experience with a strong background in ICD-10-CM and ICD-10-PCS methodologies. The position is remote but requires occasional in-person meetings. #J-18808-Ljbffr