Hcc coder jobs in Alhambra, CA | Healthcare Careers

HCC Coder

Northeast Community Clinic Alhambra, CA

Job Description The HCC Coder will be responsible for evaluating the accuracy and consistency of coded clinical data quality results and reports in accordance with accepted and established standards. The HCC Coder will collaborate with the Billing Manager and Medical Director in providing expertise in the use and application of current coding classifications including but not limited to ICD-10-CM, CPT, E&M and record documentation to ensure compliance in the collection of outpatient diagnoses and services. Schedule Full-time (Non-Exempt) Flexible, may require some evening and weekends Primary Duties and Responsibilities Review of medical records to ensure accuracy and claims for proper documentation and coding and completeness. Communicate with providers when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes. Create training presentations to educate staff in Medicare coding guidelines, with focus on Quality Measures...

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HCC Coder

Northeast Community Clinic Alhambra, CA

HCC Coder Administration Office - Alhambra, CA 91801 Overview Salary Range $34.00 - $39.00 Hourly Description Position Summary The HCC Coder will be responsible for evaluating the accuracy and consistency of coded clinical data quality results and reports in accordance with accepted and established standards. The HCC Coder will collaborate with the Billing Manager and Medical Director in providing expertise in the use and application of current coding classifications including but not limited to ICD-10-CM, CPT, E&M and record documentation to ensure compliance in the collection of outpatient diagnoses and services. Schedule: Full-time (Non-Exempt) Flexible, may require some evening and weekends Primary Duties and Responsibilities Review of medical records to ensure accuracy and claims for proper documentation and coding and completeness. Communicate with providers when documentation in the record is inadequate, ambiguous, or otherwise unclear for...

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HCC Coder

Northeast Community Clinic Alhambra, CA

HCC CoderAdministration Office - Alhambra, CA 91801OverviewSalary Range $34.00 - $39.00 HourlyDescriptionPosition SummaryThe HCC Coder will be responsible for evaluating the accuracy and consistency of coded clinical data quality results and reports in accordance with accepted and established standards. The HCC Coder will collaborate with the Billing Manager and Medical Director in providing expertise in the use and application of current coding classifications including but not limited to ICD-10-CM, CPT, E&M and record documentation to ensure compliance in the collection of outpatient diagnoses and services.Schedule:Full-time (Non-Exempt)Flexible, may require some evening and weekendsPrimary Duties and ResponsibilitiesReview of medical records to ensure accuracy and claims for proper documentation and coding and completeness.Communicate with providers when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes.Create training...

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HCC Risk Adjustment Coder (ICD-10/CPT)

Northeast Community Clinic Alhambra, CA

NECC is seeking a detail‑oriented HCC Coder to ensure accurate outpatient coding and documentation. You will work with Billing and Medical Director to apply ICD-10-CM, CPT, HCPCS and HCC guidelines, promoting quality measures and risk adjustment accuracy. You will review records for accuracy, educate staff on Medicare rules, and lead coding process improvements, with travel up to 10% for facility coverage as needed. #J-18808-Ljbffr

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Certified Risk Coder

Prospect Health Monterey Park, CA

Certified Risk CoderThe Certified Risk Coder plays a critical role in supporting Astrana Health's value-based care and risk adjustment initiatives by ensuring the accurate capture and validation of diagnoses through comprehensive medical record review and coding analysis. This position partners closely with providers and clinical teams to improve documentation quality, coding accuracy, and compliance with CMS risk adjustment guidelines. The ideal candidate brings strong coding expertise, a passion for provider education, and a commitment to enhancing organizational performance through accurate risk capture, regulatory compliance, and continuous process improvement.Our Values:Put Patients FirstEmpower Entrepreneurial Provider and Care TeamsOperate with Integrity & ExcellenceBe InnovativeWork As One TeamWhat You'll DoReview medical records and provider documentation to ensure accurate capture of risk-adjusting diagnoses and compliance with CMS guidelinesPerform retrospective and...

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Senior Risk Adjustment Coder Field Education & Analytics

Astrana Health, Inc. Monterey Park, CA

Astrana Health, Inc. is seeking a Risk Adjustment Coding Specialist II for the Northern California market. This role will conduct high-volume chart reviews to identify coding gaps and drive education for providers, with travel to provider offices up to 50% of the time in San Francisco, San Mateo, and Santa Clara. You will review data to ensure Medicare Advantage, ACA, and Commercial risk adjustment documentation requirements are met, and report on KPIs like HCC recapture and AWVs. #J-18808-Ljbffr

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Certified Risk Coder

Astrana Health, Inc. Monterey Park, CA

Certified Risk Coder Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Compensation: $56,000 - $85,000 / year Description The Certified Risk Coder plays a critical role in supporting Astrana Health's value-based care and risk adjustment initiatives by ensuring the accurate capture and validation of diagnoses through comprehensive medical record review and coding analysis. This position partners closely with providers and clinical teams to improve documentation quality, coding accuracy, and compliance with CMS risk adjustment guidelines. The ideal candidate brings strong coding expertise, a passion for provider education, and a commitment to enhancing organizational performance through accurate risk capture, regulatory compliance, and continuous process improvement. What You'll Do Review medical records and provider documentation to ensure accurate capture of risk-adjusting...

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Certified Risk Coder

Hatchproof Monterey Park, CA

Certified Risk CoderThe Certified Risk Coder plays a critical role in supporting Astrana Health's value-based care and risk adjustment initiatives by ensuring the accurate capture and validation of diagnoses through comprehensive medical record review and coding analysis. This position partners closely with providers and clinical teams to improve documentation quality, coding accuracy, and compliance with CMS risk adjustment guidelines.The ideal candidate brings strong coding expertise, a passion for provider education, and a commitment to enhancing organizational performance through accurate risk capture, regulatory compliance, and continuous process improvement.Our Values:Put Patients FirstEmpower Entrepreneurial Provider and Care TeamsOperate with Integrity & ExcellenceBe InnovativeWork As One TeamWhat You'll Do:Review medical records and provider documentation to ensure accurate capture of risk-adjusting diagnoses and compliance with CMS guidelinesPerform retrospective and...

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Certified Risk Coder

Prospect Health Monterey Park, CA

Certified Risk Coder The Certified Risk Coder plays a critical role in supporting Astrana Health's value-based care and risk adjustment initiatives by ensuring the accurate capture and validation of diagnoses through comprehensive medical record review and coding analysis. This position partners closely with providers and clinical teams to improve documentation quality, coding accuracy, and compliance with CMS risk adjustment guidelines. The ideal candidate brings strong coding expertise, a passion for provider education, and a commitment to enhancing organizational performance through accurate risk capture, regulatory compliance, and continuous process improvement. Our Values: Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team What You'll Do Review medical records and provider documentation to ensure accurate capture of risk-adjusting diagnoses and compliance with CMS guidelines...

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Senior Risk Adjustment Coder — Field Education & Analytics

Astrana Health, Inc. Monterey Park, CA

Astrana Health, Inc. is seeking a Risk Adjustment Coding Specialist II for the Northern California market. This role will conduct high-volume chart reviews to identify coding gaps and drive education for providers, with travel to provider offices up to 50% of the time in San Francisco, San Mateo, and Santa Clara. You will review data to ensure Medicare Advantage, ACA, and Commercial risk adjustment documentation requirements are met, and report on KPIs like HCC recapture and AWVs.

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Certified Risk Coder

Hatchproof Monterey Park, CA

Certified Risk CoderThe Certified Risk Coder plays a critical role in supporting Astrana Health's value-based care and risk adjustment initiatives by ensuring the accurate capture and validation of diagnoses through comprehensive medical record review and coding analysis. This position partners closely with providers and clinical teams to improve documentation quality, coding accuracy, and compliance with CMS risk adjustment guidelines.The ideal candidate brings strong coding expertise, a passion for provider education, and a commitment to enhancing organizational performance through accurate risk capture, regulatory compliance, and continuous process improvement. Our Values: Put Patients FirstEmpower Entrepreneurial Provider and Care TeamsOperate with Integrity & ExcellenceBe InnovativeWork As One Team What You'll Do: Review medical records and provider documentation to ensure accurate capture of risk-adjusting diagnoses and compliance with CMS guidelines Perform...

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Remote Risk Adjustment Coder: Audit, Educate & Improve

Astrana Health, Inc. Monterey Park, CA

Astrana Health, Inc. is seeking a Certified Risk Coder to support value‑based care and risk adjustment through accurate diagnoses, coding reviews, and CMS guideline compliance with clinicians. This remote US‑based role requires CRC credential and 2+ years in risk adjustment or HCC coding, ICD‑10‑CM proficiency, and experience with EHRs. Salary ranges from $56,000 to $85,000 annually, with West/Central time zone preference. #J-18808-Ljbffr

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Hospital Inpatient Coder

Cedars-Sinai Los Angeles, CA

Hospital Inpatient CoderAlign yourself with an organization that has a reputation for excellence. Cedars Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company's Workplace of the Year. This annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We offer an amazing benefits package that includes paid time off, health care and a 403(B). Join us! Discover why U.S. News & World Report has named us one of America's Best Hospitals.What you will be doing in this role:Working under the general direction of a coding supervisor, the Hospital Inpatient Coder is responsible for the assignment of ICD-10-CM and ICD-10-PCS codes by reviewing all appropriate documentation in accordance with standard coding guidelines. The Facility Inpatient Coder identifies the principal diagnosis,...

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Coder - Insurance/Billing/Chart Review

Providence Health & Services Anaheim, CA

Description Under direction of the Director Provider Network Performance, performs coding audits of patient care billing documentation to ensure adherence with CPT and ICD coding guidelines and federal, state, and commercial payor billing and payment policy for all services provided by Providence Medical Foundation. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we Providence know that to inspire and retain the best people, we must empower them. Required qualifications Associate's Degree in Coding education in college setting or certified distance learning program such as that provided by AHIMA or AAPC. Or Work experience in medical offices (insurance, coding, billing, registration duties). Upon hire: National Certification from American Academy of Professional...

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Certified Medical Coding Specialist

Astrana Health Management Orange, CA

Risk Adjustment Coding Specialist II Department: Quality - Risk Adjustment Employment Type: Full Time Location: 600 City Parkway West 10th Floor, Orange, CA 92868 Reporting To: Yuvone Washington-Oshon Compensation: $70,000 - $85,000 / year Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will report to a Sr. Manager - Risk Adjustment and enable us to continue to scale in the healthcare industry. The staff is required to frequently travel to provider sites depending on projects. What You'll Do Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum, as appropriate for all IPAs managed by the company Review medical record information on both a retroactive and prospective...

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Risk Adjustment Coding Auditor

Clever Care Health Plan Huntington Beach, CA

Risk Adjustment Coding AuditorHuntington Beach Office - Huntington Beach, CA 92647OverviewSalary Range $72,800.00 - $80,000.00 Salary Position Type Full TimeDescriptionAre you ready to make a lasting impact and transform the healthcare space? We are one of Southern California's fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership growth.Clever Care was created to meet the unique needs of the diverse communities we serve. Our innovative benefit plans combine Western medicine with holistic Eastern practices, offering benefits that align with our members' culture and values.Why Join Us? We're on a mission! Our rapid growth reflects our commitment to making healthcare accessible for underserved communities. At Clever Care, you'll have the opportunity to make a real difference, shape the future of healthcare, and be part of a fast-moving, game-changing organization that celebrates diversity and innovation.Job SummaryThe Risk Adjustment Coding...

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Coding Manager

CHLA Medical Group Hybrid (Los Angeles, CA)

Primary Purpose of the Position: The Revenue Cycle Coding Manager provides strategic and operational leadership for professional coding and charge capture. The Manager is accountable for coding quality, productivity, inventory, compliance remediation, workforce planning, vendor performance, physician and division engagement, and coding-related revenue integrity. The position establishes clear standards, analyzes trends, and develops corrective action plans to support accurate, timely, and compliant claim submission. Essential Duties of the Position May Include the Following: Leads day-to-day and long-range coding operations, including staffing, workload allocation, coverage planning, production priorities, and escalation management. Owns the coding operating model and clearly defines responsibilities among the Coding Manager, Coding Supervisor, internal coders, and external coding vendors. Establishes, monitors, and reports key performance indicators for...

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Associate Director, Medical Science Liaison - Los Angeles/Southern California

Insmed Los Angeles, CA

Associate Director, Medical Science Liaison At Insmed, every moment and every patient counts and so does every person who joins in. As a global biopharmaceutical company dedicated to transforming the lives of patients with serious and rare diseases, you'll be part of a community that prioritizes the human experience, celebrates curiosity, and values every person's contributions to meaningful progress. That commitment has earned us recognition as Science magazine's No. 1 Top Employer for five consecutive years, certification as a Great Place to Work in the U.S., and a place on The Sunday Times Best Places to Work list in the UK. For patients, for each other, and for the future of science, we're in. Are you? About the Role: We're looking for an Associate Director, Medical Science Liaison on the Field Medical team to cover the Los Angeles and Southern California region (candidates considered in Los Angeles, San Bernardino/Inland Empire, and Las Vegas, NV) and to help us expand...

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Senior Specialty Physician Coder - Cardiology & IR (Remote)

MemorialCare Health System Los Angeles, CA

MemorialCare is seeking a Sr. Specialty Physician Coder in California. The role involves reviewing and coding office, hospital, and surgical procedures to ensure accurate reimbursement for inpatient and outpatient services. The Senior Coder will interact with contract coders, maintain coding operations, and align with MemorialCare policies while supporting the coding compliance program. #J-18808-Ljbffr

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Outpatient Coder II: IR/Cardiology & Observation

San Antonio Regional Hospital Upland, CA

San Antonio Regional Hospital seeks a Coder II to code outpatient surgical, interventional radiology/cardiology procedures and Observation accounts. Responsibilities include reviewing patient records to assign accurate codes, and entering charges for Observation hours, infusions, injections, and bedside procedures while complying with CMS and Coding Clinic guidelines. The role requires knowledge of ICD-10-CM and CPT coding, and a strong ability to interpret organizational policies and #J-18808-Ljbffr

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Senior Specialty Physician Coder - Cardiology & IR (Remote)

MemorialCare Fountain Valley, CA

MemorialCare is seeking a Sr. Specialty Physician Coder in California. The role involves reviewing and coding office, hospital, and surgical procedures to ensure accurate reimbursement for inpatient and outpatient services. The Senior Coder will interact with contract coders, maintain coding operations, and align with MemorialCare policies while supporting the coding compliance program. #J-18808-Ljbffr

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Sr. Specialty Physician Coder - Cardiology, CTS, Peds Cardiology & IR

MemorialCare Fountain Valley, CA

Title: Sr. Specialty Physician Coder Location: Fountain Valley, CA / Predominantly Remote (Must be located in CA) Department: Document Improvement Status: Full-Time Shift: Days (8hr) Pay Range*: $35.46/hr - $51.46/hr MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups - consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you...

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Sr. Specialty Physician Coder - Cardiology, CTS, Peds Cardiology & IR

Vets Hired Fountain Valley, CA

Job Summary The Senior Specialty Physician Coder reviews and analyzes specialty medical coding and billing to support accurate charge processing, reimbursement, and compliance. This role codes office, hospital, and surgical procedures across inpatient and outpatient services, works with clinical partners and contract coders, and helps identify coding trends, irregularities, and opportunities for improvement. The position also provides coding guidance, training, and mentoring to internal and external coding staff. Key Responsibilities Review and accurately code office visits, hospital services, surgical procedures, diagnostic tests, and other medical services. Apply ICD-10, CPT, and HCPCS coding standards to support accurate billing and reimbursement. Review specialty coding and billing for compliance with applicable requirements and organizational policies. Support coding operations across inpatient and outpatient services. Serve as a primary contact for contract coders...

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Sr. Specialty Physician Coder - Cardiology, CTS, Peds Cardiology & IR

Vets Hired Fountain Valley, CA

Job Description: Job Summary The Senior Specialty Physician Coder reviews and analyzes specialty medical coding and billing to support accurate charge processing, reimbursement, and compliance. This role codes office, hospital, and surgical procedures across inpatient and outpatient services, works with clinical partners and contract coders, and helps identify coding trends, irregularities, and opportunities for improvement. The position also provides coding guidance, training, and mentoring to internal and external coding staff. Key Responsibilities Review and accurately code office visits, hospital services, surgical procedures, diagnostic tests, and other medical services. Apply ICD-10, CPT, and HCPCS coding standards to support accurate billing and reimbursement. Review specialty coding and billing for compliance with applicable requirements and organizational policies. Support coding operations across inpatient and outpatient services. Serve as a primary...

33 hcc coder jobs found in Alhambra, CA