34 hcc coder jobs found in 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...

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...

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...

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

Northeast Community Clinic is hiring an HCC Coder in Alhambra, CA to ensure accuracy of coded outpatient diagnoses and services. You will review records, collaborate with Billing Manager and Medical Director, and support HIPAA compliance. The role requires 2+ years in healthcare coding, knowledge of ICD-10-CM, CPT, HCPCS, and HCC risk adjustment, and a coding certificate is preferred. Some travel is required. #J-18808-Ljbffr

Astrana Health seeks a Risk Adjustment Coding Specialist II to join our Strategy and Operations team in Monterey Park, CA. The role requires converting provider documentation into compliant HCC coding and educating providers on CMS requirements while traveling to provider sites as needed. Qualified candidates hold CCS/CPC certification with 3+ years of risk adjustment coding experience, strong EHR skills, and the ability to work in a hybrid setting, including on-site visits and remote #J-18808-Ljbffr

Astrana Health in Monterey Park, CA is seeking a Risk Adjustment coder to review and ensure accurate ICD-10-CM/HCC documentation across Medicare Advantage, ACA, and commercial lines. You will educate providers and work with IPAs to improve coding quality. You will travel up to 75% and balance on-site fieldwork with hybrid support, maintaining up-to-date knowledge of CMS guidelines and payer requirements while meeting productivity targets. #J-18808-Ljbffr

Astrana Health, Inc. in Monterey Park, CA is seeking a Risk Adjustment Coding Specialist II to verify provider documentation, educate providers, and support CMS risk adjustment initiatives. The role requires travel to provider sites (about 75%) and reports to the Supervisor - Risk Adjustment. Requires CCS/CPC or similar certification and 3+ years of risk adjustment coding, with strong ICD-10-CM/HCC knowledge and EHR proficiency. Competitive salary is $75,000–$85,000 per year. #J-18808-Ljbffr

Job Description Job Description 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. 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...

JOB DESCRIPTION Job SummaryProvides support for medical coding activities, including ensuring that ICD-10 and CPT codes are reported accurately to maintain compliance, and minimize risk and denials. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties Performs on-going member medical chart reviews. Abstracts and reports ICD-10 and CPT diagnosis codes accurately and in compliance with established coding and billing principles - minimizing risk and denials. Demonstrates understanding of current provider office billing practices - ensuring that diagnosis and CPT codes are submitted accurately. Documents results/findings from chart reviews and provides feedback to leadership, providers and office staff. Provides training and education to provider network regarding risk adjustment and coding updates related to risk adjustment. Builds positive relationships between providers and the business by providing coding assistance as...

Job Description Job Title: Remote ICD-10 Outpatient Coder, AAPC Certified, Short-Term AI Pilot Project (1099) Job Type: Contract, 1099, Remote, Part-Time Pay: $40 to $45 per hour, depending on experience Location: Remote, US-based only About the Project Nightingale's List is sourcing AAPC-certified outpatient coders for a short-term pilot project with a healthcare AI company. This is a contract opportunity to support an exciting initiative comparing US coder performance against established benchmarks, with strong potential to grow into a larger ongoing engagement based on pilot results. What You'll Be Doing Reviewing clinical transcripts and assigning accurate ICD-10-CM codes Identifying primary diagnoses and secondary conditions Highlighting sentence-level text spans that support each coding decision Completing 5 test cases followed by approximately 20 production cases Working within the client's coding platform, full training and gold...

Astrana Health is seeking a Risk Adjustment Coding Specialist to support Orange County operations. You will conduct high-volume chart reviews to identify coding gaps, then translate findings into education for providers and practice leaders, driving HCC recapture and KPI improvements. olla You will travel to provider offices up to 75% and collaborate with IPA teams, offering auditing and education to ensure CMS, Medicare and payer guidelines are met while staying current on ICD-10/HCC updates. #J-18808-Ljbffr

Senior Specialty Physician Coder – InterventionalOur client, a healthcare company, is looking for a Senior Specialty Physician Coder – Interventional for their Fountain Valley, CA location.Responsibilities:Achievement of productivity standards as established by management.Achievement of quality standards as established by management. In adherence with standard work, analyze and interpret medical information in the medical record and assign and sequence the correct ICD-10-CM, CPT, and/or HCPCS codes to the diagnoses/procedures of office, inpatient and/or outpatient medical records according to established coding guidelines, including the ability to review and natively code surgical operative and/or procedure reports.In adherence with standard work, follow established workflow for working claim denials in the Follow-Up work queues and identify opportunities for billing/coding improvements.Participate in developing, implementing, and reviewing programs for coding compliance...

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...

Title: Sr. Specialty Physician Coder Location: Fountain Valley, CA / Predominantly Remote Department: Document Improvement Status: Full-Time Shift: Days (8hr) Pay Range*: $35.46/hr - $51.46/hr Position Summary Under the direction of the Coding Compliance Manager, the Senior Specialty Physician Coder reviews and analyzes specialty coding and billing for charge processing. The role is responsible for accurately coding office, hospital, and surgical procedures for reimbursement and ensuring compliant medical coding for inpatient and outpatient services, diagnostic tests, and other medical services. The coder serves as a point of contact for contract coders, maintains contract coding operations, ensures implementation of MemorialCare policies and procedures, and collaborates with the Coding Compliance Manager on discovered coding trends, irregularities and action items. Essential Functions and Responsibilities Proficient in Microsoft Office suite....

Who We Are UCI Healthis one of California's largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a 1,461-bed health system that includesUCI Health - Orange,UCI Health - Irvine, four Community Network hospitals and a growing network of ambulatory care centers across Orange and Los Angeles counties. As Orange County's only academic health systems, UCI Health is home to the onlyNational Cancer Institute-designated comprehensive cancer centerbased in the county, the region's only American College of Surgeons-verifiedLevel I adult and Level II pediatric trauma center, American College of Emergency Physicians Gold Level 1 GeriatricEmergency Departmentand a nationally recognizedregional burn centerverified by the American Burn Association. Powered byUC Irvine, UCI Health serves 5.6 million people across Orange County, western Riverside County and southeast Los Angeles County through...

DaMar Staffing is seeking a Cardiology Clinic Medical Biller for a full-time, on-site role in Torrance (with duties at Koreatown). This position blends medical billings responsibilities with light front-office tasks in a busy cardiology clinic. You will submit claims, follow up on denials, monitor A/R aging, post payments in the EMR, and support patient services. A degree and at least two years of outpatient billing experience, with ICD-10/ICD-11 knowledge, are required. #J-18808-Ljbffr

Job Title Radiation Oncology Coder 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 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...

Job TitleRadiation Oncology CoderJob DescriptionResponsibilitiesReports to: Manager, CodingThe 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 documentationThe 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 servicesThe 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 codesThe 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 EPICIs always compassionate and empathetic for both patients and team members; makes eye contact, smiles and or greets every individual using the...

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

Specialty Physician Coder – Cardiology Location: Fountain Valley, CA (Predominately Remote / Must be located in California) Department: Document Improvement Status: Full-Time Shift: Days (8 hr) Pay Range: $33.79/hr - $49.00/hr Position Summary Under the direction of the Coding Compliance Manager, the Specialty Physician Coder reviews and analyzes specialty coding and billing for charge processing and ensures accurate, compliant medical coding for inpatient and outpatient services, diagnostic tests, and other medical services. The coder will work with the Coding Compliance Manager on identified coding trends and irregularities and needed action items. Essential Functions and Responsibilities Proficient in Microsoft Office suite. Proficient in Epic software. Strong analytical skills. Strong critical thinking skills. Detail oriented. Ability to research and resolve problems (strong problem‑solving skills). Strong understanding of the healthcare revenue cycle. Excellent...

A leading healthcare organization is seeking a Specialty Physician Coder for a full-time position in California, primarily remote. The role involves reviewing and analyzing specialty coding and billing while ensuring accurate medical coding for various services. Qualified candidates should have significant coding experience and be familiar with ICD10, CPT, and HCPCS. The position offers a pay range of $33.79/hr to $49.00/hr, emphasizing analytical skills, problem-solving, and effective communication in a collaborative environment. #J-18808-Ljbffr

Medical Billing Coder (Staff Specialist) Salary may be negotiable within the range listed above, based on position requirements and successful candidate's qualifications, subject to appropriate authorization. OPEN TO THE PUBLIC This recruitment will establish an open eligible list that will be used to fill current and future Medical Billing Codepositions. The eligible list established may also be used to fill positions in similar and/or lower classifications throughout the County of Orange. DEADLINE TO APPLY This recruitment will be open for a minimum of five (5) business days and will close on Wednesday, September 9, 2026 at 11:59 P.M. (PST) AUDITOR-CONTROLLER The Auditor-Controller Department is committed to serving Orange County by ensuring accountability over public spending, transparency of Taxpayer dollars, and engaging the public in government. We carry out our vision and mission by conducting the Public's business with the highest ethical and due diligence standards by...