103 medical billing specialist california jobs found

Description The Senior Coder is responsible for performing coding audits and review of outpatient provider services to support coding optimization and compliance for the medical group. This is an entry level position supporting multiple specialties across the medical group with coding for evaluation and management and procedural services. In addition to the audit and review work, the Senior Coder will work side by side with outpatient providers providing ongoing feedback, coaching, and support with the code entry process, documentation, ICD-9, ICD-10, and HCC coding in alignment with current medical group reimbursement requirements. The Senior Coder works with the clinic staff, Physician's Business Office, to correct errors and resolve billing questions. Providence caregivers are not simply valued – they’re invaluable. Join our team at Physician Management Group and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual...

Job Description The Senior Coder is responsible for performing coding audits and review of outpatient provider services to support coding optimization and compliance for the medical group. This is an entry level position supporting multiple specialties across the medical group with coding for evaluation and management and procedural services. In addition to the audit and review work, the Senior Coder will work side by side with outpatient providers providing ongoing feedback, coaching, and support with the code entry process, documentation, ICD-9, ICD-10, and HCC coding in alignment with current medical group reimbursement requirements. The Senior Coder works with the clinic staff, Physician's Business Office, to correct errors and resolve billing questions. Providence caregivers are not simply valued - they're invaluable. Join our team at Physician Management Group and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual...

Siu Coding Auditor Hi, we're Oscar. We're hiring a SIU Coding Auditor to join our SIU team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselvesone that behaves like a doctor in the family. About The Role The Senior Specialist works in the Special Investigation Unit to support in assessing trends and patterns in FWA across the healthcare industry using deep coding knowledge to prevent and recoup inappropriately paid claims. The Specialist Investigation Unit runs and coordinates activities across Oscar to reduce the incidence and impact of fraud, waste, and/or abuse ("FWA") on all our operations. You will report to the Manager, SIU Coding Audit. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our...

Compliance Coding Auditor Hours: Variable Shift Start Time: Variable Shift End Time: Variable AWS Hours Requirement: 8/40 - 8 Hour Shift Additional Shift Information: Weekend Requirements: No On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $48.140 - $62.110 - $76.080 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. What You Will Do The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's) compliance audit program. The position provides oversight and maintenance of a high-quality, effective, best practices coding, billing, and reimbursement audit...

Compliance Coding Auditor Hours: Variable Shift Start Time: Variable Shift End Time: Variable AWS Hours Requirement: 8/40 - 8 Hour Shift Additional Shift Information: Weekend Requirements: No On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $48.140 - $62.110 - $76.080 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. What You Will Do The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's) compliance audit program. The position provides oversight and maintenance of a high-quality, effective, best practices coding, billing, and reimbursement audit...

Join Our Extraordinary Team Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. Build the possibilities. Make an extraordinary impact. Title: DRG Coding Auditor This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Alternate locations may be considered if candidates reside within a commuting distance from an office. The DRG Coding Auditor is...

DRG Coding Auditor Principal This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case...

Siu Coding Auditor Hi, we're Oscar. We're hiring a SIU Coding Auditor to join our SIU team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselvesone that behaves like a doctor in the family. About The Role The Senior Specialist works in the Special Investigation Unit to support in assessing trends and patterns in FWA across the healthcare industry using deep coding knowledge to prevent and recoup inappropriately paid claims. The Specialist Investigation Unit runs and coordinates activities across Oscar to reduce the incidence and impact of fraud, waste, and/or abuse ("FWA") on all our operations. You will report to the Manager, SIU Coding Audit. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our...

Siu Coding Auditor Hi, we're Oscar. We're hiring a SIU Coding Auditor to join our SIU team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselvesone that behaves like a doctor in the family. About The Role The Senior Specialist works in the Special Investigation Unit to support in assessing trends and patterns in FWA across the healthcare industry using deep coding knowledge to prevent and recoup inappropriately paid claims. The Specialist Investigation Unit runs and coordinates activities across Oscar to reduce the incidence and impact of fraud, waste, and/or abuse ("FWA") on all our operations. You will report to the Manager, SIU Coding Audit. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our...

Compliance Coding Auditor Hours: Variable Shift Start Time: Variable Shift End Time: Variable AWS Hours Requirement: 8/40 - 8 Hour Shift Additional Shift Information: Weekend Requirements: No On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $48.140 - $62.110 - $76.080 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. What You Will Do The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's) compliance audit program. The position provides oversight and maintenance of a high-quality, effective, best practices coding, billing, and reimbursement audit...

DRG Coding Auditor Principal This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case...

Medical Billing & Coding Specialist (On-Site) - West Palm Beach, FL Ultimate Staffing Services is seeking a skilled Medical Biller & Coder to join our client's healthcare team in West Palm Beach, Florida . This is a 100% in-office role , Monday-Friday, offering a stable work environment with traditional business hours. The client is actively interviewing and hiring immediately. If you're detail-oriented, experienced in medical billing processes, and passionate about accuracy in healthcare documentation, this role is an excellent opportunity to grow your career. Key Responsibilities Prepare and submit medical billing data and insurance claims. Verify and maintain accurate patient medical information. Generate bills, invoices, and documentation for medical procedures and services. Review and manage referrals, pre-authorizations, and supporting documents. Track, monitor, and record late payments in billing...

NORCAL Ambulance is growing across Northern California. Founded in 2005, NORCAL Ambulance is the premier leader for medical transportation in Northern California, servicing 17 counties. A locally owned, private company, NORCAL partners with hospitals Medical, Billing, Medical Billing, Specialist, Insurance, Claims, Healthcare

Siu Coding Auditor Hi, we're Oscar. We're hiring a SIU Coding Auditor to join our SIU team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselvesone that behaves like a doctor in the family. About The Role The Senior Specialist works in the Special Investigation Unit to support in assessing trends and patterns in FWA across the healthcare industry using deep coding knowledge to prevent and recoup inappropriately paid claims. The Specialist Investigation Unit runs and coordinates activities across Oscar to reduce the incidence and impact of fraud, waste, and/or abuse ("FWA") on all our operations. You will report to the Manager, SIU Coding Audit. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our...

Coding Compliance Auditor In accordance with current federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review of previously coded accounts to ensure appropriate CPT, ICD-10-CM, and HCPCS assignments and accuracy and completeness of all ICD-10-CM, CPT, and HCPCS codes assigned by professional revenue coders and providers. All assigned codes must be supported by professional documentation contained within the medical record and must be in compliance with federal coding compliance regulations, Official Coding Guidelines, AHA Coding Clinic, and CPT Assistant. The Coding Compliance Auditor will also provide detailed reports, Excel spreadsheets, coding audit summary analysis, and data analytics Re: coding accuracy rates, compliance rates, denial analytics, etc. Recommend education topics based on audit findings and assist in the continuing education of professional coders and providers. Understands coding/billing computer systems...

Job Posting In accordance with federal coding compliance regulations and guidelines, use current ICD-10-CM, CPT-4, and HCPCS code sets/systems to accurately abstract, code, and electronically record into the 3M Coding & Reimburse System (3M-CRS) & the coding abstracting system (3M-ClinTrac), all diagnoses, surgical procedures, and other significant invasive and non-invasive procedures documented by any physician in outpatient medical records (i.e. OP Ancillary/Clinic Visits, and an assorted outpatient surgeries: GI Lab, Heart Cath Lab, Pain Management surgery, and Invasive Radiology, etc.). Address OCE/NCCI edits within 3M-CRS and those returned from the Business Office. Understands PFS coding/billing processes & systems such as PBAR and nThrive/MedAssets/XClaim in a manner to assure claims drop timely with appropriate codes. Performs other coding department related duties as assigned by HIM management staff. Essential Duties + Ambulatory Surgery coding of all...

DRG Coding Auditor Principal This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case...

Coding Specialist The Coding Specialist is a functional member of Central Business Services at SMG. The Specialist is an entry-level coding professional who is responsible for the timely, accurate, and comprehensive review of provider claims to optimize reimbursement and ensure compliance with all regulatory statutes. This position also works with the department to identify trends and educational opportunities for providers to ensure proper coding, documentation, and accuracy of billing within their areas of responsibility/specialty. Providence caregivers are not simply valued - they're invaluable. Join our team at Swedish Health Services DBA Swedish Medical Group and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: National Certified Inpatient Coder upon hire. Or National...

Medical Billing Coder Under the direction of the Associate Director/Revenue Manager, the Medical Billing Coder aka Professional Fee Coder - Revenue Cycle Analyst will be responsible for front-end billing functions from procedural & diagnosis coding and charge entry to contacting physicians for documentation tracking and updating. Working under direct supervision the incumbent acquires knowledge of revenue cycle coding practices and concepts. Developing proficiency to manage 500 - 1000 code combinations to include Evaluation and Management Services as well as simple to moderately complex testing and procedural code services. The Medical Billing Coder will work to acquire and master all entry-level coding functions including assigning appropriate CPT and Dx codes, associated modifiers, appropriate NCCI edits, resolving coding edits and RFIs as well as basic entry-level revenue cycle duties. Other duties may include assisting other Departments as needed/assigned. As a Medical...

Job Description Job Description Medical Billing Specialist - Starting $18 to $22 Join a team you'll love at Synergy Respiratory and be a part of a workplace that values your skills and offers amazing perks! 4 Day Work Week (Monday-Thursday) Holidays off Synergy is growing and expanding our billing department and looking for exceptional candidates. Come join and collaborate with a supportive team! Our Billing Department excels on a high level of accuracy and outstanding attention to detail to thrive in the job. The billing specialist will work directly with insurers and patients to resolve billing discrepancies and related issues. Job responsibilities include, but not limited to: Revenue billing specialists must process claims quickly and accurately, and ensure there are no errors or issues on the claim. They may also have to do a bit of administrative work, updating patients' medical files and ensuring that other members of the...

Medical Billing Coder - Per Diem 20% FPO - Revenue Management Per Diem 87572BR Job Summary Under the direction of the Associate Director/Revenue Manager, the Medical Billing Coder aka Professional Fee Coder - Revenue Cycle Analyst will be responsible for front-end billing functions from procedural & diagnosis coding and charge entry to contacting physicians for documentation tracking and updating. Working under direct supervision the incumbent acquires knowledge of revenue cycle coding practices and concepts. Developing proficiency to manage 500 - 1000 code combinations to include Evaluation and Management Services as well as simple to moderately complex testing and procedural code services. The Medical Billing Coder will work to acquire and master all entry-level coding functions including assigning appropriate CPT and Dx codes, associated modifiers, appropriate NCCI edits, resolving coding edits and RFIs as well as basic entry-level revenue cycle duties. Other...

Job Description Job Description Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they're met with barriers to care. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported. Charlie Health exists to change that. Our mission is to connect the world to life-saving behavioral health treatment. We deliver personalized, virtual care rooted in connection—between clients and clinicians, care teams, loved ones, and the communities that support them. By focusing on people with complex needs, we're expanding access to meaningful care and driving better outcomes from the comfort of home. As a rapidly growing organization, we're reaching more communities every day and building a team that's redefining what behavioral health treatment can look like. If you're ready to use your...

Professional Fee Coder - Analyst II FPO - Revenue Management Full Time 87835BR Job Summary Professional Fee Coder - Analyst II, under the direction of their Revenue Manager and Associate Director, will provide support in areas of revenue operations related to coding, auditing, and training for their designated areas. Responsibilities include providing education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines. Analyst II will perform an in-depth review of physician documentation and is responsible to present findings along with recommendations to the department on physician education. The incumbent should be familiar with all applicable billing and coding regulations and be able to effectively communicate these regulations to all levels of faculty, management and staff. This position will also assign codes based on a review of clinical charts, resolve coding issues based on denials, and Identify areas of...

Job Description Job Description Medical Billing Specialist - Starting $18 to $22 Join a team you'll love at Synergy Respiratory and be a part of a workplace that values your skills and offers amazing perks! 4 Day Work Week (Monday-Thursday) Holidays off Synergy is growing and expanding our billing department and looking for exceptional candidates. Come join and collaborate with a supportive team! Our Billing Department excels on a high level of accuracy and outstanding attention to detail to thrive in the job. The billing specialist will work directly with insurers and patients to resolve billing discrepancies and related issues. Job responsibilities include, but not limited to: Revenue billing specialists must process claims quickly and accurately, and ensure there are no errors or issues on the claim. They may also have to do a bit of administrative work, updating patients' medical files and ensuring that other members of the staff...