19 medical billing specialist jobs found in Sunnyvale, CA

Job Description Job Description About us: Lucence is a pioneering precision oncology company with a bold vision: a world where cancer is defeated through early detection and timely treatment. Our cutting-edge liquid biopsy tests use advanced molecular profiling to guide personalized cancer therapies, transforming how cancer is diagnosed and treated. At Lucence, we are shaping the future of precision medicine by capturing both genetic and cellular data from a single blood draw, bringing us closer to our mission of overcoming cancer. Position Summary At Lucence, every process we build supports one mission: enabling earlier cancer detection so patients can live longer and healthier lives. As a Senior Medical Billing Specialist , you play a vital role in that mission. You will ensure that our billing operations are accurate, compliant, and efficient—so that patients, clinics, and partners experience a smooth and dependable journey. This role is ideal for someone who takes...

Senior Medical Billing Specialist Location: SF Bay Area, CA (Onsite – 5 days/week) Employment Type: Full-Time, Permanent Compensation: Competitive base salary + annual bonus + full benefits About the Opportunity We are partnering with an innovative medical technology and healthcare services organization that supports patients through technology-enabled care programs. This team plays a critical role in managing and optimizing reimbursement across professional medical billing, payer engagement, and revenue cycle operations for outpatient and digitally delivered healthcare services. This role is ideal for a hands-on, detail-oriented medical billing professional who thrives in end-to-end ownership, payer research, data analysis, and continuous process improvement. You will serve as a key contributor ensuring accurate, compliant, and efficient reimbursement while collaborating closely with cross-functional teams including operations, IT, and finance. Key Responsibilities Perform...

Job Description Job Description Benefits: 401(k) Competitive salary Dental insurance Health insurance Opportunity for advancement Paid time off Training & development Los Gatos Pediatrics is a well-established practice with 4 Pediatricians. We are conveniently located near both Hwy 17 and Hwy 85. We are looking for an experienced Medical Billing Specialist. Medical Billing Specialist job responsibilities include: Resolving issues with denials, or No- Response from the insurance company, correcting and resubmitting claims. This will involve calling the insurance companies Monitoring patient Aging -Reports, calling patients to answer any questions they may have about their statements, and collecting outstanding payments. This will involve calling patients. Checking insurance eligibility and benefits of the patients on the schedule. This task needs to be done everyday, and ahead of time for patients already on the schedule Mailing monthly statements, when...

Job Description Job Description Job Title: Medical Billing Specialist Rate: $25 - $26/hr Location: Livermore, CA (100% Onsite) Schedule: Monday–Friday, 7:00 AM–3:30 PM Contract Duration: 1 Year (with possible extension) Contract Type: W2 (must be authorized to work in the US; no sponsorships or C2C) Job Description We are seeking a Medical Billing Specialist to join our client's onsite team in Livermore, CA. In this role, you will be responsible for handling insurance follow-up and claim denials, ensuring that all reimbursements are accurately processed. As the liaison between insurance carriers, patients, and internal departments, you will strive to maintain high-quality standards in customer service and meet daily/monthly productivity goals. Key Responsibilities Insurance Follow-up & Denials: Initiate contact with insurance carriers regarding claim status, address denials, and document all collection activities accurately. Claims & Billing...

Medical Billing Specialist The Medical Billing Specialist is responsible for the timely and accurate preparation of claims within their access for submission to Medicare, Medicaid and Third party carriers. Preparation of claims include, but are not limited to, researching, learning, maintaining and applying new and changing regulations as mandated by Federal and Third Party Payors to maximize reimbursement and ensure compliance. Providing education to other hospital personnel of regulations & requirements and the impact it has on reimbursement and billing. The Medical Billing Specialists are responsible for comprehensive follow-up with payers on timely reimbursements for accounts. The Medical Billing Specialist lives the Mission, Vision, Values and Philosophy of the department and Saint Francis Healthcare System. Constantly works with and maintains restricted or confidential information from many sources within the medical center. Any and all jobs as assigned by Assistant...

Senior Medical Billing Specialist Location: SF Bay Area, CA (Onsite – 5 days/week) Employment Type: Full-Time, Permanent Compensation: Competitive base salary + annual bonus + full benefits About the Opportunity We are partnering with an innovative medical technology and healthcare services organization that supports patients through technology-enabled care programs. This team plays a critical role in managing and optimizing reimbursement across professional medical billing, payer engagement, and revenue cycle operations for outpatient and digitally delivered healthcare services. This role is ideal for a hands-on, detail-oriented medical billing professional who thrives in end-to-end ownership, payer research, data analysis, and continuous process improvement. You will serve as a key contributor ensuring accurate, compliant, and efficient reimbursement while collaborating closely with cross-functional teams including operations, IT, and finance. Key Responsibilities Perform...

Job Description Job Description Established in 1987, Pacific Medical, Inc. is a distributor of durable medical equipment; specializing in orthopedic rehabilitation, arthroscopic surgery, sports medicine, prosthetics, and orthotics. With the heart of the company dedicated to helping and serving others, we provide our services directly to the patient, medical networks, physician clinics, and offices.  We are dedicated to the advancement of patient care through excellent service and product technology. We have an immediate onsite opportunity to join our growing company. We are currently seeking 4 full-time (M-F 8:00 am-5:00 pm) Medical Billing Specialists for our Tracy office.    Job Responsibilities: • Verify medical eligibility; benefit coverage and authorization requirements online or phone. • Obtain authorization if required by plan via fax, email, or online. • Process files within predesignated deadlines. • Contact patients to obtain information to process insurance...

Job Description Job Description Work Location: Sunnyvale, CA -Onsite, 5 days per week Pay Range: $70,000 - $100,000 Our Company: Founded in 2010, iHealth is dedicated to empowering people to live healthier lives. The company is a leader in designing and manufacturing consumer-friendly, mobile personal healthcare products connected through the cloud that allows consumers to easily measure, track, and share vital health information with their doctors. With a focus on delivering high-quality and accessible products, iHealth is at the forefront of the digital health revolution. In 2018, iHealth established the Unified Care program to address the issue of managing chronic diseases. iHealth Care specialists support patients beyond the doctor’s office with chronic conditions via Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) to achieve better health outcomes. In November 2021, iHealth's COVID-19 Antigen Rapid Test received...

Job Description Job Description Active Care Physical Therapy is a world renowned physical therapy clinic seeking highly motivated, professional, out-going and customer-service oriented individual who enjoys working in a fast-paced environment. MEDICAL BILLING Job Description: · Must have experience and knowledge of medical billing · Orthopedic terminology is a plus · Must have knowledge insurance; HMO, PPO; POS; Workers Comp · Answer incoming billing calls, check voicemails daily and respond accordingly and timely · Verify patient eligibility and benefits · Request/process for authorizations · Post patient and insurance payments · Process patient and insurance payments daily · Weekly patient statements · Request for refunds · Follow up on aging accounts receivable; check status on claims and appeals · Scan daily explanation of benefits to billing drive · Submit secondary claims with primary explanation of benefits · Compile deposits as needed · Analyze reports and...

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care job. A Brief Overview The Professional Fee Coder is part of a team which has full responsibility for the efficient and accurate flow of coded charges. Applies the appropriate diagnoses, surgical and procedural codes to individual patient health information for data retrieval, analysis and claims processing. Works closely with departments to optimize reimbursement, ensure charge capture, reduce late charges and provide feedback to providers. Provides physicians routine feedback on documentation and compliance standards. Resolves pre-bill edits and appropriate follow-up. Exercises judgment within generally defined practices and policies in selecting methods and techniques for obtaining solutions. Receives no instructions...

Coding Specialist Responsible for educating and training WVU Healthcare Coding Staff as directed by Coding Managers. Will also oversee or perform the overall auditing and education plans for the Coding staff. This position will perform coding quality audits, provide ongoing feedback and education. This position utilizes various coding classifications; ICD-10-CM, ICD-10-PCS, CPT, and other references and software to ensure accurate coding and MS-DRG, HCC and APR-DRG assignment. Minimum Qualifications: 1. Graduate of Health Information Technology (HIT) or equivalent program AND Five (5) years of coding experience; OR Medical Coding Certification Program AND Five (5) years of coding experience; OR High School Diploma or Equivalent AND Eight (8) years of coding experience. 2. Certification in one of the following: RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator), COC (Certified Outpatient Coder), CCS (Certified Coding...

Company Description : Axis Community Health, a nonprofit established in 1972, provides comprehensive healthcare services to over 15,000 individuals across all age groups in the Tri-Valley area. The mission of Axis Community Health is to provide quality, affordable, accessible and compassionate health care services that promote the well-being of all members of the community. Our mission is rooted in delivering high-quality patient care, encompassing primary healthcare, mental health support, and dental services. We are committed to ensuring access to essential healthcare services for every member of our community, irrespective of financial status, living situation, or insurance coverage. Job Summary: The Medical Coder is responsible for reviewing, coding, and processing medical, dental, and behavioral health encounters to ensure accurate and compliant documentation, coding, and billing specific to a Federally Qualified Health Center (FQHC). This role assigns appropriate...

Scheduled Hours 40 Position Summary Position reviews medical record documentation to determine appropriate billing codes and necessary documentation. 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-9 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. Working Conditions: Normal office environment. Typically...

Certified Coder Oakland, CA Information Systems Health Information Servcies Full Time - Day $29.59 - $49.31/ hour Req #:41965-31091 FTE:1 Posted:November 18, 2025 Summary SUMMARY: Reads and interprets medical record documentation to assign diagnosis codes, assigns CPT codes, and applies knowledge of payer reimbursement guidelines to ensure proper reimbursement. Performs related duties as required. DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE:The following are the duties performed by employees in this classification, however, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification. Adheres to the ICD-9-CM (International Classification of Diseases, 10th revision, Clinical Modification) coding conventions, official coding guidelines approved by the cooperating parties, the CPT (Current Procedural Terminology) rules...

Job Description Under the general direction of the Supervisor, the Medical Coding Specialist will abstract medical services provided by the healthcare system and its affiliates. The incumbent will identify all billable services-including IP Professional, Outpatient Professional and Facility, Hospital Service Departments, Freestanding, and Ancillary Services-and assign CPT-4, ICD-10, and HCPCS codes for billing purposes to government agencies, insurance companies, and patients. You will be responsible for the accuracy of procedure and diagnosis coding relative to documentation and standards, while ensuring compliance with all federal, state, and carrier-specific rules and regulations. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment...

Inpatient Medical Coder 2 This area codes inpatient medical records to facilitate the reimbursement and data collection for the individual business units of the OSU Medical Center and The James Cancer Hospital. ICD-10-CM/PCS codes are assigned for the diagnoses and procedures for all inpatients treated within the OSU Health System. Medical record abstract data is reviewed for accuracy in EPIC/IHIS before completing the chart. This position is responsible for coding some or all the following types of records: inpatient record types. The position is primarily responsible for coding medical records and other documents at the conclusion of the patient's visit. This requires selection of appropriate admitting diagnosis, principal and secondary diagnoses, and sequencing diagnoses and procedures. Codes flow from the Encoder Software to EPIC/IHIS Resolute Billing system. This staff member is responsible for complete and accurate coding and MS-DRG and APR-DRG assignment for hospital...

Inpatient Hospitalist Coding At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Description Fulltime Remote Position (40 hour work week) Inpatient Hospitalist Experience needed for this role. Responsible for reviewing clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM/CPT4 codes and modifiers for billing, internal and external reporting, research, and regulatory compliance....

Job Summary: Under direct supervision, the Inpatient Coder is responsible for the accurate coding and abstracting of inpatient cases or services (diagnosis, conditions and procedures) from medical record documentation. Assign codes and modifiers using the appropriate version of ICD-CM, ICD-PCS, CPT and HCPCS as well as other specialty systems as required by diagnostic category. The Inpatient Coder is expected to code and abstract Observation (OBS), Hospital Ambulatory Surgery (HAS), Emergency Department (ED), and complex Hospital Outpatient Visit (CHOY) services when needed. All work must be performed in accordance with the rules, regulations and coding conventions of ICD-CM Official Guidelines for Coding and Reporting, Coding Clinic published by the American Hospital Association, the ICD-CM, ICD-PCS, CPT and HCPCS code book, CPT Assistant, NCCI Edits, CMS, OSHPD and Kaiser Permanentes organizational and institutional coding guidelines. Essential Responsibilities: Coding...

Health Information Coder III The Health Information Coder III is a senior level inpatient coder with the knowledge and skill set to utilize the ICD-10-CM and ICD-10-PCS classification systems to code acute academic, teaching inpatient cases. The skill set extends to knowledge and comprehension of code sequences into Diagnoses Related Groups on acute academic, teaching inpatient cases. Cases are coded to comply with the official guidelines for coding and reporting, practice standards and code of ethics for HIMS coder. Cases are abstracted according to UCSF Health policies and procedures. The focus of coding and abstracting is on a range of all primary hospital services. There is minimal review of coding for quality. The employee will work eight (8) hours per day, excluding meal periods, on five (5) consecutive days within a workweek. The workweek schedule is set between the employee and the manager and may be scheduled to start any day of the week based on manager approval. DUTIES...