14 medical coding specialist jobs found in San Francisco, CA

Ember is seeking an experienced medical coding professional to join our team as a Senior Medical Coding Specialist. This role will focus on auditing and coding complex surgical notes. The ideal candidate will leverage their expertise to ensure accurate code assignment, compliance with regulations, and optimal reimbursement for our clients. Essential Responsibilities Analyze and audit complex surgical operative notes, particularly in cardiology and orthopedics, to ensure accurate code assignment and compliance. Assign appropriate ICD-10, CPT, HCPCS codes and modifiers based on clinical documentation and payer requirements. Serve as a key liaison between clinical teams and revenue cycle management, addressing coding inquiries and resolving complex coding issues. Stay current with coding guidelines, payer policies, and regulatory changes affecting cardiology, orthopedics, and surgical specialties. Identify and resolve coding edits and denials, implementing strategies to enhance...

Job Description Job Description About Abby Care Our mission is to redefine care for the most vulnerable. The healthcare system is failing the underserved. We are transforming the healthcare experience for low-income families through cutting edge technology and operations. Abby Care is a leading provider of home health services, dedicated to delivering compassionate, patient-centered care to families and individuals in the comfort of their homes. What makes us the home health provider of the 21st century: Digital health integrations - We innovate to give our clinical teams superpowers. We build technology to decrease clinical administrative work and to improve the measurement of health outcomes. Clinical excellence - We strive to deliver the best-in class care to our families. Our culture encourages clinical growth and emphasizes quality in all our clinical processes. Family training and support - We believe that family care is key to a patient's wellbeing and...

Outpatient Medical Records Coder Overview Credentialed coding specialists needed to code records for reimbursement of services. Identify and abstract diagnoses and procedures and assign codes to patients' medical records, complete special reports, and ensure the validity of the completed record. Requirements Candidates should possess a Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) credential from the American Health Information Management Association (AHIMA). Must be able to work the following hours: Sat & Sun - 7am - 3:30pm Wed, Thurs, Fri- 3:30pm - 12am Duties Understands and follows AHIMA Code of Ethics and Best Practice Standards for client facility Extensive knowledge of ICD-9CM, CPT, MS-DRGs, APCs, and HCPCS Coding Guidelines. Experience with AHIMA standard coding conventions. Assign diagnostic and procedural codes for Outpatient data. Prepares work to be processed by...

Job Summary: The Coder 1 Risk Adjustment is responsible for concurrent, prospective, and retrospective clinical documentation review as it pertains to Risk Adjustment Data Validation (RADV) timelines, with an emphasis on completeness and accuracy of provider documentation related to severity of illness and supporting clinical care plan(s) for the validation of Hierarchical Condition Category (HCC) diagnoses. Initiates communication, verbal and written, with providers to facilitate clarification of need for greater specificity, clinical support, and/or completeness of the progress notes. Provides compliant education related to documentation integrity, completeness, and consistency. Keeps providers up to date on CMS, ICD-10-CM, AHA Coding, health plan guidelines as it pertains to Risk Adjustment for the purpose of documentation trends and opportunities for improvement related to documentation integrity. Performs other duties as needed. Education and Experience: Bachelor's degree...

Scion Staffing has been engaged to conduct an immediate search for an experienced Medical Billing Specialist for our client, an incredible healthcare organization in San Francisco, CA! This is a full-time, temp-to-hire, onsite role working in the Mission District! Perks: Opportunity to be part of an established, local, and well-respected healthcare leader! Great work culture and an experienced billing team! Pay rate is $26 per hour Wonderful benefits upon conversion to a permanent position! What you will be doing: Checks, researches and verifies encounter data for accuracy and completeness and obtains any missing information from providers and other locations. Codes information about procedures/diagnosis and enters charge information into practice management system. Identifies and tracks EHR/Front-end data errors and reports weekly to the manager. Assists with coding and error resolution. Identifies and resolves patient billing complaints or inquiries....

CSI is actively hiring for a REMOTE Risk Adjustment Medical Coder for full-time hours ( minimum 35 hours a week) with a nationally recognized healthcare company that is known for championing innovation, leading from the front with technology, and transforming the healthcare system. This is not just another contract, it's the next step in your career as a Medical Coder! Check out what other coders are sharing about their experience working at CSI- Indeed Reviews The What You Want to Know! 100% REMOTE - Work from home Flexible working schedule PAY PER HOUR model Paid training Long term contract position- Benefits Offered! MINIMUM REQUIREMENT of 4 YEARS RISK ADJUSTMENT EXPERIENCE Required Certification: Active certified coder certification through AHIMA or AAPC required: CRC, CPC, CCS-P, CCS (Certified Risk Adjustment Coder, Certified Professional Coder, Certified Coding Specialist- Physician Based) In House Expert Coding Support - mentoring, coaching, QA...

Salary : $72,321.60 - $111,612.80 Annually Location : County of San Mateo, CA Job Type: Limited Term Job Number: POSTING ONLY (E306B) Department: San Mateo Medical Center Opening Date: 09/04/2024 Bargaining Unit: 01A Description San Mateo County Health is seeking three Medical Records Coders for the San Mateo Medical Center to provide coding of services. Services provided at San Mateo County Health which require coding include inpatient, outpatient facility, emergency room, long term care, psychiatric, ancillary services, and clinic visits. Current open positions for coding will be focused on professional fee (profee) coding. Majority of work for these positions will be coding of clinic visits with possible profee coding of other chart types. Understanding of code combinations and coding guidelines is crucial for candidates to be successful in this position. Some initial training will be onsite in the Health Information Management Department after which the assignment...

Kaiser Permanente Lead Coder in Walnut Creek, California Job Summary: Under indirect supervision, the Lead Coder is regularly assigned to lead, train, coordinate, and review the work of assigned coders and/or others who need assistance, advice, instruction, training, and in-service education in coding and abstracting. In addition, the Lead Coder is also expected to code inpatient and all categories of outpatient services, diagnoses, procedures, and conditions working from appropriate documentation in the medical record when assigned or needed, using the appropriate coding classification system. Classification systems include ICD-CM (PCS, CPI*), HCPCS, as well as other specialty systems as required by diagnostic and procedural guidelines. All work must be performed in accordance with the rules, regulations, and coding conventions of the current ICD-CM/PCS official guidelines for coding and reporting, Coding Clinic published by the American Hospital Association, the current...

Description: Must live in Northern California! Job Summary: Under indirect supervision, the Lead Coder is regularly assigned to lead, train, coordinate, and review the work of assigned coders and/or others who need assistance, advice, instruction, training and in-service education in coding and abstracting.In addition, the Lead Coder is also expected to code inpatient and all categories of outpatient services, diagnoses, procedures and conditions working from appmpriate documentation in the medical record uhen assigned or needed, using the appropriate coding classification system. Classification systems include ICD-CM (PCS, CPI*, HCPCS as well as odier specialty systems as requited by diagnostic and pmceduralAll work must be performed in accordance with the rules, regulations and coding conventions of the current ICD-CM//PCS official guidelines for coding and repotting Coding Clinic published by the American Hospital Association , the current ICD-CM/PCS code book, CPT, CPT...

Job Description Job Description Job Title: Certified Professional Coder Job Category: Administrative Reports To: Coding Manager Position Type: Full Time Position  Supervisory Responsibility: This position has no supervisory responsibilities Exempt/Non-Exempt: Non-Exempt Job Description Role and Responsibilities The Certified Coding Specialist is responsible for assigned work queue’s for physician services via medical records (encounter) for office visits, outpatient surgery, office procedures and hospital visits utilizing ICD-10-CM and CPT-4 codes. This requires thorough review of the medical record to validate assigned codes for optimal reimbursement. Research coding and regulatory guidelines that impact coding and billing for services to obtain relevant and timely information for internal utilization utilizing ICD-10-CM and HCPCS/CPT-4 codes. Ensures appropriate charge capture. Essential Functions: Reasonable accommodations may be made to...

Job Description Job Description Job Title: Senior Medical Billing Specialist Position Type: Full-Time, General Recruiting Location: Sunnyvale, California (FULLY ON-SITE) Salary Range / Rate: $70,000 - $85,000 base salary annually Job ID#: 139981   Job Summary: The Senior Billing Specialist will manage the complete medical billing and reimbursement process, focusing on Remote Patient Monitoring, Chronic Care Management, and Medical Nutrition Therapy services. This role involves ensuring compliance with healthcare billing regulations, optimizing revenue capture, and improving the overall billing experience. Key Responsibilities: Insurance & Billing Management: Verify patient benefits and insurance eligibility through insurance providers. Manage the complete billing process (charge entry, claim submission, payment posting, and accounts receivable). Follow Medicare, state programs, and HMO/PPO regulations. Handle claim resubmissions and appeals...

Senior Medical Billing Specialist Salary up to 90K Full-time - Onsite Sunnyvale, CA Company Overview We are a healthcare organization dedicated to improving the management of chronic diseases through our Unified Care program. Our focus is on delivering Remote Patient Monitoring (RPM) and Chronic Care Management (CCM) services. We provide support to patients at home between doctor’s appointments to help them achieve better health outcomes. Our comprehensive services also include Medical Nutrition Therapy (MNT) to address the nutritional needs of patients. Job Summary We are seeking a highly skilled Medical Billing Specialist to manage and oversee our billing and revenue cycle processes. This role will focus on ensuring timely and accurate billing for Remote Patient Monitoring, Chronic Care Management, and Medical Nutrition Therapy services. You will be responsible for managing the complete billing workflow, from validating claims and following up on denials to generating...

Must live in Northern California! 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....

Description Home Search Jobs Job Description Medical Billing Specialist Contract: Livermore, California, US Salary Range: 20.00 - 25.00 | Per Hour Job Code: 359552 End Date: 2025-04-03 Days Left: 16 days, 3 hours left Apply RESPONSIBILITIES : Communicate with up to 50 patients each day through phone calls and emails in a professional and courteous manner. Handle a variety of inquiry categories including questions about patient statements, billing, and general questions. Helps reconcile patient accounts to ensure correctness of patient statements. Has a working knowledge of Medicaid and Medicare programs and commercial insurances Ability to interpret Explanations of Benefits or Remittance Advice (EOB or RA). Able to explain a billing statement and methodology. Maintains accurate and complete records concerning collection activity on all accounts according to company procedures. Process requests quickly, accurately, and consistently with...