28 senior coder jobs found in Santa Monica, CA

Description Under general supervision appropriately assigns DRGs, APCs, ICD-10 and CPT to all patient account types according to AHA and UHDDS guidelines. This is a credentialed coder/abstractor position responsible for coding levels up to and including Inpatient - All types of cases, Outpatient Clinical, Emergency Room, Same Day Surgery, and Observation. 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 know that to inspire and retain the best people, we must empower them. Required Qualifications: National Certification from American Academy of Professional Coders upon hire or, National Certified Coding Associate - American Health Information Management Association upon hire or,...

Under general supervision appropriately assigns DRGs, APCs, ICD-10 and CPT to all patient account types according to AHA and UHDDS guidelines. This is a credentialed coder/abstractor position responsible for coding levels up to and including Inpatient – All types of cases, Outpatient Clinical, Emergency Room, Same Day Surgery, and Observation. Providence caregivers are not simply valued – they’re invaluable. Join our team atProvidence 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 know that to inspire and retain the best people, we must empower them. Required Qualifications National Certification from American Academy of Professional Coders upon hire or, National Certified Coding Associate - American Health Information Management Associationupon hire or, National Certified Coding Specialist - American Health Information Management Association upon...

Overview Under general supervision appropriately assigns DRGs, APCs, ICD-10 and CPT to all patient account types according to AHA and UHDDS guidelines. This is a credentialed coder/abstractor position responsible for coding levels up to and including Inpatient – All types of cases, Outpatient Clinical, Emergency Room, Same Day Surgery, and Observation. Why Join Providence Providence caregivers are not simply valued – they’re invaluable. Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. About Providence At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support...

DATALAND Inc. is seeking both a Senior and Junior Creative Coder to their team in Los Angeles. They are looking for visionary programmers who are passionate about interactive and immersive AV installations, eager to push the boundaries of art, data, and technology. Their ideal candidates bring hands-on experience in environments such as vvvv, Unity3D, Unreal, TouchDesigner, or similar platforms. Prior vvvv expertise is highly valued, but not required — in-depth training will be provided during onboarding. #J-18808-Ljbffr

Senior Outpatient Coder Come lead with us at Corporate. At Houston Methodist, the Senior Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to day surgery and observation encounters based on documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt Qualifications Education : Associate’s or higher degree in a Commission on Accreditation for Health Informatics and Information Management accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree Experience : Three years of relevant outpatient coding experience or successful completion of the Houston Methodist Senior Outpatient Coder Transition Program Licenses and Certifications (Required) : Must have one of the following: RHIT – Certified Health Information Technician (AHIMA) RHIA – Registered...

A leading healthcare institution in California is looking for a Senior Outpatient Coder responsible for accurate coding of day surgery and observation encounters. This role requires an Associate’s degree in health informatics or equivalent experience and three years of outpatient coding experience. Key skills include proficiency in coding classification systems and effective communication. A chance to lead in a compliance-focused environment with opportunities for growth awaits the right candidate. #J-18808-Ljbffr

A leading healthcare provider in Los Angeles is seeking a Senior Outpatient Coder. This role involves assigning accurate diagnostic and procedural codes for outpatient services while ensuring compliance with coding guidelines. Candidates must have an Associate’s degree or higher, and three years of outpatient coding experience or equivalent program completion. Relevant coding certifications are required. Join a team that emphasizes quality and effective communication in a dynamic healthcare environment. #J-18808-Ljbffr

A reputable healthcare provider is seeking a Senior Specialty Physician Coder to ensure accurate coding for interventional radiology services. This role requires strong analytical skills and expertise in medical coding standards, with a focus on compliance and accuracy. Candidates should have significant experience in coding and hold relevant certifications. The position offers a hybrid work model with a competitive pay range. #J-18808-Ljbffr

A leading healthcare organization in Santa Monica is seeking a Medical Coder to join their team, focusing on inpatient and outpatient coding per AHA guidelines. Candidates must possess national certification and a year's experience in acute care coding. The role offers a hybrid work environment and competitive wages with a comprehensive benefits package. Ideal for detail-oriented professionals passionate about healthcare administration. #J-18808-Ljbffr

A leading healthcare organization in Santa Monica is seeking a credentialed coder/abstractor responsible for assigning DRGs, APCs, ICD-10, and CPT codes to various patient account types. The role requires relevant certifications and at least one year of acute care hospital coding experience. The organization offers a comprehensive benefits package alongside a hybrid work model that supports the caregiver's professional development and well-being. #J-18808-Ljbffr

A leading healthcare provider in Santa Monica is looking for a credentialed coder responsible for coding patient accounts across various settings, including inpatient and outpatient cases. Candidates must hold specific national certifications and have acute care coding experience. Join a team committed to patient-focused care and enjoy comprehensive benefits designed to support you professionally and personally. #J-18808-Ljbffr

A leading technology company seeks a Creative Coder for the Tech & Prototypes department. In this role, you will collaborate with design and engineering teams to develop innovative audio features and solutions that enhance user experiences. The ideal candidate will have over 6 years of experience in coding sonic experiences and a strong background in audio technology. This position offers competitive compensation and opportunities for creativity and innovation in the audio space. #J-18808-Ljbffr

A healthcare company in California seeks a motivated Risk Adjustment Coding Specialist to ensure accurate coding compliance and provide education to providers. The role requires CPC and CRC certifications, alongside 3-5 years of relevant experience. Candidates should be proficient in Microsoft tools and willing to travel occasionally to Virginia for provider site visits. This position offers a hybrid work structure with competitive compensation ranging from $65,000 to $78,000 annually. #J-18808-Ljbffr

Description Support compliance excellence at UCLA Health by joining our team as a Compliance Auditor, MAPD, focused on Medicare Advantage (Part C) and Prescription Drug (Part D) programs. In this vital role, you will conduct Risk Adjustment Data Validation (RADV) audits, compliance risk-based audits, support external audit coordination, and ensure alignment with CMS and DMHC regulations across the organization. Reporting to the Compliance Manager, MAPD Audit, you will contribute to the organization's audit work plan, assess operational risk areas, and prepare audit findings that help guide regulatory readiness and operational improvement. This position calls for a strong foundation in CMS guidelines, managed care compliance, and effective collaboration with both internal teams and external partners. In this role, you will: * Conduct compliance audits related to operational functions, vendor performance, data validation, RADV, Triennial Review, pre-delegation reviews, and...

Overview Payment Integrity Nurse Coder RN III role at L.A. Care Health Plan . Responsibilities The Payment Integrity Nurse Coder RN III is responsible for investigating, reviewing, and providing clinical and/or coding expertise/judgement in the application of medical and reimbursement policies within the claim adjudication process through medical record review for Payment Integrity and Utilization Management projects. The position serves as a subject matter expert (SME), performing medical records reviews to include quality audits as well as validation of accuracy and completeness of all coding elements. The position is also responsible for guidance related to Payment Integrity initiatives to include concept and cost avoidance development. This position trains and mentors Payment Integrity Nurse Coder, RN staff. Acts as a Subject Matter Expert, serves as a resource and mentor for other staff. Performs quality audits to include validation of accuracy and completeness of ICD, Rev...

HealthCare Support is seeking a Risk Adjustment Coder - Hybrid to join a mission-driven healthcare organization in Monterey Park, CA . This full-time, salaried role offers the flexibility of hybrid work combined with in-market provider engagement. Schedule: Monday – Friday, 8:00 AM – 5:00 PM PST Compensation: $75K - $85K (negotiable based on experience) What Makes This Role Stand Out Strong Work-Life Balance with a primarily remote schedule Provider-facing education and real-world impact in risk adjustment Opportunity to serve as a senior resource, mentor, and subject matter expert Competitive compensation and comprehensive benefits package Benefits For The Risk Adjustment Coder - Hybrid Medical, Dental, and Vision Insurance Complimentary access health plan option 401(k) Retirement Plan with match Paid Time Off (PTO) Employee Stock Purchase Plan Daily Responsibilities For The Risk Adjustment Coder - Hybrid Review and audit medical records for accurate ICD-10 and HCC risk...

Title: Sr. Specialty Physician Coder - Interventional Radiology Location: Fountain Valley, CA / Predominantly Remote Department: Document Improvement Status: Full-Time Shift: Days (8hr) Pay Range*: $35.46/hr - $51.46/hr At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our employees. Memorial Care stands for excellence in Healthcare.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 achieve your full potential in an environment of respect, innovation and teamwork. Position Summary Under the direction of the Coding Compliance Manager, the Senior Specialty Physician Coder plays a key role in reviewing and analyzing specialty coding and...

Title: Sr. Specialty Physician Coder – Interventional Radiology Location: Fountain Valley, CA / Predominantly Remote Department: Document Improvement Status: Full-Time Shift: Days (8hr) Pay Range*: $35.46/hr - $51.46/hr At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our employees. Memorial Care stands for excellence in Healthcare. 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 achieve your full potential in an environment of respect, innovation and teamwork. Position Summary Under the direction of the Coding Compliance Manager, the Senior Specialty Physician Coder plays a key role in reviewing and analyzing specialty coding and billing for...

OP Coder Auditor Trainee Facility Prime Healthcare Management Inc Location US-CA-Ontario ID 2026-245853 Category Business Professional Position Type Full Time Shift Days Job Type Non-Exempt Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 outpatient locations in 14 states providing more than 2.5 million patient visits annually. It is one of the nation's leading health systems with nearly 57,000 employees and physicians. Eighteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team! Responsibilities The Outpatient Coder Auditor Trainee reviews and analyzes documentation present in the medical record for outpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the Coders or...

About Us: Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members. SUMMARY: The Junior Quality Improvement Coder is responsible for providing director support to all departmental QI initiatives. In this role, the Junior QI Coder will partner with the Director to collaborate with network providers and IPA’s to improve the quality of care through quality improvement activities that will include RAF, HEDIS, CMS Star Ratings and other health plan reporting. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following: Analyze data from contracted IPA network providers that allows for proper review of data to...

Job Summary: Supervises team to review and request primary source information and verifications. Proactively identifies, suggests improvements to, and provides resolution for complex gaps in vendor relationships. Serves as an escalation point of contact for external queries regarding practitioner status. Evaluates applications and supporting highly complex documents. Guides team to conduct improvements to credentialing and privileging processes. Guides and supervises team to evaluate complex practitioner sanctions. Participates in surveys and audits of credentialing entities. Facilitates and implements strategic initiatives cost-effective due process. Identifies and provides leadership to resolve adverse actions/issues. Leads and evaluates audits of data between different departments. Conducts and supervises the facilitation and orientation and training to newly appointed physician leaders. Develops highly complex informational documents. Maintains working relationships with key...

DRG Coding Auditor Principal _Virtual: _ _ _ 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...

Overview Field-Based | Full-Time Therapeutic Area: Respiratory Territory: West covering AZ, CA, NV, UT, OR, ID, WA, AK, HI Preferred home cities: Los Angeles, San Francisco A global biopharmaceutical organization is seeking an experienced Medical Science Liaison (MSL) at Associate Director level to support its US Respiratory portfolio. This role is a senior individual contributor position focused on scientific engagement, KOL relationship development, strategic insight generation, and medical education. This is a field-based position requiring significant travel within the assigned geography. About the Role The Associate Director, Medical Science Liaison - Respiratory serves as a scientific expert in the field and an extension of the Medical Affairs organization. The individual engages with healthcare professionals (HCPs), key opinion leaders (KOLs), academic institutions, and other external stakeholders in a non-promotional, scientifically rigorous manner....

The Coder Lead will code all patient types as needed; inpatient, same-day surgery, ancillary, ambulatory and provider based clinics. This individual will mentor, train and assist with cross training coding staff, includes newly hired coding staff. Must be familiar with reviewing documentation to assign appropriate CPT/HCPCS and ICD-10-CM-PCS diagnosis codes and procedures for hospital and physician (professional) services for Inpatient and Outpatient records based on knowledge of coding systems, including ICD-10 and CPT. Your Everyday GENERAL DUTIES Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs. Codes complex outpatient or inpatient utilizing encoder software, Computers Assisted Coding (CAC), and reference, in the assignment of ICD-10-CM/PCS, CPT/HCPCS codes, MS-DRG, APR-DRG, POA, SOI, ROM assignments, APC assignment and all required modifiers. Validates charges by...