21 senior medical coder jobs found in Santa Monica, CA

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

Overview GeBBS Healthcare Solutions is a leader in Health Information Management and Revenue Cycle Management. We are dedicated to fostering a culture of excellence and collaboration in the healthcare industry. We are currently seeking credentialed Outpatient Facility Coding Specialists with a minimum of 3 years of experience to join our dynamic team. Position Overview As an Outpatient Facility Coding Specialist, you will play a crucial role in coding all diseases, operations, and procedures for outpatients in accordance with ICD-10-CM, UHDDS, and AMA CPT-4 standards. Your expertise in large trauma Level I facilities will be invaluable in ensuring the accuracy and compliance of our coding practices. Key Responsibilities Code all outpatient procedures according to client specifications. Abstract patient data, ensuring accuracy and compliance with client policies. Stay updated on coding policies and procedures; seek clarification on ambiguous information. Utilize healthcare...

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...

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 adjustment...

A healthcare organization is seeking a Senior Specialty Physician Coder for Interventional Radiology. The role involves reviewing and coding medical procedures for reimbursement, ensuring accuracy and compliance in coding practices. Candidates must have at least 5 years of medical coding experience, with strong knowledge in ICD10 and relevant certifications. This position offers a predominantly remote work environment and a competitive pay range. Join the team committed to excellence in healthcare and professional development. #J-18808-Ljbffr

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...

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

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 Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software. The Outpatient Coder Auditor Trainee finalizes the coding and abstracting of the medical record upon ensuring the assignment of...

Outpatient Coder Auditor Trainee Prime Healthcare is actively seeking new members to join our corporate team! 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 Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software. The Outpatient Coder Auditor Trainee finalizes the coding and abstracting of the medical record upon ensuring the assignment of International Classifications of Diseases, Ninth Revision (ICD-9-CM) or Tenth revision (ICD-10/PCS), Current Procedural Terminology (CPT), and Health Care Procedure Coding System (HCPCS), are accurate and supported by the clinical documentation of the respective medial record. Holding a senior coding position, assumes primary responsibility for DRG validation/accuracy, primary role in assisting CDS and medical staff members with improving quality of clinical...

Outpatient Coder Auditor Trainee Prime Healthcare is actively seeking new members to join our corporate team! 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 Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software. The Outpatient Coder Auditor Trainee finalizes the coding and abstracting of the medical record upon ensuring the assignment of International Classifications of Diseases, Ninth Revision (ICD-9-CM) or Tenth revision (ICD-10/PCS), Current Procedural Terminology (CPT), and Health Care Procedure Coding System (HCPCS), are accurate and supported by the clinical documentation of the respective medial record. Holding a senior coding position, assumes primary responsibility for DRG validation/accuracy, primary role in assisting CDS and medical staff members with improving quality of clinical...

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 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...

Job Title: Medical Biller II Salary: $25hr-$28hr DOE Location: Tustin, CA Openings: 1 Position Purpose: The Medical Billing Specialist II supports the revenue cycle team by independently performing a broad range of billing functions with moderate complexity. This role is responsible for accurate insurance verification, charge entry, claim submission, payment posting, and resolution of routine denials to ensure compliance with payer requirements and timely reimbursement. Core Duties and responsibilities, include but are not limited to: Insurance & Eligibility Verification Verify complex insurance coverage (Medi-Cal, Medicare, Managed Care, Commercial, PPO/HMO). Research and resolve discrepancies in patient coverage or eligibility. Document eligibility outcomes in the EHR/PM system. Charge Entry & Coding Support Perform charge entry and apply CPT, ICD-10, and HCPCS codes. Review encounter forms for accuracy; flag missing or incorrect...

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...

Apply Description AIM OF THE POSITION The purpose for this position is for an individual to prepare, process, maintain, and manage all aspects related to Billing including benefit and eligibility verification, Order Entry, QC, primary billing and proper documentation. POSITION WITHIN THE ORGANIZATION 1. Customer Care, Sales, Commercial and external vendors 2. Cooperates with all departments across the organization Requirements ESSENTIAL DUTIES AND RESPONSIBILITIES * Primary Billing * QC of order entry in SFDC orders, as well as payor selections * Data entry and transfer daily to the Billing System * Generate charges and electronic claims and print paper claims for various payors requiring paper claim submission * Utilize Sales Force for tasks and logging calls, and follow-up to assigned collectors, prior -authorizations, or Patient Care Specialist. * Manage interface errors and upfront claim rejections * Perform other...

Description AIM OF THE POSITION The purpose for this position is for an individual to prepare, process, maintain, and manage all aspects related to Billing including benefit and eligibility verification, Order Entry, QC, primary billing and proper documentation. POSITION WITHIN THE ORGANIZATION Customer Care, Sales, Commercial and external vendors Cooperates with all departments across the organization ESSENTIAL DUTIES AND RESPONSIBILITIES Primary Billing QC of order entry in SFDC orders, as well as payor selections Data entry and transfer daily to the Billing System Generate charges and electronic claims and print paper claims for various payors requiring paper claim submission Utilize Sales Force for tasks and logging calls, and follow-up to assigned collectors, prior‑authorizations, or Patient Care Specialist. Manage interface errors and upfront claim rejections Perform other related duties as required or assigned such as overflow work, including word processing,...

Overview The purpose for this position is to prepare, process, maintain, and manage all aspects related to Billing including benefit and eligibility verification, Order Entry, QC, primary billing, and proper documentation. Position Within the Organization 1. Customer Care, Sales, Commercial and external vendors 2. Cooperates with all departments across the organization Requirements Essential Duties and Responsibilities Primary Billing QC of order entry in SFDC orders, as well as payor selections Data entry and transfer daily to the Billing System Generate charges and electronic claims and print paper claims for various payors requiring paper claim submission Utilize Salesforce for tasks and logging calls, and follow‑up to assigned collectors, prior authorizations, or Patient Care Specialist Manage interface errors and upfront claim rejections Perform other related duties as required or assigned such as overflow work, including word processing, data entry, and internet...