Managed ResourcesFacility Inpatient Rehab Coder Managed ResourcesFacility Inpatient Rehab CoderCAA Little About Us: CodingAID, a division of Managed Resources Inc. is a nationwide leading provider of medical coding support, coding and compliance reviews, educational programs, recruitment, revenue cycle management, and many other managed healthcare solutions. WeĀre actively seeking talented Facility Coders with 3+ years of experience and valid certification from either AHIMA and/or AAPC to join our dedicated team.
County of RiversideCertified Medical Records Coder-Inpatient (Riverside) County of RiversideCertified Medical Records Coder-Inpatient (Riverside)Riverside, CAFull timeAbility to: Utilize the ICD-CM classification system to code medical record entries either by use of coding books or encoder product; abstract pertinent information from medical records; follow oral and written instructions; operate PC with Windows software, coding software and abstract package; effectively communicate technical information to medical and administrative personnel; maintain effective working relationships with others. License/Certificate: Possession of current valid certification as a Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information Administrator (RHIA) or a Registered Health Information Technician (RHIT) issued by American Health Information Management Association, or Certified Professional Coder-Hospital (CPC-H) issued by the American Academy of Professional Coders.
Managed ResourcesDual Professional & Facility Coder - Labs & Pathology Managed ResourcesDual Professional & Facility Coder - Labs & PathologyCARemoteThe Labs and Pathology (Facility and Profee) Coder is responsible for reviewing and interpreting laboratory and pathology reports to assign accurate ICD-10-CM, CPT, and HCPCS codes. Requires advanced technical knowledge in specific facility and professional surgical and medical specialties as assigned, including labs and pathology, Extensive knowledge of medical terminology.
UCSF Medical CenterHealth Information Coder 3, Per Diem UCSF Medical CenterHealth Information Coder 3, Per DiemSan Francisco, CAThe 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 University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care.
IconmaNewSpecialty Physician Coder IconmaSpecialty Physician CoderFountain Valley, CA$38.65ā$41.69 / hourAnalyze and interpret medical information in the medical record and assign and sequence the correct ICD10CM, CPT, and/or HCPCS codes to the diagnoses/procedures of office, inpatient, and/or outpatient medical records according to established coding guidelines. Participate in developing, implementing, and reviewing programs for coding compliance monitoring, benchmark comparisons, organizational policies and procedures, and physician clinical documentation improvement programs.
ICONMA, LLCNewSpecialty Physician Coder ICONMA, LLCSpecialty Physician CoderFountain Valley, CA$38.65ā$41.69 / hourAnalyze and interpret medical information in the medical record and assign and sequence the correct ICD10CM, CPT, and/or HCPCS codes to the diagnoses/procedures of office, inpatient, and/or outpatient medical records according to established coding guidelines. Participate in developing, implementing, and reviewing programs for coding compliance monitoring, benchmark comparisons, organizational policies and procedures, and physician clinical documentation improvement programs.
Alura Workforce SolutionsMedical Coder 26-00018 Alura Workforce SolutionsMedical Coder 26-00018Fountain Valley, CAUnder the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a critical role in reviewing and analyzing specialty physician coding and billing to support accurate charge capture and compliant reimbursement. This position is responsible for coding office, inpatient, outpatient, and surgical/procedural services with a focus on surgical breast oncology (including plastic reconstructive breast surgery) and Hematology/Oncology.
Alura Workforce SolutionsMedical Coder 26-00059 Alura Workforce SolutionsMedical Coder 26-00059Fountain Valley, CAUnder the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a critical role in reviewing and analyzing specialty physician coding and billing to support accurate charge capture and compliant reimbursement. This position is responsible for coding office, inpatient, outpatient, and surgical/procedural services with a focus on surgical breast oncology (including plastic reconstructive breast surgery) and Hematology/Oncology.
Alura Workforce SolutionsMedical Coder - Oncology 26-000888 Alura Workforce SolutionsMedical Coder - Oncology 26-000888Fountain Valley, CARemoteUnder the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a critical role in reviewing and analyzing specialty physician coding and billing to support accurate charge capture and compliant reimbursement. This position is responsible for coding office, inpatient, outpatient, and surgical/procedural services with a focus on surgical breast oncology (including plastic reconstructive breast surgery) and Hematology/Oncology.
Alura Workforce SolutionsMedical Coder 26-00010 Alura Workforce SolutionsMedical Coder 26-00010Fountain Valley, CAUnder the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a critical role in reviewing and analyzing specialty physician coding and billing to support accurate charge capture and compliant reimbursement. This position is responsible for coding office, inpatient, outpatient, and surgical/procedural services with a focus on surgical breast oncology (including plastic reconstructive breast surgery) and Hematology/Oncology.
IconmaNewSenior Specialty Physician Coder ā Interventional IconmaSenior Specialty Physician Coder ā InterventionalFountain Valley, CA$38.65ā$41.69 / hourThis role will be responsible for reviewing and accurately coding office, hospital, and surgical procedures for reimbursement and ensuring accurate and compliant medical coding for both inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients. This role will be responsible for reviewing and accurately coding office, hospital, and surgical/procedures for reimbursement and ensuring accurate and compliant medical coding for inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients.
ICONMA, LLCNewSenior Specialty Physician Coder Interventional ICONMA, LLCSenior Specialty Physician Coder InterventionalFountain Valley, CA$38.65ā$41.69 / hourThis role will be responsible for reviewing and accurately coding office, hospital, and surgical procedures for reimbursement and ensuring accurate and compliant medical coding for both inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients. This role will be responsible for reviewing and accurately coding office, hospital, and surgical/procedures for reimbursement and ensuring accurate and compliant medical coding for inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients.
Astrana Health, Inc.Medical Coder Astrana Health, Inc.Medical CoderMonterey Park, CA$22ā$26 / hourMaintains at least 95% accuracy in all coding projects by researching literature and attending professional seminars, workshops and conference as required by AAPC and/or AHIMA to maintain professional certification(s). Experience coding cardiovascular/cardiothoracic surgical services (cardiac surgery, CVOR, inpatient surgical cases) strongly preferred.
Integrated Resources, IncSpecialty Physician Coder Integrated Resources, IncSpecialty Physician CoderFountain Valley, CA$45ā$48.27 / hourContractorCardiology and Cardiac Surgery Experience: Strong Evaluation and Management (E/M) inpatient and outpatient coding experience Must reside in CA but can work remotely Proof ONLY ā NOT HCC/risk adjustment, ASC, or facility coding Desire to convert to full-time employment Experience working on denials GI (CGIC coding certification) or OBGYN (COBGC coding certification) coding experience (1 year or more) Knowledge, Skills, and Abilities: Strong critical care knowledge. Experience: 3 years of experience working in a hospital or physicianās office as a medical coder, including interaction with physicians 1 year of experience as a specialty coder in one of the following: Cardiology, Gastroenterology, Medical Hematology/Oncology, OBGYN, Pulmonology, General Surgery, or Radiation Oncology Epic software experience highly preferred.
MemorialCare Health SystemSr. Specialty Physician Coder - Interventional Radiology MemorialCare Health SystemSr. Specialty Physician Coder - Interventional Radiologyfountain valley, CA$35.46ā$51.46 / hourThis role will be responsible for reviewing and accurately coding office, hospital, and surgical procedures for reimbursement and ensuring accurate and compliant medical coding for both inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients. In addition, the Senior Specialty Physician Coder will serve as a point of contact for contract coders, maintain the continuity of contract coding operations, and ensure the implementation of MemorialCare policies and procedures.
MemorialCare Health SystemSpecialty Physician Coder - Cardiology MemorialCare Health SystemSpecialty Physician Coder - CardiologyFountain Valley, CA$33.79ā$49 / hourThis role will be responsible for reviewing and accurately coding office, hospital, and surgical/procedures for reimbursement and ensuring accurate and compliant medical coding for inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCares recognition as a market leader and innovator in value-based and other care models.
Alura Workforce SolutionsOP Ancillary/Physician Coder 26-00053 Alura Workforce SolutionsOP Ancillary/Physician Coder 26-00053Fountain Valley, CAThe coder will assign and sequence appropriate ICD-10-CM, CPT, and HCPCS codes for inpatient and outpatient services, diagnostic tests, and other medical services rendered. DESCRIPTION Under the direction of the Coding Compliance Manager, the OP Ancillary/Physician Coder plays a key role in reviewing and analyzing billing and coding for charge processing.
Integrated Resources, IncNewSenior Specialty Physician Coder - Interventional Integrated Resources, IncSenior Specialty Physician Coder - InterventionalFountain Valley, CARemoteThis role will be responsible for reviewing and accurately coding office, hospital, and surgical/procedures for reimbursement and ensuring accurate and compliant medical coding for inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients. Under the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a key role in reviewing and analyzing specialty coding and billing for charge processing.
Adventist Health SystemSr. Certified Coder, Cardiac/IVR Specialty Adventist Health SystemSr. Certified Coder, Cardiac/IVR SpecialtyRoseville, CAJob Requirements: Education and Work Experience: High School Education/GED or equivalent: Required Two years experience if certified interventional radiology cardiovascular coder (CIRCC); otherwise, ten years experience: Required Experience in an acute care setting: Preferred Experience in cardiac and IVR coding: Required. Licenses/Certifications: Certified Coding Specialist (CCS): Required Certified Interventional Radiology Cardiovascular Coder (CIRCC) or earn certification within one year of hire: Required CIRCC-AAPC: Required.
Henry Mayo Newhall Memorial HospitalCoder III Henry Mayo Newhall Memorial HospitalCoder IIIValencia, CAThe Coder III is responsible for analyzing medical records for completion by Medical Staff, clinical or ancillary department; performing coding and abstracting functions; efficiently navigating the electronic medical record to find patient information required for coding; and accurately abstracting medical records for quality assessment screens. Acute hospital experience in an acute care hospital, with three years of inpatient and outpatient coding experience utilizing automated encoder.
MedRisk LLCCertified Bill Coder MedRisk LLCCertified Bill CoderCalifornia, CAThis role supports payment integrity by identifying inappropriate charges, ensuring adherence to jurisdictional fee schedules, and applying clinical/ coding expertise to support fair and accurate reimbursement. We're a group of talented, driven professionals who strive every day to improve the lives of our clients, our providers and the ultimate stakeholders - the injured workers.
Astrana Health, Inc.NewDRG Coder Astrana Health, Inc.DRG CoderCA, California$33ā$38 / hourIn an Independent Practice Association (IPA) and Management Services Organization (MSO) environment, the Senior DRG Coder partners with utilization management, care management, finance, and provider network teams to support accurate payment, risk adjustment, quality reporting, and medical expense analysis. The Senior DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS to determine the appropriate Diagnosis-Related Group (DRG) assignment.
Loma Linda University Medical CenterCoder 2-HIM Loma Linda University Medical CenterCoder 2-HIMsan bernardino, CAAble to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.
Mid-Columbia Medical CenterSr. Certified Coder, Cardiac/IVR Specialty Mid-Columbia Medical CenterSr. Certified Coder, Cardiac/IVR Specialtyroseville, CAReviews and resolves medical necessity edits that may apply for any outpatient surgical encounters, applying hospital and professional modifiers to CPT codes, and processes any errors associated with the revenue cycle process. Codes and posts charges for inpatient and outpatient complex cardiac and interventional radiology procedures and diagnoses for the purpose of reimbursement, research, statistical data gathering, and compliance.
Alura Workforce SolutionsCardiology Coder 26-00019 Alura Workforce SolutionsCardiology Coder 26-00019Fountain Valley, CAThis role will be responsible for reviewing and accurately coding office, hospital, and surgical/procedures for reimbursement and ensuring accurate and compliant medical coding for inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients. Under the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a key role in reviewing and analyzing specialty coding and billing for charge processing.
Alura Workforce SolutionsCardiology Coder 26-00089 Alura Workforce SolutionsCardiology Coder 26-00089Fountain Valley, CAThis role will be responsible for reviewing and accurately coding office, hospital, and surgical/procedures for reimbursement and ensuring accurate and compliant medical coding for inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients. Under the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a key role in reviewing and analyzing specialty coding and billing for charge processing.
Alura Workforce SolutionsCardiology Coder 26-00060 Alura Workforce SolutionsCardiology Coder 26-00060Fountain Valley, CAThis role will be responsible for reviewing and accurately coding office, hospital, and surgical/procedures for reimbursement and ensuring accurate and compliant medical coding for inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients. Under the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a key role in reviewing and analyzing specialty coding and billing for charge processing.
Alura Workforce SolutionsCardiology Coder 26-00009 Alura Workforce SolutionsCardiology Coder 26-00009Fountain Valley, CAThis role will be responsible for reviewing and accurately coding office, hospital, and surgical/procedures for reimbursement and ensuring accurate and compliant medical coding for inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients. Under the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a key role in reviewing and analyzing specialty coding and billing for charge processing.
Astrana Health IncNewDRG Coder Astrana Health IncDRG CoderOrange, CAIn an Independent Practice Association (IPA) and Management Services Organization (MSO) environment, the Senior DRG Coder partners with utilization management, care management, finance, and provider network teams to support accurate payment, risk adjustment, quality reporting, and medical expense analysis. The Senior DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS to determine the appropriate Diagnosis-Related Group (DRG) assignment.
One Community HealthNewBilling Medical Coder One Community HealthBilling Medical CoderSacramento, CAThe Billing Medical Coder is responsible for the day-to-day coding and billing operations for all services billable under grants, federal, state, and county programs including Medicare, Medi-Cal, managed care and private insurances. Ensures that all diagnosis ICD10 codes and procedure CPT, HCPCS codes are identified, sequenced, and coded in an accurate and ethical manner for optimized reimbursement.
The Coos, Lower Umpqua and Siuslaw IndiansMedical Coder The Coos, Lower Umpqua and Siuslaw IndiansMedical CoderCARemoteThe Medical Coder is responsible for reviewing clinical documentation and accurately assigning diagnostic, procedural, and billing codes for medical, dental, behavioral health, and ancillary healthcare services provided by CTCLUSI Health Services. Collaborates efficiently and effectively while consistently demonstrating professionalism and maintaining positive, respectful relationships with internal teams, external partners, and Tribal members.
California Foot & Ankle CentersMedical Coder and Biller (Vascular Procedures) California Foot & Ankle CentersMedical Coder and Biller (Vascular Procedures)Sacramento, CAWith a growing network of locations, California Foot & Ankle Centers (CALFAC) and the Vascular Institutes in Sacramento, Dallas, and Houston, provide comprehensive care and surgery, including advanced wound care and amputation-prevention therapies, lower extremity peripheral nerve surgery, vascular surgery and endovascular procedures. As you consult, advise, interpret, and code patients' medical records, transcriptions, test results, and other documentation, we will rely on you to ask questions, connect the dots, and uncover information that may be difficult to find-all with the ultimate goal of ensuring a smooth billing process.
MedHQ, LLCMedical Coder MedHQ, LLCMedical CoderTracy, CARemoteFull timeWe are seeking a meticulous and detail-oriented Medical Coder specializing in professional services, experience coding General and Orthopedic surgery with emphasis on spine and sports medicine. About Us: MedHQ, LLC, is a fast-growing, leading provider of consulting and technology-enabled expert services for outpatient healthcare.
University of Southern CaliforniaHIM Coding Manager Auditing and Education - HIM Financial - Full Time 8 Hour Days (Exempt) (Non-Union) University of Southern CaliforniaHIM Coding Manager Auditing and Education - HIM Financial - Full Time 8 Hour Days (Exempt) (Non-Union)Los Angeles, CA$110,240ā$181,896 / yearPreferred Qualifications: Required Licenses/Certifications: Req Advanced knowledge of: ā¢ ICD-10-CM ā¢ ICD-10-PCS ā¢ CPT ā¢ HCPCS ā¢ MS-DRG ā¢ APR-DRG Req Knowledge of coding compliance and regulatory requirements Req Knowledge of CMS coding and billing rules Req Strong analytical and problem-solving skills Req Excellent organizational and time management skills Req Strong written and verbal communication skills Req Ability to work independently and collaboratively Req Ability to interpret and apply official coding guidelines Req Strong presentation and training skills Req Certified Coding Specialist - CCS (AHIMA) AHIMA Certified Coding Specialist (CCS) only; or AAPC Certified Inpatient Coder (CIC) only; or either the CCS or CIC in conjunction with any one of the following national HIM credentials: 1. ā¢ Ensure effective use of coding and electronic health record systems including: ā¦ Cerner/PowerChart and Coding mPage ā¦ Solventum/3M 360 Encompass (CAC/CRS) ā¦ Solventum/3M HDM, HRM, and ARMS ā¦ Soarian Financials and CHC Assurance PFS systems ā¢ Promote effective use of system tools to support coding accuracy, audit activities, and denial prevention Perform other duties as assigned.
University of Southern CaliforniaHIM Coding Manager - HIM Financial - Full Time 8 Hour Days (Exempt) (Non-Union) University of Southern CaliforniaHIM Coding Manager - HIM Financial - Full Time 8 Hour Days (Exempt) (Non-Union)Los Angeles, CA$110,240ā$181,896 / yearReq 2 years Leadership Experience.\n Req Experience in using a computerized coding & abstracting database software and encoding/code-finder systems [e.g., 3M 360 Encompass/CAC and 3M Coding and Reimbursement System (CRS)].\n \nPreferred Qualifications:\n \nRequired Licenses/Certifications: \n\n Req Advanced knowledge of: \u2022 ICD-10-CM \u2022 ICD-10-PCS \u2022 CPT \u2022 HCPCS \u2022 MS-DRG \u2022 APR-DRG\n Req Knowledge of coding compliance and regulatory requirements\n Req Knowledge of CMS coding and billing rules\n Req Strong analytical and problem-solving skills\n Req Excellent organizational and time management skills\n Req Strong written and verbal communication skills\n Req Ability to work independently and collaboratively\n Req Ability to interpret and apply official coding guidelines\n Req Strong presentation and training skills\n Req Certified Coding Specialist - CCS (AHIMA) AHIMA Certified Coding Specialist (CCS) only; or AAPC Certified Inpatient Coder (CIC) only; or either the CCS or CIC in conjunction with any one of the following national HIM credentials: 1. \u2022 Ensure effective use of coding and electronic health record systems including: \u25e6 Cerner/PowerChart and Coding mPage \u25e6 Solventum/3M 360 Encompass (CAC/CRS) \u25e6 Solventum/3M HDM, HRM, and ARMS \u25e6 Soarian Financials and CHC Assurance PFS systems \u2022 Promote effective use of system tools to support coding accuracy, audit activities, and denial prevention\n Perform other duties as assigned.\n
Stanford Health CareNewGovernment Audit & Appeals Program Coordinator (Remote) Stanford Health CareGovernment Audit & Appeals Program Coordinator (Remote)CARemote$41.68ā$54.19 / hourManager of Government Audit and Appeal, Patient Financial Services (PFS) department, Professional Billing Office (PBO), Health Information Management Services (HIMS), payors and reviewer entities to ensure a timely and effective appeals process is maintained. Coordinate and assist with the timely filing of government appeals by facilitating communication among team members, ensuring all necessary documentation and/or appeals are submitted within required deadlines, and monitoring the progress of each appeal to address any issues that may arise promptly.
El Camino HospitalManager, HIM Professional Billing Coding - FT - Days - HIMS - Medical Records @ MV El Camino HospitalManager, HIM Professional Billing Coding - FT - Days - HIMS - Medical Records @ MVmountain view, CA$67.54ā$101.31 / hourThe PB coding manager leads a team of professional coders and collaborates closely with the Revenue Cycle professional billing teams ensuring providers charging/billing are compliant in adherence with Official Coding Guidelines, American Medical Association CPT procedural assignments and Healthcare Common Procedure Coding System (HCPCS) requirements. Leads educational sessions with the coding team by conducting research on various regulatory sites and coding guidelines in creating educational content for both clinicians and coding team members in reducing claim and payer denials providers continuous education strategies.
County of Riverside, CaliforniaHealthcare Coding Compliance Auditor - RUHS County of Riverside, CaliforniaHealthcare Coding Compliance Auditor - RUHSRiverside, CA$101,536.34ā$139,533.58 / yearExperience: Minimum of three years experience in an administrative or staff capacity which must have included at least two years of experience supervising professional and technical staff in two of the following areas: gathering and compiling facts and statistics to evaluate program effectiveness and recommend program revisions; preparing and maintaining a program budget or maintaining and controlling the fiscal record keeping functions and systems in a department, agency, division, unit or company; coordinating and conducting studies of administrative and operational activities including budget preparation and control, equipment usage, staff patterns, work flow and space utilization. This includes extensive expertise in inpatient and outpatient auditing (MS-DRGs, CC/MCC validation, POA indicators, PSI/HAC implications), managing external audits (RAC, MAC, OIG, UPIC, commercial payers), and strong knowledge of CMS IPPS/OPPS regulations, OIG Work Plan priorities, Medicare Conditions of Participation, Official Coding Guidelines, NCCI edits, and medical necessity rules.
Elevance Health IncDiagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Elevance Health IncDiagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)Walnut Creek, CA$86,560ā$155,808 / yearPreferred Skills, Capabilities and Experiences: ā¢ One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Job Description: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
Sharp Health PlanCompliance Auditor - SRS Sharp Health PlanCompliance Auditor - SRSsan diego, CA$34.17ā$44.09 / hourThe 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. Evaluates the inpatient and outpatient training and coding areas for improvement for assigned specialties and incorporates education specific to the needs of the specialty.
Sharp HealthCareNewCompliance Auditor - SRS Sharp HealthCareCompliance Auditor - SRSSan Diego, CA$34.17ā$44.09 / hourThe 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. Client support Provider, Clinical, and Coding Support Serves as a resource providing support to SRS management, physicians, administrative and support staff for coding, documentation and compliance.
Sharp HealthplanNewCompliance Auditor - SRS Sharp HealthplanCompliance Auditor - SRSSan Diego, CA$34.17ā$44.09 / yearHours:Shift Start Time:VariableShift End Time:VariableAWS Hours Requirement:8/40 - 8 Hour ShiftAdditional Shift Information:Flex hours are 6:00-9:00 am to 14:30-17:30 pmWeekend Requirements:As NeededOn-Call Required:NoHourly Pay Range (Minimum - Midpoint - Maximum):$34.170 - $44.090 - $49.370The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. Certified Professional Coder (CPC) - AAPC OR Certified Coding Specialist--Physician-based (CCS-P) - The American Health Information Management Association (AHIMA) -REQUIREDOther Qualification Requirements* Two years of college or five years working experience in a healthcare environment related to auditing of medical records and CMS compliance.
County of RiversideHealthcare Coding Compliance Auditor - RUHS County of RiversideHealthcare Coding Compliance Auditor - RUHSRiverside, CAFull timeExperience: Minimum of three years experience in an administrative or staff capacity which must have included at least two years of experience supervising professional and technical staff in two of the following areas: gathering and compiling facts and statistics to evaluate program effectiveness and recommend program revisions; preparing and maintaining a program budget or maintaining and controlling the fiscal record keeping functions and systems in a department, agency, division, unit or company; coordinating and conducting studies of administrative and operational activities including budget preparation and control, equipment usage, staff patterns, work flow and space utilization. This includes extensive expertise in inpatient and outpatient auditing (MS-DRGs, CC/MCC validation, POA indicators, PSI/HAC implications), managing external audits (RAC, MAC, OIG, UPIC, commercial payers), and strong knowledge of CMS IPPS/OPPS regulations, OIG Work Plan priorities, Medicare Conditions of Participation, Official Coding Guidelines, NCCI edits, and medical necessity rules.
Family Healthcare NetworkNewRevenue Cycle Manager Family Healthcare NetworkRevenue Cycle ManagerVisalia, CAA combination of relevant experience and completion of a high school diploma with a minimum cumulative GPA of 2.5, or General Educational Development (GED) with a minimum overall score of 162.5, and healthcare-related knowledge frequently acquired through completion of a trade school, para-professional, or certificate-type program. Professional & Technical Knowledge: Effective June 1, 2026, all individuals hired into the role must: Possesses proficiency in written and verbal communication, basic mathematics, computer applications, and technical systems, frequently acquired through one of the following: Completion of a Bachelor's Degree program with a recognized major and a minimum cumulative GPA of 2.5; or.
NOR Healthcare SystemsClinical Documentation Improvement Specialist (CDI) II - Full Time, Days (CBO-Culver City) NOR Healthcare SystemsClinical Documentation Improvement Specialist (CDI) II - Full Time, Days (CBO-Culver City)Culver City, CAThe CDI Specialist Level II is responsible for conducting clinically based concurrent and retrospective reviews of inpatient medical records to evaluate if clinical documentation is reflective of medical necessity, quality of care outcomes and reimbursement compliance for acute care services provided. Reviews inpatient medical records, meeting all department productivity goals, for identified payor populations as directed on admission and throughout hospitalization and identifies potential gaps in physician documentation.
Pacific GroveMedical Records Specialist Pacific GroveMedical Records SpecialistRiverside, California$24ā$29 / hourOverview: Pacific Grove Hospital in Riverside, CA., is a leader in behavioral healthcare, providing superior healthcare treatment to the people, communities, and military installations we serve. We are seeking a Medical Record Specialist to assist with Maintaining medical record integrity through filing, assembling, analysis and retrieving confidential patient records.
Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistSan Francisco, CA$110,700ā$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Sonoma Valley HospitalHIM Analyst (32 hours per week) Sonoma Valley HospitalHIM Analyst (32 hours per week)Sonoma, CaliforniaCompensation: Actual compensation takes into account several factors including but not limited to a candidateās experience, education, skills, licensure and certifications, department equity, training and organizational needs. Monitors pending documentation queue in electronic health record to make sure physicians are notified of documentation holding up coding and notifies coder when documentation is available.
Alura Workforce SolutionsClinical Documentation Specialist 26-00040 Alura Workforce SolutionsClinical Documentation Specialist 26-00040Fountain Valley, CADESCRIPTION The Clinical Documentation Specialist (CDS) is responsible for performing concurrent reviews of inpatient medical records to ensure clinical documentation accurately reflects the patient's severity of illness, risk of mortality, intensity of services, and quality of care provided. The CDS collaborates closely with physicians, coders, CDI leadership, and ancillary departments to identify documentation clarification opportunities and ensure medical records support appropriate reimbursement and quality outcomes.
Alura Workforce SolutionsClinical Documentation Specialist 26-00068 Alura Workforce SolutionsClinical Documentation Specialist 26-00068Fountain Valley, CADESCRIPTION The Clinical Documentation Specialist (CDS) is responsible for performing concurrent reviews of inpatient medical records to ensure clinical documentation accurately reflects the patient's severity of illness, risk of mortality, intensity of services, and quality of care provided. The CDS collaborates closely with physicians, coders, CDI leadership, and ancillary departments to identify documentation clarification opportunities and ensure medical records support appropriate reimbursement and quality outcomes.