88 Results for

Medical Coder Jobs in California

Medical Coder/Biller, Front Office Support

Denham Resources

$22 - $25

FRESNO, CA

Send your resume in MS Word format to Sheri Wright, sheriw@denham.net or call (559) 222.5284 if you have any questions. Our client is seeking an experienced Back Office Medical Coder/Biller who can also serve as the friendly and professional face of their practice.

30 days ago
Medical Records Technician

Valle Verde - a HumanGood community

$28 - $36

Carpinteria, CA

Under general supervision, the Medical Records Technician assists the Health Services Administrator in maintaining the facility's clinical records system and assists in implementing record procedures for the Clinical Records Unit. As the largest nonprofit owner/operator of senior living communities in California and one of the largest in the country, we are more than just a place to work.

1 day ago
Director - Hospital Coding

Stamford American International Hospital

$89.01 - $117.94

Los Angeles, CA

Technology Management: Assure facility coding staff is provided with the technology and education to support optimal performance while appropriately collaborating with key stakeholders to optimize EHR technology and appropriately introduce new system functionality, tools, automation, and artificial intelligence (AI) capabilities. Subject Matter Expert: Serve as a subject matter expert for the enterprise, in IP/OP facility coding, while participating on an array of business operations and clinical committees and demonstrating in-depth working knowledge of the appropriate coding frameworks (CPT, ICD, etc).

6 days ago
Medical Coder II

Decypher

undefined, CALIFORNIA

Accurately assign Evaluation and Management (E&M) codes, International Classification of Diseases, Clinical Modification (ICD-CM) diagnoses, Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic). Successful completion of American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) coding certification preparation course for professional services or facility coding that includes medical terminology, anatomy and physiology, health information management concepts, and pharmacology.

30+ days ago
Medical Coder - Physician Surgical (Ortho) Coding

Alura Workforce Solutions

Los Angeles, CA

Abstracts all surgical and designated diagnostic procedures and assigns appropriate procedure codes and modifiers using the International Classification of Diseases (ICD-10) system, and the Physicians' Current Procedural Terminology (CPT-4). The Medical Coder is responsible for abstracting and assigning diagnosis, procedural, and modifier codes for medical billing, with a primary focus on orthopedic surgical cases and some evaluation and management (E&M) encounters.

30+ days ago
Medical Coder - Physician Surgical (Ortho) Coding 25-00421

Alura Workforce Solutions

Los Angeles, CA

Abstracts all surgical and designated diagnostic procedures and assigns appropriate procedure codes and modifiers using the International Classification of Diseases (ICD-10) system, and the Physicians' Current Procedural Terminology (CPT-4). The Medical Coder is responsible for abstracting and assigning diagnosis, procedural, and modifier codes for medical billing, with a primary focus on orthopedic surgical cases and some evaluation and management (E&M) encounters.

30+ days ago
Medical Coder, Auditor and Trainer

SDVInternational

Lemoore, CA

Responsible for reviewing and auditing provider encounters from all clinics within hospital and branch clinics (military medicine, epidemiology, family practice, gynecology, chiropractic, orthopedic, immunization, podiatry, general surgery, internal medical, physical therapy, TBI Clinic, Sports Med, occupational therapy, mental health, pain management, pediatrics, allergy clinic, pulmonology, sleep study, cardiology etc.) and ambulatory procedure records as needed. (2) Possess formal training in: Anatomy and physiology, medical terminology, pathology and disease processes, pharmacology, health record formats and content, reimbursement methodologies and conventions, rules and guidelines for current classification systems (ICD-9/10-CM and CPT).

30+ days ago
Medical Coder-Certified

San Joaquin County California

San Joaquin County, CA

PHYSICAL/MENTAL REQUIREMENTSMobility-Frequent operation of a data entry device, repetitive motion, sitting and standing for long periods, walking; occasional pushing, pulling, bending, stooping, squatting, climbing; Lifting-Frequently 5 pounds or less; occasionally 5 to 30 pounds; Visual-Constant good overall vision and reading/close-up work; frequent color perception and use of eye/hand coordination; occasional use of depth perception and peripheral vision; Hearing/Talking-Frequent hearing of normal speech, hearing/talking on the telephone, talking in person; Emotional/Psychological-Decision making; concentration; occasional exposure to trauma, grief and death; Special Requirements-Some assignments may require working weekends, nights, and/or occasional overtime; Environmental-Occasional exposure to varied weather conditions. ABILITYReview medical record information, correctly assign codes to diagnosis and procedures; utilize the ICD-9-CM and CPT-4 coding guidelines to code medical record entries; abstract information from medical records in accordance with defined regulations; read medical record notes and reports; assign accurate Medicare Severity Diagnostic Related Groups; operate computers, office equipment and related software; make independent decisions in procedural matters; establish and maintain effective working relationships with other employees, physicians, and the general public; communicate effectively, both orally and in writing.

30+ days ago
Medical Coder and Biller (Vascular Procedures)

California Foot & Ankle Centers

Sacramento, CA

With 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.

30+ days ago
Admin Medical Coder

STAFF TODAY

Quincy, CA

Education:CCS or CPC certificationExperience:Experience with International Classification of Diseases (ICD-10 and ICD-9-CM)Current Procedure Terminology (CPT4), and Healthcare Common Procedure Coding System (HCPCS) coding systems, and other related documentation requirements. Knowledge, Skills, and Abilities:Excellent reading and writing skills and good verbal communication skills.

30+ days ago
Medical Coder 26-00018

Alura Workforce Solutions

$43.75 - $46.5

Fountain Valley, CA

Under 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.

30+ days ago
Medical Coder 26-00059

Alura Workforce Solutions

Fountain Valley, CA

Under 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.

30+ days ago
Medical Coder 26-00010

Alura Workforce Solutions

Fountain Valley, CA

Under 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.

30+ days ago
Medical Coder - Oncology 26-000888

Alura Workforce Solutions

Fountain Valley, CA

Under 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.

9 days ago
Certified Medical Coder 25-00313

Alura Workforce Solutions

Los Angeles, CA

The Revenue Cycle Medical Coder I is responsible for assigning Physician surgical diagnosis and procedural codes and Modifiers for medical billing purposes, which includes verification of charge capture. Maintains and expands knowledge of Anatomy and Physiology, Pathophysiology, Pharmacology, and Medical Terminology as basic building blocks for ICD-10-CM coding.

30+ days ago
Certified Medical Coder 25-00347

Alura Workforce Solutions

Los Angeles, CA

The Revenue Cycle Medical Coder I is responsible for assigning Physician surgical diagnosis and procedural codes and Modifiers for medical billing purposes, which includes verification of charge capture. Maintains and expands knowledge of Anatomy and Physiology, Pathophysiology, Pharmacology, and Medical Terminology as basic building blocks for ICD-10-CM coding.

30+ days ago
Medical Coder

Astrana Health, Inc.

$22 - $26

Monterey Park, CA

Maintains 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). Maintain ongoing communication with management regarding coding workload, turnaround time expectations and deliverables.

10 days ago
Outpatient Medical Records Coder

SDVInternational

Fresno, CA

2) Possess formal training in: Anatomy and physiology, medical terminology, pathology and disease processes, pharmacology, health record formats and content, reimbursement methodologies and conventions, rules and guidelines for current classification systems (ICD-9/10-CM and CPT). (7) Clarify conflicting, ambiguous or nonspecific documentation by consulting with supervisor who will be identified to Contractor along with telephone and email address in advance of the project commencement.

30+ days ago
Medical Coder

MedHQ, LLC

Tracy, CA

We 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.

9 days ago
Medical Record Coder, Auditor and Training [Health Information Management (HIM)]

SDVInternational

Fresno, CA

The training plan will include at a minimum, documentation requirements (focused on specialty groups and departments), Fraud and Abuse laws, CPT, ICD-10-CM/PCS, HCPCS and E&M coding, up coding, down coding, and the risks involved, compliance with EOD PROCESSING AND data Quality Guidelines, bundling and unbundling of services, coding by specialty (cardiology, ER, etc.), coding issues that impact Third Party Reimbursement, identification of coding discrepancies, compliance with HIPAA, proper use of coding reference material, Evaluation and Management billing guides, and coding and billing guides. SDV INTERNATIONAL has been serving clients in ever-changing environments by providing high quality coding, auditing, training and educational services to achieve and exceed the goals of our clients.

30+ days ago
Coder - Hospital Outpatient (FULLY REMOTE)

Tap Growth ai

Los Angeles, CA

The ideal candidate will have extensive knowledge of medical coding systems, healthcare regulations, and outpatient procedures to ensure accurate coding and billing for hospital outpatient services. charges and codes for appropriateness of modifiers in relation to NCCI/CCI edits.

30+ days ago
Sr. Physician Coder 25-00335

Alura Workforce Solutions

Fountain Valley, CA

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 both inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients. 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 charge processing.

30+ days ago
Sr. Specialty Physician Coder 25-00475

Alura Workforce Solutions

Fountain Valley, CA

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 both inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients. 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 charge processing.

30+ days ago
OP Ancillary/Physician Coder 26-00053

Alura Workforce Solutions

Fountain Valley, CA

The 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.

30+ days ago
Specialty Physician Coder

Iconma

Fountain Valley, CA

Participate in developing, implementing, and reviewing programs for coding compliance monitoring, criteria for benchmark comparisons, organizational policies and procedures, and physician clinical documentation improvement programs. Perform monthly coding change report analysis/oversight on provider coding change trends and communicate/educate the providers, as needed.

28 days ago
Cardiology Coder 26-00019

Alura Workforce Solutions

$43.75 - $46.5

Fountain Valley, CA

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. 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.

30+ days ago
Cardiology Coder 26-00060

Alura Workforce Solutions

Fountain Valley, CA

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. 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.

30+ days ago
Cardiology Coder 26-00009

Alura Workforce Solutions

Fountain Valley, CA

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. 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.

30+ days ago
Cardiology Coder 26-00089

Alura Workforce Solutions

Fountain Valley, CA

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. 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.

9 days ago
Remote Coder IV

Dignity Health

$33.31 - $44.83

Rancho Cordova, CA

Completion of an AHIMA or APPC accredited coding certification program that includes courses that are critical to coding success such as Anatomy and physiology pathophysiology pharmacology Anatomy I Physiology Medical Terminology and ICD-10 and CPT coding courses etc. The Coder IV is a member of the Health Information Management Team responsible for ensuring the accuracy and completeness of clinical coding validating the information in the databases for outcome management and specialty registries across the entire integrated healthcare system.

30+ days ago
Coder - Coding Services - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

University of Southern California

$33 - $54.02

Los Angeles, CA

Required Qualifications: Req High school or equivalent Req Specialized/technical training; Combined experience/education as substitute for minimum education Graduation from a formal coder training program or completion of academic class in medical coding Combined experience/education as substitute for minimum education Req 2 years; Combined education/experience as substitute for minimum experience 2 years' coding experience. Required Licenses/Certifications: Req Certified Professional Coder - CPC (AAPC) OR AHIMA Certified Coding Specialist-Physician (CCS-P); ◦ *Certified Coding Specialist (CCS) in lieu of (CCS-P) acceptable for employees hired prior to April 30, 2020.

30+ days ago
Coder III - OP (Cath Lab-CIRCC)

Baylor Scott & White Health

$28.52 - $42.79

Sacramento, CA

This includes high acuity profee service lines, Cardiac Cath/Electrophysiology (EP), or Interventional Radiology (IR) with a CIRCC certification, or expertise in at least 8 sub-specialties. + The pay range for this position is $28.52 (entry-level qualifications) - $42.79 (highly experienced) The specific rate will depend upon the successful candidate’s specific qualifications and prior coding experience.

30+ days ago
Physician Coder II (REMOTE)

CrossFire Group

Corona, CA

Position Summary:We are seeking an experienced Physician Coder with strong knowledge of E/M coding and minor procedures. Compiles and keeps medical records of patients of health care delivery system to document patient condition and treatment.

7 days ago
Coder II

Desert Regional Medical Center

Palm Springs, CA

Desert Care Network serves the healthcare needs of the Coachella Valley and Morongo Basin regions in Southern California with three hospitals Desert Regional Medical Center in Palm Springs, JFK Memorial Hospital in Indio and Hi-Desert Medical Center in Joshua Tree. The Coder II is responsible for coding of Tenet facilities as assigned, assisting with productive coding to maintain DNFC, and assisting with the training of new coders, resolving coding edits, CARDS edits and/or other projects.

24 days ago
Certified Coder

Alameda Health System

$29.59 - $49.31

Oakland, CA

Final compensation will be determined based on several factors, including but not limited to a candidate’s experience, education, skills, licenses and certifications, departmental equity, applicable collective bargaining agreements, and the operational needs of the organization. Responsible for properly performing month end tasks within the established time-frame including running month end reports for each center assigned and tracking of cases that are not yet billed for the month.

16 days ago
Sr. Speciality Physician Coder - Interventional Radiology 26-00090

Alura Workforce Solutions

Fountain Valley, CA

DESCRIPTION Under the direction of the Coding Compliance Manager, the Senior Specialty Physician Coder is responsible for reviewing and accurately coding physician services to ensure compliant reimbursement and complete charge capture. This role is highly specialized in Interventional Radiology (IR) and requires a coder who can independently perform complex IR coding from day one.

9 days ago
Physician Billing Certified Coder I - SMG Patient Accounting - Full Time

Valley Children's Healthcare

$28.9 - $42

Madera, CA

Possesses a solid understanding of the professional billing workflow and assists with general billing duties as necessary to include claim edits, claims processing, claim rejections, data entry, and queries and communicates with physicians on documentation issues related to code assignment and provides feedback to physicians and the physician billing entity on variances between hospital and physician CPT coding as needed. Our family-centered, pediatric services extend from a leading pediatric cancer and blood disorders center home on the West Coast, and a pediatric heart center known for its expertise and pioneering treatments, to a Regional Level IV neonatal intensive care unit (NICU), the highest level referral center between Los Angeles and the Bay Area.

30+ days ago
Coder II (Outpatient-SDS)

San Antonio Regional Hospital

$28.52 - $42.78

Upland, CA

This position is responsible for reviewing the entire patient record including the electronic record to assign appropriate codes for the following areas: Outpatient: Day patients, cardiac catherterization lab, other interventional radiology and Observation patients and Labor and Deliver Observation. Experience: Two years coding experience in an acute care facility outpatient surgery department, a stand alone ambulatory surgery center, or emergency/urgent care center, using ICD-10-CM, CPT coding, and APC grouper.

30 days ago
Medical Biller

GoToTelemed

$55000 - $215000

Los Angeles, CA

In this critical role, you will be the financial backbone of our provider network, managing the complete end-to-end billing lifecycle including patient eligibility verification, insurance claim submission, payment posting, accounts receivable follow-up, and comprehensive denial management. GoTo Telemed seeks an exceptional Remote Medical Biller to manage comprehensive Revenue Cycle Management (RCM) operations for our rapidly expanding telehealth platform serving multiple medical specialties and healthcare providers nationwide.

29 days ago
In-Classroom Instructor - Medical Billing and Coding (Part-Time)

ProTrain

Rancho Santa Margarita, CA

We provide a CE-Turnkey Solution and partnership opportunities for institutions of higher learning to provide programs to various verticals such as Military Tuition Assistance (TA), Military Spouses (MyCAA), Wounded Warriors, Veterans, Unemployed (WIA), Corporate and Individuals. ProTrain is an affordable solution for students seeking to prepare for an in-demand career that will help move them and America forward to achieve the goal of Education 2 Employment!

30+ days ago
Inpatient Medical Coding Auditor

Humana

$71100 - $97800

Sacramento, CA

The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group (DRG) assignments. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.

30+ days ago
Lead Medical Biller

Skilled Wound Care

$25 - $27

Los Angeles, CA

This role requires advanced expertise in the end-to-end claims lifecycle, ensuring maximum revenue capture through accurate, compliant, and timely submission of medical claims across all payer types (private, government, and third-party). Payment Reconciliation: Analyze and interpret all Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs), confirm accurate payment posting, and manage all necessary claim appeals for underpaid or denied services.

30+ days ago
Medical Billing Specialist

Tap Growth ai

San Diego, CA

The ideal candidate will have strong knowledge of medical coding, insurance procedures, and billing software to ensure accurate and timely processing of medical claims and patient accounts. We are seeking a detail-oriented and experienced Medical Billing Specialist to manage our healthcare billing operations.

30+ days ago
Certified Medical Coding Specialist

Mercor

$170 - $190

San Francisco, California

For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome/welcome. Audit annotated datasets for clinical accuracy, documentation completeness, and coding integrity.

15 days ago
HIM Coding Manager Auditing and Education - HIM Financial - Full Time 8 Hour Days (Exempt) (Non-Union)

University of Southern California

$110240 - $181896

Los Angeles, CA

Preferred Qualifications: Required Licenses/Certifications: Req Advanced knowledge of: • ICD-10-CM • ICD-10-PCS • CPT • HCPCS • MS-DRG • 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. • Ensure effective use of coding and electronic health record systems including: ◦ Cerner/PowerChart and Coding mPage ◦ Solventum/3M 360 Encompass (CAC/CRS) ◦ Solventum/3M HDM, HRM, and ARMS ◦ Soarian Financials and CHC Assurance PFS systems • Promote effective use of system tools to support coding accuracy, audit activities, and denial prevention Perform other duties as assigned.

23 days ago
Senior Coding Quality Analyst

UnitedHealth Group

$28.27 - $50.48

Walnut Creek, CA

Expert level of experience working in a level II trauma center and/or teaching hospital with a mastery of complex procedures in one or more the following specialty areas: Cardiothoracic, Vascular and Cardiac, Urology, Oncology, Gastroenterology, General Surgery, OB/GYN, Hospitalist, Primary Care, and other specialties may be applicable. Identify appropriate assignment of ICD-10-CM, CPT, and HCPCS II Codes for physician services, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility.

30+ days ago
Risk Adjustment Coding Specialist II - Virginia

Astrana Health, Inc.

$65000 - $78000

Alhambra, Virginia

Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines . Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements.

7 days ago
Risk Adjustment Coding Specialist II - San Gabriel Valley

Astrana Health, Inc.

$75000 - $85000

Monterey Park, California

Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines . Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements.

7 days ago
Risk Adjustment Coding Specialist II - Orange County

Astrana Health, Inc.

$70000 - $85000

Orange, California

Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines . Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements.

3 days ago
Risk Adjustment Coding Specialist II - South Bay/LA

Astrana Health, Inc.

$70000 - $85000

CA, California

Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines . Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements.

8 days ago