20 Results for

Medical Coder Jobs in Carson, NV

Jobs

Compliance Billing & Coding Auditor II (Remote) Stanford Health Care

Remote

$52.69–$69.82 / hour

Responsibilities include assessing the adequacy and accuracy of documentation supporting billed services, including ICD, CPT, HCPCS, and other third-party payer codes, as well as adherence to Teaching Physician guidelines, Evaluation & Management criteria, DRG and APC assignments, medical necessity, and reimbursement accuracy. Billing and Coding Compliance Auditor II is the full proficiency or journey level of the Billing and Coding Compliance Auditor Family where employees are responsible for independently performing the full range of duties of moderate difficulty and complexity as outlined under the Job Duties.

30+ days ago

Director of Compliance The Los Angeles Cancer Network

Glendale, California

$130,000–$165,000 / year

This position ensures compliance with federal, state, and local laws and regulations governing physician practices, specialty oncology services, infusion centers, pharmacy operations, laboratory services, and clinical research (if applicable). We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.

30+ days ago

APC Coding Validation Specialist Machinify

$85,000–$100,000 / year

Demonstrate a strong working knowledge of outpatient reimbursement methodologies, including Medicare Outpatient Prospective Payment System (OPPS), Ambulatory Payment Classification (APC), and Enhanced Ambulatory Patient Grouping (EAPG). Apply coding guidelines across a broad range of outpatient services, including but not limited to Interventional Radiology, Radiation Oncology, injections and infusions, outpatient surgeries, implants, and observation services (including carve-outs).

30+ days ago

Billing Manager Northeast Community Clinics

Alhambra, CA

Supervise and oversee the Medical Billing Supervisor, Medical Billing Lead, Medical Billers, and the Medical HCC Coder. Assist with pulling all required medical billing documents needed for site sites for all clinics and administrative audits.

16 days ago

Supervisor, Claims Integrity Recovery Services L.A. Care Health Plan

Los Angeles, CA

Oversee review of claim payments to detect overpayments, duplicate payments, coordination of benefits (COB) issues, clinical editing/payment policy errors, pricing discrepancies, eligibility/benefit errors, and contract/payment misconfiguration impacts. The Supervisor ensures work is timely, accurate, compliant, and aligned with contract terms, regulatory requirements, and internal policies while driving operational efficiency, quality outcomes, and strong collaboration with internal stakeholders.

3 days ago

Charge Master Analyst - Revenue Integrity - FT Days University of California, Irvine

Irvine, California

Full time

As Orange County’s only academic health systems, UCI Health is home to the only National Cancer Institute-designated comprehensive cancer center based in the county, the region’s only American College of Surgeons-verified Level I adult and Level II pediatric trauma center , American College of Emergency Physicians Gold Level 1 Geriatric Emergency Department and a nationally recognized regional burn center verified by the American Burn Association. *Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.

30+ days ago

Senior Risk Adjustment Operations Specialist Clever Care Health Plan Inc

Huntington Beach, CA

$81,500–$100,000 / year

HCC Performance Improvement: Use risk adjustment reports, suspect conditions, recapture lists, and coding trends to prioritize provider outreach and education while promoting accurate and complete documentation of conditions evaluated, assessed, treated, or monitored during the encounter. Provider Education and Feedback: Deliver individual and group education to PCPs, advanced practice clinicians, and office staff on compliant HCC documentation, MEAT principles, condition specificity, annual recapture, and documentation requirements that support accurate coding.

29 days ago

Revenue Integrity Auditor - Revenue Integrity - FT Days University of California, Irvine

Irvine, California

Full time

23 days ago

Financial Eligibility Worker Northeast Community Clinics

Hawthorne, CA

Conduct follow-up with applicants to ensure any and all required documentation and paperwork is submitted and inform patients of any approved health insurance coverage. This position will be responsible for assisting patients with the application process and enrolling the patient into various insurance programs if qualified.

30+ days ago

Financial Eligibility Worker NORTHEAST COMMUNITY CLINIC, INC

Hawthorne, CA

The employee is regularly required to communicate, frequently required to use repetitive motions, move, remain stationary, regularly push, pull and lift up to 20 pounds and occasionally push, pull and lift up to 40 pounds. OSHA Category 2 - Involves no regular exposure to blood, body fluids, or tissues, but may require unplanned tasks that involve exposure to blood, body fluids, or tissues.

30+ days ago

HIMS Supervisor Encompass Health Rehabilitation Hospital of Tustin

Tustin, CA

Full time
Quick Apply

Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing. Are you an experienced Health Information Management Systems (HIMS) professional looking for a leadership role that combines expertise with a commitment to hospital efficiency?

9 days ago

SPECIALIST II, CLINICAL CODING Pomona Valley Hospital Medical Center

Pomona, CA

$39.89–$56.13 / hour

Position Summary:Responsible for the review and evaluation of the medical record in order to assign accurate diagnosis and procedural codes ensuring optimal reimbursement while remaining compliant with all regulatory agencies. As part of our ongoing effort to remain an employer of choice, eligible employees who work qualifying weekend shifts receive a competitive weekend rate.

30+ days ago

Inpatient Audit Specialist- PRN Datavant LLC

Remote

$35–$45 / hour

What You Will Do: Performs Inpatient Facility coding audits according to scope of work, for the purpose of Onboarding, Focused, Service Level Agreements or Other Types of reviews, using appropriate assignment of codes and other coding-related elements using MS DRG or APR DRGs. What We're Looking For: As an Inpatient Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow operations reviews.

30+ days ago

Senior Manager, Clinical Documentation Integrity, Clinical Licensure-Risk Adjustment Kaiser Permanente

Pasadena, CA

Remote

$165,700–$214,390 / year

Oversees clinical documentation reviews by: performing quality assurance reviews of medical/health records and overseeing the scheduling and coverage of medical/health record reviews to promote the accuracy and completeness of clinical documentation; ensuring identified omissions or contradictions in medical records are rectified efficiently; providing mentorship and serving as an expert resource within a market or markets for applying and documenting medical codes and diagnostics-related groups (DRGs) to accurately capture diagnoses; overseeing the review of records to promote the accuracy of identification and documentation of the presence of medical conditions that impact severity of illness (SOI) and risk of mortality (ROM) indicators; and reviewing clinical documentation improvement/integrity (CDI) query data and processes to facilitate accuracy and efficiency in the resolution of open queries. Preferred Qualifications: Certified Clinical Documentation Specialist Credential (CCDS) from the Association of Clinical Documentation Integrity Specialists (ACDIS) OR Certified Documentation Improvement Practitioner (CDIP), Certified Coding Specialist (CCS), Certified Coding Specialist Physician-based (CCS-P), Registered Health Information Administrator (RHIA), OR Registered Health Information Technician (RHIT) from the American Health Information Management Association.

30+ days ago

HIMS Supervisor Encompass Health Corp

Tustin, CA

Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing. Are you an experienced Health Information Management Systems (HIMS) professional looking for a leadership role that combines expertise with a commitment to hospital efficiency?

9 days ago

Hims Supervisor Encompass Health Corp.

Tustin, CA

8 days ago

Compliance Coding Auditor-DRG Community Health Systems Inc

Performs retrospective and concurrent coding audits to assess accuracy, completeness, and compliance with ICD-10-CM/PCS, CPT/HCPCS, DRG, and applicable regulatory requirements. The Compliance Coding Auditor performs independent audits of coded medical records to evaluate accuracy, documentation integrity, and compliance with coding guidelines, regulatory requirements, and organizational policies.

15 days ago

Healthcare Price & Transparency Analyst Blue Cross and Blue Shield Association

Los Angeles, CA

Necessary Contacts: In order to effectively fulfill this position, the incumbent must be in contact with: Network Administration Management, IT Management, Benefits Administration Management, Medical Management, Medical Coding, Payment Integrity, Business Engineering Team, Project Management Office, Blue Cross Association, other health plans and software vendors in order to successfully configure and implement new and innovative payment programs that support Healthcare Reform. Assists in assessing reimbursement area operations, determines business requirements, identifies opportunities for improvement and assists with designing business and technology systems, recommending business process improvements, system testing, controls and protocols.

17 days ago

Senior Manager, Clinical Documentation Integrity, Clinical - FMG Kaiser Permanente

Pasadena, CA

$165,700–$214,390 / year

Oversees clinical documentation reviews by performing quality assurance reviews of medical/health records and overseeing the scheduling and coverage of medical/health record reviews to promote the accuracy and completeness of clinical documentation; ensuring identified omissions or contradictions in medical records are rectified efficiently; providing mentorship and serving as an expert resource within a market or markets for applying and documenting medical codes and diagnostics-related groups (DRGs) to accurately capture diagnoses; overseeing the review of records to promote the accuracy of identification and documentation of the presence of medical conditions that impact severity of illness (SOI) and risk of mortality (ROM) indicators; and reviewing clinical documentation improvement/integrity (CDI) query data and processes to facilitate accuracy and efficiency in the resolution of open queries. Preferred Qualifications: Certified Clinical Documentation Specialist Credential (CCDS) from the Association of Clinical Documentation Integrity Specialists (ACDIS) OR Certified Documentation Improvement Practitioner (CDIP), Certified Coding Specialist (CCS), Certified Coding Specialist Physician-based (CCS-P), Registered Health Information Administrator (RHIA), OR Registered Health Information Technician (RHIT) from the American Health Information Management Association.

22 days ago

Director, Applied AI & Strategy A+E Global Media

Los Angeles, New York

$188,034–$220,000 / year

8+ Years of total experience in a technical function (i.e. Solutions Architecture, Digital Transformation, or Technical Operations) with a proven track record of delivering enterprise-grade solutions and advanced workflow integration including demonstrated experience in systems integration and workflow automation. Partnering across business functions as well as within Technology & Operations, you will analyze medium-to-highly complex workflows, identify opportunities to apply agentic AI, design those agentic interventions, and help implement those, thus freeing up our people for higher-value work.

27 days ago

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Medical Coder Jobs in Carson, NV

Compliance Billing & Coding Auditor II (Remote) Stanford Health Care

Director of Compliance The Los Angeles Cancer Network

APC Coding Validation Specialist Machinify

Billing Manager Northeast Community Clinics

Supervisor, Claims Integrity Recovery Services L.A. Care Health Plan

Charge Master Analyst - Revenue Integrity - FT Days University of California, Irvine

Senior Risk Adjustment Operations Specialist Clever Care Health Plan Inc

Revenue Integrity Auditor - Revenue Integrity - FT Days University of California, Irvine

Financial Eligibility Worker Northeast Community Clinics

Financial Eligibility Worker NORTHEAST COMMUNITY CLINIC, INC

HIMS Supervisor Encompass Health Rehabilitation Hospital of Tustin

SPECIALIST II, CLINICAL CODING Pomona Valley Hospital Medical Center

Inpatient Audit Specialist- PRN Datavant LLC

Senior Manager, Clinical Documentation Integrity, Clinical Licensure-Risk Adjustment Kaiser Permanente

HIMS Supervisor Encompass Health Corp

Hims Supervisor Encompass Health Corp.

Compliance Coding Auditor-DRG Community Health Systems Inc

Healthcare Price & Transparency Analyst Blue Cross and Blue Shield Association

Senior Manager, Clinical Documentation Integrity, Clinical - FMG Kaiser Permanente

Director, Applied AI & Strategy A+E Global Media

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