Medical 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.
Medical 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.
Certified 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.
Medical Biller and Coder Instructor Hacienda La Puente Unified School DistrictMedical Biller and Coder InstructorCA$2,019–$2,022Two of our schools have been designated as National Blue Ribbon School, 13 Gold Ribbon Schools, and three high schools that have been honored in the U.S. News and World Report among the best high schools in the nation. The application will be considered disqualified if it does not meet the criteria listed below and must have the following documentation attached to your online EdJoin application prior to the position closing date/time: • Completed Application • A copy of basic skills will be required upon hire (refer to www.ctc.ca.gov for requirements).
Certified Medical Records Coder-Outpatient (Swing/Weekend) County of Riverside, CaliforniaCertified Medical Records Coder-Outpatient (Swing/Weekend)Riverside, CA$64,311.76–$95,813.52 / yearLicense/Certificate: Possession of current valid certification as a Certified Coding Specialist (CCS); or Certified Coding Specialist-Physician based (CCS-P); or Registered Health Information Administrator (RHIA); or a Registered Health Information Technician (RHIT) issued by American Health Information Management Association; or Certified Professional Coder (CPC); or Certified Professional Coder-Hospital (CPC-H) issued by the American Academy of Professional Coders. I understand that I must upload a copy of one or more of the following certificates, before submitting my application - Registered Health Information Administrator (RHIA) or Certified Professional Coder-Hospital (CPC-H) issued by the American Academy of Professional Coders or Certified Professional Coder (CPC) or Registered Health Information Technician (RHIT) issued by the American Health Information Management Association or Certified Coding Associate (CCA), and/or Certified Coding Specialist (CCS).
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)CA$50,460–$72,644 / yearRequired as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
Certified Medical Records Coder-Inpatient (Riverside) County of Riverside, CaliforniaCertified Medical Records Coder-Inpatient (Riverside)Riverside, CA$70,044.85–$104,320.89 / yearAbility 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. I understand that I must upload my current valid certification (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) at time of application in order to be considered for an interview.
Senior Specialty Physician Coder Interventional ICONMA, LLCSenior Specialty Physician Coder InterventionalFountain Valley, CA$38.65–$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.
Specialty Physician Coder ICONMA, LLCSpecialty Physician CoderFountain Valley, CA$38.65–$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.
Senior Specialty Physician Coder – Interventional IconmaSenior Specialty Physician Coder – InterventionalFountain Valley, CA$38.65–$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.
Specialty Physician Coder IconmaSpecialty Physician CoderFountain Valley, CA$38.65–$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.
OP 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.
Sr. Specialty Physician Coder - Cardiology, CTS, Peds Cardiology & IR MemorialCare Health SystemSr. Specialty Physician Coder - Cardiology, CTS, Peds Cardiology & IRFountain Valley, CA$35.46–$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. MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups - consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties.
Senior 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.
NewCoder Auditor Prime Healthcare Management IncCoder AuditorOntario, California$28–$43.40 / hourFull timeThe Inpatient Coder Auditor finalizes the coding and abstracting of the medical record upon ensuring the assignment of International Classifications of Diseases, 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. Responsibilities: The Inpatient Coder Auditor reviews and analyzes documentation present in the medical record for Inpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the Coders or Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software.
Cardiology 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.
Cardiology 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.
DRG Coder Astrana Health, Inc.DRG CoderCA, CaliforniaRemote$33–$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.
Sr. Speciality Physician Coder - Interventional Radiology 26-00157 Alura Workforce SolutionsSr. Speciality Physician Coder - Interventional Radiology 26-00157Fountain Valley, CARemoteDESCRIPTION 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.
Sr. Speciality Physician Coder - Interventional Radiology 26-00090 Alura Workforce SolutionsSr. Speciality Physician Coder - Interventional Radiology 26-00090Fountain Valley, CARemoteDESCRIPTION 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.
Coder 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. Job Summary: The Coder 2-HIM performs International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding and abstracts data from the legal medical record for facilities, licensed under LLUMC and contracted other LLUH facilities.
Regional Hospital Inpatient Coder Kaiser PermanenteRegional Hospital Inpatient CoderFontana, CAAll work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); Office of Statewide Health Planning and Development (OSHPD); National Correct Coding Initiative (NCCI), and Kaiser Permanente organizational/institutional coding directives. May also be assigned the responsibility for assigning accurate diagnosis and procedure codes to the patients health information record for Outpatient records (Observation Hospital Ambulatory Surgery, Complex Hospital Outpatient Visit - Cardiac Catheterization PCI Lab, Interventional Radiology, Extended Emergency & Emergency Departments, as well as other select records).
Sr. Speciality Physician Coder - Interventional Radiology 26-00123 Alura Workforce SolutionsSr. Speciality Physician Coder - Interventional Radiology 26-00123Fountain Valley, CARemoteDESCRIPTION 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.
Specialty Physician Coder Integrated Resources, IncSpecialty Physician CoderFountain Valley, CAThis role is 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. -Analyze and interpret medical information in the medical record and assign and sequence the correct ICD-10-CM, CPT, and/or HCPCS codes to the diagnoses/procedures of office, inpatient, and/or outpatient medical records according to established coding guidelines.
NewCoder Auditor Prime Healthcare Services IncCoder AuditorOntario, CA$28–$43.40 / hourThe Inpatient Coder Auditor finalizes the coding and abstracting of the medical record upon ensuring the assignment of International Classifications of Diseases, 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. The Inpatient Coder Auditor reviews and analyzes documentation present in the medical record for Inpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the Coders or Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software.
Jr. Quality Improvement Coder Astiva Health, Inc.Jr. Quality Improvement CoderOrange, CAIn 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. Apply official CPT/HCPCS and ICD10 coding guidelines, internal guidelines, and state specific Medicare/Medicaid coding instructions to review and analyze professionally coded services and coding queries.
Coder II (Outpatient SDS) San Antonio Regional HospitalCoder II (Outpatient SDS)Upland, CA$28.52–$42.78 / hourThis 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.
Coder II (Outpatient-SDS) San Antonio Regional HospitalCoder II (Outpatient-SDS)Upland, CA$28.52–$42.78 / hourThis 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.
DRG 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.
Coder II - Full Time - Days - 8hr QVH Emanate Health Medical CenterCoder II - Full Time - Days - 8hr QVHWest Covina, CA$33.95–$48.55 / hourMinimum Education Requirement: High School Diploma or equivalent work experience required; college degree preferred with coursework in Medical Terminology/Anatomy & Physiology and Computer experience. Job Summary Assigns and sequence diagnostic/procedural codes to in-patient and outpatient medical records for billing, reimbursement and data retrieval by following established coding guidelines.
Plan Coder Western GrowersPlan CoderIrvine, CA$44,669.10–$65,668.60 / yearAt Pinnacle Claims Management, we are an innovative third-party administrator (TPA) that provides a full suite of comprehensive and customized health benefits administration services for self-funded companies, including health management and wellness solutions, and pharmacy benefit management. This position will ensure that all new and existing health (medical/dental/pharmacy) insurance plans underwritten by Western Growers Assurance Trust (WGAT) and those of Pinnacle Claims Management, Inc. (PCMI) are in compliance with the respective employers' summary plan descriptions.
Medical Records Specialist Pacific GroveMedical Records SpecialistRiverside, California$25–$29 / hourFull timeOverview: 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.
Medical Records Specialist Acadia Healthcare Co IncMedical Records SpecialistRiverside, CA$24–$29 / hourPacific 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.
Healthcare Coding Compliance Auditor - RUHS County of Riverside, CaliforniaHealthcare Coding Compliance Auditor - RUHSRiverside, CA$105,597.80–$145,114.92 / 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. How many years of experience do you have in an administrative or staff capacity 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?.
Healthcare 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.
Risk Adjustment Coding Specialist II - Orange County Astrana Health, Inc.Risk Adjustment Coding Specialist II - Orange CountyOrange, California$70,000–$85,000 / yearPerform 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.
NewDRG Clinical Validation Lead Elevance Health IncDRG Clinical Validation LeadCosta Mesa, CA$89,520–$161,136 / yearPreferred Skills, Capabilities and Experiences: 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. How you will make an impact: Conducts pre-certification, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
Backend Engineer FancyBackend EngineerIrvine, CaliforniaFancy is a pioneering financial rewards platform that transforms rent payments into financial opportunities for renters in the U.S. By offering meaningful cashback rewards, flexible payment options, and personalized financial insights, Fancy addresses the critical challenges faced by renters while creating value for property managers and advertisers. This role is ideal for someone who thrives in a highly collaborative environment, is experienced in microservice architecture, and enjoys solving complex backend problems with elegant, scalable code.
Clinical 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.
RN Clinical Documentation Integrity Specialist - Hybrid University Health Services IncRN Clinical Documentation Integrity Specialist - HybridCORONA, CASouthwest Healthcare is comprised of five acute care hospitals and several non-hospital access points, including: Corona Regional Medical Center, Palmdale Regional Medical Center, Southwest Healthcare Rancho Springs Hospital, Southwest Healthcare Inland Valley Hospital and Temecula Valley Hospital, Temecula Valley Day Surgery, A+ Urgent Care Centers, Apex Heart Specialists, and Riverside Medical Clinics. More information is available on our Benefits Guest Website: UHS Guest Benefits Southwest Healthcare is owned and operated by subsidiaries of Universal Health Services, Inc. (UHS), a King of Prussia, PA-based company, one of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation.
FQHC Billing Account Manager Nexus HR ServicesFQHC Billing Account ManagerSanta Fe Springs, CA$28–$30 / hourThe RCM Billing Account Manager is responsible for overseeing all aspects of Revenue Cycle Management (RCM), including billing operations, coding compliance, claims submission, denial management, and reimbursement optimization for FQHC clients. Serve as a trusted advisor on FQHC billing rules, UDS reporting, wraparound payments, PPS/APM reimbursement models, sliding fee schedules, and Medicaid/Medicare billing.
Nurse Practitioner/Physician Assistant Choice Healthcare AssociatesNurse Practitioner/Physician AssistantApple Valley, CAThis role focuses on delivering high-quality preventive care through Annual Wellness Visits (AWVs), accurate HCC (Hierarchical Condition Category) recapture, and comprehensive medication reconciliation. Experience with in-home assessments or mobile care, willing to travel to local clinic sites within the Victorville, Apple Valley, Phelan, Hesperia.