Medical Coder jobs at Loma Linda University Health - 182 jobs

This position is responsible for accurately assigning ICD-9-CM/ICD-10-CM diagnosis and procedure codes and CPT-4 procedure codes to inpatient and outpatient medical records using the 3M encoding software. The role includes assigning HCFA-DRG and APR-DRG groupers for inpatient records and abstracting clinical, financial, trauma, and quality management data into the organization's health information system. Additionally, this position monitors accounts receivable, abstract and claims rejections, and other related billing reports. Inpatient hospital coding constitutes 70% or more of the total coding workload. Experience Requirements Minimum of one (1) year of experience using ICD-10-CM/PCS and CPT-4 coding classification systems Working knowledge of encoder software, MS-DRG and APR-DRG groupers, and AHA Coding Guidelines Demonstrated proficiency in data entry and the ability to perform mathematical calculations accurately Education, Licensure, and Certification High school diploma or GED accredited by the U.S. Department of Education required Successful completion of a formal training program in ICD-10-CM/PCS and CPT coding, anatomy and physiology, and medical terminology required Certified Coding Specialist (CCS) credential required Position Details This is a part time (20 hours per week) hybrid position, combining remote work with regular on-site responsibilities and presence required based on departmental needs and organizational priorities. About Valley Children's Healthcare Valley Children's Healthcare is an award-winning pediatric healthcare system located in Madera, California, in the heart of the affordable Central Valley. The organization operates one of the nation's largest pediatric healthcare networks, including a 358-bed children's hospital and multiple outpatient clinics. Valley Children's offers access to three national parks and is within driving distance of California's world-renowned coastline, providing an exceptional balance of professional opportunity and quality of life.

Health Information Management Data Specialist Responsible for case identification, accessioning, and data abstraction for multiple clinical registries, including the California Perinatal Quality Care Collaborative (CPQCC), ImproveCareNow (ICN), and the Pediatric Cardiac Critical Care Consortium (PC4). Accurately abstracts required data elements from the medical record and enters, validates, and maintains data within Valley Children's Healthcare comparative database systems and registries. Supports both internal and external administrative, clinical, and statistical reporting needs. Experience Minimum of one (1) year of related experience required Education / Licenses / Certifications Associate degree (2-year) in Health Information Technology required Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) required Active California Registered Nurse (RN) license preferred About Valley Children's Healthcare The award winning Valley Children's Healthcare, is located in the heart of the affordable, Central Valley of California in Madera, just a short drive to 3 national parks and your choice of California coastline beaches. The hospital is one of the largest pediatric healthcare networks in the Country with a 358-bed hospital and several outpatient clinics.

Scripps Health Administrative Services supports our five hospital campuses, 31 outpatient centers, clinics, emergency rooms, urgent care sites, along with our 17,000 employees, more than 3,000 affiliated physicians and 2,000 volunteers. This is a full-time, benefit eligible position that is partial remote. Must be local in San Diego or willing to relocate and willing to work weekends. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: * Nearly a quarter of our employees have been with Scripps Health for over 10 years. * Scripps is a Great Place to Work Certified company for 2025. * Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. * Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. * We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. * Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. The Coder II is responsible for ensuring accurate and timely coding of diagnoses and procedures for inpatient, outpatient and professional visits using appropriate systems. Conducts concurrent and/or retrospective claims data reviews for physician services, coding and abstracting all services, procedures, diagnoses, and conditions from medical records. Assists Revenue Integrity with coding issues and supports the team with appeals and projects. Interacts with physicians and other staff to clarify documentation and may hold educational meetings with providers. May provide instructions and training to other coders as needed, ensuring compliance with all applicable regulations and guidelines. Required Education/Experience/Specialized Skills: * One (1) year of hospital/professional coding experience. * Good critical thinking and analytical skills. * Excellent written and verbal communication skills. Required Certification/Registration: * Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) from American Health Information Management Association (AHIMA). Preferred Education/Experience/Specialized Skills/Certification: * 1 year of acute inpatient hospital coding experience. * Associates or Bachelors Degree in Health Information Technology. * Proficiency in Epic, 3M 360, Optum Encoder Pro, Excel, and PowerPoint. * Registered Health Information Administrator (RHIA) At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation's Top 100 Places to Work. You'll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you're open to change, go ahead and unlock your potential. Position Pay Range: $38.54-$55.88/hour

Required Education/Experience/Specialized Skills: One (1) year of hospital/professional coding experience. Good critical thinking and analytical skills. Excellent written and verbal communication skills. Required Certification/Registration: Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) from American Health Information Management Association (AHIMA). Preferred Education/Experience/Specialized Skills/Certification: 1 year of acute inpatient hospital coding experience. Associates or Bachelors Degree in Health Information Technology. Proficiency in Epic, 3M 360, Optum Encoder Pro, Excel, and PowerPoint. Registered Health Information Administrator (RHIA) This is a full-time, benefit eligible position that is partial remote. Must be local in San Diego or willing to relocate and willing to work weekends. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: Nearly a quarter of our employees have been with Scripps Health for over 10 years. Scripps is a Great Place to Work Certified company for 2025. Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. The Coder II is responsible for ensuring accurate and timely coding of diagnoses and procedures for inpatient, outpatient and professional visits using appropriate systems. Conducts concurrent and/or retrospective claims data reviews for physician services, coding and abstracting all services, procedures, diagnoses, and conditions from medical records. Assists Revenue Integrity with coding issues and supports the team with appeals and projects. Interacts with physicians and other staff to clarify documentation and may hold educational meetings with providers. May provide instructions and training to other coders as needed, ensuring compliance with all applicable regulations and guidelines.

We are seeking a Certified Medical Coder- Remote to join our team. We are deeply rooted in the communities we serve, which means that our patients are often our family, friends, and neighbors, and it is special to be able to care for them. As one of the top healthcare systems, we are committed to your ongoing growth and development. After work, you will find things to do in every season, including beaches, outdoor recreation, unique restaurants, world-class wineries, arts and entertainment. Why work as a Coder Abstractor ? Remote work schedule Our dynamic work environment includes many opportunities for growth and development Our efforts directly impact patient satisfaction and outcomes Our employees work in positive, supportive, and compassionate environments built on our organizational values. SKILLS At least 1 years recent coding experience including coding surgical cases preferred. Experienced in coding hospital inpatient and outpatient E/M services. Thorough knowledge of medical terminology, ICD-10-CM and CPT4 coding necessary. Understanding of both the medical and business side of healthcare operations. Highly organized, self-motivated, detail-oriented and energetic team player. Excellent verbal and written communication skills. Strong computer skills including MSOffice, Internet, and E-mail. Epic experience helpful Summary: Under general supervision, according to established policies, procedures and protocols, codes all disease and operations according to accepted classifications. Insure compliance with PRO data reporting and other regulatory licensing and accrediting agencies. The Benefits of Working : Competitive salaries Full benefits, paid holidays, and paid time off (up to 19 days your first year) Tuition reimbursement and ongoing educational opportunities Retirement savings plan with employer match and personal consulting Wellness plans, an employee assistance program and employee discounts Applicant Location: Remote USA Only

Summary Description: Under general direction, this position will be responsible for improving charge capture accuracy through workflow assessments coding reviews process improvement collaboration and reporting. The Cardiology Coding Specialist works collaboratively with leadership to assist in development project management and implementation of process enhancements or corporation initiatives to enhance charge capture accuracy. In addition, this role monitors and analyzes coding performance at the section and business unit levels. The primary role of this position is to support education, documentation principals, clean claims, and denial prevention. Essential Duties and Responsibilities: Review charts and capture all reportable services. Coordinate with other coding staff to ensure all reportable services are captured and assigned to appropriate physician or ARNP. Assign all appropriate ICD codes, CPT codes, and modifiers per ICD, CPT, and Medicare or commercial carrier published guidelines. Enter charges, review WQs to address edits/denials. Review work queues in EMR and resolve coding issues for professional services for both hospital and clinic places of service. Reconcile charges monthly to ensure capture of all reportable services. Work with business office to resolve hospital billing questions/coding denials or concerns. Assist employees and physicians in providing coding guidance. Ability to communicate effectively both orally and in writing. Pull audit reports and back up documentation for internal audits. Comply with all legal requirements regarding coding procedures and practices Conduct audits and coding reviews to ensure all documentation is precise and accurate Assign and/or review the sequence of all CPT and ICD 10 codes for services rendered Collaborate with AR teams to ensure all claims are completed and processed in a timely manner Support the team with applying expertise and knowledge as it relates to claim denials Aid in submitting appeals with various payers about coding errors and disputes Submit statistical data for analysis and research by other departments Ability to identify PSI triggers or have working knowledge of PSI triggers which includes identifying and assigning co-morbidities and complications. Ability to assign the appropriate DRG, discharge disposition code and principal DX codes Serves as the liaison between revenue cycle operations and clients as it relates to charge capture documentation and reconciliation Possesses a clear understanding of the physician revenue cycle Oversees understands and communicates coding and charging processes for each client account based on their existing EHR system as it relates to office and hospital-based services which includes charge captures charge linkages to the CDM and charging processes. Analyzes and communicates denial trends to Clients and operational leaders. CPC or CCS coding credentials required. Cardiology experience preferred. EMR, eCW, Centricity, Epic, Encoder Pro or 3M experience highly desired. Microsoft Office Skills: Excel - Must have the ability to create and manage simple spreadsheets. Word - Must be able to compose business correspondence. License: CPC, CCC or CCS (Required)

JOB SUMMARY: Under the direction of the Director of Health Information Management, Identifies and codes Newborns, Obstetrics, ER's and outpatient records for the purpose of reimbursement, research, and compliance with Federal Regulations using the ICD-10-CM/CPT coding classification systems. EDUCATION, EXPERIENCE, TRAINING Current coding certification-RHIA, RHIT, or CCS 1-2 years of coding experience in acute hospital setting Knowledge and application of ICD10 classifications, CPT-4 and HCPCS with an accuracy level of 95% Must be able to work in a very challenging environment. Exceptional written and verbal communication skills Excellent computer skills, including Microsoft Office, EHRs, Encoders Analytical/critical thinking and problem solving Knowledge of information privacy laws and high ethical standards

JOB SUMMARY: Under the direction of the Director of Health Information Management, Identifies and codes Newborns, Obstetrics, ER's and outpatient records for the purpose of reimbursement, research, and compliance with Federal Regulations using the ICD-10-CM/CPT coding classification systems. EDUCATION, EXPERIENCE, TRAINING Current coding certification-RHIA, RHIT, or CCS 1-2 years of coding experience in acute hospital setting Knowledge and application of ICD10 classifications, CPT-4 and HCPCS with an accuracy level of 95% Must be able to work in a very challenging environment. Exceptional written and verbal communication skills Excellent computer skills, including Microsoft Office, EHRs, Encoders Analytical/critical thinking and problem solving Knowledge of information privacy laws and high ethical standards

Job DescriptionCypress Healthcare Partners is now hiring remote candidates for the Medical Coder position. This position is responsible for abstracting provider services accurately into billable codes from the medical documentation in accordance to the coding ethics of American Academy of Professional Coders (AAPC), American Health Information Management Association (AHIMA) and/or National Alliance of Medical Auditing Specialists (NAMAS) and payer coverage guidelines. Furthermore, responsible for posting and reconciling charges and communicating with provider/staff of medical necessity of services, unspecified, truncated, and lack of supporting diagnoses along with incomplete or missing documentation. KEY RESPONSIBILITIES & DUTIES: Responsible for abstracting provider services into billable codes (CPT, HCPCS, & ICD-10) from the medical documentation in accordance with the coding ethics of AAPC, AHIMA, and NAMAS and payer coverage guidelines in an accurate and timely manner. Post and reconcile hospital setting (IP/OP/OBS) charges daily. Communicate inefficiencies to the coding supervisor such as the medical necessity of services; unspecified truncated and lack of supporting diagnoses; incomplete or missing documentation along with any inappropriate coding and documentation trends. Reference coding and payer resources to accurately code and bill the provider documented services. When needed, assist the AR Specialist with a complicated coding denial. Furthermore, the coder assists with creating an appeal letter regarding the coding denial along with any supporting documentation. Coder will forward the appeal documentation(s) to the AR Specialist to handle. Continue education with coding and billing via Encoder Pro, coding subscriptions and resources provided by CHP. Other duties as assigned. KNOWLEDGE, SKILLS, AND ABILITIES Have experience properly coding (CPT, HCPCS, & ICD-10) services from the medical documentation in accordance with the coding ethics of AAPC, AHIMA, and NAMAS. Must be able to communicate effectively in English, verbally, and written. Additional languages are desirable. Excellent customer service and phone etiquette skills. Must be able to maintain a high degree of confidentiality and work well under productivity standards. Able to prioritize and balance the workload on short and long-term company needs. Must be able to work independently and be able to solve problems efficiently and accurately. Able to create channels of communication to obtain information necessary to perform job tasks. Strong organizational skills with the ability to prioritize a high-volume workload. Helpful attitude, positive teamwork spirit with a willingness to help. CREDENTIALS/EDUCATION/EXPERIENCE High School Diploma or Equivalent required. Minimum of 2 years of experience in medical billing and/or coding. Certifications in Medical Billing and Coding highly desirable

+ Oakland, CA + Information Systems + Health Information Servcies + Full Time - Day + $29.59 - $49.31/ hour + Req #:41965-31091 + FTE:1 **SUMMARY:** Reads and interprets medical record documentation to assign diagnosis codes, assigns CPT codes, and applies knowledge of payer reimbursement guidelines to ensure proper reimbursement. Performs related duties as required. **DUTIES & ESSENTIAL JOB FUNCTIONS:** NOTE:The following are the duties performed by employees in this classification, however, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification. 1. Adheres to the ICD-9-CM (International Classification of Diseases, 10th revision, Clinical Modification) coding conventions, official coding guidelines approved by the cooperating parties, the CPT (Current Procedural Terminology) rules established by the American Medical Association, and any other official coding rules and guidelines established for use with mandated standard code sets. 2. Selection and sequencing of diagnoses and procedures must meet the definitions of required data sets. Utilizes up-to-date versions of CPT and ICD-10-CM resources and remains current on changes in coding and billing standards. 3. Strives for the optimal payment to which the facility is legally entitled, remembering that it is unethical and illegal to maximize payment by means that contradict regulatory guidelines. 4. Consults physicians for clarification and additional documentation prior to code assignment when there is conflicting or ambiguous data in the health record. 5. Diagnosis coding must be accurate and carried to highest level of specificity; assigns and reports codes that are clearly and consistently supported by documentation in the health record. 6. Follow up status of charges held for clearance; work error reports. 7. 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. 8. Provides feedback and education to physicians regarding billing and documentation. 9. Works with the Billing & Collection team to resolve coding issues. 10. Performs professional fee and documentation audits for a wide variety of specialties. 11. Manage work files to resolve coding edits by researching and using the most up-to-date tools available in order to make the appropriate and compliant corrections for reimbursement. **MINIMUM QUALIFICATIONS:** Education:High School Diploma or equivalent required, Associate's degree preferred. Minimum Experience:Five years relevant coding experience. Minimum Experience:Experience coding and auditing professional fee surgical procedures and office visits. Required Licenses/Certifications:Certified Coding Specialist (CCS-P) or Certified Professional Coder (CPC) certification required from AHIMA or AAPC. PAY RANGE: $29.59 - $49.31/ hour _The pay range for this position reflects the base pay scale for the role at Alameda Health System. 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. Alameda Health System also offers eligible positions a generous comprehensive benefits program._ Alameda Health System is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military background.

**About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: + We serve faithfully by doing what's right with a joyful heart. + We never settle by constantly striving for better. + We are in it together by supporting one another and those we serve. + We make an impact by taking initiative and delivering exceptional experience. **Benefits** Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: + Eligibility on day 1 for all benefits + Dollar-for-dollar 401(k) match, up to 5% + Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more + Immediate access to time off benefits At Baylor Scott & White Health, your well-being is our top priority. Note: Benefits may vary based on position type and/or level **Job Summary** The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). The Coder 2 will abstract and enter required data. The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Essential Functions of the Role** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates with providers for missing documentation elements and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. + Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. + Reviews and edits charges. **Key Success Factors** + Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. + Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. + Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. + Ability to interpret health record documentation to identify procedures and services for accurate code assignment. + Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. **Belonging Statement** We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve. **QUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + Must have ONE of the following coding certifications: + Cert Coding Specialist (CCS) + Cert Coding Specialist-Physician (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder (CPC) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Title: Certified Medical Coder Performs all coding for Omni Family Health practices to ensure consistency and meet compliance guidelines needed to ensure appropriate and effective reimbursement. Supports Omni Family Health Physicians and hospital-based providers with monthly physician reimbursement and act as a back up to the department supervisor. Develops policies and procedures to support coding guidelines. Job Duties: The following are essential job accountabilities: 1. Ensures completion of documentation and coding on billing slip and HER when needed for correct and complete claim. 2. Read and interpret patient medical information and apply correct ICD- 10, CPT and I-ICPCS codes as needed for optimal reimbursement. 3. Research documentation with physician and/or Non Physician Provider (NPP). 4. Post charges for both out-patient and in-patient facilities for multiple providers to ensure accuracy of coding and patient accounts including following up with providers and putting together a complete file for accurate posting of charges 5. Schedules and coordinates monthly and quarterly coder educational seminars. Provides documentation and feedback to Supervisor, Coding & Compliance as needed to support certified coders on-going education. 6. Supports the incoming charges processed through NextGen EHR including monthly reconciliation and finalizing. 7. Acts as a coding resource for Omni Family Health physicians and clinic staff. 8. Various other work-related duties as assigned by supervisor. These duties and responsibilities may be added, deleted, or changed at any time at the discretion of management, formally or informally either verbally or in writing. Additional Duties 1. HIPAA compliance - Responsible for enforcing compliance with all HIPAA regulations and requirements. Treats all member information confidential. 2. Compliance - Ensure compliance with all local, state, and federal regulations. 3. QA/QI - Participate in QA/QI activities and contribute towards the overall performance improvement of the organization. 4. IT - Required to learn and use the Electronic Health Record and Practice Electronic System and its components as required by the job functions and highlighted in the Policies and Procedures. 5. All employees will participate in Patient Centered Home Health Model at Omni Family Health. Qualifications, Education, and Experience Education: 1. High school graduate Experience: l. Possess three years of medical billing and accounts receivable experience. Certification: l. CPC, CPCH, and /or CCS-P certification required Skills: 1. Basic knowledge of CPT and ICDI 0 codes. 2. Minimum of 5 years multi-specialty physician billing and leadership experience. 3. Ability to operate computers, Microsoft operating system and provide direction to staff as needed. 4. Must be able to take responsibility and work under pressure. 5. Ability to work under pressure. 6. Ability to handle multiple functions. 7. Demonstrate effective communication skills with medical/dental providers and staff. Responsible to: Coding Coordinator Classification: Full-time, Non-exempt

: Axis Community Health, a nonprofit established in 1972, provides comprehensive healthcare services to over 15,000 individuals across all age groups in the Tri-Valley area. The mission of Axis Community Health is to provide quality, affordable, accessible and compassionate health care services that promote the well-being of all members of the community. Our mission is rooted in delivering high-quality patient care, encompassing primary healthcare, mental health support, and dental services. We are committed to ensuring access to essential healthcare services for every member of our community, irrespective of financial status, living situation, or insurance coverage. Job Summary: The Medical Coder is responsible for reviewing, coding, and processing medical, dental, and behavioral health encounters to ensure accurate and compliant documentation, coding, and billing specific to a Federally Qualified Health Center (FQHC). This role assigns appropriate ICD-10, CPT, and HCPCS Level II codes in accordance with federal, state, and payer-specific guidelines, including FQHC billing rules. The Medical Coder also resolves coding-related denials, supports timely reimbursement, and helps maintain compliance with Medi-Cal, Medicare, HRSA, and commercial insurance requirements. This position may assist with staff training, process improvements, and collaboration across billing, compliance, and clinical teams to ensure accurate encounter data and strengthen revenue cycle operations. Qualifications: High school diploma or equivalent; Associates degree in Health Information Technology or related field preferred. Minimum two years of outpatient medical coding experience, preferably in a community health center, FQHC, or similar ambulatory care setting. Current coding certification from CPC, CCA, CCS, RHIT, or RHIA. Strong knowledge of ICD-10, CPT, HCPCS Level II, and outpatient coding guideline. Familiarity with FQHC specific coding and billing, including PPS, wrap/PPS add-on, and documentation requirements. Proficiency in reviewing clinical documentation for accuracy and completeness. Ability to analyze and resolve coding-related denials. Advanced knowledge of FQHC coding standards, encounter-based reimbursement models, and HRSA/UDS reporting requirements. Experience processing specialty billing for chiropractic, acupuncture, podiatry, cardiology, and others. Knowledge of outside entity account reconciliation. Ability to retrieve patient information, input information, and locate information and resources. Knowledge of EPIC EPM/EHR is highly desirable. Wisdom dental software knowledge is a plus. Excellent time management skills to meet goals and objectives and the ability to be at work regularly and on time. Strong analytical, employee relations, and interpersonal skills. Excellent writing, business communication, editing, and proofreading skills. Ability to interact effectively, professionally, and in a supportive manner with persons of all backgrounds. Proactive, self-motivated and able to work independently as well as on a team with the ability to exercise sound independent judgment. Ability to maintain a high level of confidentiality and a professional demeanor and must positively represent the organization at all times. Must be able to adjust priorities quickly as circumstances dictate. Must be a dynamic self-starter with demonstrated ability to work independently or in a group setting. A can-do attitude, attention to detail, ability to organize and set priorities, with ability to multi-task effectively. Ability to type a minimum of 35 WPM with minimal errors. Must have good computer skills using Microsoft Office and the ability to use Axis departmental systems. Must be able to use office equipment (i.e. copier, fax, etc.). Essential Duties/Responsibilities Review and assign accurate ICD-10, CPT, and HCPCS codes for medical, dental, and behavioral health encounters. Ensure all coding complies with federal, state, Medicaid/Medi-Cal, Medicare, commercial payer, and FQHC-specific billing guidelines. Verify that provider documentation supports the codes billed and request clarifications when needed. Review and correct encounter data prior to claim submission to reduce errors and delays. Work closely with providers to improve documentation accuracy and coding completeness. Analyze and resolve coding-related denials rejections; submit corrected claims as needed. Support the billing team with research on payer guidelines and policy updates. Maintain proficiency in UDS reporting requirements and ensure accurate coding for quality metrics. Collaborate with senior management to ensure adherence to HRSA, PPS, and encounter documentation standards. Conduct internal chart audits as assigned to verify coding accuracy and identify training needs. Assist in training clinical and billing staff on coding updates, documentation requirements, and best practices. Stay current on changes in coding regulations, payer updates, E/M guidelines, and FQHC billing requirements. Collaborate with the CFO and Billing Manager to enhance workflows aimed at improving overall efficiency and effectiveness of the billing department. Participate in staff meetings, and attend other meetings and training events as assigned. May be required to perform other related duties, responsibilities, and special projects as assigned. Benefits: Employer paid health, dental, and vision benefits to the employee. Option to participate in a 403(B) retirement plan with employer matching contribution. Partial educational reimbursement. 12 paid holidays. Accrued paid time off with each pay period. Employee discount programs. Connect with Axis: Company Page: ************************** Facebook: ******************************************** LinkedIn: ****************************************************** Annual Gratitude Report: ************************************************************** Physical, Cognitive, and Environmental Working Conditions: Work is normally performed in a typical clinic office work environment (and, in some cases, telecommuting sites). The physical demands described here are representative of those that must be met by an employee to perform the essential functions of this job successfully. Reasonable accommodations can be made to enable individuals with disabilities to perform the essential functions of this position if the accommodation request does not cause an undue hardship Physical: Occasionally required to carry/lift/push/pull/move up to 20lbs. Frequently required to perform moderately difficult manipulative tasks such as typing, writing, reaching over the shoulder, reaching over the head, reaching outward, sitting, walking on various surfaces, standing, and bending. Occasional travel to other Axis health centers and other occasional travel will be required. Equipment: Frequently required to use repetitive motion of hands and feet to operate a computer keyboard, telephone, copier, and other office equipment for extended periods. Sensory: Frequently required to read documents, written reports, and signage. Must be able to distinguish normal sounds with some background noise, as in answering the phone, interacting with staff etc. Must be able to speak clearly, understand normal communication, and be understood. Cognitive: Must be able to analyze the information being received, count accurately, concentrate and focus on the given task, summarize the information being received, accurately interpret written data, synthesize information from multiple sources, write summaries as needed, interpret written or verbal instructions, and recognize social or professional behavioral cues. Environmental Conditions: Frequent exposure to varied office (medical clinic/office) environments. Rare exposure to dust and loud noises. Disclaimer: This job post is not necessarily an exhaustive list of all essential responsibilities, skills, tasks, or requirements associated with this position. While this is intended to be an accurate reflection of the position posted, Axis Community Health reserves the right to modify or change the requirements of the job based on business necessity. Key Search Words: Medical Coder, Billing and Coding Specialist, Health Information Coder, Clinical Coder, Coding Specialist, Revenue Cycle Coder, Coding Compliance Specialist, Outpatient Coder, Documentation Specialist, Revenue Cycle Department, Patient Financial Services, Coding and Compliance, Billing and Coding Team, Communication Skills, Multitasking, Problem Solving, Organizational Skills, Customer Relations, Administrative Procedures, Microsoft Office, EHR, EPIC, Medi-Cal, Medicare, #LI-Onsite

Full-time Description About Us Simply put, our purpose at Accelerated Urgent Care is to get you quality care when you need it. We aim to foster a supportive environment where our team members can develop their careers. To promote this goal, we've built a diverse and driven team of employees who are all eager to learn from one another and reach Accelerated Urgent Care's mission of delivering exceptional healthcare to the patients and communities that we are privileged to serve. We are ... a fast-growing company that doubles in size year after year since 2012! Recognized as Kern County's Top Urgent Care center 6 years in a row! Dedicated to our employees' career growth; 65% of our Administration and Management team members have been internal candidates! 16 clinics strong across 5 regions in California and growing! Our Core Values: Friendliness, Competence, Respect, Teamwork, Compassion, Hard work, Integrity, Humility, Dedication! Job Summary The Certified Medical Coding Auditor will provide formal and informal coding and regulatory education to all providers and billing staff as directed by American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), and various payer requirements. The individual in this position will also conduct internal audits to ensure anyone involved in the billing for professional services is in compliance with regulations, along with payer policies and procedures. Essential Functions (not all inclusive) Perform detailed coder audits on a regular basis as defined by compliance requirements, determine if additional education is necessary and notify Leadership of ongoing education needs. Work closely with the Medical Directors to create, revise, and update all educational tools, modules, and materials as it relates to the coding and regulatory guidelines under the direction of Leadership. Conduct internal audits of medical documentation supporting claims billed to third parties to ensure billing is performed in accordance with the appropriate third-party regulations and/or standards: Evaluate the appopriateness of the services and procedures billed based on the supporting documentation. Evaluate the appropriateness of diagnoses billed for all services in accordance with coding guidelines. valuate the appropriateness of E&M level of service billed based on the supporting documentation, in accordance with current AMA standards.Conduct educational documentation and coding training for providers to support compliance with third party documentation and billing standards. Create tracking tools to capture and document audit results on an ongoing basis, for reporting and historical lookback purposes. Prepare formalized reports of audit results and present findings to Leadership and Medical Directors, potentially providers. Respond to questions from providers and the billing team regarding billing, coding, and documentation. Develop educational programs for providers based on audit findings along with general education on coding and documentation rules and regulations. Perform follow up reviews after initial training of providers to determine if additional education is necessary. Provide any additional training once identified by follow-up review. Communicate regularly with internal departments to ensure all necessary information is received on a timely basis. Communicate and problem solve with Medical Directors and Leadership on specific coding issues and/or training requests. Work on joint projects with other internal staff and departments to resolve billing and documentation issues. General Perform any and all other assigned responsibilities. Perform special projects and other duties as requested. Comply with departmental policies and procedures. Perform all duties and tasks with the highest level of professionalism, which includes professional communication and professional attire. Responsible for showing up to work on time and being available to all team members during work hours, Monday through Friday, 8am to 5pm. Work well with all AUC providers, staff members, Leadership. Provide personal commitment and ownership to enhance knowledge, skills, and abilities in healthcare related financial areas. Maintain patient confidentiality and information security, adhere to all HIPAA regulations and requirements. Follow and adhere to CDC requirements for healthcare facilities. Competencies Demonstrated knowledge of Medical Terminology and Anatomy & Physiology combined with high level expertise in third-party payer reimbursement, coding, and documentation requirements. Knowledge of Medicare and Medicaid regulations. Knowledge of current AMA guidelines. Experience in a teaching/academic medical environment is a plus. Excellent and effective communication and listening skills, oral and written - clear, concise, articulate, empathetic, and friendly - to support work with a wide range of different people and groups, including large audience presentations. Ability to train and teach adults. High level proficiency in the use of various computer systems including Microsoft Word, Excel, PowerPoint, Outlook, and other database tracking systems. Exceptional customer service skills, email/telephone/virtual meeting etiquette, and display positive personality attributes. Strong time management skills, including use of technology and software to facilitate prompt task execution. Highly detail oriented, thorough, and responsible. Excellent tracking and organizational skills. Ability to multi-task, adapt to a variety of responsibilities that may change on a daily basis, focus and execute relevant goals. Excellent problem solving and critical thinking skills. Display a positive, focused, and solution-oriented attitude. Ability to work independently on assigned tasks, in addition accepting direction on given assignments. Demonstrate a high level of performance, accountability, integrity, professionalism, openness, and receptiveness to change. Ability to perform in the best interest of business needs. Ability to meet deadlines and prioritize workload and tasks on an ongoing basis. Excellent understanding of HIPAA and confidentiality requirements in a medical office setting. Physical Demands Involves sitting down for prolonged periods of time. Must be able to have face-to-face conversations with vendors, employees, and the Leadership Team. Ability to communicate verbally with an excellent comprehension of the English language. Must be able to lift 25 lbs. Position Type: Full-time Position Hours: Monday - Friday, 8 am - 5 pm Job Type: Hourly, Non-Exempt Benefits: Medical, Dental, Vision, Life Insurance and PTO. Requirements Required Education and Experience Must possess an active CPC or CCS-P certification in conjunction with auditing credentials (i.e. CPMA). 3+ years of medical auditing and coding experience working with providers, preferably in an urgent care or healthcare setting. High school diploma or equivalent. Bachelor's degree in Healthcare Administration (or related field) (preferred) Salary Description $26-$35

Job Summary Coder III The Coder III is responsible for analyzing medical records for completion by Medical Staff, clinical or ancillary department; performing coding and abstracting functions; efficiently navigate the electronic medical record to find patient information required for coding; and accurately abstract medical records for quality assessment screens. Licensure and Certification: * CCS required * RHIT or RHIA strongly preferred Education: * Associate Degree in Health Information Technology or Information Technology or equivalent is minimum requirement * Medical Terminology * Anatomy and Physiology * AHIMA approved coding program or equivalent with documentation of successful completion. Experience: * Acute hospital experience in an acute care hospital, with three years of inpatient and outpatient coding experience utilizing automated encoder. Knowledge and Skills: * Extensive knowledge of ICD-9-CM and CPT * Understanding of UHDDS * Computerized medical records coding and abstracting experience - at least one year. * Experience analyzing and manipulating data from medical records coding and abstracts. Knowledge of APCs, E&M coding, Modifier usage. * Ability to utilize encoder at advanced level * Ability to utilize computer to maintain current status of coding process * Ability to code advanced level inpatient, outpatient and Emergency Department records Physical Demands - Clerical/Administrative Non-Patient Care: * Frequent sitting and standing/walking with frequent position change. * Continuous use of bilateral upper extremities in fine motor activities requiring fingering, grasping, and forward reaching between waist and chest level. * Occasional/intermittent reaching at or above shoulder level. * Occasional/intermittent bending, squatting, kneeling, pushing/pulling, twisting, and climbing. * Occasional/intermittent lifting and carrying objects/equipment weighing up to 25 pounds. * Continuous use of near vision, hearing and verbal communication skills in handling telephone calls, interacting with customers and co-workers and performing job duties. Key for Physical Demands Continuous 66 to 100% of the time Frequent 33 to 65% of the time Occasional 0 to 32% of the time

Marin Community Clinics, founded in 1972, is today, a multi-clinic network with a wide array of integrated primary care, dental, behavioral, specialty and referral services. As a Federally Qualified Health Center (FQHC), we provide vital health services to almost 40,000 individuals annually in Marin County. The Clinics regularly receive national awards from the Health Resources and Services Administrations (HRSA). Our Mission is to promote health and wellness through excellent, compassionate care for all. The Certified Medical Coder is responsible for reviewing and interpreting medical documentation to assign appropriate diagnosis and procedure codes for billing and reimbursement purposes. The ideal candidate will have a deep understanding of coding guidelines and regulations and be able to ensure the accuracy and completeness of all coding work. Requirement: * You must have either a Certified Professional Coder (CPC) certification or a Certified Coding Specialist (CCS) certification. Responsibilities * Review and analyze medical documentation to accurately assign ICD-10-CM, CPT, and HCPCS codes. * Ensure all coding is completed in a timely and accurate manner, with a high level of attention to detail. * Maintain knowledge of current coding guidelines and regulations. * Work collaboratively with medical staff and other healthcare professionals to ensure appropriate documentation and coding of services. * Participate in ongoing training and professional development to maintain certification and stay up-to-date on changes in coding guidelines and regulations. * Provide feedback and recommendations to management to improve the accuracy and efficiency of coding processes. * Maintain patient confidentiality and comply with all HIPAA regulations. * Other duties as may be assigned. Qualifications Education and Experience: * High school diploma or equivalent (GED) required. * Successful completion of a medical coding program. * Certified Professional Coder (CPC) certification is required. * Certified Coding Specialist (CCS) certification is required. * Familiarity with medical terminology, anatomy, and physiology. * Experience working in an FQHC clinic is preferred. * Proficiency in computer applications, including EPIC Electronic Health Records and coding software. Required Skills and Abilities: * Strong attention to detail and problem-solving skills. * Excellent communication and interpersonal skills. * Ability to work independently and as part of a team. Physical Requirements and Working Conditions: * Fulfill immunizaton and fit for duty regulatory requirements. * FProlonged periods of sitting at a desk and working on a computer. * Use of mouse, keyboard and headset. * Must be able to lift up to 15 pounds at times. Benefits: Our benefits program is designed to protect your health, family and way of life. We offer a competitive Benefits Program that includes affordable health insurance and Health Reimbursement Accounts (HRA), Dental and Vision Insurance, Educational and Continuing Education Benefits, Student Loan Repayment and Loan Forgiveness, Retirement Plan, Group Life and AD&D Insurance, Short term and Long Term Disability benefits, Professional Fee Reimbursement, Mileage and Cell Phone Reimbursement, Scrubs Reimbursement, Loupes Reimbursement, Employee Assistance Programs, Paid Holidays, Personal Days of Celebration, Paid time off, and Extended Illness Benefits. Marin Community Clinics is an Equal Employment Opportunity Employer Min USD $25.00/Hr. Max USD $35.00/Hr.

Santa Barbara Cottage Health seeks a HIM Coder II for their Health Information Management department responsible for coding and abstracting diseases and procedures for accurate administrative and clinic data and optimal hospital reimbursement, utilizing coding guidelines as set forth in Coding Clinic for ICD-9-CM and CPT Assistant for CPT/HCPCS. Major accountabilities include: Codes diseases and procedures abstracted from the medical record according to ICD-9-CM and CPT classification systems, utilizing only recognized coding guidelines. Abstracts data for coding utilizing the entire medical record in accordance with approved coding guidelines. QUALIFICATIONS: All job qualifications listed indicate the minimum level necessary to perform this job proficiently. Education: Minimum: Formalized education that provides knowledge and experience in the following areas: 1) Assigning ICD-9-CM and CPT coding classifications in an acute care setting; 2) UHDDS reporting requirements; 3) Medical terminology, anatomy, chemistry, pharmacology, physiology, and disease process. Preferred: Associates Degree Health Information Management. Certifications, Licenses, Registrations: Minimum: CSS. Preferred: CCS and RHIT or RHIA. Years of Related Work Experience: Minimum: 1 year. Preferred: 3 years.

Santa Barbara Cottage Health seeks a HIM Coder II for their Health Information Management department responsible for coding and abstracting diseases and procedures for accurate administrative and clinic data and optimal hospital reimbursement, utilizing coding guidelines as set forth in Coding Clinic for ICD-9-CM and CPT Assistant for CPT/HCPCS. Major accountabilities include: * Codes diseases and procedures abstracted from the medical record according to ICD-9-CM and CPT classification systems, utilizing only recognized coding guidelines. * Abstracts data for coding utilizing the entire medical record in accordance with approved coding guidelines. QUALIFICATIONS: All job qualifications listed indicate the minimum level necessary to perform this job proficiently. Education: * Minimum: Formalized education that provides knowledge and experience in the following areas: 1) Assigning ICD-9-CM and CPT coding classifications in an acute care setting; 2) UHDDS reporting requirements; 3) Medical terminology, anatomy, chemistry, pharmacology, physiology, and disease process. * Preferred: Associates Degree Health Information Management. Certifications, Licenses, Registrations: * Minimum: CSS. * Preferred: CCS and RHIT or RHIA. Years of Related Work Experience: * Minimum: 1 year. * Preferred: 3 years.

Job Summary: The Coder 3-HIM performs International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding and abstracts data the legal medical record for facilities, licensed under LLUMC and contracted other LLUH facilities. Assigns diagnosis and procedure codes in compliance with the American Hospital Association Official Coding Guidelines. Ensures the quality and accuracy of coding and abstracted information are in compliance with federal and state regulations, government and contract payers, and grant funding. Quality of data collected impacts the facility in multiple ways, including finance, legal, research, teaching, quality assurance, etc. Coder 3-HIM performs coding in all areas including, Inpatient, Outpatient, Emergency, Interventional Radiology etc. Performs secondary coding reviews as needed. Works with students and coding interns as requested. Performs other duties as needed. Education and Experience: Completion of Coding Certificate program or Associate's Degree in Health Information Management required. Minimum five years of experience coding in an acute care facility required. Experience may be considered in lieu of formal education. Knowledge and Skills: Extensive knowledge of ICD and CPT coding systems is required. Medical terminology required. Knowledge of the standards of Coding as set forth by the American Health Information Management Association. Able to read; write legibly; speak in English with professional quality; use computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint). Operate/troubleshoot basic office equipment required for the position; Able to relate and communicate positively, effectively, and professionally with others; work calmly and respond courteously when under pressure; collaborate and accept direction. Able 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. Licensures and Certifications: Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) credentials through AHIMA required.