Medical coder jobs in Roseville, CA - 45 jobs

Leidos, a global technology leader, is seeking a Combat Coder for our Sentinel program, supporting the United States Air Force in geographically distributed intelligence operations. Combat Coders directly support mission objectives by integrating data sources and interfaces quickly while being embedded with the user base. As a Combat Coder you will engage directly with our customers to build and modify all aspects of full-stack applications. Your contributions will move directly to production systems and get immediate feedback. You will be working with a small elite team of developers that focus on getting things done to support the mission. Join Leidos in our mission to enhance global security and efficiency through technology and innovation. Be part of a team that champions Integrity, Inclusion, Innovation, Agility, Collaboration, and Commitment. If you're ready to drive critical software deliveries, apply now to join Leidos as a Combat Coder for the Sentinel program! About the Role: We're seeking a Combat Coder - a highly skilled, adaptable full stack developer who thrives in challenging, disconnected, and resource constrained environments. You'll be building and integrating mission critical systems using Python, Apache NiFi, and other modern tools, often without the luxury of constant connectivity. This is not a "sit behind a desk and push commits" role - it's for someone who loves solving hard problems in the field, under pressure, and with creativity. Why You'll Love This Role: * You'll work on high impact projects where your code directly supports critical missions. * You'll be part of a tight knit, elite engineering team that values skill, creativity, and adaptability. * You'll face real technical challenges that push your abilities far beyond the ordinary Primary Responsibilities: * Integrate systems and data flows using Python, NiFi, and other integration frameworks. * Engineer resilient solutions that can operate in austere, bandwidth limited, or air gapped conditions. * Collaborate with cross functional teams to rapidly prototype and deliver mission critical capabilities. * Troubleshoot and optimize code and workflows in real time, often with incomplete information. * Document and harden solutions for long term maintainability in the field. Basic Qualifications: * Bachelors Degree with 4+ years of experience or a Masters Degree with 2+ years of experience. Additional experience maybe considered in lieu of a degree. * US Citizen with at least an active TS/SCI clearance and the ability to maintain your clearance during your employment with Leidos. * Proven full stack development experience. * Strong Python skills and experience with Apache NiFi or similar dataflow/integration tools. * Comfort working in disconnected or degraded network environments - you know how to make things work without cloud dependencies. * Solid understanding of APIs, data pipelines, and system integration patterns. * Creative problem solver who thrives on tackling complex, ambiguous challenges. * Self starter who can operate independently and deliver under tight deadlines. * Strong interpersonal and communication skills. * Understanding of source control such as Gitlab and others Preferred Qualifications: * Experience using JEMA and ARC GIS * Experience with DevOps in air gapped environments. * Background in secure coding practices and cyber resilient architectures. * Prior work in mission critical, defense, or field operations. At Leidos, we don't want someone who "fits the mold"-we want someone who melts it down and builds something better. This is a role for the restless, the over-caffeinated, the ones who ask, "what's next?" before the dust settles on "what's now." If you're already scheming step 20 while everyone else is still debating step 2… good. You'll fit right in. Original Posting: January 6, 2026 For U.S. Positions: While subject to change based on business needs, Leidos reasonably anticipates that this job requisition will remain open for at least 3 days with an anticipated close date of no earlier than 3 days after the original posting date as listed above. Pay Range: Pay Range $87,100.00 - $157,450.00 The Leidos pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.

This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education, analyzing reports, and identifying process improvements. **ESSENTIAL RESPONSIBILITIES** + Performs HCC coding on projects for MA, ACA, and End Stage Renal Disease (ESRD). Flexes between coding projects, including Retro and Prospective, with different MA, ESRD, and ACA HCC Models; works independently in various coding applications and electronic medical record systems to support departmental goals. Adheres to CMS Guidelines for Coding and Highmark's Policy and Procedures to guide HCC coding decision making. Maintains RPM coding accuracy and productivity requirements. + Assists with Regulatory Audits by performing first coding review and ranking of charts. Build partnerships and work within coding teams and internal partners critical to HCC coding. + Participates on ad-hoc projects per the direction of Leadership to address the needs of the department. Provides recommendations for process improvements and efficiencies. + Engages in RPM Coding educational meetings and annual coding Summit. + Other duties as assigned. **EDUCATION** **Required** + None **Substitutions** + None **Preferred** + Associate degree in medical billing/coding, health insurance, healthcare or related field preferred. **EXPERIENCE** **Required** + 3 years HCC coding and/or coding and billing **Preferred** + 5 years HCC coding and/or coding and billing **LICENSES or CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information Technician (RHIT) **Preferred** + None **SKILLS** + Critical Thinking + Attention to Detail + Written and Oral Presentation Skills + Written Communications + Communication Skills + HCC Coding + MS Word, Excel, Outlook, PowerPoint + Microsoft Office Suite Proficient/ - MS365 & Teams **Language (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Remote Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required No Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $26.49 **Pay Range Maximum:** $41.03 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J273522

Job DescriptionBenefits: 401(k) 401(k) matching Company parties Dental insurance Health insurance Opportunity for advancement Paid time off Training & development Vision insurance Position Overview The ICD-10 Home Health & Hospice Medical Coder is responsible for accurately reviewing, analyzing, and assigning ICD-10-CM diagnosis codes to clinical documentation for home health and hospice services. This role ensures compliance with CMS guidelines, OASIS requirements, and agency policies to support precise reimbursement, high-quality patient care, and regulatory compliance. The ideal candidate has demonstrated experience in Home Health ICD-10 coding, strong knowledge of OASIS/Evaluation criteria, and a thorough understanding of PDGM (Patient-Driven Groupings Model). Key Responsibilities Coding & Documentation Review Review clinical documentation to identify appropriate and accurate ICD-10-CM codes for home health and hospice encounters. Assign primary and secondary diagnoses following CMS, PDGM, and regulatory requirements. Validate medical necessity and ensure coding supports the plan of care and services rendered. Review and interpret physician orders, clinical notes, OASIS assessments, and other documentation to ensure accurate code selection. Quality, Compliance & Auditing Ensure all coding aligns with CMS, industry, and agency standards, including PDGM/PEPPER guidelines. Conduct self-audits or participate in agency coding audits to maintain accuracy and compliance. Assist with corrections and updates based on audit findings or regulatory changes. Maintain strict confidentiality and follow HIPAA requirements. Collaboration & Communication Communicate with clinicians, QA staff, and the billing department to clarify diagnoses, resolve documentation discrepancies, and improve coding accuracy. Provide feedback to clinical staff regarding documentation gaps that impact coding or reimbursement. Participate in training or educational sessions to enhance coding competency and knowledge of industry updates. Data Integrity & Workflow Management Complete coding assignments within established departmental timelines. Ensure accurate and timely submission of coded encounters for billing and compliance. Assist in optimizing coding workflows, documentation processes, and clinical data accuracy. Required Qualifications Minimum 2 years of Home Health ICD-10 coding experience (required). Certification from a recognized credentialing body such as: HCS-D (Home Care Coding SpecialistDiagnosis) preferred CPC, CCS, COC, or RHIT/RHIA accepted with Home Health-specific experience Strong understanding of PDGM, OASIS documentation requirements, and Medicare regulations. Experience with home health EMR systems (e.g., Homecare Homebase, WellSky/Kinnser, MatrixCare). Excellent analytical, critical-thinking, and documentation review skills. Strong understanding of pathophysiology, medical terminology, and clinical documentation requirements. Preferred Qualifications Hospice coding experience (ICD-10-CM) strongly preferred. Knowledge of HIS (Hospice Item Set) and hospice regulatory requirements. Experience working remotely or in a high-volume coding environment. Familiarity with PEPPER reports and quality metrics for home health agencies.

Description We are looking for an Inpatient Coding Specialist to join our team in Sacramento, California. In this contract position, you will play a vital role in ensuring the accurate coding and abstraction of medical records, adhering to federal and state regulations. This role requires a strong understanding of coding guidelines, compliance standards, and the ability to work independently while maintaining quality and productivity benchmarks. Responsibilities: - Accurately review and assign ICD-10-CM codes for diagnoses and procedures based on medical record documentation. - Utilize appropriate software tools, including Epic and 3M systems, to validate and group codes for reimbursement purposes. - Abstract required data elements from patient records to support accurate reporting and compliance. - Monitor Discharged Not Billed accounts and ensure timely processing of inpatient cases within the revenue cycle. - Collaborate with Clinical Documentation Specialists and medical staff to ensure completeness of patient records and proper coding assignment. - Verify discharge dispositions and admission sources for state reporting, ensuring compliance with regulatory guidelines. - Maintain quality and productivity standards through consistent and accurate coding practices. - Analyze documentation to optimize reimbursement and ensure alignment with third-party payer requirements. - Address missing or unclear information by consulting with providers and other stakeholders. - Follow all official coding guidelines and ethical standards as outlined by recognized organizations. Requirements - Proficiency in ICD-10-CM coding and Diagnosis Related Group (DRG) assignment. - Strong knowledge of coding compliance regulations and billing standards. - Experience with coding software such as Epic, 3M Encoder, and other medical record systems. - Exceptional attention to detail and ability to abstract data accurately. - Effective communication skills to collaborate with medical staff and documentation specialists. - Ability to work independently while meeting productivity and quality standards. - Familiarity with federal and state reporting requirements related to inpatient coding. - Strong time management and problem-solving skills to handle multiple tasks effectively. TalentMatch Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use (https://www.roberthalf.com/us/en/terms) and Privacy Notice (https://www.roberthalf.com/us/en/privacy) .

Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary: Codes for cancer center encounters and maintains required quality and productivity standards while remaining compliant with third party, state and federal regulations. Reviews and resolves medical necessity edits that may apply for any outpatient surgical encounters, applying hospital and professional modifiers to CPT codes and processes any errors associated with the revenue cycle process. Assists in the design and implementation of workflow changes to reduce coding and billing errors. Uses knowledge of data collection systems for medical records. Reviews medical record documentation and accurately assigns appropriate ICD-10-CM diagnoses, CPT codes and modifiers as applicable for both the hospital and professional claim. Validates and processes any medical necessity edits (local or national coverage determinations) that may apply for hospital and professional coding. Monitors Discharged Not Billed (DNB) accounts, and as a team, ensure timely, compliant processing of outpatient and inpatient encounters through the hospital and professional revenue cycle. Codes and posts charges for outpatient complex cancer center procedures and diagnoses for the purpose of reimbursement, research, statistical data gathering, and compliance. Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Maintains current knowledge of coding guidelines and reimbursement reporting requirements. Demonstrates a high degree of independence in performance of responsibilities, working effectively without direct supervision. Job Requirements: Education and Work Experience: High School Education/GED or equivalent: Required Experience with RadOnc and MedOnc coding: Required Experience in an acute care setting: Preferred Experience with Varian, Aria, Mosaiq and Cerner Oncology programs: Preferred Licenses/Certifications: Radiation Oncology Certified Coder (ROCC) certification: Required Essential Functions: Develops physician and departmental relationships. Creates physician and coder education for cancer center specialty. Performs cancer center coding. Handles return for coding review and resolution. Performs charge reviews and makes corrections as needed. Communicates complex concepts in simple form to non-finance users to understand the appropriate use and limits of information provided. Performs other job-related duties as assigned. Organizational Requirements: Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit ******************************************** for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

**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. + The 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.

Under direct supervision, the Hospital Outpatient Coder is responsible for the accurate coding and abstracting of diagnoses, conditions and procedures from medical record documentation for Hospital Ambulatory Surgery (HAS), Home Health/Hospice (if applicable), Observation (OBS) and Hospital complex Outpatient Visit (CHOY) including capture of codes for outpatient services that require monitored anesthesia and conscious sedation. Working from appropriate documentation, assign the appropriate codes and modifiers with ICD-CM, CPT and HCPCS Level II codes. All work must be performed in accordance with the rules, regulations and coding conventions of ICD-CM Official Guidelines for Coding and Reporting, Coding Clinic published by the American Hospital Association, the ICD-CM, CPT and HCPCS code book, CPT Assistant, NCCI Edits, OSHPD and Kaiser Permanentes organizational and institutional coding guidelines. Essential Responsibilities: * Review Medical Records to identify diagnoses/procedures. * Reviews medical record documentation to identify diagnoses/procedures to be coded Independently organizes and prioritizes work assignments to ensure that records are coded timely and compliantly in conformance with regulatory requirements. * Codes all appropriate diagnosis and procedures from the medical record using ICD-CM, * CPT and HCSPCS coding classification systems. * Responsible for the sequencing of diagnoses and procedure codes in accordance with guidelines outlined in ICD-CM, CPT, Uniform Hospital Discharge Data Set, Medicare regulations and other appropriate classification systems. * Verifies and abstracts the appropriate data from the medical records to meet requirements for data submission and reporting. Corrects data as needed. * Ensures that all data abstracted is consistent with guidelines outlined by TJC, OSHPD, CMS, and regional and local KP policies. * Ensures the accuracy and integrity of data abstracted and coded based on medical record documentation prior to data submission or coding completion. * Interacts with physicians to clarify and accurately document patient diagnostic and procedural information when appropriate. * Ensures timely data completion by meeting coding/abstracting productivity/quality standards established for the position. * Confidentiality/Security of Systems: Maintains and complies with policies and procedures for confidentiality of all patient records. * Demonstrates knowledge of privacy and security of systems and associated policies and procedures for maintaining the security of the data contained within the systems. * Other Duties: Performs other duties as assigned. Grade 565

Medical Coder and Biller (Vascular Procedures) Schedule: Full-Time and Part-Time positions Salary: Competitive Salary & Bonus Program Benefits: Health, Dental, Vision, EAP, 401(k), FSA, Costco, AAA, etc. ABOUT US With a growing network of locations, California Foot & Ankle Centers (CALFAC) and the Vascular Institutes in Sacramento, Dallas, and Houston, provide comprehensive care and surgery, including advanced wound care and amputation-prevention therapies, lower extremity peripheral nerve surgery, vascular surgery and endovascular procedures.. We have been serving patients for over 60 years, building a loyal patient base keeping our clinic locations busy with little to no marketing during that time. Our highly-competent doctors and medical staff all believe in giving a caring approach to each patient, as well as our utilizing the most modern technology available. Further, we conduct clinical trials and podiatric research at all of our locations. As a part of our team, you will be welcome in working with us for years to come as we do good work in our communities. We value team building, and our staff oftimes engages in after work activities in order to build relationships and play an essential role in our community. JOB BRIEF We are seeking an experienced medical coding professional, with vascular coding experience, to provide our doctors and scribes the best coding and charting guidance. Must be experienced with 2022 CPT, HCPCS, and ICD-10 codes. Must also be experienced with CCI edits, DRG, and correct use of modifiers. Must have 2+ years of surgical coding minimum. Must have a thorough knowledge of human anatomy and medical terminology, as well as an analytical mind. As you consult, advise, interpret, and code patients' medical records, transcriptions, test results, and other documentation, we will rely on you to ask questions, connect the dots, and uncover information that may be difficult to find-all with the ultimate goal of ensuring a smooth billing process. A pleasant, calm, and professional demeanor is essential, as the front office staff are the first and last people that the patients interact with. As a member of our team, we all provide a high level of efficient patient care, while always presenting a caring, ethical, and professional experience for the patients. ESSENTIAL FUNCTIONS: Research proper coding options for medical procedures (Scope: lower extremities, both office and surgical) Attend conferences, symposiums, or other opportunities to learn new codes and coding rules Prepare summaries and assign the appropriate codes or code sets that apply Assist in preparing medical record documentation/charts for doctors, scribes, surgery schedulers, and other clinicians With the doctor or other clinician during the patient visit, capture and transcribe medical record documentation Assign diagnosis and procedure codes for clinic visits and surgical procedures/ deliveries Assist other team members with inquiries regarding coding, documentation, denials and billing Follow all written policies, procedures, and protocols of the clinic, hospitals, surgery centers, etc. Adhere to all policies regarding safety, confidentiality and HIPPA guidelines Work fluidly in our EHR systems (EPIC) and eClinical Works (eCW) to ensure info is accurate and complete Ensure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations Review patients' charts and documents for verification and accuracy Follow up and clarify any information that is not clear to other staff members Participate in various projects and/or meetings, and complete other tasks as assigned by management Cross-train and help coworkers as needed KNOWLEDGE and Experience: Minimum 3-5 years of experience in medical coding Minimum 2 years of experience in surgical coding Certification as a CPC for medical practices a big plus, but not required Knowledge of legal, regulatory and policy compliance issues regarding medical coding/billing and documentation High school diploma required; Associate college degree preferred Proficient in Microsoft Word, Excel, fax, printers, scanners, and other office software Minimum 2 years experience working with EHR systems (especially EPIC or eCW). Must be fluent in English (read, write, comprehend, and speak) Knowledge and understanding of human anatomy and medical terminology Knowledge and understanding of the workings of medical offices and hospitals PROFESSIONALISM: Must have strong organizational and time management skills Ability to work on multiple tasks and meet deadlines Ability to work independently with minimal supervision Excellent communication skills Detail-oriented and must Ability to maintain strict confidentiality as required Be a team player PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit, stand, walk, speak, hear, use hands, handle documents, bend and stoop as needed, and reach with hands and arms. The position requires use of keyboard and computer regularly. Strong vision abilities to perform extensive computer-related work.

Billing Medical Coder The Billing Medical Coder is responsible for the day-to-day coding and billing operations for all services billable under grants, federal, state, and county programs including Medicare, Medi-Cal, managed care and private insurances. Location: This role is located in Midtown - Sacramento, CA (95811). This role allows a hybrid schedule requiring 1-2 days per week on site. Training Period: 4-6 weeks onsite, 5 days per week ESSENTIAL FUNCTIONS Review and adjudicate coding of services from documentation in a timely manner. Code physician/provider visit procedure notes to identify appropriate ICD10 and CPT4 codes for charge processing. Ensures that all diagnosis ICD10 codes and procedure CPT, HCPCS codes are identified, sequenced, and coded in an accurate and ethical manner for optimized reimbursement. Assigns Evaluation and Management codes and key concepts/elements documented in the patient note, utilizing defined coding guidelines applicable to professional and technical standards Research and identifies correct codes for routine, and/or new or unusual diagnosis and procedures not clearly listed in ICD10 and CPT guidelines and functions of the position Identify all procedures that may require modifiers (including 340B) for billing and reporting. Query providers as needed - Consult with physician and providers for clarification of clinical data when encountering conflicting or ambiguous information and/or significant missing documentation. Track cases with insufficient documentation, ensuring the case does become appropriately coded and billed. Ensures documentation/coding meets Federal, State, County, and payer regulations and guidelines. Maintain knowledge of current guidelines, policies, ad regulatory updates (e.g., CMS, HIPPA) Participate in internal audits, compliance initiatives, and continuing education. Assist with claims submission and respond to coding-related denials and audits. Ensure coding productivity and accuracy standards are met or exceeded. Experience with EHR systems, coding software (e.g., Epic, EncoderPro) Excellent attention to details, analytical skills, and communication abilities ADDITIONAL DUTIES Provider Training - attend monthly provider meetings to advise providers of any changes to coding rules & regulations, field coding questions MINIMUM REQUIREMENTS Current CPC certification through AAPC or AHIMA, must be kept current and in good standing. Expertise in the following area, typically gained from 2 years of experience in medical coding. Comprehensive knowledge and understanding of medical coding including insurance payor guidelines, ICD1O, CPT Billing, E/M coding Ability to work in collaboration with the Billing Manager to provide clinician education on coding guidelines. Ability to analyze medical records in an Electronic Health Record system to identify documentation deficiencies and verify documentation supports diagnoses, procedures and treatments. PREFERRED BACKGROUND FQHC experience Ochin Epic or Epic experience Ability to collaborate effectively across a broad spectrum of backgrounds and perspectives. Candidates who demonstrate inclusive thinking and interpersonal awareness help strengthen our commitment to equitable and compassionate care for all. Reasonable Accommodations One Community Health endorses and supports the Americans with Disabilities Act of 1990 (ADA) and the California Fair Employment and Housing Act (FEHA) and is committed to providing reasonable accommodations to qualified individuals with disabilities who are applicants or employees who need accommodations. If you require an accommodation due to a disability to complete this application or you are experiencing difficulty submitting your application, please contact us at ****************************************. Our Benefits For more information on the comprehensive benefits we provide, please visit: ************************************************** Additional Information: We only employ US citizens and non-US citizens authorized to work in the United States in compliance with federal law.

Responsibilities Heritage Oaks Hospital is part of the UHS Family of Providers which has been highly regarded as an integral part of the greater Sacramento and Northern California mental health system since 1988. Conveniently located in northern Sacramento, Heritage Oaks is a fully accredited, 125-bed acute psychiatric hospital offering a full range of individually tailored treatment services to adolescents, adults, and senior adults, including treatment for substance abuse and chemical dependency issues with drugs and alcohol. Heritage Oaks is a Medicare provider in addition to contracts with most commercial health insurance plans. We are committed to providing service excellence to all and ensuring our patients receive the optimal level of care that will be most beneficial to their health and recovery. Website: ********************************* Heritage Oaks is looking for a Full-Time Health Information Management (HIM) Supervisor to join the team! Under the general direction of the director, medical record department, this individual is responsible to Delegates and performs tasks such as assembly, audit, filing, release of information and performance improvement & follows the release of information policy. You will demonstrate knowledge of the flow of medical records, terminal digit filing system, incomplete/delinquent record process, master patient index, permanent file. You will recruit, develop and supervise employees necessary to efficiently perform departmental functions; any other duties assigned by the Director of Medical Records. Employee works under continual, regular supervision. All work is carried out in accordance with the department's approved policies and procedures. * Must be able to effectively and efficiently manage subordinate staff, delegate authority, work assignments and must be able to perform job tasks of HIM specialist and Coder as needed. * Must have knowledge of medicolegal aspects of record keeping. * Informs and educates the medical staff and clinicians regarding documentation within the chart as it pertains to TJC, Title XXII, Medicare and hospital Bylaws. * Monitors medical transcription services for the Hospital. * Assures a smoothly functioning information system for the benefit of patients, medical staff, administration and the community. * Monitors physician completion of medical records within 14 days of discharge of patients. Qualifications Education: Health Information Management/Technology College Degree preferred. Experience: Minimum of (5) years of hospital medical records experience and (1) year of supervisory experience. Additional Requirements: RHIT certification required. CPR certification and successful completion of the hospital's designated physical and behavioral management training program, including de-escalation and appropriate use of seclusion and restraint, required prior to assisting in the procedures. Incumbent may be required to work overtime or flexible hours. About Universal Health Services One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $14.3 billion in 2023. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 96,700 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. *********** EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Avoid and Report Recruitment Scams At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

The Medical Records Director assumes authority, responsibility and accountability for the record keeping procedures and storage of all clinical records in a manner consistent with facility policies and procedures, professional standards and county, state and federal laws and regulations, as applicable, for long term care facilities. Establishes and implements policies to ensure that records are complete, accurately documented, readily accessible and systematically organized. QUALIFICATIONS/REQUIREMENTS: Education: High School graduate or equivalent Work Experience: At least on year of clerical experience, including filing Experience as a medical records practitioner in long term care facility preferred Ability to type, calculate and perform data entry skills ESSENTIAL JOB FUNCTIONS: • Perform health record maintenance duties; assembling, labeling, cleaning, filing and purging documents • Keys information into computer systems, including EMR • Maintain stock of forms and record supplies • Request necessary resident information from transferring facilities • Process external information requests from authorized institutions and individuals • Compile statistical data at the direction of Administrator • Prepare Alirts (OSHPD) yearly report • Maintain the confidentiality and physical security of health records in accordance with HIPPA rules and regulationS • Perform concurrent and discharge quantitative audits of health records. Physician visit audits. Notification of physician when required by procedure • Develop and perform specialized audits on a predetermined time sequenced rotation with plan of completion to be defined and time limited. Audit all current resident charts to notate deficiencies and obtain and assist in corrections on a scheduled basis. Submit deficiency reports and to persons responsible for correction with date of completion to be returned (3 days) to the Administrator, Director of Nurses or designated representatives. • Disease index coding at time of admission, when diagnostic status alters and within 30 days of discharge date. Complete any outstanding disease index coding • Discharge charts must include the following information prior to filing: a. Final Diagnosis and/or Death Certificate b. Completed Disease Index Coding c. Obtain all outstanding documentation and required signatures to meet criteria mandated by facility policy. • Mail telephone order forms to physicians daily, assure prompt return and file in chart • Prepare Physician Orders, Medication/Treatment records, ADL records and Resident Care Plans for accurate input into computer and printing on scheduled basis • Perform computer operation functions including regular input of data and printing on a scheduled basis • Keep computer terminal(s), keyboard(s) and office clean and functional • Maintain appropriate medical record storage and destruction of medical records consistent with facility policy • Follow-up on reports and recommendations submitted by the Medical Records Consultants and Service Center Medical Records Analysts • Report to the Director of Nursing and Administrator significant documentation problems • Attend and participate in in-service education and staff meetings as required, including risk management and daily stand-up meetings. Maintain minutes of meetings/files as requested • Be courteous, considerate and cooperative when communication with all facility personnel, resident and public • React appropriately to emergencies and disaster situations JOB FUNCTIONS: • Demonstrate knowledge of, and respect for, the rights, dignity and individuality of each resident in all interactions • Appreciates the importance of maintaining confidentiality of resident and facility information • Demonstrate honesty and integrity at all times in the care and use of resident and facility property • Must be able to key information into computer systems • Able to understand and to follow written and/or verbal directions. Able to express self adequately in oral and/or written communication. Able to communicate effectively with staff members, other professional staff, consultants and residents • Demonstrates ability to prioritize tasks/responsibilities and complete duties/projects within allotted time • Able to respond to change productively and to handle additional tasks/projects as assigned • Able to carryout the essential functions of this job (with or without reasonable accommodation) without posing specific, current risk of substantial harm to health and safety of self and others • Other duties as assigned by the Administrator

Description: The Release of Information (ROI) Specialist I within the VitalChart department of VRC Companies, LLC ("VRC") is responsible for processing all assigned requests for medical records in a timely, efficient manner while ensuring accuracy and the highest quality service to healthcare clients. This position must, always, safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all Release of Information requests follow the request authorization, VRC, and healthcare facility policies as well as federal/state statutes, such as HIPAA. Additionally, this position is required to continually perform at a high quality and productivity level. This position interacts with the ROI Area Manager and/or ROI Team Leader regularly and will keep them informed of any concerns or issues regarding quality, connectivity, client concerns, and requestor issues that may impact VRC performance or service expectations. This position must conduct interpersonal relationships in a manner designed to project a positive image of VRC. Key Responsibilities / Essential Functions * Assigned Release of Information request types will primarily be Continuing Care and Disability Determination Services, with cross-training on other request types as supervisor deems appropriate based on experience and performance * Accesses Release of Information requests and medical records for healthcare client(s) according to the specific procedure and security protocol for each client * Completes Release of Information requests daily, prioritizing requests as needed based on turnaround timeframes and procedures of VRC and the service agreement between the healthcare facility and VRC * validates requests and signed patient authorizations for compliance with HIPAA, other applicable federal and state statutes, and established procedure * classifies request type correctly * logs request into ROI software * retrieves and uploads requested portions of the patient's medical chart (from electronic or physical repository) * performs Quality Control checks to ensure accuracy of the release and to avoid breaches of Protected Health Information (PHI) * checks for accurate invoicing and adjusts invoice as needed * releases request to the valid requesting entity * Rejects requests for records that are not HIPAA-compliant or otherwise valid * For records pulled from a physical repository, returns records to proper location per VRC and healthcare client procedure * Documents in ROI software all exceptions, communications, and other relevant information related to a request * Alerts supervisor to any questionable or unusual requests or communications * Alerts supervisor to any discovered or suspected breaches immediately * Alerts supervisor to any issues that will delay the timely release of records * Answers requestor inquiries about a request in an informative, respectful, efficient manner * Stores all records and files properly and securely before leaving work area. * Ensures adequate office supplies available to carry out tasks as soon as they arise * Is available and knowledgeable to take on additional healthcare facilities or request types to assist during backlogs * Understands that healthcare facility assignments (on-site and/or remote) are subject to change * Carries out responsibilities in accordance with VRC and healthcare facility policies and procedures as well as HIPAA, state/federal regulations, and labor regulations * Maintains confidentiality, security, and standards of ethics with all information * Works with privileged information in a conscientious manner while releasing medical records in an efficient, effective, and accurate manner * Alerts supervisor to any connectivity problems, malfunctions of software or computer/office equipment, or security risks in work environment * Must adhere to all VRC policies and procedures. * Completes required training within the allotted timeframe * Creating invoices and billing materials to send to our clients * Ensuing that client information details are kept up to date * All other duties as assigned. Requirements Minimum Knowledge, Skills, Experience Required * High School Diploma (GED) required; degree preferred * Prior experience with ROI fulfillment preferred * Demonstrated attention to detail * Demonstrated ability to prioritize, organize, and meet deadlines * Demonstrated documentation and communication skills * Demonstrated ability to maintain productivity and quality performance * Basic knowledge of medical records and the Health Insurance Portability and Accountability Act of 1996 (HIPAA) preferred * Prior experience with EHR/EMR platforms preferred * Prior experience with Windows environment and Microsoft Office products * Displays strong interpersonal skills with team members, clients, and requestors * Must have strong computer skills and Microsoft Office skills * Prior experience with operations of equipment such as printers, computers, fax * machines, scanners, and microfilm reader/printers, etc. preferred * Must be detailed oriented, self-motivated and can stay focused on tasks for extended periods of time. * Must be able to read, write, speak, and comprehend English. Bilingual skills are desirable. Salary Description $21.00-$24.00

Requirements Minimum Knowledge, Skills, Experience Required High School Diploma (GED) required; degree preferred Prior experience with ROI fulfillment preferred Demonstrated attention to detail Demonstrated ability to prioritize, organize, and meet deadlines Demonstrated documentation and communication skills Demonstrated ability to maintain productivity and quality performance Basic knowledge of medical records and the Health Insurance Portability and Accountability Act of 1996 (HIPAA) preferred Prior experience with EHR/EMR platforms preferred Prior experience with Windows environment and Microsoft Office products Displays strong interpersonal skills with team members, clients, and requestors Must have strong computer skills and Microsoft Office skills Prior experience with operations of equipment such as printers, computers, fax machines, scanners, and microfilm reader/printers, etc. preferred Must be detailed oriented, self-motivated and can stay focused on tasks for extended periods of time. Must be able to read, write, speak, and comprehend English. Bilingual skills are desirable. Salary Description $21.00-$24.00

General Purpose The primary purpose of your job position is to maintain resident medical records and health information systems in accordance with current federal and state guidelines as well as in accordance with our facility's established privacy policies and procedures. Essential Duties Administrative Functions • Receive and follow work schedule/instructions from your supervisor and as outlined in our established policies and procedures. • Assist in organizing, planning and directing the medical records department in accordance with established policies and procedures. • Assist the Medical Records/Health Information Consultant as required. • Maintain minutes of meetings. File as necessary. • Develop and maintain a good working rapport with inter-department personnel, as well as other departments within the facility, to assure that medical records can be properly maintained. • Assist in recording all incidents/accidents. File in accordance with established policies and procedures. • Retrieve resident records (manually/electronically). Deliver as necessary. • Files information such as nurses' notes, resident assessments, progress notes, laboratory reports, x-ray results, correspondence, etc., into resident charts. • Collect, assemble, check and file resident charts as required. • Assist MDS Coordinator in scheduling assessments in accordance with current facility and OBRA guidelines. • Ensure incomplete records/charts are returned to appropriate departments or personnel for correction. • Assist in developing procedures to ensure resident records are properly completed, assembled, coded, signed, indexed, etc., before filing. • Establish a procedure to ensure resident charts/records do not leave the medical records room except as authorized in our policies and procedures. • Maintain a record of authorized information released from charts/records, i.e., type information, name of recipient, date, department, etc. • Abstract information from records as authorized/required for insurance companies, Medicare, Medicaid, VA, etc. in accordance with current Privacy Rules. • Index medical records as directed by the medical records/health information consultant. • Maintain various registries as directed including register for admission and discharge of residents. • Transcribe and type reports for physicians as necessary. • Collect charts, assemble them in proper order, and inspect them for completion. • Pick up and deliver resident medical records from wards, nurses' stations, and other designated areas as necessary. • Batch resident information into the computer and retrieve resident demographic information as appropriate or as instructed. • Answer telephone inquiries concerning medical records functions. Prepare written correspondence as necessary. • Retrieve medical records when requested by authorized personnel (i.e., physicians, nurses, government agencies and personnel, etc.) • Assure that medical records taken from the department are signed out and signed in upon return to the department. • File active and inactive records in accordance with established policies. • Index medical records as directed. • Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator. • Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Administrator. • Report any known or suspected unauthorized attempt to access facility's information system. • Assume the administrative authority, responsibility, and accountability of performing the assigned duties of this position. Committee Functions • Perform secretarial duties for committees of the facility as directed. • Collect and assemble/compile records for committee review, as requested, and prepare reports for staff/other committees as directed. Personnel Functions • Report known or suspected incidents of fraud to the Administrator. • Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen-saver activates within established facility policy guidelines. Staff Development • Attend and participate in mandatory facility in-service training programs as scheduled (e.g., OSHA, TB, HIPAA, Abuse Prevention, etc.). • Attend and participate in workshops, seminars, etc., as approved. Safety and Sanitation • Report all unsafe/hazardous conditions, defective equipment, etc., to your supervisor immediately. Equipment and Supply Functions • Report equipment malfunctions or breakdowns to your supervisor as soon as possible. • Ensure supplies have been replenished in work areas as necessary. • Assure that work/assignment areas are clean and records, files, etc., are properly stored before leaving such areas on breaks, end of workday, etc. Budget and Planning Functions • Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc. Other duties as assigned. Supervisory Requirements You are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. Qualification Education and/or Experience Must possess, as a minimum, a high school diploma or GED. Must be able to type a minimum of 45 words per minute and use dictation equipment. A working knowledge of medical terminology, anatomy and physiology, legal aspects of health information, coding, indexing, etc., preferred but not required. On-the-job training provided in medical record and health information system procedures. Must be knowledgeable of medical terminology. Be knowledgeable in computers, data retrieval, input and output functions, etc. Language Skills Must be able to read, write, speak, and understand the English language. Ability to read technical procedures. Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations. Reasoning Ability Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, visitors and the general public. Must possess the ability to work harmoniously with other personnel. Must possess the ability to minimize waste of supplies, misuse of equipment, etc. Must possess the ability to seek out new methods and principles and be willing to incorporate them into existing practices. Be able to follow written and oral instructions. Must not pose a direct threat to the health or safety of other individuals in the workplace. Physical Demands Must be able to move intermittently throughout the workday. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of this position can be fully met. Must function independently, have personal integrity, have flexibility, and the ability to work effectively with other personnel. Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination. Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet. May be necessary to assist in the evacuation of residents during emergency situations. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Works in office areas as well as throughout the facility. Moves intermittently during working hours. Is subject to frequent interruptions. Works beyond normal working hours, weekends and holidays and on other shifts/positions as necessary. Is subject to call back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.). Attends and participates in continuing educational programs. Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. Communicates with nursing personnel, and other department personnel. Is subject to hostile and emotionally upset residents, family members, personnel, visitors, etc. Is involved with residents, family members, personnel, visitors, government agencies and personnel, etc., under all conditions and circumstances. May be subject to the handling of and exposure to hazardous chemicals. Additional Information Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.

This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. **ESSENTIAL RESPONSIBILITIES** + Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (60%) + Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) + Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) + Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work.(5%) + Acts as a mentor and subject matter expert to others. (5%) + Performs other duties as assigned or required. (5%) **QUALIFICATIONS:** Minimum + High School/GED + 5 years of Hospital and/or Physician Coding + 1 year of Coding - all specialties and service lines + Extensive knowledge in Trauma/Teaching/Observation guidelines + Successful completion of coding courses in anatomy, physiology and medical terminology + Any of the following: + Certified Coding Specialist (CCS) + Registered Health Information Technician (RHIT) + Registered Health Information Associate (RHIA) + Certified Coding Specialist Physician (CCS-P) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) Preferred + Associate's Degree **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $23.03 **Pay Range Maximum:** $35.70 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J270102

Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary: Serves as a subject matter expert in hospital and professional coding and interacts with other teams and departments across the organization such as patient financial services, revenue integrity (charge description master) team, provider teams and/or compliance on a routine basis. Performs coding for cardiac/IVR procedures and maintains required quality and productivity standards while remaining compliant with third party, state and federal regulations. Reviews and resolves medical necessity edits that may apply for any outpatient surgical encounters, applying hospital and professional modifiers to CPT codes, and processes any errors associated with the revenue cycle process. Assists in the design and implementation of workflow changes to reduce coding and billing errors. Reviews medical record documentation and accurately assigns appropriate ICD-10-CM diagnoses, CPT codes and modifiers as applicable for both the hospital and professional claim. Validates and processes any medical necessity edits (local or national coverage determinations) that may apply for hospital and professional coding. Monitors discharged not billed accounts, and as a team, ensures timely, compliant processing of outpatient and inpatient encounters through the hospital and professional revenue cycle. Codes and posts charges for inpatient and outpatient complex cardiac and interventional radiology procedures and diagnoses for the purpose of reimbursement, research, statistical data gathering, and compliance. Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Maintains current knowledge of coding guidelines and reimbursement reporting requirements. Demonstrates a high degree of independence in performance of responsibilities, working effectively without direct supervision. Exhibits strong time management, problem solving and communication skills. Job Requirements: Education and Work Experience: High School Education/GED or equivalent: Required Two years' experience if certified interventional radiology cardiovascular coder (CIRCC); otherwise, ten years' experience: Required Experience in an acute care setting: Preferred Experience in cardiac and IVR coding: Required Licenses/Certifications: Certified Coding Specialist (CCS): Required Certified Interventional Radiology Cardiovascular Coder (CIRCC) or earn certification within one year of hire: Required CIRCC-AAPC: Required Essential Functions: Performs specialty acute cardiac/IVR coding functions. Handles return for coding review and resolution. Performs charge reviews and makes corrections as needed. Communicates complex concepts in simple form to non-finance users to understand the appropriate use and limits of information provided. Performs other job-related duties as assigned. Organizational Requirements: Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit ******************************************** for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

Description We are looking for a detail-oriented Fee Coder to join our team in Sacramento, California. This long-term contract position focuses on ensuring the accurate coding and processing of fees for patient services. The role emphasizes collaboration with various departments to optimize reimbursement, maintain compliance, and provide valuable feedback to healthcare providers. Candidates will play a vital role in enhancing charge capture and ensuring timely submission of services. Responsibilities: - Accurately apply diagnostic and procedural codes, including modifiers, based on current coding guidelines. - Review and code services for billing while ensuring all charges are properly documented and accounted for. - Collaborate with physicians to clarify documentation and provide feedback on compliance and revenue optimization. - Resolve pre-bill edits and perform follow-up actions to ensure clean claims are filed promptly. - Stay informed about coding standards, guidelines, and reporting requirements to maintain accuracy and compliance. - Conduct queries to address unclear or ambiguous documentation in medical records. - Utilize coding practices that improve cash flow and support efficient claims processing. - Work closely with departments to optimize reimbursement and reduce late charges. - Provide routine feedback to healthcare providers regarding documentation practices and compliance. - Ensure all services are submitted timely and meet quality standards. Requirements - Associate's degree in a relevant field or equivalent combination of education and experience. - Certification as a Coder, Registered Health Information Technician, or equivalent within 180 days of employment. - Strong knowledge of medical terminology, anatomy, physiology, and disease processes. - Familiarity with ICD-9-CM and ICD-4 coding conventions and compliance standards. - Ability to analyze and resolve both technical and non-technical problems effectively. - Proficiency in computer systems and software relevant to medical coding and billing. - Excellent organizational skills with the ability to prioritize tasks and meet deadlines. - Capacity to build effective working relationships and collaborate across teams. TalentMatch Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use (https://www.roberthalf.com/us/en/terms) and Privacy Notice (https://www.roberthalf.com/us/en/privacy) .

Job DescriptionDescription: Description: The Release of Information (ROI) Specialist I within the VitalChart department of VRC Companies, LLC (“VRC”) is responsible for processing all assigned requests for medical records in a timely, efficient manner while ensuring accuracy and the highest quality service to healthcare clients. This position must, always, safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all Release of Information requests follow the request authorization, VRC, and healthcare facility policies as well as federal/state statutes, such as HIPAA. Additionally, this position is required to continually perform at a high quality and productivity level. This position interacts with the ROI Area Manager and/or ROI Team Leader regularly and will keep them informed of any concerns or issues regarding quality, connectivity, client concerns, and requestor issues that may impact VRC performance or service expectations. This position must conduct interpersonal relationships in a manner designed to project a positive image of VRC. Key Responsibilities / Essential Functions Assigned Release of Information request types will primarily be Continuing Care and Disability Determination Services, with cross-training on other request types as supervisor deems appropriate based on experience and performance Accesses Release of Information requests and medical records for healthcare client(s) according to the specific procedure and security protocol for each client Completes Release of Information requests daily, prioritizing requests as needed based on turnaround timeframes and procedures of VRC and the service agreement between the healthcare facility and VRC validates requests and signed patient authorizations for compliance with HIPAA, other applicable federal and state statutes, and established procedure classifies request type correctly logs request into ROI software retrieves and uploads requested portions of the patient's medical chart (from electronic or physical repository) performs Quality Control checks to ensure accuracy of the release and to avoid breaches of Protected Health Information (PHI) checks for accurate invoicing and adjusts invoice as needed releases request to the valid requesting entity Rejects requests for records that are not HIPAA-compliant or otherwise valid For records pulled from a physical repository, returns records to proper location per VRC and healthcare client procedure Documents in ROI software all exceptions, communications, and other relevant information related to a request Alerts supervisor to any questionable or unusual requests or communications Alerts supervisor to any discovered or suspected breaches immediately Alerts supervisor to any issues that will delay the timely release of records Answers requestor inquiries about a request in an informative, respectful, efficient manner Stores all records and files properly and securely before leaving work area. Ensures adequate office supplies available to carry out tasks as soon as they arise Is available and knowledgeable to take on additional healthcare facilities or request types to assist during backlogs Understands that healthcare facility assignments (on-site and/or remote) are subject to change Carries out responsibilities in accordance with VRC and healthcare facility policies and procedures as well as HIPAA, state/federal regulations, and labor regulations Maintains confidentiality, security, and standards of ethics with all information Works with privileged information in a conscientious manner while releasing medical records in an efficient, effective, and accurate manner Alerts supervisor to any connectivity problems, malfunctions of software or computer/office equipment, or security risks in work environment Must adhere to all VRC policies and procedures. Completes required training within the allotted timeframe Creating invoices and billing materials to send to our clients Ensuing that client information details are kept up to date All other duties as assigned. Requirements: Minimum Knowledge, Skills, Experience Required High School Diploma (GED) required; degree preferred Prior experience with ROI fulfillment preferred Demonstrated attention to detail Demonstrated ability to prioritize, organize, and meet deadlines Demonstrated documentation and communication skills Demonstrated ability to maintain productivity and quality performance Basic knowledge of medical records and the Health Insurance Portability and Accountability Act of 1996 (HIPAA) preferred Prior experience with EHR/EMR platforms preferred Prior experience with Windows environment and Microsoft Office products Displays strong interpersonal skills with team members, clients, and requestors Must have strong computer skills and Microsoft Office skills Prior experience with operations of equipment such as printers, computers, fax machines, scanners, and microfilm reader/printers, etc. preferred Must be detailed oriented, self-motivated and can stay focused on tasks for extended periods of time. Must be able to read, write, speak, and comprehend English. Bilingual skills are desirable.

Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary: Reviews SDS and OBV records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines. Records types including same day surgery and observation encounter types. Works on routine assignments within defined parameters, established guidelines and precedents. Follows established procedures and receives daily instructions on work. Job Requirements: Education and Work Experience: High School Education/GED or equivalent: Required Associate's/Technical Degree or equivalent combination of education/related experience: Preferred Working knowledge of hospital Cerner EMR (electronic medical record): Required Three years' coding and health care experience: Required Licenses/Certifications: AHIMA Certified Coding Specialist (CCS): Required Essential Functions: Abstracts and assigns ICD-10-CM diagnosis codes and CPT procedure codes from the SDS and OBV patient record to ensure accurate APC assignment and to provide information required for reimbursement and statistical data submissions. Validates appropriate dates of service against documentation in the EMR for SDS/OBV encounters. Completes required abstract fields in registration conversation on SDS/OBV encounter for OSHPD and other data submissions. Uses knowledge of modifier use to ensure accurate application on various payor types. Communicates with appropriate departments related to charge corrections/modifications. Audits medical records to ensure proper coding is completed and to ensure compliance with federal and state regulatory agencies. Follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies. Reviews, understands and applies quarterly coding clinics, coding guidelines and coding conventions of ICD-10-CM references. Collaborates to provide coding feedback and education to departmental leadership regarding completeness and accurateness of documentation and physician coding practices. Analyzes content of reports and software edits to facilitate revisions with appropriate departments - NCCI edits. Follows up coding holds, revenue cycle department holds including related and all other email communication. Collaborates to provide coding feedback and education to departmental leadership regarding completeness and accuracy of documentation and physician coding practices. Maintains required online Healthstream education courses. Attends meetings and training pertaining to coder education, audit reviews, staff meetings, outpatient coder roundtable meetings, and SDC to OBV charges. Performs other job-related duties as assigned. Organizational Requirements: Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit ******************************************** for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.