Coder jobs in Riverside, CaliforniaCreate job alerts

Job DescriptionDescriptionWe are currently seeking a highly motivated Risk Adjustment Coding Specialist to support our LA or Orange County market. In this role, you will support risk adjustment efforts by conducting high-volume chart reviews to identify coding gaps, trends, and opportunities for improved accuracy for our providers. You’ll translate your findings into actionable insights, creating and delivering education to providers and practice leaders while navigating complex conversations. Additionally, you’ll track and report on key performance metrics—such as HCC recapture rates, AWVs, and other KPIs, helping drive provider performance and overall program success. We are seeking candidates who have experience with provider education and at least 3-5 years of risk adjustment experience! This position requires travel to provider offices up to 75% of the time in the Inland Empire. Our Values: • Put Patients First, • Empower Entrepreneurial Provider and Care Teams, • Operate with Integrity & Excellence, • Be Innovative, • Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum, as appropriate for all IPAs managed by the company, • Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC), • Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines, • Interacts with physicians regarding coding, billing, documentation policies, procedures, and conflicting/ambiguous or non-specific documentation, • Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing, • Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements., • Provides recommendations to management related to process improvements, root-cause analysis, and/or barrier resolution applicable to Risk Adjustment initiatives., • Trains, mentors and supports new employees during the orientation process. Functions as a resource to existing staff for projects and daily work., • Provides peer to peer guidance through informal discussion and overread assignments. Supports coder training and orientation as requested by manager., • May assist or lead projects and/or higher work volume than Risk Adjustment Coding Specialist I, • Required Certification/Licensure: Must possess and maintain AAPC or AHIMA certification - Certified Coding Specialist (CCS-P), CCS, or CPC., • 3-5+ years of experience in risk adjustment coding and/or billing experience required, • Strong billing knowledge and/or Certified Professional Biller (CPB) through APPC, • Reliable transportation/Valid Driver’s License/Must be able to travel up to 75% of work time, if applicable., • PC skills and experience using Microsoft applications such as Word, Excel, and Outlook, • Excellent presentation, verbal and written communication skills, and ability to collaborate, • Must possess the ability to educate and train provider office staff members, • Proficiency with healthcare coding software and Electronic Health Records (EHR) systems.You're great for this role if:, • Bilingual in Spanish, • Certified Risk Adjustment Coder (CRC) and/or Risk Adjustment coding experience, • Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage, • Strong PowerPoint and public speaking experience, • Ability to work independently and collaborate in a team setting, • Experience with Monday.com, • The national target pay range for this role is $75,000 - $85,000 per year. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors., • This role follows a hybrid work structure where the expectation is to work on the field and at home on a weekly basis. This position requires up to 75% travel to provider offices in the IE/ surrounding areas.

Allegheny Health Network - JobID: CEA877A795A4AF9FC8195BD0A9DFB42E [Medical Records Clerk] As a Senior Coder at Allegheny Health Network, you'll: Analyze medical records to assign accurate codes; Ensure compliance with coding guidelines and regulations; Collaborate with healthcare professionals to c

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.

Allegheny Health Network - JobID: B7721B63734CDF4874B3915669170910 [Medical Records Clerk] As a Coder at Allegheny Health Network, you'll: Analyze medical records to assign accurate codes; Review documentation to ensure compliance with coding guidelines; Collaborate with healthcare providers to clar

Key Responsibilities: - Review and analyze medical records to accurately assign codes for diagnoses, procedures, and services - Ensure all codes are in compliance with coding guidelines and regulations - Communicate with healthcare providers to clarify documentation and obtain additional information

Allegheny Health Network - JobID: E818B4435F79CA0BA2D0DD560A0F8434 [Medical Records Clerk] As a Coder at Allegheny Health Network, you'll: Analyze medical records to assign accurate codes; Review documentation to ensure compliance with coding guidelines; Collaborate with healthcare providers to clar

Allegheny Health Network - JobID: 82EC5AD13D9945768B8FF031B3BBCA33 [Medical Records Clerk] As a Coder at Allegheny Health Network, you'll: Analyze medical records to assign accurate codes; Review documentation to ensure compliance with coding guidelines; Collaborate with healthcare providers to clar

Enterprise Medical Recruiting is partnering with a PACE program in Modesto, California, to hire a dedicated and compassionate.While prior experience is preferred,.Collaborate with an interdisciplinary team providing patient-centered primary care in an.Work Schedule: Monday-Friday, 8 AM to 5 PM.Care

Docstar is working with a client of ours that is looking for a Pediatric Physician Assistant for a Locum Tenens position in Stockinton, CA.Expenses are covered if not local to Stockton.Asap or 2 weeks from interview.Mon - Fri 8-5pm, 9-6pm, 11-8pm (required once a week), Sat 8-4:30pm (One Saturday a

Loma Linda University Faculty Medical Group, Department of Medicine is seeking a Physician Assistant (PA) or Adult/Geriatric Acute Care Nurse Practitioner (AGACNP) to join our team.This full-time position will provide opportunities for patient care on the inpatient services for a dynamic, enthusiast

We would like only Candidates with Family Practice and Pediatric Experience to apply.West Point Medical Group is currently seeking a Physician Assistant to join our Family Practice and Pediatrics Practice.Our practice serves all ages and demographics, growing patient population, EMR, and immedia

Job Title: Physician Assistant ? Urgent Care/Workers Comp.Location: Fontana, San Bernardino and Rancho Cucamonga.We are a fast-paced, patient-centered urgent care clinic dedicated to providing high-quality, compassionate care to our community.Our team of providers and staff works collaboratively to

A reputable Internal Medicine Practice in Palm Springs, California, is seeking an experienced.This is an excellent opportunity to work in a well-established practice, providing high-quality patient care in a beautiful and thriving community.Comprehensive healthcare benefits: Medical, Vision, and Den

About UsOne Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable.But this isn???t your average doctor???s office.We???re on a mission to transform healthcare, which means improving the experience for everyone involved

Colton, CA ??? Seeking Advanced Providers for Emergency Medicine Fellowship Become a Valued Member of Your Emergency Team As an Advanced Provider Fellow, you play a critical role our mission to improve lives in the Emergency Department and are a valued member of the full care team.As a graduate of o

Position Title: Experienced Pediatric Physician Assistant (PA-C).West Point Medical Group is a patient-focused pediatric practice dedicated to delivering compassionate, high-quality care to children from infancy through adolescence.Our team of providers and support staff work collaboratively to crea

About UsOne Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable.But this isn???t your average doctor???s office.We???re on a mission to transform healthcare, which means improving the experience for everyone involved

Under supervision of the program director, the Administrative Assistant will help manage and coordinate the different activities of the UCR/City of Hope Cancer Research and Education (UCR/CoH-CARE) Partnership program that is funded by a grant from the NIH National Cancer Institute (NCI).This is a p

About Us One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable.But this isn???t your average doctor???s office.We???re on a mission to transform healthcare, which means improving the experience for everyone involve

UCR Health is establishing a float pool to provide coverage across our clinical enterprise.These employees will have the opportunity to work in different clinics and specialties on a per diem basis.This position performs medical, technical, and administrative support services to contribute to the ef

Starting Over serves Southern California’s most vulnerable populations by addressing homelessness, recidivism, and reentry.We help homeless men, women and children transition from homelessness and the often associated cycles of poverty, substance abuse, mental illness, and recidivism.The ideal can

The UCR Library is searching for a Financial and Administrative Assistant.Under the general supervision of the Chief Financial Officer for the University Library, the incumbent provides financial and administrative support to the Chief Financial Officer, Planning and Budget and Library Administratio

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25/hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You do

The Medical Assistant / Patient Care Coordinator performs medical, technical, and administrative support services to contribute to the efficient day-to-day operations providing a positive patient experience.Clinical duties may include escorting patients to exam rooms, taking and recording vital sign

Position Description: Plans, teaches, directs, and supervises all student learning experiences in the theory or lab for our Medical Assistant students.Part-time & Full-time Availiability!.Willingness to provide a professional role model for students.Ability to work effectively with others.Demonstr

We're currently looking for individuals across the country to take part in remote paid research, including remote focus groups, product trials, and consumer studies.Earn up to $750 a week in your free time by providing feedback on everyday products and services.If you're comfortable sharing your opi

Quality Temp Staffing is a family-owned, small business.We are proudly Latino and veteran-owned, built on the belief that “we work to live, not live to work.For over 35 years, we’ve proudly served Los Angeles County, committed to our communities—helping our employees and their families by prov

About the Role: We are seeking a highly organized and detail-oriented Medical Office Coordinator to support our busy medical office.This is a fast-paced role where you’ll work closely with doctors and the clinical team to ensure smooth scheduling, accurate chart preparation, and seamless commun

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Administrative Assistant admin experience not required.Remote Work From Home Administrative Assistant Admin - Part Time Market Research Panelists

We're currently looking for individuals across the country to take part in remote paid research, including remote focus groups, product trials, and consumer studies.Earn up to $750 a week in your free time by providing feedback on everyday products and services.If you're comfortable sharing your opi

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists Our company is seeking individual