Medical Records Coder: Claims Audit & Coding
County of Contra Costa
County of Contra Costa seeks a Medical Records Coder for the Contra Costa Health Plan in Martinez, CA. The role focuses on accurate coding, auditing, validation, and adjudication of medical claims to ensure payment accuracy and regulatory compliance. Candidates should be detail oriented, a strong communicator, and dependable, with AHIMA certifications or equivalent and experience in coding in a hospital or managed care setting. #J-18808-Ljbffr County of Contra Costa
- Contra Costa County in Martinez, CA is seeking a qualified Medical Records Coder to ensure accurate coding, auditing, validation, and adjudication of medical claims within the CCHP Claims Unit. The role emphasizes compliance with state and federal regulations and supports...Claims
- ...qualified individuals interested in the Medical Records Coder position. There is currently one (1)... ...the Contra Costa Health Plan (CCHP) Claims Unit in Martinez, CA. The Position... ...is responsible for ensuring accurate coding, auditing, validation, and adjudication of medical...ClaimsContract workWork at officeLocal area
$23.7 - $46.35 per hour
.... AsSenior Inpatient Facility Medical Coderyou will provide codingservices... ...- 10 - CM and ICD - 10 - PCS Codes for inpatient services... ...events Review and maintain a record of charts coded, held, and / or... .../GED (or higher) Professional coder certification with credentialing...SuggestedRemote jobHourly payDaily paidMinimum wageFull timePart timeWork experience placementLocal areaRelocation packageMonday to Friday- ...Job Description Job Description The Claims Resolution Specialist is responsible for... ...Accounts Receivable (A/R), Denials Management, Coding, and Revenue Integrity teams, this... ...claim history, payer correspondence, medical records, authorizations, and supporting documentation...ClaimsRemote work
$28 - $35 per hour
...Claims Resolution Specialist The Claims Resolution Specialist... ...Receivable (A/R), Denials Management, Coding, and Revenue Integrity teams,... ..., payer correspondence, medical records, authorizations, and... ...holds and billing delays. Audit & Compliance Support Participate...ClaimsHourly payRemote work- ...Health Corporation in Concord, NH seeks a Certified Coding Analyst to perform medical claim reviews for waste and error, ensuring coding... ...CPT/HCPCS, ICD-10, and modifiers.The role involves auditing medical records, applying CMS and organizational guidelines, collaborating...Claims
- ...term care insurance, payer verification, claims processing, or collections. • Experience... ..., and maintain accurate electronic records. • Ability to collaborate across departments... ...processes, including reviewing and coding invoices, processing SmartPO transactions...ClaimsFull timeWork at officeShift work
$207.96k - $252.78k
...department is responsible for a variety of disciplines including Workers’ Compensation, General Liability, Property Insurance and Claims, Loss Control, Occupational Safety, and Environmental Compliance. The ideal candidate brings: A combination of technical depth in risk...ClaimsFull time- ...Health, Contra Costa Health Plan, Emergency Medical Services, Environmental Health, Hazardous... ...and events in the patient's medical records and departmental logs Performing diagnostic... ...information, propositions, and claims Legal & Regulatory Navigation: Understanding...ClaimsPermanent employmentFull timeLocal area
- ...Supports daily billing and coding operations by... ...compliance, and timely claim submission. This role supervises... ..., instructing current coders and coder trainees... ...observed issues from the audits · Serve as a resource... ...training modules related to medical coding, documentation,...ClaimsRemote jobTraineeshipWork experience placementWork at officeLocal area
- ...Medical Biller Blize Healthcare is looking for a Medical Biller to join our team. Responsibilities... ..., Medicaid, private payer, and patient claims in accordance with payer requirements and... ...billing software and electronic medical records. ~ Must have the ability to multitask...ClaimsWork experience placement
- Kerae Medical is seeking a DME Medical Billing Specialist to join our team. You will be... ...medical equipment services, ensuring accurate coding, claim submission, and follow-up to maximize... ...post charges and payments, and maintain detailed records. #J-18808-Ljbffr Kerae MedicalClaims
- ...Health Plan Division Director - Exempt (Claims Director) within Contra Costa Health Plan... ...program requirements, claims payment policy, audits, and regulatory oversight A Strategic... ...gender expression, marital status, ancestry, medical condition, genetic information, military...ClaimsContract workWork at officeLocal area
$48k - $68k
...Manage customer accounts and update information in the database.Assist customers with policy changes and inquiries.Process insurance claims and follow up with customers on claim status.Coordinate with underwriters to ensure timely policy issuance.Strong organizational...ClaimsFor contractorsWork at officeWork from homeFlexible hours- ...specialize in defending against all types of general liability claims, commercial litigation defense, and employment. Our team is... ...role will involve: Reviewing and preparing summaries of medical records to effectively advocate for clients. Drafting motions and...ClaimsInterim role
$140k - $200k
...specialize in defending against all types of general liability claims, commercial litigation defense, and employment. Our team is... ...role will involve: Reviewing and preparing summaries of medical records to effectively advocate for clients. Drafting motions and...ClaimsInterim role- Kerae Medical is looking for a DME Medical Billing Specialist to join our team. You will... ...equipment (DME) services. Ensuring accurate coding, claim submission, and follow-up to maximize... ...patient accounts. Maintaining detailed records of billing activities. General store...Claims
$25 - $30 per hour
...reimbursement through proactive payer outreach, claim status monitoring, denial resolution, and coordination with billing, coding, and authorization teams. The AR Specialist... ...rules Monitor claims for timely filing, medical necessity, eligibility discrepancies, coordination...ClaimsHourly payFull timeFor contractorsWork at officeRemote work$40 - $50 per hour
...and attendance systems and Workday payroll system. Audit salary increases, retro pay and absence tracking. Record wage attachments, prior period adjustments and non... ...and verify information for all Unemployment claims. This may be highly confidential when working with...ClaimsContract workWork at office$74.88k - $80k
...seeking a detail-oriented and compassionate Intake Coordinator and Medical Record / Licensed Vocational Nurse (LVN) to join our team. This... ...intake operations. Verify insurance coverage and assist with claims processing. Schedule home health and hospice visits...ClaimsFull timeWork at office$57k - $70k
...seeking a Legal Administrative Support role to join the Bay Area Claim Litigation office in Concord, California. While every day can... ..., e-filing, and serving pleadings Ordering and obtaining medical records and following up with vendors and custodians as necessary Other...ClaimsWork at officeLocal areaImmediate startMonday to Friday$26 - $32 per hour
...Job Description Description: Hospice Medical Billing Specialist Pay: $26–$32 per hour... ...organization. Key Responsibilities Claims & Billing Management Prepare, review,... ...reimbursement guidelines Compliance & Coding Apply appropriate ICD-10, CPT, and HCPCS...ClaimsHourly payFull time$150 - $185 per hour
...VA requirements. You will review relevant records, obtain a focused history, perform... ...based on VA guidelines Review relevant medical records and examination information Obtain... ...without influencing the outcome of a Veteran's claim Submit completed examination...ClaimsFor contractorsFlexible hours- ...Claims Specialist (Direct Hire) Bay Area, CA | Full-Time, In Office | Salary: $ DOE Agility Recruiting is hiring a Claims Specialist... ...backup to the insurance carrier on larger claims Keep claim records organized and up to date What we're looking for ~1...ClaimsFull timeFor contractorsWork at office
- ...greeting visitors, answering phones, and assisting residents and families. You'll work with clinical and leadership teams, maintain records, handle correspondence, and help keep the reception area organized. Competitive pay and growth opportunities offered. #J-18808-...
- ...coverage and assist the billing department with claim processing. Complete insurance forms... ..., documents, and packages. Maintain medical supply inventory. Select and package... ...tasks. Maintain Patient Record. Send Orders needed to sign to physicians...ClaimsWork at office
$2,674 per month
...California, San luis, Obispo Talented Medical Solutions Full-time, Part-time, Contract... ...and department needs. Ensure accurate coding and billing alignment for performed... ...imaging procedures; accurate documentation for claims. What's in it for you? (Salary,...ClaimsFull timeContract workPart timeWork at officeLocal areaFlexible hours$27.03 - $36.5 per hour
...services are not properly authorized at the time of claim receipt. Assists providers and patients with process... ...policies, procedures, systems and objectives.Knowledge of medical terminology, ICD-10, CPT and HCPCS coding required.Trained in Health Insurance Portability and...ClaimsHourly payDaily paidWork at officeLocal areaShift work$89k - $96k
...partnering closely with billing, coding, denial management, clinic... ...assigned work Review quality audits and provide coaching and feedback... ...documentation, charge, and claim discrepancies Act as the primary... ...Qualifications: 3-5+ years of medical billing or charge entry experience...ClaimsFull timeRemote work$63.44k - $95.16k
...responsible for managing a caseload of incident-only, medical-only, and lost-time Workers’ Compensation claims across multiple jurisdictions. This role functions... ...statements and evidence, reviewing medical records, determining compensability, establishing reserves,...ClaimsFull timeLocal areaRemote work
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