California Licensed Medical Coder

Job Summary

Working remotely in a full-time capacity, the Senior Medical Billing and Coding Coordinator will manage complex case reviews, audit medical records for compliance, and ensure accurate coding while contributing to healthcare integrity.

Key responsibilities

• Audit medical records to ensure compliance with Medicare Advantage Risk Adjustment standards and accurately assign codes
• Train staff on coding processes and perform quality assurance audits on the coding process
• Collaborate with cross-functional teams to research coding practices and document findings clearly

Required qualifications

• High school diploma or equivalent with 4+ years of experience, or an Associate's degree with 2+ years of experience
• CPC, CCS, or RHIT Certification required
• Experience coding inpatient and outpatient medical records
• Strong computer skills, including proficiency in Word, Excel, and Outlook
• Ability to apply California Workers' Compensation regulations and calculate fee schedule allowances