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After School R1 Rcm Medical Coding Jobs in California

Coder III : Medical Coding

Costa Mesa, CA · On-site

$20 - $26.75/hr

Education and Experience High school diploma or equivalent required. Medical Coding - Hoag Hospital: * Completion of a certified coding program or graduate of a CAHIM accredited HIT program required.

Medical Biller

Tracy, CA · On-site

$23 - $26/hr

Proficiency in ICD-10 and ICD-9 coding systems * Strong understanding of insurance guidelines and ... RCM medical billing, consulting, and credentialing services for our clients. Job Type: Full-time ...

Proficiency in ICD-10 and ICD-9 coding systems * Strong understanding of insurance guidelines and ... RCM medical billing, consulting, and credentialing services for our clients. Job Type: Full-time ...

RCM/Billing Working Managaer

San Mateo, CA · On-site

$20.75 - $26.75/hr

Develop, analyze, and present RCM performance reports, KPIs, and forecasting. * Drive process ... Certification in medical coding (e.g., CPC, CCS) is a plus. * Proficiency with multiple systems ...

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After School Teacher

San Jose, CA · On-site

$23 - $25/hr

... to keep after-school hours structured, fun and full of enrichment. School Year Shifts Include ... Proof of medical/TB exam completed within 7 days of hire. * Must have fingerprints cleared and ...

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After School Teacher

San Jose, CA · On-site

$23 - $25/hr

... to keep after-school hours structured, fun and full of enrichment. School Year Shifts Include ... Proof of medical/TB exam completed within 7 days of hire. * Must have fingerprints cleared and ...

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Medical Biller

Tracy, CA · On-site

$23 - $26/hr

Proficiency in ICD-10 and ICD-9 coding systems * Strong understanding of insurance guidelines and ... RCM medical billing, consulting, and credentialing services for our clients. Job Type: Full-time ...

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After School R1 Rcm Medical Coding information

What are some typical challenges faced by After School R1 Rcm Medical Coding professionals, and how can they be addressed?

After School R1 Rcm Medical Coding professionals often encounter challenges such as keeping up with frequent updates to coding standards (like ICD-10 and CPT), managing high volumes of patient records, and ensuring accuracy under strict deadlines. To address these, it's important to stay current with industry guidelines through ongoing education, use coding software efficiently, and develop strong attention to detail. Collaborating closely with healthcare providers and billing teams can also help clarify ambiguous documentation, reducing errors and denials.

What career paths are at R1 RCM?

At R1 RCM, career paths for medical coders include roles such as Medical Coder, Coding Supervisor, and Coding Manager. Employees often advance by gaining certifications like CPC or CCS and developing expertise in specific medical specialties or coding systems. Opportunities also exist in revenue cycle management, compliance, and training positions within the organization.

What are the key skills and qualifications needed to thrive as an After School R1 RCM Medical Coding professional, and why are they important?

To thrive in an After School R1 RCM Medical Coding role, you need strong knowledge of medical terminology, coding systems (such as ICD-10, CPT, and HCPCS), and a certification like CPC or CCS. Proficiency with electronic health record (EHR) systems, coding software, and revenue cycle management (RCM) tools is also essential. Attention to detail, analytical thinking, and effective communication are key soft skills for ensuring coding accuracy and collaborating with healthcare teams. These skills ensure accurate claim submission, compliance with regulations, and optimized reimbursement for healthcare providers.

Does R1 RCM work with hospitals?

R1 RCM provides revenue cycle management services to hospitals and healthcare providers, supporting billing, coding, and accounts receivable functions. For medical coders, this often involves working with hospital data, using coding tools like ICD-10 and CPT, and ensuring accurate reimbursement processes.

Does R1 RCM offer remote work options?

For the After School R1 RCM Medical Coding role, remote work options are often available depending on the employer’s policies and the specific position. Many medical coding jobs, including those at R1 RCM, can be performed remotely with proper certification and computer setup. It is advisable to check the specific job listing or employer policies for remote work availability.

What is the difference between After School R1 Rcm Medical Coding vs Medical Billing Specialist?

AspectAfter School R1 Rcm Medical CodingMedical Billing Specialist
CertificationsCertified Professional Coder (CPC), CPC-H, or CCSCertified Billing and Coding Specialist (CBCS), CPC
Work EnvironmentHealthcare facilities, medical offices, remoteMedical offices, hospitals, billing companies
Job FocusAssigning medical codes for diagnoses and proceduresProcessing insurance claims, billing patients

While both roles involve healthcare documentation, After School R1 Rcm Medical Coding primarily focuses on assigning accurate medical codes, whereas Medical Billing Specialists handle the billing process and insurance claims. Both require similar certifications and often work in healthcare settings, but their daily tasks differ significantly.

What is the highest paid medical coder job?

The highest paid medical coders are often those with specialized certifications, such as Certified Professional Coder-Hospital (CPC-H) or Certified Coding Specialist-Physician-based (CCS-P), and experience in areas like inpatient hospital coding or radiology. Senior or managerial roles in medical coding, especially in large healthcare organizations, tend to offer the highest salaries, often exceeding $70,000 annually. Advanced skills in coding systems and compliance contribute to higher earning potential.

What is an After School R1 Rcm Medical Coding job?

An After School R1 Rcm Medical Coding job typically involves working part-time or outside regular school hours to review and assign standardized codes to medical procedures and diagnoses for healthcare facilities. 'R1 Rcm' refers to a revenue cycle management company that provides services like medical billing and coding. This role is ideal for students or individuals seeking flexible work opportunities in the healthcare administration field. Medical coders play a crucial role in ensuring accurate medical billing, compliance with regulations, and efficient processing of insurance claims.
What are the most commonly searched types of R1 Rcm Medical Coding jobs in California? The most popular types of R1 Rcm Medical Coding jobs in California are:
What cities in California are hiring for After School R1 Rcm Medical Coding jobs? Cities in California with the most After School R1 Rcm Medical Coding job openings:
Coder III : Medical Coding

Coder III : Medical Coding

Hoag Memorial Hospital Presbyterian

Newport Beach, CA • On-site, Remote

$20 - $26.75/hr

Full-time

Re-posted 18 days ago


Hoag Memorial Hospital Presbyterian rating

8.3

Company rating: 8.3 out of 10

Based on 78 frontline employees who took The Breakroom Quiz

77th of 1,013 rated hospitals


Job description


Primary Duties And Responsibilities
  • The Coder reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM, ICD-10-PCS, and CPT codes to support diagnoses, procedures, and treatment results. Codes are used for billing, internal and external reporting, research, and regulatory compliance activities. Abides by the standards of Ethical Coding as set forth by the American Health information Management Association (AHIMA) and adheres to all official coding guidelines.
  • Verifies that all ICD-10-CM and CPT codes are correctly captured.
  • Verify that physician is correctly abstracted.
  • Keeps abreast of coding guideline changes by self-study, assigned education, coding meeting attendance or related in-services.
  • Participates in internal and external quality review meetings.
  • Performs other duties as assigned.

Medical Coding - Hoag Hospital
  • Resolves billing related errors and assists with workflow changes and process improvement projects.
  • Meets ongoing productivity and quality standard of 95% accuracy rate or better.
  • Additionally, the Coder III assigns codes for diagnoses, treatment, and procedures for inpatient surgeries.
  • Determines the correct principal diagnosis, co-morbidities, complications, secondary conditions, and surgical procedures.
  • Abstracts correctly all required information from record including the correct discharge disposition and OSHPD required information.
  • Also assigns correct MS-DRG and APR-DRG and correct Present on Admission (POA) indicators and identifies (HAC) Hospital Acquired Conditions.
  • Queries physicians per established policy and procedure when documentation is not clear or conflicting.

Coding - Hoag Clinic
  • Meets ongoing productivity and quality standard of 95% accuracy rate or better.
  • The coder follows all coding conventions and serves as a coding consultant to Hoag providers.
  • Discrepancies are identified that may impact quality of care and/or billing issues.
  • The coder will serve as a resource and subject matter expert to other coding staff.
  • Completes coding charge review and claim edits in Epic or other appropriate EMR system which would entail coding and correcting ICD-10 codes, modifiers, and CPT E/M and procedure codes.
  • Reviews and communicates with providers on E/M Leveling/Coding.
  • Codes specialty specific outpatient surgeries/same day procedures.

Qualifications
Education and Experience
High school diploma or equivalent required.
Medical Coding - Hoag Hospital:
  • Completion of a certified coding program or graduate of a CAHIM accredited HIT program required.
  • Five years of progressive inpatient coding experience in an acute care facility.

Coding - Hoag Clinic: Required:
  • Five or more (5+) years coding experience mastering assigning diagnostic and procedure codes to patient medical records.
  • Must have extensive outpatient coding experience in multiple areas of specialty.

Preferred:
  • Adept coding experience (CPT/ICD-10-CM) in multiple specialties to include but are not limited to: OB/GYN, Urology, Oncology, Pain Management, Cardiology, Neurology, and Orthopedics.
  • Knowledge of E/M coding related to multi-specialty providers.
  • Knowledge of the elements of disease processes and related procedures.
  • Strong clinical knowledge and understanding of pathology / physiology of disease processes.
  • Excellent interpersonal skills to build effective partnering relationships with physicians, nurse staff and hospital management staff with the ability to facilitate ongoing physician communication and able to work independently in a time-oriented environment.
  • Experience working in EPIC- EMR.

License Required
N/A
License Preferred
N/A
Certifications Required
Medical Coding - Hoag Hospital: Certified Coding Specialist (CCS)
Coding - Hoag Clinic:
  • Certified Professional Coder (CPC)
  • Certified Outpatient Coder (COC)
  • Certified Coding Specialist Physician-Based (CCS-P)
  • Certified Coding Specialist (CCS)
  • Certified Professional Medical Auditor (CPMA)

Cath Lab / IR:
One of the following Certifications:
  • Certified Professional Coder (CPC)
  • Certified Coding Specialist (CCS)
  • Certified Interventional Radiology Cardiovascular Coder (CIRCC)

Certifications Preferred
Coding - Hoag Clinic: Certified Urology Coder (CUC)
About Us
Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers and a network of more than1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. More than 30,000 inpatients and 550,000 outpatients choose Hoag each year.
For over 70 years, Hoag has delivered a level of personalized care that is unsurpassed among Orange County's health care providers. Since 1952, Hoag has served the local communities and continues its mission to provide the highest quality health care services through the core strategies of quality and service, people, physician partnerships, strategic growth, financial stewardship, community benefit and philanthropy.
Hoag offers a comprehensive blend of health care services including six institutes providing specialized care in the areas of cancer, heart and vascular, neurosciences, women's health, orthopedics, and digestive health through our institutes.
Hoag was the highest ranked hospital in Orange County in the 2024-2025 U.S. News &World Report, the only Orange County hospital ranked in the top 10 for California. The organization was ranked the #5 hospital in the Los Angeles Metro Area and the #10 hospital in California.
To learn more about Hoag's awards and accreditations, visit: https://www.hoag.org/about-hoag/awards-accreditations/.
Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives.

What Hoag Memorial Hospital Presbyterian employees say

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Hoag Memorial Hospital Presbyterian logo

About Hoag Memorial Hospital Presbyterian

Sourced by ZipRecruiter

Hoag Memorial Hospital Presbyterian, located in Newport Beach, CA, US, is a leading health care provider within the healthcare industry. Their official website is hoag.org. Hoag is a nonprofit, regional health care delivery network in Orange County, California, that treats over 30,000 inpatients and 450,000 outpatients annually. Founded in 1952, the hospital has stood as a pillar of health in the community for over six decades. Committed to providing the highest quality care to patients, Hoag offers a range of comprehensive services including cancer care, women's health services, heart and vascular service, orthopedics, neurosciences and spine care.

Industry

Hospitals

Company size

5,001 - 10,000 Employees

Headquarters location

Newport Beach, CA, US