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After School R1 Rcm Medical Coding Jobs in California

Hoag

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.

Phare Health

Senior Product Designer

San Francisco, CA · On-site +1

$165K - $175K/yr

R1 RCM Inc. ("the Company") is dedicated to the fundamentals of equal employment opportunity. The ... disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender ...

New

Trajectory Revenue Cycle Services

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 ...

MedHQ

Medical Biller

Tracy, CA

$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 ...

Catalyst Kids

After School Instructor

Dixon, CA · On-site

After School Instructors may work with a group of up to 20 students from TK - 8th grade with daily ... Fingerprint LIVE SCAN, CPR/First Aid Certification, Medical Certificate/Tuberculosis (TB) test ...

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All JobsAfter School R1 Rcm Medical Coding JobsAfter School R1 Rcm Medical Coding Jobs in California

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 field of medical coding pays the most?

In medical coding, specialized fields such as inpatient hospital coding, surgical coding, and coding for highly complex procedures tend to offer higher salaries. Certified coders with advanced credentials like CPC-H or CCS often earn more, especially when working in outpatient or hospital settings with complex cases. Experience, certifications, and working in high-demand environments can significantly impact earning potential.

What career paths are at R1 RCM?

At R1 RCM, career paths for medical coding professionals include roles such as Medical Coder, Coding Supervisor, and Coding Manager. These positions often require knowledge of medical terminology, coding systems like ICD-10 and CPT, and certification such as CPC. Advancement opportunities may involve specialization in areas like outpatient or inpatient coding and leadership roles within the coding department.

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 processes. For medical coders, this often involves working with hospital data, using coding standards like ICD-10 and CPT, and collaborating with healthcare facilities to ensure accurate reimbursement.

Is medical billing and coding worth it in 2026?

Medical billing and coding, including roles like After School R1 Rcm Medical Coding, remains a viable career in 2026 due to consistent demand for healthcare documentation and reimbursement specialists. Certification and familiarity with coding systems like ICD-10 and CPT are important for job prospects, and the work often offers flexible schedules and remote options.

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 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:
After School R1 Rcm Medical Coding jobs near you
Clinical AI Specialist, RN - Medical Coding

Clinical AI Specialist, RN - Medical Coding

Qualified Health

Palo Alto, CA • On-site

Full-time

Medical, Dental, Vision

Posted 2 days ago

Job description

Transform healthcare with us.
At Qualified Health, we're redefining what's possible with Generative AI in healthcare. Our infrastructure provides the guardrails for safe AI governance, healthcare-specific agent creation, and real-time algorithm monitoring working alongside leading health systems to drive real change.
This is more than just a job. It's an opportunity to build the future of AI in healthcare, solve complex challenges, and make a lasting impact on patient care. If you're ambitious, innovative, and ready to move fast, we'd love to have you on board.
Join us in shaping the future of healthcare.
Job Summary
The Clinical AI Specialist, RN - Medical Coding is a unique role that combines clinical nursing expertise with medical coding knowledge to help build and refine Qualified Health's AI-powered revenue cycle management tools. You will bring your clinical and coding expertise to our Medical Coding product line, starting with Emergency Department coding and expanding into broader RCM applications.
In this role, you'll work closely with our product and engineering teams to validate clinical logic, stress-test edge cases, and ensure our AI tools produce accurate, compliant outputs. Your deep understanding of how clinical documentation translates into codes and how coding errors affect reimbursement and compliance will directly shape how our products work. You'll also stay current on coding guidelines and regulatory changes so our tools always reflect the latest standards.
This is not a traditional coding or nursing role. You'll be embedded in a fast-moving health tech team, using and evaluating AI tools daily, and your expertise will have an outsized impact on the quality and safety of products used across leading health systems. This role reports to Product Leadership and is ideal for someone who wants to apply their clinical and coding skills in a completely new way.
This is a full-time role, though we are open to discussing a part-time or contract arrangement to start for the right candidate.
Key Responsibilities
Clinical Coding Expertise & Product Development
  • Provide expert input on E/M leveling, CPT and ICD-10 code selection, modifier usage, and documentation requirements specific to emergency medicine. You'll Serve as the internal clinical and coding authority for Qualified Health's Medical Coding product line, with an initial focus on Emergency Department coding
  • Review and stress-test business logic and AI-generated coding outputs against clinical documentation, ensuring accuracy, completeness, and compliance with CMS, AMA, and payer-specific guidelines
  • Ensure clinical safety and functional accuracy of product releases before they reach customers

Guideline Management & Compliance
  • Stay up to date to coding guidelines, CMS rules, LCD/NCD policies, and payer requirements that affect ED coding and broader RCM workflows, translating them into actionable product requirements and relevant internal documents
  • Advise on compliance considerations as the product line expands into new RCM areas beyond ED coding
Cross-Functional Collaboration
  • Partner with product managers, engineers, and data scientists to inform product design decisions with real-world coding expertise; helping the team understand the "why" of Medical Coding
  • Create and review test cases, sample charts, and validation datasets to ensure comprehensive product testing
  • Contribute to client-facing materials, training documentation, and product demos where clinical coding credibility is needed
Platform & AI Engagement
  • Become a power user of Qualified Health's AI coding tools, developing deep familiarity with their capabilities and limitations
  • Identify opportunities where AI can add more value in the coding and revenue cycle workflow
  • Help define what "good" looks like for AI-assisted coding by establishing accuracy benchmarks and quality standards

Required Qualifications
  • Active Registered Nurse (RN) license
  • 3-7 years of experience in medical coding, clinical documentation improvement (CDI), or revenue cycle roles, with meaningful exposure to Emergency Department coding
  • Strong working knowledge of CPT, ICD-10-CM/PCS, E/M leveling, HCPCS, CCI edits, and modifier application
  • Familiarity with CMS guidelines, Medicare/Medicaid billing rules, and payer-specific requirements
  • Comfort working with technology teams and translating clinical concepts into product requirements
  • Ability to work independently and manage your own priorities in a fast-paced startup environment

Desired Qualifications
  • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or similar coding certification
  • Direct experience with ED coding workflows, including facility and professional fee coding
  • Experience with clinical decision-support tools, coding software, or health IT platforms
  • Background in coding audits, denial management, or compliance review
  • Regular user of generative AI tools (ChatGPT, Claude, or similar) with curiosity about how AI can improve healthcare operations
  • Previous experience at a health tech company, healthcare startup, or coding/RCM vendor
Skills & Attributes
  • Coding Precision: You catch what others miss. You understand the nuances of code selection, modifier usage, and documentation requirements, and you hold the product to the same standard.
  • Clinical Translator: You can bridge the gap between clinical documentation, coding logic, and product engineering. You speak all three languages.
  • Detail-Oriented: Meticulous in your review process. You think in edge cases and aren't satisfied until you've pressure-tested the logic thoroughly.
  • Tech-Forward: Excited about AI and technology. You don't need to be an engineer, but you're genuinely curious about how AI works and eager to learn new tools.
  • Self-Directed: You take ownership of your work and manage your time well. You don't need someone looking over your shoulder to deliver high-quality results.
  • Collaborative: You enjoy working with product and engineering teams and can communicate your expertise clearly without talking down to non-clinical colleagues.
  • Adaptable: Comfortable with ambiguity and changing priorities. You're joining a startup where the product is evolving quickly, and you see that as exciting, not stressful.
Travel Requirements
This role is remote-friendly. Occasional travel to Palo Alto for team collaboration and planning sessions may be required, estimated at less than 15%.
Why Join Qualified Health?
This is an opportunity to join a fast-growing company and a world-class team, that is poised to change the healthcare industry. We are a passionate, mission-driven team that is building a category-defining product. We are backed by premier investors and are looking for founding team members who are excited to do the best work of their careers.
Our employees are integral to achieving our goals so we are proud to offer competitive salaries with equity packages, robust medical/dental/vision insurance, flexible working hours, hybrid work options and an inclusive environment that fosters creativity and innovation.
Our Commitment to Diversity
Qualified Health is an equal opportunity employer. We believe that a diverse and inclusive workplace is essential to our success, and we are committed to building a team that reflects the world we live in. We encourage applications from all qualified individuals, regardless of race, color, religion, gender, sexual orientation, gender identity or expression, age, national origin, marital status, disability, or veteran status.
What We Offer
  • Competitive startup salary and equity packages.
  • Health, dental, and vision insurance.
  • Flexible working hours and remote work options.
  • An opportunity to be at the forefront of AI in healthcare, making substantial impacts on patient care and outcomes.
  • A vibrant and inclusive work environment that fosters creativity and innovation.
Pay & Benefits
The pay range for this role is between $105,000 and $135,000 and will depend on your skills, qualifications, and experience. This role is also eligible for equity and benefits. For candidates interested in a part-time or contract arrangement, compensation will be adjusted accordingly.
Join our mission to revolutionize healthcare with AI. To apply, please send your resume through the application below.

Apply