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Claims Edit Coder Jobs in California (NOW HIRING)

Cedars Sinai

Claims Edit Coder

Los Angeles, CA · On-site

$31.98 - $49.57/hr

The Claims Edit Coder (Coder II) operated under the general direction of an audit supervisor and involves responsibilities across various work units, as well as duties specific to the reporting team.

Cedars Sinai

Claims Edit Coder

Los Angeles, CA · On-site

The Claims Edit Coder (Coder II) operated under the general direction of an audit supervisor and involves responsibilities across various work units, as well as duties specific to the reporting team.

AltaMed

Certified Professional Coder

Los Angeles, CA

$27 - $33.75/hr

... medical claims. Completes accuracy and timely entry of ICD-9-CM, HCPCS procedure codes, and CPT ... charge edit review, and or billing edit review required. * Certified Professional Coder (CPC ...

AltaMed

Certified Professional Coder

Los Angeles, CA · On-site

$27 - $33.75/hr

... medical claims. Completes accuracy and timely entry of ICD-9-CM, HCPCS procedure codes, and CPT ... charge edit review, and or billing edit review required. * Certified Professional Coder (CPC ...

AltaMed

Certified Professional Coder

Commerce, CA · On-site

$27 - $33.75/hr

... medical claims. Completes accuracy and timely entry of ICD-9-CM, HCPCS procedure codes, and CPT ... charge edit review, and or billing edit review required. * Certified Professional Coder (CPC ...

AltaMed

Certified Professional Coder

Los Angeles, CA

$27 - $33.75/hr

... medical claims. Completes accuracy and timely entry of ICD-9-CM, HCPCS procedure codes, and CPT ... charge edit review, and or billing edit review required. * Certified Professional Coder (CPC ...

Molina Healthcare

Business Analyst

Long Beach, CA · Remote

... optimization of claims editing solutions. The position requires strong ownership, advanced ... Own the full lifecycle of edit development, including requirements intake, configuration ...

Molina Healthcare

Business Analyst

Long Beach, CA · On-site +1

$44K - $97K/yr

... optimization of claims editing solutions. The position requires strong ownership, advanced ... Own the full lifecycle of edit development, including requirements intake, configuration ...

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Claims Edit Coder information

What are the key skills and qualifications needed to thrive as a Claims Edit Coder, and why are they important?

To thrive as a Claims Edit Coder, you need a solid understanding of medical coding (ICD-10, CPT, HCPCS), claims processing, and healthcare regulations, typically supported by a coding certification such as CPC or CCS. Familiarity with electronic health record (EHR) systems, claims editing software, and payer-specific coding guidelines is crucial. Attention to detail, analytical thinking, and effective communication are vital soft skills for accurately identifying and resolving coding errors. These skills ensure correct claim submission, minimize denials, and support timely reimbursement for healthcare providers.

What are Claims Edit Coders?

Claims Edit Coders are healthcare professionals who review and analyze medical claims to ensure they are coded accurately and comply with insurance and regulatory guidelines. They use specialized coding systems, such as ICD-10, CPT, and HCPCS, to verify that procedures and diagnoses are properly documented. Their work helps prevent billing errors, reduce claim denials, and ensure timely reimbursement for healthcare providers. Claims Edit Coders often collaborate with billing departments and healthcare providers to resolve discrepancies and improve coding accuracy.

What is the difference between Claims Edit Coder vs Claims Processing Specialist?

AspectClaims Edit CoderClaims Processing Specialist
CertificationsCertified Coding Associate (CCA), CPCNone required, but certifications can be beneficial
Work EnvironmentHealthcare facilities, insurance companies, remoteInsurance companies, healthcare providers, office setting
Primary ResponsibilitiesReview and correct claim data, ensure coding accuracyProcess claims from submission to payment, handle inquiries

Claims Edit Coders focus on reviewing and correcting claim data to ensure accurate coding, while Claims Processing Specialists handle the overall processing of claims from submission to resolution. Both roles require knowledge of insurance policies and coding, but Claims Edit Coders are more specialized in coding accuracy, whereas Claims Processing Specialists manage broader claim workflows.

What are some common challenges faced by a Claims Edit Coder, and how can they be addressed?

Claims Edit Coders often encounter challenges such as staying updated with frequent changes in coding regulations and payer-specific requirements. Additionally, coding errors or discrepancies may arise due to incomplete or unclear documentation from providers. To address these issues, it's important to engage in ongoing education, actively communicate with clinical staff for clarification, and utilize reliable coding resources and software. Collaboration with team members and regular training can help maintain accuracy and compliance in claim submissions.
What are popular job titles related to Claims Edit Coder jobs in California? For Claims Edit Coder jobs in California, the most frequently searched job titles are:
What job categories do people searching Claims Edit Coder jobs in California look for? The top searched job categories for Claims Edit Coder jobs in California are:
What cities in California are hiring for Claims Edit Coder jobs? Cities in California with the most Claims Edit Coder job openings:
Claims Edit Coder jobs near you
Infographic showing various Claims Edit Coder job openings in California as of June 2026, with employment types broken down into 100% Full Time. Highlights an 60% In-person, and 40% Remote job distribution.
Claims Edit Coder

Claims Edit Coder

Cedars Sinai

Los Angeles, CA • On-site

$31.98 - $49.57/hr

Full-time

Medical, Retirement, PTO

Posted 17 days ago

Cedars-Sinai rating

8.6

Company rating: 8.6 out of 10

Based on 130 frontline employees who took The Breakroom Quiz

34th of 1,004 rated hospitals

Job description


Align yourself with an organization that has a reputation for excellence! Cedars Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company's Workplace of the Year. This annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We provide an outstanding benefit package that includes health care, paid time off and a 403(B). Join us! Discover why U.S. News & World Report has named us one of America's Best Hospitals.
What you will be doing in this role:
The Claims Edit Coder (Coder II) operated under the general direction of an audit supervisor and involves responsibilities across various work units, as well as duties specific to the reporting team. In this role, the Coder II reviews ICD-10-CM diagnosis coding and Current Procedural Terminology (CPT) procedure code for claim edit fall outs. The position entails conducting modifier review and assignment, handling complex coding edits that necessitate research and resolution, and validating key data elements like the billing physician and date of service.
You are expected to abstract coded data accurately and promptly into the applicable system using relevant applications such as EPIC (CS-Link), EPIC HB and PB modules, Solventum 360Encompass, Solventum Standalone Encoder, and Select Coder. This role demands proficiency in these systems to ensure the integrity and efficiency of coding operations. Duties include:
  • Review medical documentation and health information within various electronic medical or health systems.
  • Assign applicable codes such as clinical modification (ICD-10-CM), current procedural terminology (CPT), evaluation and management (E&M), and healthcare common procedure coding system (HCPCS) while adhering to productivity and quality standards for the area(s) of assignment or specialty (Facility or Professional).
  • Focus on specialties including, but not limited to: Professional Multispecialty E&M, Facility Emergency Room (non-Single Path), and Outpatient Visits (Facility or Professional).
  • Resolve complex edits and alerts with consistent accuracy using current guidelines for the area(s) of assignment or specialty.
  • Handle edits such as: Simple Visit, Local and National Coverage Determination, and other Related Edits.
  • Communicates with physicians, providers, and external departments regarding documentation clarity, specificity, ensure the completeness of documentation required for code assignment within area(s) of assignment or specialty.
  • Expanding skills in procedural coding such as CPT or PCS.

Qualifications
Requirements:
  • Certified Coding Specialist (CCS), Certified Procedural Coder (CPC), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) required upon hire.
  • High school diploma or GED required.
  • Minimum of 2 years of experience working doing code assignment in a healthcare setting.
  • Ability to produce quality work product within the established standards per hour.

Why work here?
Beyond outstanding employee benefits including health, paid vacation, and a 403(b) we take pride in hiring the best, most passionate employees. Our accomplished staff reflects the culturally and ethnically diverse community we serve. They are proof of our commitment to creating a dynamic, inclusive environment that fuels innovation.

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