Long Beach, CA · Remote
Job Summary Provides support for provider denial coding dispute activities. Investigates and resolves disputes related to provider appeals, and ensures that claims adhere to correct billing standards ...
Long Beach, CA · Remote
Job Summary Provides support for provider denial coding dispute activities. Investigates and resolves disputes related to provider appeals, and ensures that claims adhere to correct billing standards ...
$29.25 - $33.50/hr
The Coding Compliance Auditor will also, provide detailed reports, Excel spreadsheets, coding audit summary analysis, and data analytics Re: coding accuracy rates, compliance rates, denial analytics ...
$29.25 - $33.50/hr
The Coding Compliance Auditor will also, provide detailed reports, Excel spreadsheets, coding audit summary analysis, and data analytics Re: coding accuracy rates, compliance rates, denial analytics ...
$29.25 - $33.50/hr
The Coding Compliance Auditor will also, provide detailed reports, Excel spreadsheets, coding audit summary analysis, and data analytics Re: coding accuracy rates, compliance rates, denial analytics ...
$29.25 - $33.50/hr
The Coding Compliance Auditor will also, provide detailed reports, Excel spreadsheets, coding audit summary analysis, and data analytics Re: coding accuracy rates, compliance rates, denial analytics ...
The Senior Manager, Coding, Clinical Documentation Integrity (CDI) & Data Quality provides strategic leadership and operational oversight for coding, CDI, and data quality functions across the ...
The Senior Manager, Coding, Clinical Documentation Integrity (CDI) & Data Quality provides strategic leadership and operational oversight for coding, CDI, and data quality functions across the ...
The Senior Manager, Coding, Clinical Documentation Integrity (CDI) & Data Quality provides strategic leadership and operational oversight for coding, CDI, and data quality functions across the ...
The Senior Manager, Coding, Clinical Documentation Integrity (CDI) & Data Quality provides strategic leadership and operational oversight for coding, CDI, and data quality functions across the ...
Riverside, CA · On-site
$105K - $145K/yr
ABOUT THE POSITION Riverside University Health System (RUHS)is seeking two skilled Coding Compliance Auditors (Administrative Services Manager I) to support the Health System's Compliance Department.
Riverside, CA · On-site
$105K - $145K/yr
ABOUT THE POSITION Riverside University Health System (RUHS)is seeking two skilled Coding Compliance Auditors (Administrative Services Manager I) to support the Health System's Compliance Department.
Riverside, CA · On-site
$105K - $145K/yr
ABOUT THE POSITION Riverside University Health System (RUHS)is seeking two skilled Coding Compliance Auditors (Administrative Services Manager I) to support the Health System's Compliance Department.
Riverside, CA · On-site
$105K - $145K/yr
ABOUT THE POSITION Riverside University Health System (RUHS)is seeking two skilled Coding Compliance Auditors (Administrative Services Manager I) to support the Health System's Compliance Department.
Monterey Park, CA · On-site +1
$70K - $85K/yr
Risk Adjustment Coding Specialist II - Remote Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To: Teaveous ...
Monterey Park, CA · On-site +1
$70K - $85K/yr
Risk Adjustment Coding Specialist II - Remote Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To: Teaveous ...
Monterey Park, CA · Remote
$70K - $85K/yr
Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist to support our physician practices remotely! In this role, you will support risk adjustment efforts by ...
Quick apply
Monterey Park, CA · Remote
$70K - $85K/yr
Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist to support our physician practices remotely! In this role, you will support risk adjustment efforts by ...
Monterey Park, CA · Remote
$70K - $85K/yr
We are currently seeking a highly motivated Risk Adjustment Coding Specialist to support our physician practices remotely! In this role, you will support risk adjustment efforts by conducting high ...
Monterey Park, CA · Remote
$70K - $85K/yr
We are currently seeking a highly motivated Risk Adjustment Coding Specialist to support our physician practices remotely! In this role, you will support risk adjustment efforts by conducting high ...
Los Angeles, CA · Remote
$19.25 - $24.50/hr
CrewBloom is seeking a detail-oriented Medical Billing & Coding Specialist to support one of our US-based healthcare clients in a fully remote role. This opportunity is open exclusively to candidates ...
New
Quick apply
Los Angeles, CA · Remote
$19.25 - $24.50/hr
CrewBloom is seeking a detail-oriented Medical Billing & Coding Specialist to support one of our US-based healthcare clients in a fully remote role. This opportunity is open exclusively to candidates ...
New
Orange, CA · Remote
$70K - $85K/yr
Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist to support our Orange County market. In this role, you will support risk adjustment efforts by conducting ...
Quick apply
Orange, CA · Remote
$70K - $85K/yr
Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist to support our Orange County market. In this role, you will support risk adjustment efforts by conducting ...
Students learn coding fundamentals by designing games, animations, interactive stories, and creative digital projects in a fun, project-based learning environment. This posting is intended to ...
Quick apply
Students learn coding fundamentals by designing games, animations, interactive stories, and creative digital projects in a fun, project-based learning environment. This posting is intended to ...
$44.86 - $72.63/hr
Abstracts, codes, and electronically records all diagnoses, surgical procedures, and other significant invasive and non- invasive procedures documented by the physician in any inpatient medical ...
$44.86 - $72.63/hr
Abstracts, codes, and electronically records all diagnoses, surgical procedures, and other significant invasive and non- invasive procedures documented by the physician in any inpatient medical ...
Orange, CA · On-site
Identify coding and billing risk areas, conduct focused reviews. Ensure accurate coding by utilizing official coding resources, Medicare manual and policies. * Collaborate and educate provider ...
Orange, CA · On-site
Identify coding and billing risk areas, conduct focused reviews. Ensure accurate coding by utilizing official coding resources, Medicare manual and policies. * Collaborate and educate provider ...
Torrance, CA · On-site
$44.86 - $72.63/hr
Abstracts, codes, and electronically records all diagnoses, surgical procedures, and other significant invasive and non- invasive procedures documented by the physician in any inpatient medical ...
Torrance, CA · On-site
$44.86 - $72.63/hr
Abstracts, codes, and electronically records all diagnoses, surgical procedures, and other significant invasive and non- invasive procedures documented by the physician in any inpatient medical ...
Los Angeles, CA · On-site
You will report to the Manager, Coding Education As the Senior Coding Educator you will be * Responsible for creating and executing the risk adjustment strategy for each provider groups. * Analyze ...
Los Angeles, CA · On-site
You will report to the Manager, Coding Education As the Senior Coding Educator you will be * Responsible for creating and executing the risk adjustment strategy for each provider groups. * Analyze ...
Los Angeles, CA · On-site
You will report to the Manager, Coding Education As the Senior Coding Educator you will be * Responsible for creating and executing the risk adjustment strategy for each provider groups. * Analyze ...
Los Angeles, CA · On-site
You will report to the Manager, Coding Education As the Senior Coding Educator you will be * Responsible for creating and executing the risk adjustment strategy for each provider groups. * Analyze ...
Los Angeles, CA · On-site
You will report to the Manager, Coding Education As the Senior Coding Educator you will be * Responsible for creating and executing the risk adjustment strategy for each provider groups. * Analyze ...
Los Angeles, CA · On-site
You will report to the Manager, Coding Education As the Senior Coding Educator you will be * Responsible for creating and executing the risk adjustment strategy for each provider groups. * Analyze ...
Rancho Santa Margarita, CA · On-site
ProTrain is currently recruiting for an experienced in-classroom instructor with experience teaching Medical Billing & Coding. Candidates must have experience teaching in a classroom or/and in a ...
Quick apply
Rancho Santa Margarita, CA · On-site
ProTrain is currently recruiting for an experienced in-classroom instructor with experience teaching Medical Billing & Coding. Candidates must have experience teaching in a classroom or/and in a ...
$14.38 - $18.37
0% of jobs
$18.37 - $22.36
0% of jobs
$22.36 - $26.36
16% of jobs
$27.25 is the 25th percentile. Wages below this are outliers.
$26.36 - $30.35
40% of jobs
$30.35 - $34.34
5% of jobs
$34.34 - $38.33
9% of jobs
$40.58 is the 75th percentile. Wages above this are outliers.
$38.33 - $42.32
9% of jobs
$42.32 - $46.32
10% of jobs
$46.32 - $50.31
6% of jobs
$50.31 - $54.30
3% of jobs
$54.30 - $58.29
2% of jobs
$14
$35
$58
Newcomers to coding positions often encounter challenges such as understanding complex codebases, debugging unfamiliar issues, and keeping up with rapidly evolving technologies. It's common to feel overwhelmed at first, especially when navigating large projects or collaborating with distributed teams. Asking questions, seeking mentorship, and leveraging resources like documentation and online communities can ease the transition. With time and experience, most coders become more comfortable handling these challenges and contribute effectively to their teams.
A coding job involves writing, testing, and maintaining code to build software applications, websites, or systems. Coders, also known as programmers or developers, use programming languages like Python, Java, or JavaScript to create and optimize digital solutions. They work in various industries, including technology, healthcare, finance, and entertainment. Coding jobs may also involve debugging, collaborating with teams, and continuously learning new technologies to improve software performance.
To excel in a coding role, you need a solid understanding of programming languages (such as Python, Java, or JavaScript), problem-solving abilities, and typically a degree in computer science or related field. Familiarity with code editors, version control systems like Git, and sometimes certifications such as CompTIA or specific software credentials are highly valued. Strong analytical thinking, attention to detail, and effective teamwork and communication skills help coders stand out. These competencies ensure that coding professionals can develop reliable software solutions, collaborate efficiently with other team members, and adapt to evolving project requirements.
Long Beach, CA • Remote
Full-time
Posted 9 days ago
8.1
Based on 193 frontline employees who took The Breakroom Quiz
133rd of 281 rated insurance
Provides support for provider denial coding dispute activities. Investigates and resolves disputes related to provider appeals, and ensures that claims adhere to correct billing standards and regulations.
Essential Job Duties
Reviews coding-related provider claims denials by systematically examining medical records, denial reasons, submitted claims, and claim history, in accordance with applicable state, federal, and Molina guidelines, rules, and protocols, to determine whether the documentation substantiates the services rendered.
Conducts independent audits of non-medical records to verify billing accuracy; makes decisions within designated authority to either overturn or uphold denials in a timely manner.
Generates and communicates determination to the provider using appropriate letter language and provides necessary guideline links.
Identifies, documents, and communicates any identified coding errors or inconsistencies; collaborates with appropriate internal departments to capture and track issues, and ensure precise code editing and compliance.
Completes data points within internal applications to comply with departmental auditing requirements.
Actively participates in the enhancement of departmental processes to maintain alignment with current coding regulations and guidelines, while also refining internal procedures.
Required Qualifications
At least 2 years of experience in medical coding or billing, or equivalent combination of relevant education and experience.
Certified Professional Coder (CPC) or Certified Coding Specialist (CCS).
Strong attention to detail and ability to independently read and comprehend the details of medical records.
Comfortable working in a production-centric environment with high quality standards.
Ability to work cross-collaboratively in a highly matrixed organization.
Effective verbal and written communication skills.
Microsoft Office suite and applicable software program(s) proficiency.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Get the full story on Breakroom
Sourced by ZipRecruiter
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Health care and social assistance
10,000+ Employees
Long Beach, CA, US
1980
