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E M Coder Jobs in California (NOW HIRING)

Neighborhood Healthcare

Certified Coder II

Escondido, CA · On-site

$29.71 - $41.59/hr

M-F 7:30am - 4:00pm. This is a hybrid position. ROLE OVERVIEW and PURPOSE The Medical Coder II is ... Stay current with coding guidelines, industry updates, and regulatory changes (e.g., CMS, OIG)

Neighborhood Healthcare

Certified Coder II

Escondido, CA · On-site

$29.71 - $41.59/hr

M-F 7:30am - 4:00pm. This is a hybrid position. ROLE OVERVIEW and PURPOSE The Medical Coder II is ... Stay current with coding guidelines, industry updates, and regulatory changes (e.g., CMS, OIG)

Neighborhood Healthcare

Certified Coder II

Escondido, CA · On-site

$29.71 - $41.59/hr

M-F 7:30am - 4:00pm. This is a hybrid position. ROLE OVERVIEW and PURPOSE The Medical Coder II is ... Stay current with coding guidelines, industry updates, and regulatory changes (e.g., CMS, OIG)

Neighborhood Healthcare

Certified Coder II

Escondido, CA · On-site

$29.71 - $41.59/hr

M-F 7:30am - 4:00pm. This is a hybrid position. Role Overview and Purpose The Medical Coder II is ... Stay current with coding guidelines, industry updates, and regulatory changes (e.g., CMS, OIG)

Tanya Kormeili, MD, APC

Medical Scribe

Los Angeles, CA · On-site

$17 - $23/hr

Must be able to quickly learn E&M codes and the level of documentation necessary for each billing level. Employee Benefits: * Incentives include: Complimentary Cosmetic Treatments by Board-Certified ...

Tanya Kormeili, MD, APC

Medical Scribe

Los Angeles, CA · On-site

$17 - $23/hr

Must be able to quickly learn E&M codes and the level of documentation necessary for each billing level. Employee Benefits: * Incentives include: Complimentary Cosmetic Treatments by Board-Certified ...

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E M Coder information

What is an E M coder?

E M Coders, or Evaluation and Management Coders, are medical coding professionals who specialize in translating physician-patient encounters into standardized medical codes for billing and documentation purposes. They focus on assigning the correct codes for evaluation and management services, which include office visits, consultations, and other patient assessments. Accurate E M coding is essential for healthcare providers to receive proper reimbursement and to ensure compliance with regulations. E M Coders must have a detailed understanding of coding guidelines, medical terminology, and healthcare documentation. They often work in hospitals, clinics, or for third-party billing companies.

What are the key skills and qualifications needed to thrive as an E/M coder, and why are they important?

To thrive as an E/M Coder, you need in-depth knowledge of medical coding guidelines, anatomy, and evaluation and management (E/M) documentation requirements, often supported by certification such as CPC or CCS-P. Familiarity with coding software (e.g., EncoderPro), electronic health record (EHR) systems, and ICD-10, CPT, and HCPCS coding sets is essential. Strong attention to detail, analytical thinking, and effective communication help ensure accuracy and collaboration with healthcare providers. These skills are crucial for ensuring compliant, accurate billing and optimizing reimbursement for healthcare organizations.

What are some common challenges E/M coders face when ensuring coding accuracy and compliance?

E/M Coders often face challenges such as interpreting complex provider documentation, staying updated with frequent changes in coding guidelines, and ensuring accurate code selection to support medical necessity. They must balance efficiency with attention to detail, as even minor errors can impact reimbursement or trigger audits. Collaboration with providers and ongoing education are key to overcoming these challenges and maintaining compliance in a fast-paced healthcare environment.

What is the difference between E M Coder vs Medical Biller?

AspectE M CoderMedical Biller
Primary RoleAssigns medical codes for diagnoses and proceduresProcesses and submits insurance claims for reimbursement
CertificationsCertified Professional Coder (CPC) or similarCertified Medical Reimbursement Specialist (CMRS) or similar
Work EnvironmentHospitals, clinics, outpatient facilitiesMedical offices, billing companies, hospitals
Key SkillsMedical coding, anatomy, coding guidelinesBilling procedures, insurance policies, customer service

While both E M Coders and Medical Billers work in healthcare revenue cycle management, E M Coders focus on assigning accurate medical codes based on patient records, whereas Medical Billers handle the submission of claims and follow-up on payments. They often collaborate but have distinct responsibilities within the healthcare billing process.

Are medical coders still in demand?

Medical coders are still in demand due to ongoing needs for accurate billing and record-keeping in healthcare. The role requires knowledge of coding systems like ICD-10 and CPT, and employment opportunities are expected to grow with the healthcare industry's expansion.

What are popular job titles related to E M Coder jobs in California?

For E M Coder jobs in California, the most frequently searched job titles are:

What job categories do people searching E M Coder jobs in California look for?

The top searched job categories for E M Coder jobs in California are:

What cities in California are hiring for E M Coder jobs?

Cities in California with the most E M Coder job openings:

E M Coder jobs near you
Infographic showing various E M Coder job openings in California as of August 2026, with employment types broken down into 70% Full Time, 24% Part Time, and 6% Temporary. Highlights an 76% In-person, 6% Hybrid, and 18% Remote job distribution.

Compliance Analyst

Silicon Valley Medical Development

Los Gatos, CA • On-site

$104K - $114K/yr

Full-time

Re-posted 23 days ago

Job description

El Camino Health Medical Network is currently seeking a talented Compliance Analyst to join our growing healthcare team!

Pay: $104,000-$114,400 Annually (Exempt) 

Location:Los Gatos, CA (Hybrid-Must be Local)

Summary:

The Compliance Analyst monitors and evaluates coding, billing, and documentation practices to ensure alignment with federal and state regulations, payer policies, and internal standards. The role supports risk mitigation, conducts investigations, and partners with clinical and operational teams to improve compliance across the medical network.

Essential Functions:

Regulatory Monitoring and Interpretation

  • Track and interpret regulatory changes affecting professional services, including CMS, OIG, AMA CPT, and commercial payer policies.
  • Assess the impact of new rules on coding, billing, and documentation workflows.
  • Develop guidance and compliance alerts to communicate regulatory updates to stakeholders.

Professional Coding and Billing Compliance Review

  • Conduct internal audits of CPT, HCPCS, and ICD10CM coding for professional services across multiple specialties.
  • Review E/M services for correct level selection, timebased coding, and medical decisionmaking alignment.
  • Evaluate modifier usage, medical necessity, and documentation sufficiency.
  • Identify trends in errors, denials, and potential compliance risks.

Investigations and Risk Mitigation

  • Support investigations related to billing irregularities, payer inquiries, and potential fraud, waste, or abuse.
  • Collaborate with legal, compliance, and revenue cycle teams to develop corrective action plans.
  • Assist in preparing responses to payer audits, including documentation requests and appeals.

Data Analysis and Reporting

  • Analyze coding and billing data to identify patterns, anomalies, and areas of risk.
  • Prepare compliance dashboards, audit summaries, and performance reports for leadership.
  • Monitor key indicators such as denial trends, coding accuracy rates, and audit outcomes.

Compliance Program Support

  • Develop and deliver training on professional fee compliance, COI, Stark, AKS, and general compliance expectations.
  • Maintain documentation of audits, investigations, and corrective actions in accordance with compliance program standards.
  • Support risk assessments, internal reviews, and external audits by providing data, analysis, and subjectmatter expertise.
  • Contribute to policy development and updates related to billing, physician arrangements, and organizational compliance.
  • Partner with coders, providers, practice managers, and revenue cycle teams to resolve compliance issues.
  • Support development of policies and procedures related to coding, billing, and documentation compliance.

Minimum Requirements:

  • High School Diploma or equivalent. Bachelor’s degree in Business, Healthcare Administration, or similar field preferred.
  • AAPC credentials such as CPC, CPMA, or CPCO.
  • Experience in compliance, auditing, or revenue cycle operations within a physician practice or health system.
  • Familiarity with federal regulations such as Medicare billing rules, OIG guidance, and statespecific requirements.
  • Strong analytical skills with the ability to interpret clinical documentation and billing data.
  • Excellent communication skills, especially in explaining complex regulatory concepts.

Other Knowledge, Skills, and Abilities:

  • Experience with multispecialty professional coding audits.
  • Background in denial management, payer appeals, and compliance investigations.
  • Knowledge of risk adjustment, quality reporting, and reimbursement methodologies (e.g., RBRVS).
  • Experience developing compliance education or training materials.

The Compliance Analyst monitors and evaluates coding, billing, and documentation practices to ensure alignment with federal and state regulations, payer policies, and internal standards. The role supports risk mitigation, conducts investigations, and partners with clinical and operational teams to improve compliance across the medical network.

Essential Functions:

Regulatory Monitoring and Interpretation

  • Track and interpret regulatory changes affecting professional services, including CMS, OIG, AMA CPT, and commercial payer policies.
  • Assess the impact of new rules on coding, billing, and documentation workflows.
  • Develop guidance and compliance alerts to communicate regulatory updates to stakeholders.

Professional Coding and Billing Compliance Review

  • Conduct internal audits of CPT, HCPCS, and ICD10CM coding for professional services across multiple specialties.
  • Review E/M services for correct level selection, timebased coding, and medical decisionmaking alignment.
  • Evaluate modifier usage, medical necessity, and documentation sufficiency.
  • Identify trends in errors, denials, and potential compliance risks.

    Investigations and Risk Mitigation

  • Support investigations related to billing irregularities, payer inquiries, and potential fraud, waste, or abuse.
  • Collaborate with legal, compliance, and revenue cycle teams to develop corrective action plans.
  • Assist in preparing responses to payer audits, including documentation requests and appeals.

  • Data Analysis and Reporting

  • Analyze coding and billing data to identify patterns, anomalies, and areas of risk.
  • Prepare compliance dashboards, audit summaries, and performance reports for leadership.
  • Monitor key indicators such as denial trends, coding accuracy rates, and audit outcomes.

  • Compliance Program Support

  • Develop and deliver training on professional fee compliance, COI, Stark, AKS, and general compliance expectations.
  • Maintain documentation of audits, investigations, and corrective actions in accordance with compliance program standards.
  • Support risk assessments, internal reviews, and external audits by providing data, analysis, and subjectmatter expertise.
  • Contribute to policy development and updates related to billing, physician arrangements, and organizational compliance.
  • Partner with coders, providers, practice managers, and revenue cycle teams to resolve compliance issues.
  • Support development of policies and procedures related to coding, billing, and documentation compliance.

Minimum Requirements:

  • High School Diploma or equivalent. Bachelor’s degree in Business, Healthcare Administration, or similar field preferred.
  • AAPC credentials such as CPC, CPMA, or CPCO.
  • Experience in compliance, auditing, or revenue cycle operations within a physician practice or health system.
  • Familiarity with federal regulations such as Medicare billing rules, OIG guidance, and statespecific requirements.
  • Strong analytical skills with the ability to interpret clinical documentation and billing data.
  • Excellent communication skills, especially in explaining complex regulatory concepts.

Other Knowledge, Skills, and Abilities:

  • Experience with multispecialty professional coding audits.
  • Background in denial management, payer appeals, and compliance investigations.
  • Knowledge of risk adjustment, quality reporting, and reimbursement methodologies (e.g., RBRVS).
  • Experience developing compliance education or training materials.

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