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Full Time R1 Rcm Medical Coding Jobs in California

County of Santa Clara, CA

Coder II

San Jose, CA · On-site

$96K - $117K/yr

Throughout the County of Santa Clara, CA Job Type: Full-Time/Part-Time Job Number: 26-J05-A ... Please note: All applicants are required to attach proof of a valid medical coding certificate.

Northeast Community Clinic

Be Seen First

HCC Coder

Alhambra, CA · On-site

$34 - $39/hr

Schedule: * Full-time (Non-Exempt) * Flexible, may require some evening and weekends Primary Duties ... Review of medical records to ensure accuracy and claims for proper documentation and coding and ...

RCM Fire

Fire Alarm Technician

Tracy, CA · On-site

$35 - $60/hr

Fire Alarm Technician/Installer Tracy, CA | Full-Time About Us RCM Fire, a Guardian Fire Services ... Familiarity with national and local fire safety codes and regulations, such as NFPA 72, NEC or IBC.

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Full Time R1 Rcm Medical Coding information

What is a full time R1 RCM medical coder?

A Full Time R1 RCM Medical Coder is a professional employed by R1 RCM, a leading revenue cycle management company, who specializes in reviewing clinical documents and assigning standardized codes for diagnoses and procedures. These codes are essential for insurance billing, reimbursement, and maintaining accurate patient records. The position is full-time, meaning the individual works a standard number of hours per week, typically 40. Medical coders must be detail-oriented, knowledgeable about healthcare coding systems like ICD-10 and CPT, and adhere to regulations to ensure accurate billing and compliance.

What are the key skills and qualifications needed to thrive as a full time R1 RCM medical coder?

To thrive as a Full Time R1 RCM Medical Coder, you need a solid understanding of medical terminology, anatomy, and ICD-10/CPT coding systems, typically backed by a relevant certification such as CPC or CCS. Proficiency in medical coding software, electronic health records (EHRs), and revenue cycle management (RCM) platforms is essential. Attention to detail, analytical thinking, and strong communication skills help ensure coding accuracy and effective collaboration with healthcare teams. These skills are crucial for maximizing reimbursement, maintaining compliance, and supporting the financial health of healthcare organizations.

What types of medical records and specialties will I typically work with as a full time R1 RCM medical coder?

As a Full Time R1 RCM Medical Coding professional, you'll most often work with a variety of medical records, ranging from outpatient and inpatient charts to specialty-specific documentation such as radiology, cardiology, or surgery. The exact mix can depend on the client’s needs, but you can expect to code diagnoses, procedures, and treatments using ICD-10, CPT, and HCPCS codes. Collaborating closely with clinicians and billing teams is common to ensure accuracy and compliance. Staying updated on coding guidelines and payer requirements is also essential for success in this role.

What is the difference between Full Time R1 Rcm Medical Coding vs Full Time R1 Rcm Medical Billing?

AspectFull Time R1 Rcm Medical CodingFull Time R1 Rcm Medical Billing
Primary RoleAssigns medical codes based on clinical documentationProcesses and submits insurance claims for reimbursement
Required CertificationsCertified Professional Coder (CPC) or equivalentBilling and Coding certifications often preferred
Work EnvironmentTypically in healthcare facilities or remote coding centersOften in billing departments or remote billing offices
Industry UsageUsed across hospitals, clinics, and healthcare providersUsed mainly in insurance companies and healthcare providers

While both roles are essential in healthcare revenue cycle management, medical coders focus on translating clinical documentation into codes, whereas medical billers handle claims processing and reimbursement. Understanding these differences helps professionals choose the right career path or job focus within the healthcare industry.

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 Full Time R1 Rcm Medical Coding jobs?

Cities in California with the most Full Time R1 Rcm Medical Coding job openings:

Full Time R1 Rcm Medical Coding jobs near you

FQHC Billing Account Manager

Santa Fe Springs, CA • On-site

Nexus HR Services
Recruiting and Staffing Services • 11 - 50 employees
Learn more about Nexus HR Servicesexternal

$30 - $34/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 22 days ago

Job description

FQHC Billing Account Manager - Santa Fe Springs, CA

Compensation:  $30 - $34 per hour

Nexus HR is seeking an experienced RCM Billing Account Manager. The ideal candidate will have a strong background in FQHC medical billing, revenue cycle management, and coding compliance. This role requires deep knowledge of payer regulations and reimbursement models, as well as leadership experience managing billing teams. Strong communication, analytical, and organizational skills are essential for success in this position.

About the Job

The RCM Billing Account Manager is responsible for overseeing all aspects of Revenue Cycle Management (RCM), including billing operations, coding compliance, claims submission, denial management, and reimbursement optimization for FQHC clients. The role involves managing assigned accounts, supervising billing teams, and reporting directly to the RCM Division Manager. The schedule is Monday through Friday, 8:30 AM to 4:30 PM Pacific Standard Time, and will work on-site at the client's office as a representative. 

Duties and Responsibilities:

  • Oversee end-to-end billing and RCM operations for assigned FQHC accounts

  • Communicate with clients and respond to inquiries within one business day

  • Serve as a trusted advisor on FQHC billing rules, UDS reporting, wraparound payments, PPS/APM reimbursement models, sliding fee schedules, and Medicaid/Medicare billing

  • Monitor key RCM metrics such as clean claim rate, days in A/R, denial trends, and collection performance

  • Conduct monthly or quarterly business reviews (QBRs) with clients

  • Collaborate with internal billing teams and clearinghouses to ensure accurate claims submission, payment posting, and denial resolution

  • Ensure compliance with HRSA, CMS, and payer-specific billing guidelines

  • Maintain knowledge of state Medicaid programs and managed care plans

  • Create dashboards and KPI reports to track AR aging, charge lag, clean claim rate, and payment trends

  • Lead and manage billing staff, set goals, delegate tasks, monitor performance, and training 

  • Ensure accurate and compliant coding practices following CPT, ICD-10, and HCPCS guidelines

  • Develop transition plans for team changes and support onboarding of new clients/projects

Qualifications:

  • Minimum of 3 years of FQHC medical billing experience and 3 years of management experience

  • Associate's or Bachelor's degree preferred (or equivalent experience)

  • CPC (Certified Professional Coder) required

  • Strong leadership, client communication, KPI reporting, and RCM process optimization skills

  • Extensive knowledge of FQHC billing regulations, Medicaid/Medicare billing, PPS/APM reimbursement models, HRSA, and CMS guidelines

  • English proficiency required

  • Must be authorized to work in the United States

Benefits:

  • 401(k)

  • Medical Insurance

  • Dental Insurance

  • Vision Insurance

  • Paid Time Off (PTO)

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