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Medical Biller And Coding Jobs in Riverside, CA (NOW HIRING)

LSMA Management Inc

Claims Examiner

San Bernardino, CA · On-site

$28.85 - $33.65/hr

This role applies plan and contract rules, reimbursement methodologies, and medical billing/coding guidelines to ensure claims are processed accurately, timely, and in compliance with federal and ...

LSMA Management Inc

Claims Examiner

San Bernardino, CA · On-site

$28.85 - $33.65/hr

This role applies plan and contract rules, reimbursement methodologies, and medical billing/coding guidelines to ensure claims are processed accurately, timely, and in compliance with federal and ...

LSMA Management Inc

Claims Examiner

San Bernardino, CA · On-site

$28.85 - $33.65/hr

This role applies plan and contract rules, reimbursement methodologies, and medical billing/coding guidelines to ensure claims are processed accurately, timely, and in compliance with federal and ...

Infusion Health

Insurance Collections and AR Agent

Irvine, CA · On-site

$21.75 - $27.75/hr

Knowledge of medical billing, coding (ICD-10, CPT, HCPCS), and insurance guidelines. * Experience with claim follow-up, AR management, and denial resolution. * Strong communication and negotiation ...

New

Infusion Health

Insurance Collections and AR Agent

Irvine, CA · On-site

$21.75 - $27.75/hr

Knowledge of medical billing, coding (ICD-10, CPT, HCPCS), and insurance guidelines. * Experience with claim follow-up, AR management, and denial resolution. * Strong communication and negotiation ...

New

Premier Ambulance

Insurance Follow Up Specialist

Brea, CA · On-site

$20 - $27.50/hr

Collaborate with billing, coding, and front-office teams to address claim issues and prevent future ... Medical, Dental and Vision * Advancement Opportunities Experience: * Minimum 1-2 years of ...

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How much do medical biller and coding jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for medical biller and coding in Riverside, CA is $22.91, according to ZipRecruiter salary data. Most workers in this role earn between $18.80 and $24.09 per hour, depending on experience, location, and employer.

Is it hard to get a job in medical biller and coder?

Getting a job as a medical biller and coder can be competitive, but having relevant certifications such as CPC or CCS and proficiency with coding software can improve employment prospects. Entry-level positions are often available, but experience and accuracy are valued in the field.

What is a medical biller and coder?

Medical Billers and Coders are healthcare professionals responsible for translating medical records and procedures into standardized codes used for billing and insurance purposes. They ensure that healthcare providers are properly reimbursed for their services by submitting accurate claims to insurance companies. Medical coders review clinical statements and assign appropriate codes, while billers use those codes to prepare and send invoices. Their work is essential for the smooth financial operation of healthcare facilities and compliance with healthcare regulations.

What is the difference between Medical Biller And Coding vs Medical Coder?

AspectMedical Biller And CodingMedical Coder
CredentialsCertification (e.g., CPC, CBCS), training in billing and codingCertification (e.g., CPC, CCS), specialized coding training
Work EnvironmentMedical offices, hospitals, billing companiesMedical offices, hospitals, coding departments
Employer & Industry UsageUsed for both billing and coding tasks in healthcare settingsPrimarily focused on medical coding and documentation

Medical Biller And Coding professionals handle both billing and coding tasks, ensuring accurate insurance claims and patient invoices. Medical Coder roles focus solely on reviewing medical records and assigning appropriate codes. While both roles require similar certifications and work environments, Medical Biller And Coding professionals have a broader scope that includes billing processes, making them more versatile in healthcare administration.

What are the key skills and qualifications needed to thrive as a medical biller and coder?

To thrive as a Medical Biller and Coder, you need strong knowledge of medical terminology, anatomy, health insurance processes, and coding systems, usually backed by a certificate or associate degree in medical billing and coding. Familiarity with ICD-10, CPT, and HCPCS coding standards, as well as billing software such as Epic or Medisoft, is essential. Attention to detail, organizational skills, and the ability to communicate clearly with healthcare providers and insurers are standout soft skills. These competencies ensure accurate claim processing, timely reimbursements, and regulatory compliance in a healthcare setting.

What are some common challenges medical billers and coders face when working with insurance claims?

Medical billers and coders often encounter challenges such as denied or rejected insurance claims, which require careful review and resubmission. They must stay up-to-date with constantly changing coding standards (like ICD-10 and CPT codes) and payer-specific billing requirements. Additionally, effective communication with healthcare providers and insurance companies is essential to resolve discrepancies and ensure timely reimbursement. Attention to detail and persistence are key traits for overcoming these challenges successfully.

Is a job in medical biller and coding worth it?

A career as a medical biller and coder can be worthwhile due to steady demand, flexible work options, and the potential for certification through programs like CPC. It typically requires attention to detail, knowledge of medical terminology, and familiarity with billing software. The role offers opportunities for advancement and work-from-home arrangements in many cases.

Are medical billers and coders in demand?

Medical billers and coders are in high demand due to the ongoing need for accurate medical billing and coding in healthcare facilities. The profession offers job stability, with opportunities for certification and remote work, as healthcare providers seek skilled professionals to manage billing processes efficiently.
What cities near Riverside, CA are hiring for Medical Biller And Coding jobs? Cities near Riverside, CA with the most Medical Biller And Coding job openings:
Medical Biller And Coding jobs near you
Infographic showing various Medical Biller And Coding job openings in Riverside, CA as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $47,648 per year, or $22.9 per hour.

Revenue Recovery Analyst

Planned Parenthood Of Orange And San Bernardino Counties

Anaheim, CA • On-site

$52K - $65K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 16 hours ago

Planned Parenthood rating

7.9

Company rating: 7.9 out of 10

Based on 120 frontline employees who took The Breakroom Quiz

108th of 887 rated healthcare providers

Job description

Overview
Planned Parenthood of Orange and San Bernardino Counties has a full-time opportunity for a Revenue Recovery Analyst in Anaheim, CA.
The Revenue Recovery Analyst identifies, collects, and determines root causes of underpaid claims by auditing payor performance and analyzing actual payments of payors to ensure contract compliance, which is operationally critical and sensitive in nature. The Revenue Recovery Analyst will support the RCM collection team with training and escalated claim follow-up. The Revenue Recovery Analyst performs payment variance deep dive and review activities related to the incorrect processing of claims across PPOSBC. This position will focus on the resubmission, reprocessing, and correcting of denied or rejected/exhausted insurance claims (2nd Level) as well as all high-volume facilities, top payors, and high-level, complex claim issues.
At PPOSBC, we understand the importance of a well-rounded benefits program and are dedicated to providing you with unique benefits that meet the needs of you and your family. We are proud to offer a range of plans that help protect you in the case of illness or injury including:
  • A competitive benefits package including medical, dental, and vision coverage for you and eligible dependents, life insurance, and long term disability.
  • Benefits coverage starts after one full month of employment!
  • Generous vacation, sick, and holiday benefits!
  • Generous 401(k) matching contributions and more!
  • To view our detailed benefits guide, please visit our career site at www.pposbccareers.org

Qualifications
Licensure and/or Certification Requirements:
  • Coding certificate is a plus.

Minimum Education:
  • Associate's Degree required in related field.
  • Bachelor's Degree preferred or equivalent experience in related field.

Minimum Work Experience:
  • A minimum of 5 years of experience as a medical biller/claims follow-up specialist or collections specialist in an outpatient medical setting (non-hospital) in primary care (required), family planning, ob-gyn, and related surgeries.
  • Advanced knowledge of medical terminology and common industry abbreviations, anatomy and physiology, pharmacology, and pathophysiology.
  • Knowledge of payor guidelines, industry billing, and coding standards, and Medi-Cal denials reason codes.
  • Computer database management (electronic practice management system). EclinicalWorks/NextGen experience preferred.
  • A minimum of 5 years of experience with insurance billing, coding, and reimbursement procedures.
  • A minimum of 5 years of experience with HIPAA 5010 transaction standards.
  • A minimum of 5 years of experience claims follow-up/appeals and health plan Accounts Receivable management for specific payors.

Other Requirements:
  • Ability to successfully communicate with payors, including insurance companies, health plans, and medical groups, regarding unpaid claims. Knowledge of CPT4/HCPCS and ICD10 coding and billing guidelines.
  • Advanced knowledge of Medi-Cal Managed Care, Commercial Payors, Medi-Cal, FPACT, & PE.
  • Advanced knowledge of health care and Medi-Cal denial reasons, denials codes and descriptions, and standard denial resolution practices.
  • Ability to judgment independently as to compare actual reimbursement to expected reimbursement, reviewing managed care contract terms, claims billing and clinical information to effectively reconcile underpaid accounts and maintain documentation to support this activity.
  • Expert knowledge of health care reimbursement and contracting and the use of deductive reasoning, negotiating skills, and collaborative skills to uncover and recover payment discrepancies in a complex system and complex payor environment.
  • Strong verbal and written communication skills are essential.
  • Ability to demonstrate mature judgment, initiative, and critical thinking.
  • Strong follow-up skills and time management with internal and customer stakeholders.
  • Ability to maintain confidentiality.
  • Accuracy and attention to detail is essential.
  • Availability to work flexible hours, including weekends.

Agency Standard Requirements:
  • Strong commitment to quality healthcare and excellent customer service is required.
  • Must thrive in a fast-paced, rigorous environment with changing priorities.
  • Ability to meet deadlines and work under pressure.
  • Must demonstrate high-level computer skills, including Microsoft Word, Excel, and Outlook. Electronic medical records experience may also be required.
  • Abortion patients are cared for at each of our health centers and in part through the administrative, support, and other non-clinical services provided at all PPOSBC locations and by all PPOSBC employees, and supporting these critical services is an essential job duty and fundamental responsibility of all employees.

Responsibilities
Essential functions encompass the required tasks, duties, and responsibilities performed as part of the job and the reason the job exists.
  • Utilize independent judgment and exercise discretion to ensure timely review and auditing of underpaid claims.
  • Analyze, collect underpayments, and resolve claims with discrepancies from expected payment to ensure payors are in payment compliance with their contracted terms.
  • Compile billing and payor documentation to create training documents.
  • Initiate and follow through with all relevant parties to ensure corrective actions are implemented (i.e., pursue underpayments, adjust expected reimbursement, address billing issues, negotiate settlements, etc.) according to payor specific processes.
  • Respond to payment discrepancies by creating appeal letters and articulating contract provisions to representatives from third-party payors. Work directly with payor to recover payments.
  • Quantify payor trends and maintain productivity and accuracy standards in a highly challenging environment. Prepare second-level appeals, recoveries, and potential settlements.
  • Ability to extrapolate complex claims data and payer information to accurately report trends and payor behaviors.
  • Develops dashboards and reports on key performance indicators, metrics, data points, and formulas to support management objectives.
  • Extract, load, and reconcile large data sets from multiple system platforms and sources.
  • Review data to determine operational impacts, trends, and areas for improvement.
  • Follow up on claim submissions to determine batch acceptance, rejection, or denial in a timely manner.
  • Research, correct, resolve, resubmit, and appeal denied claims/services. Correspond with insurance companies to resolve issues; submit appeals per payor requirements.
  • Maintains collections rate for assigned payors at or above 70% of allowed charges.
  • Communicate with RCM leadership about payor updates, changes, and requirements.
  • Sort and file paperwork from health plans, patient charts, and payment correspondence.
  • Update Division of Financial Risk (DOFR) quarterly with staff and report issues to Manager.
  • Support the team in their efforts to provide payors with information or documentation necessary for payment of claims and/or any other account follow-up required to recover payment within a required timeframe.

Non-Essential Functions:
  • Other duties as assigned.

CORE COMPETENCIES - WE CARE:
  • Welcoming: Anticipates customer requirements and gives high priority to customer satisfaction and service. Handles problems quickly and efficiently. Maintains a pleasant, positive and professional approach. Embraces opportunities to help team members, stakeholders, and other departments.
  • Equitable: Creating equitable access and opportunity for all through education, practicing inclusive behavior, elevating others' voices, creating spaces for honest conversation, and listening without judgment. Values and uplifts our collective diversity within in our agency.
  • Confidential: Respects the information shared by our patients, employees, and vendors and maintains appropriate confidentiality. Follows all policies and laws that protect private & privileged information.
  • Accessible: Is available and approachable to others, open-minded, fair and non-defensive. Appreciates constructive feedback and is a team player. Demonstrates good listening skills.
  • Respectful: Values diversity and treats everyone with dignity and courtesy. Dependable and courteous of other people's time and commitments.
  • Empathetic: Demonstrates interest and understanding in other people's feelings, attitudes and reasoning. Maintains an open and non-judgmental demeanor that is patient, flexible, and understanding.

Disclosures
Planned Parenthood/Orange and San Bernardino Counties is an equal opportunity employer. Applicants will receive consideration for employment without regard to race, color, ancestry, national origin, religion, creed, equal pay, age, disability, sex, gender, sexual orientation, gender identity, gender expression, medical condition, genetic information, marital status, military, veteran status or any other federal or state protected class. We are committed to building and maintaining an inclusive workplace that values diversity, equity, and inclusion.
Minimum Salary Range
USD $52,000.00/Yr.
Maximum Salary Range
USD $65,000.00/Yr.

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