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Medical Insurance Billing And Coding Jobs in California

Peregrine Team

Collector II

Costa Mesa, CA · On-site +1

$22 - $31/hr

... billing, coding, authorization, and payment issues. * Communicate with insurance companies ... Minimum 3 years of experience in hospital billing, healthcare collections, revenue cycle, medical ...

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All JobsMedical Insurance Billing And Coding JobsMedical Insurance Billing And Coding Jobs in California

Medical Insurance Billing And Coding information

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$13

$21

$28

How much do medical insurance billing and coding jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for medical insurance billing and coding in California is $21.67, according to ZipRecruiter salary data. Most workers in this role earn between $17.79 and $22.79 per hour, depending on experience, location, and employer.

What is the difference between Medical Insurance Billing And Coding vs Medical Office Administrative Assistant?

AspectMedical Insurance Billing And CodingMedical Office Administrative Assistant
CredentialsCertification in billing and coding (e.g., CPC, CCS)Administrative or office management training
Work EnvironmentHealthcare settings, hospitals, clinicsMedical offices, clinics, healthcare facilities
Job FocusProcessing insurance claims, coding diagnoses and proceduresScheduling, patient communication, administrative tasks
Industry UsageHigh overlap in healthcare billing departmentsCommon in front-office healthcare roles

While both roles are essential in healthcare settings, Medical Insurance Billing And Coding specialists focus on insurance claims and coding, whereas Medical Office Administrative Assistants handle broader administrative tasks. Understanding these differences helps job seekers identify the right career path in healthcare administration.

What is medical insurance billing and coding?

Medical insurance billing and coding is the process of translating healthcare services, procedures, and diagnoses into standardized codes for billing and insurance purposes. Medical coders review clinical documentation and assign appropriate codes, while billers use these codes to submit claims to insurance companies for reimbursement. This role is essential to ensure healthcare providers are properly compensated and that patient records are accurate. Professionals in this field must have a strong understanding of medical terminology, coding systems like ICD-10 and CPT, and healthcare regulations.

What are some common challenges faced in a medical insurance billing and coding position, and how can they be overcome?

Professionals in Medical Insurance Billing and Coding often encounter challenges such as staying updated with frequently changing coding standards (like ICD-10 and CPT), handling claim denials, and ensuring accurate data entry. To overcome these challenges, it's important to participate in ongoing education, utilize up-to-date coding resources, and maintain strong communication with healthcare providers and insurance companies. Building attention to detail and organizational skills also helps minimize errors and improve claim acceptance rates.

Is there still a demand for medical insurance billing and coding?

Yes, medical insurance billing and coding professionals are in high demand due to ongoing healthcare industry growth and the need for accurate medical record management. The role requires familiarity with coding systems like ICD-10 and CPT, and certifications such as CPC can enhance job prospects. The field is expected to grow steadily as healthcare providers seek skilled staff to handle billing and compliance tasks.

Is a career in medical insurance billing and coding worth it?

A career in medical insurance billing and coding offers stable employment opportunities, with demand driven by healthcare industry growth. It typically requires certification, attention to detail, and proficiency with coding systems like ICD and CPT, making it a viable option for those interested in healthcare administration. The role often involves regular office hours and can lead to advancement in healthcare support positions.

What are the key skills and qualifications needed to thrive as a medical insurance billing and coding specialist?

To thrive as a Medical Insurance Billing and Coding Specialist, you need a solid understanding of medical terminology, coding systems (like ICD-10, CPT, and HCPCS), and healthcare reimbursement processes, often supported by a certification such as CPC or CCA. Familiarity with electronic health records (EHR) systems, medical billing software, and insurance claim platforms is essential. Attention to detail, analytical thinking, and strong organizational and communication skills help you excel in this role. These competencies ensure accurate claims processing, minimize errors, and support timely reimbursements critical to healthcare operations.
What cities in California are hiring for Medical Insurance Billing And Coding jobs? Cities in California with the most Medical Insurance Billing And Coding job openings:
Medical Insurance Billing And Coding jobs near you
Infographic showing various Medical Insurance Billing And Coding job openings in California as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $45,074 per year, or $21.7 per hour.

CalAIM Medical Billing Specialist

Friends Outside

Stockton, CA • On-site

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Salary: $28.00 p/hr

The CalAIM Medical Billing Specialist is responsible for managing the day-to-day administrative and billing operations related to Enhanced Care Management (ECM) and Community Supports (CS) services. This position supports the organizations CalAIM programming by ensuring accurate claims submission, authorization management, billing compliance, encounter tracking, and reimbursement optimization in accordance with DHCS, Managed Care Plan (MCP), Medi-Cal, and organizational requirements.

The Billing Specialist works closely with care managers, housing support staff, leadership, and Managed Care Plans to ensure timely and compliant billing processes while maintaining accurate records within electronic medical records (EMR/EHR) and billing systems.


***This is not a remote position***


Qualifications:

  • High school diploma or equivalent required; Associates degree in Medical Billing and Coding, Healthcare Administration, Business Administration, or related field preferred
  • Minimum of two years of medical billing experience, preferably within Medi-Cal, managed care, behavioral health, or community-based services
  • Knowledge of CalAIM, Enhanced Care Management (ECM), Community Supports (CS), and Medi-Cal billing practices preferred
  • Experience with electronic medical record (EMR/EHR) and billing software systems
  • Understanding of HIPAA regulations, healthcare documentation standards, and claims processing workflows
  • Strong attention to detail, organizational skills, and ability to manage multiple priorities
  • Excellent communication and problem-solving abilities


Key Responsibilities

Billing & Claims Management

  • Submit invoices and claims to Managed Care Plans (MCPs) for ECM and Community Supports services rendered to authorized members
  • Prepare and submit clean claims electronically or by paper in accordance with payer guidelines, DHCS standards, and MCP requirements
  • Submit claims utilizing national standard specifications, billing codes, and code sets established by DHCS for ECM and Community Supports services
  • Ensure maximum reimbursement through accurate billing, coding, and documentation review
  • Review claims for accuracy, completeness, and compliance prior to submission
  • Monitor claim status and assigned billing queues daily to support timely payment processing
  • Manage claims follow-up, denial management, corrections, appeals, and resubmissions as needed
  • Process and reconcile payer responses, payment postings, and billing reports

Authorization & Eligibility Oversight

  • Verify member eligibility with assigned MCPs prior to billing and throughout service enrollment periods
  • Monitor and maintain ECM and Community Supports authorizations, referrals, and service approvals
  • Ensure services billed are authorized, medically appropriate, and documented in accordance with DHCS and MCP requirements
  • Track authorization expiration dates and coordinate reauthorization needs with program staff

Documentation & Compliance

  • Maintain accurate and up-to-date data in electronic medical record (EMR/EHR) systems and billing platforms
  • Ensure documentation supports billed services and complies with ECM and Community Supports standards, including encounter documentation requirements
  • Maintain strict confidentiality of protected health information in compliance with HIPAA and organizational policies
  • Support compliance with consent, authorization, and data-sharing requirements related to CalAIM services
  • Assist with audits, monitoring activities, and reporting requests related to billing and claims processing

Coordination & Communication

  • Coordinate with care managers, housing support staff, supervisors, and external partners to obtain necessary documentation and service information
  • Communicate with MCP representatives regarding claims, authorizations, billing inquiries, and service requirements
  • Assist staff in resolving documentation deficiencies impacting billing or reimbursement
  • Participate in interdisciplinary meetings as needed to support program operations and billing integrity

Training & Quality Improvement

  • Attend required trainings and maintain current knowledge of CalAIM, ECM, Community Supports, DHCS, and MCP billing requirements
  • Stay informed on policy, coding, and compliance updates impacting billing practices
  • Contribute to process improvement efforts to enhance billing accuracy, compliance, and reimbursement outcomes