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Medical Insurance Billing And Coding Jobs in Riverside, CA

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 ...

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All JobsMedical Insurance Billing And Coding JobsMedical Insurance Billing And Coding Jobs in Riverside, CA

Medical Insurance Billing And Coding information

See Riverside, CA salary details

$14

$22

$30

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

As of Jun 9, 2026, the average hourly pay for medical insurance billing 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.

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.

What are the key skills and qualifications needed to thrive as a Medical Insurance Billing and Coding Specialist, and why are they important?

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 are popular job titles related to Medical Insurance Billing And Coding jobs in Riverside, CA? For Medical Insurance Billing And Coding jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Medical Insurance Billing And Coding jobs in Riverside, CA look for? The top searched job categories for Medical Insurance Billing And Coding jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Medical Insurance Billing And Coding jobs? Cities near Riverside, CA with the most Medical Insurance Billing And Coding job openings:
Medical Insurance Billing And Coding jobs near you
Director of Revenue Cycle

Director of Revenue Cycle

Arrowhead Orthopaedics

Redlands, CA • On-site

$120K - $140K/yr

Full-time

Posted 27 days ago

Job description

JOB SUMMARY
The Director of Revenue Cycle is responsible for overseeing all aspects of the revenue cycle process within the organization, including patient access, billing, collections, coding, reimbursement, and compliance. This position ensures that revenue cycle operations align with federal and state regulations, payer requirements, and organizational financial goals. The Director will lead teams across patient financial services, health information management, and billing functions to optimize efficiency, reduce denials, and maximize revenue capture.
DISTINGUISHING CHARACTERISTICS
This role requires a highly strategic leader with expertise in healthcare finance, regulatory compliance, payer relations, and revenue cycle technology. The Director must balance operational leadership with regulatory knowledge (e.g., CMS, HIPAA, Medi-Cal, Medicare, and commercial payers), while maintaining strong communication with clinical and administrative departments.
ESSENTIAL JOB DUTIES & RESPONSIBILITIES:
The following are exemplary essential job duties and responsibilities and are not intended to represent an all-inclusive listing of related essential functions of the position.
Leadership & Strategy
• Develop and implement revenue cycle strategies to ensure timely and accurate billing, collections, and reimbursement.
• Lead, mentor, and evaluate teams in patient access, billing, coding, and collections.
• Collaborate with clinical and administrative leaders to improve workflows affecting reimbursement.
Financial Performance
• Monitor key performance indicators (KPIs) such as days in accounts receivable (AR), denial rates, collection efficiency, and cash flow.
• Develop revenue cycle dashboards and reports for executive leadership.
• Identify areas for process improvement and implement corrective actions.
Compliance & Risk Management
• Ensure adherence to state and federal regulations (California Department of Health Care Services, Medi-Cal, Medicare, HIPAA).
• Maintain compliance with payer contracts, coding regulations, and billing requirements.
• Lead internal audits and respond to payer audits or inquiries.
Revenue Integrity & Technology
• Oversee charge capture, coding accuracy, and documentation improvement initiatives.
• Implement and optimize revenue cycle technologies, including EHR and billing systems.
• Partner with IT and compliance departments to strengthen revenue integrity.
Stakeholder Engagement
• Serve as primary liaison between the organization and third-party payers.
• Develop and maintain effective communication with patients regarding financial responsibilities.
• Educate clinical and administrative staff on revenue cycle best practices.
OTHER WORK AS REQUIRED/REQUESTED
May be assigned special project or other assignments and work tasks that are generally within the scope and level of the position, and relative to the need for flexible Company operations.
MINIMUM & PREFERRED QUALIFICATIONS:
Education/Training
Minimum: Bachelor's degree in Healthcare Administration, Finance, Business
Preferred: Master's degree preferred
Experience
Minimum: 7-10 years of progressive experience in healthcare revenue cycle management, with at least 3 years in a senior leadership role. Strong knowledge of Medi-Cal, Medicare, commercial insurance, and California-specific payer regulations. Expertise in medical billing, coding, compliance, and reimbursement methodologies. Experience with EHR and revenue cycle management systems (e.g., Epic, Cerner, Allscripts).
Any combination of educational and work experience that would be equivalent to the stated minimum requirements would qualify for consideration of this position.
Skills, Knowledge & Abilities
• Advanced knowledge of revenue cycle processes, payer regulations, and healthcare reimbursement.
• Strong financial and analytical skills, with ability to interpret complex data.
• Excellent leadership, communication, and conflict resolution skills.
• Ability to work collaboratively with physicians, administrators, and external stakeholders.
• Strong problem-solving skills with an emphasis on process improvement
Requirements
Education/Training
Minimum: Bachelor's degree in Healthcare Administration, Finance, Business
Preferred: Master's degree preferred
Experience
Minimum: 7-10 years of progressive experience in healthcare revenue cycle management, with at least 3 years in a senior leadership role. Strong knowledge of Medi-Cal, Medicare, commercial insurance, and California-specific payer regulations. Expertise in medical billing, coding, compliance, and reimbursement methodologies. Experience with EHR and revenue cycle management systems (e.g., Epic, Cerner, Allscripts).
Salary Description
$120,000 - $140,000 / annual

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