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Medical Insurance Billing Coding Jobs in Riverside, CA

Biller II

Irvine, CA · On-site

$20 - $25.50/hr

Prepare and submit billing data and medical claims (hospital and physician) to insurance companies ... Knowledge of ICD-10 Diagnosis and procedure codes and CPT/HCPCS codes. * Knowledge of rules and ...

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Medical Insurance Billing Coding information

See Riverside, CA salary details

$14

$22

$30

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

As of Sep 10, 2026, the average hourly pay for medical insurance billing 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 medical insurance billing and coding?

Medical insurance billing and coding is the process of translating healthcare services, treatments, and diagnoses into standardized codes that are used for billing purposes. Medical coders review clinical documentation and assign appropriate codes, while billers use these codes to prepare and submit insurance claims for reimbursement. This ensures that healthcare providers are paid correctly and that claims comply with regulations and insurance requirements. The work requires attention to detail, knowledge of medical terminology, and familiarity with coding systems like ICD-10, CPT, and HCPCS.

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 strong understanding of medical terminology, anatomy, coding systems (such as ICD-10, CPT, and HCPCS), and typically a certification like CPC or CCS. Familiarity with billing software, electronic health records (EHRs), and claims management platforms is essential. Attention to detail, integrity, and strong organizational and communication skills set top performers apart in this role. These competencies are crucial to ensure accurate claim submissions, reduce errors, and facilitate smooth reimbursement processes for healthcare providers.

What are some common challenges faced by medical insurance billing and coding professionals, and how can they be managed?

Medical Insurance Billing and Coding professionals often encounter challenges such as keeping up with constantly changing insurance regulations, accurately interpreting complex medical codes, and minimizing claim denials or rejections. Staying current with industry updates through continuous education and certification renewals is essential. Effective communication with healthcare providers and insurance representatives, as well as attention to detail and strong organizational skills, help manage workload and ensure accurate, timely claim submissions.

What is the difference between Medical Insurance Billing Coding vs Medical Claims Specialist?

AspectMedical Insurance Billing CodingMedical Claims Specialist
CertificationsCertified Professional Coder (CPC), Certified Coding Associate (CCA)Typically similar certifications, may include claims processing certifications
Work EnvironmentHospitals, clinics, insurance companiesInsurance companies, healthcare providers, billing offices
Job FocusAssigning codes to diagnoses and procedures for billingProcessing, reviewing, and managing insurance claims
Common Search IntentUnderstanding coding roles, certification requirementsClaims processing, reimbursement procedures

Both roles involve working with healthcare documentation and insurance processes. Medical Insurance Billing Coding focuses on assigning accurate codes for billing, while Medical Claims Specialists handle the submission and management of insurance claims. They often work together but have distinct responsibilities within the healthcare revenue cycle.

Is a job in medical insurance billing coding worth it?

Medical insurance billing and coding is a stable healthcare job that involves translating medical procedures into standardized codes for billing purposes. It typically requires certification, such as CPC or CCS, and offers opportunities for remote work and career advancement. The role provides steady employment with moderate entry requirements and a growing demand due to healthcare industry expansion.

Is it hard to get a job as a medical insurance billing coding specialist?

Getting a job as a medical insurance billing and coding specialist can vary depending on location and experience, but generally, the field has steady demand due to the need for accurate medical record management. Certification and familiarity with coding systems like ICD-10 and CPT can improve job prospects, and many roles offer flexible schedules. Entry-level positions are often available for those with relevant training or certification programs.

What are popular job titles related to Medical Insurance Billing Coding jobs in Riverside, CA?

For Medical Insurance Billing Coding jobs in Riverside, CA, the most frequently searched job titles are:

What job categories do people searching Medical Insurance Billing Coding jobs in Riverside, CA look for?

The top searched job categories for Medical Insurance Billing Coding jobs in Riverside, CA are:

What cities near Riverside, CA are hiring for Medical Insurance Billing Coding jobs?

Cities near Riverside, CA with the most Medical Insurance Billing Coding job openings:

Infographic showing various Medical Insurance Billing Coding job openings in Riverside, CA as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 16% Part Time, and 6% 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.

Accredited CPC Medical Coding Specialist

Winchester, CA • On-site

MLee Medical Employment
Recruiting and Staffing Services • 11 - 50 employees

Other

Re-posted 11 days ago


Job description

Position Overview
This role is responsible for accurately determining codes for physicians' diagnoses and procedures, ensuring compliance with the latest medical reimbursement policies and CMS guidelines. The specialist reviews medical records to identify all appropriate coding, generates invoices for insurance and patient billing, and manages insurance claims and collections. Collaboration with clinical teams and patients is essential to ensure precise and complete charge preparation for patient visits.
Key Responsibilities
  • Maintain a safe and clean work environment, adhering to unit safety and infection control standards.
  • Coding Duties:
    • Utilize Electronic Health Records (EHR) to support claim coding.
    • Assign ICD-10-CM, CPT-4, and HCPCS codes for surgeries based on current guidelines.
    • Review physician notes for accuracy and completeness.
    • Communicate with physicians to clarify or correct documentation as needed.
    • Ensure all medical records are complete, including proper timing, dating, and signatures.
    • Apply modifiers according to payer guidelines.
    • Understand documentation and compliance requirements for coding.
    • Maintain strict confidentiality and comply with HIPAA regulations protecting Protected Health Information (PHI).
  • Insurance and Patient Billing:
    • Process and submit electronic claims efficiently.
    • Address and correct electronic claim rejections promptly.
    • Resolve all NCCI edits within two business days to ensure timely claim submission.
    • Print paper claims when necessary.
    • Provide cash quotes for self-pay surgeries and collect payments for non-covered procedures and injections.
  • Auditing:
    • Follow up on claim acceptance or rejection.
    • Investigate reasons for claim denials and take corrective action.
  • Perform additional duties as assigned.
Qualifications
  • At least one year of healthcare experience.
  • Strong knowledge of medical terminology, human anatomy, and coding methodologies.
  • Moderate understanding of Level 1 and 2 modifiers.
  • Ability to review documents for accuracy and completeness.
  • Detail-oriented with strong problem-solving skills.
  • Knowledgeable in NCCI, CCI edits, and LCDs, with the ability to apply regulations accurately.
  • Effective communication skills and ability to collaborate with coworkers.
  • High ethical standards and professional integrity.
  • Strong analytical and persuasive communication skills at all organizational levels.
Education
  • High school diploma or GED required.
  • Certificate or diploma from an accredited medical coding program.
Certification
  • Current CPC, CPC-A, CCS, or RHIT certification required.

Employment is contingent upon passing a physical evaluation, drug screening, and background checks prior to starting work.
This position is located in a regional healthcare setting within the Pacific Northwest, serving diverse coastal communities with a commitment to compassionate and quality patient care.

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About McCall and Lee

Sourced by ZipRecruiter

McCall and Lee is a well-known and reputable company, headquartered in Austin, Texas, United States. Operating in the healthcare industry, their primary services center around professional recruiting and executive search. They cater to the needs of various levels of medical practitioners and executive positions for healthcare establishments. McCall and Lee is founded on the premise of filling healthcare vacancies with the most suitable and competent professionals to ensure top-quality medical service delivery. Their core value revolves around integrity, excellence, commitment, and customer satisfaction.

Industry

Recruiting and staffing services and human resources consulting services

Company size

11 - 50 Employees

Headquarters location

Austin, TX, US

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