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Night R1 Rcm Medical Coding Jobs in California (NOW HIRING)

Nexus HR

FQHC Billing Account Manager

Santa Fe Springs, CA · On-site

$28 - $30/hr

... 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 ...

MedHQ

Medical Biller

San Mateo, CA · On-site

$24 - $27/hr

Proficiency in ICD-10 coding systems and policies * Experience with electronic/clearinghouse ... RCM) division partners with healthcare providers nationwide to deliver expert billing, consulting ...

MedHQ, LLC

Medical Biller

San Mateo, CA · On-site

Proficiency in ICD-10 coding systems and policies * Experience with electronic/clearinghouse ... RCM) division partners with healthcare providers nationwide to deliver expert billing, consulting ...

TPIRC

Medical Collections Representative

Long Beach, CA · On-site

$21 - $25/hr

Document instructions for the RCM team in the EMR/PM system(s) and Salesforce. * Respond to and ... Medical billing and coding certification preferred. * 3+ years of experience in medical billing ...

TPIRC

Medical Collections Representative

Long Beach, CA · On-site

$21 - $25/hr

Document instructions for the RCM team in the EMR/PM system(s) and Salesforce. * Respond to and ... Medical billing and coding certification preferred. * 3+ years of experience in medical billing ...

Mochi Health

Revenue Cycle Manager

San Francisco, CA

Coordinate with medical directors and credentialing bodies on initial and re-credentialing cycles ... RCM workflows, including prior authorization support, coding suggestion tools, and payer portal ...

Mochi Health

Revenue Cycle Manager

San Francisco, CA · On-site

Coordinate with medical directors and credentialing bodies on initial and re-credentialing cycles ... RCM workflows, including prior authorization support, coding suggestion tools, and payer portal ...

Mochi Health

Revenue Cycle Manager

San Francisco, CA · On-site

... RCM workflows, including prior authorization support, coding suggestion tools, and payer portal ... medical dental and vision for our injury prone team. 💸 Competitive Compensation - We offer a top ...

Hike Medical

Clinical Intelligence Lead

San Francisco, CA · On-site

$160K - $230K/yr

1. Clinical Intelligence Lead Center of Excellence • Medical Policy & Coding • United States ... Direct experience at a large DMEPOS company, O&P practice, or RCM firm. * Working knowledge of CMS ...

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All JobsR1 Rcm Medical Coding JobsNight R1 Rcm Medical Coding JobsNight R1 Rcm Medical Coding Jobs in California

Night R1 Rcm Medical Coding information

What are the key skills and qualifications needed to thrive as a Night R1 RCM Medical Coder, and why are they important?

To thrive as a Night R1 RCM Medical Coder, you need a solid understanding of medical terminology, coding systems (such as ICD-10-CM, CPT, and HCPCS), and a relevant certification like CPC or CCS. Familiarity with electronic health record (EHR) systems and medical billing software is essential for efficient coding and claim submission. Attention to detail, time management, and strong analytical skills help ensure accuracy and compliance in a high-volume, overnight workflow. These skills and qualifications are crucial for reducing errors, maximizing reimbursement, and maintaining regulatory standards in healthcare revenue cycle management.

What are some common challenges faced by Night R1 RCM Medical Coders, and how can they be managed?

Night R1 RCM Medical Coders often encounter challenges such as working with limited immediate supervision, handling urgent coding requests, and managing communication across different time zones. To overcome these, it’s important to have strong self-discipline, be proactive in clarifying documentation with daytime staff, and utilize digital collaboration tools for seamless workflow. Staying updated on coding guidelines and maintaining clear records also help ensure accuracy and efficiency during night shifts.

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

AspectNight R1 Rcm Medical CodingNight R1 Rcm Medical Billing
Primary RoleAssigning medical codes based on clinical documentationProcessing and submitting insurance claims for reimbursement
Required CertificationsCertified Professional Coder (CPC) or equivalentBilling and Coding Certification (CBC) or similar
Work EnvironmentHealthcare facilities, remote coding teamsBilling departments, remote billing teams
Industry UsageHospitals, clinics, insurance companiesHospitals, billing service providers

Night R1 Rcm Medical Coding focuses on translating clinical documentation into standardized codes, while Night R1 Rcm Medical Billing involves submitting claims and managing reimbursements. Both roles require similar certifications and often work in healthcare settings, but they serve distinct functions in the revenue cycle process.

What is a Night R1 RCM Medical Coding job?

A Night R1 RCM Medical Coding job involves reviewing and assigning standardized medical codes to healthcare diagnoses, procedures, and services, specifically during night shifts. 'RCM' stands for Revenue Cycle Management, which means the role is integral in ensuring accurate billing and reimbursement for healthcare providers. Night R1 coders often work for hospitals, clinics, or outsourcing firms, helping maintain up-to-date patient records and supporting financial operations after regular business hours. The 'R1' may refer to a designation or level within the organization or coding team. Knowledge of ICD-10, CPT, and HCPCS coding systems, as well as compliance with healthcare regulations, is essential for this position.
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:
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Night R1 Rcm Medical Coding jobs near you
FQHC Billing Account Manager

FQHC Billing Account Manager

Nexus HR Services

Santa Fe Springs, CA • On-site

$28/hr

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 14 days ago

Job description

FQHC Billing Account Manager - Santa Fe Springs, CA

Compensation:  $28.00 per hour

Overview: 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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