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R1 Rcm Medical Coding Jobs in California (NOW HIRING)

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 ...

Medix

Biller

Irvine, CA · On-site

$25 - $27/hr

PBM billing (not major medical) * Work with extremely high volume claims * Claim adjudication ... Home Infusion or Specialty Pharmacy RCM Background - collector, biller, authorizations, pharmacy ...

Salma Health

Revenue Cycle Manager

Sacramento, CA · On-site

$100K - $130K/yr

Prepare and present key RCM data and insights to broader team * Develop and implement processes to ... Strong knowledge of medical billing, CPT coding, insurance verification, and payer requirements

System One

Reliability Engineer

Long Beach, CA · On-site

$107K - $135K/yr

Experience with API and ASME Codes and Standards * Failure Modes and Effects Analysis (FMEA) and ... GE-APM (Meridium), RBI, reliability tools (Weibull Analysis, Reliability Growth), RCM, CMRP, CRL ...

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R1 Rcm Medical Coding information

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$15

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How much do r1 rcm medical coding jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for r1 rcm medical coding in California is $22.13, according to ZipRecruiter salary data. Most workers in this role earn between $17.79 and $23.70 per hour, depending on experience, location, and employer.

What is an R1 RCM Medical Coding job?

An R1 RCM Medical Coding job involves reviewing medical records and assigning standardized codes for diagnoses, treatments, and procedures. These codes are used for billing and insurance reimbursement, ensuring accurate and efficient revenue cycle management. Coders working for R1 RCM must be knowledgeable in ICD-10, CPT, and HCPCS coding systems, as well as compliance regulations. They play a crucial role in minimizing claim denials and optimizing reimbursements for healthcare providers.

What are the typical day-to-day responsibilities for someone working in R1 RCM Medical Coding?

In an R1 RCM Medical Coding position, your daily tasks will involve reviewing patient medical records, assigning appropriate diagnostic and procedure codes, and ensuring compliance with federal regulations and payer policies. You'll frequently use specialized coding software and electronic health records to enter and validate data. Collaboration with billing teams, physicians, and auditors is common to resolve discrepancies and clarify clinical documentation. Maintaining up-to-date knowledge of coding guidelines and ongoing training is also a key part of the role to ensure accuracy and minimize claim denials.

What are the key skills and qualifications needed to thrive in the R1 Rcm Medical Coding position, and why are they important?

To excel as an R1 RCM Medical Coding professional, you need a solid understanding of medical terminology, ICD-10/CPT coding systems, and healthcare reimbursement processes, often supported by a certification such as CPC or CCS. Familiarity with medical billing software, EHR systems, and coding audit tools is crucial for daily tasks. Attention to detail, strong analytical skills, and effective communication are valuable soft skills in this role. These competencies ensure accurate coding, compliance with industry standards, and seamless collaboration with healthcare teams, leading to optimized revenue cycles.

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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What cities in California are hiring for R1 Rcm Medical Coding jobs? Cities in California with the most R1 Rcm Medical Coding job openings:
R1 Rcm Medical Coding jobs near you
Infographic showing various R1 Rcm Medical Coding job openings in California as of July 2026, with employment types broken down into 1% Internship, 1% As Needed, 82% Full Time, 11% Part Time, 2% Temporary, and 3% Contract. Highlights an 79% Physical, 3% Hybrid, and 18% Remote job distribution, with an average salary of $46,027 per year, or $22.1 per hour.

Clinical Intelligence Lead

Hike Medical

San Francisco, CA • On-site

$160K - $230K/yr

Full-time

Posted 25 days ago

Job description

1. Clinical Intelligence Lead
Center of Excellence • Medical Policy & Coding • United States (Remote OK; in-person preferred first 90 days) • Full-time
Suggested salary range (confirm): $170,000-$250,000 + 1.2× market • competitive equity • full benefits
About Hike Medical
Hike Medical is an AI-run operator for prescribed medical devices (DMEPOS). We run the entire episode of care from fax intake to paid claim - using AI agents for the administrative workflow, our clinical platform for evaluation and documentation, and our factory (SoleForge) for device fabrication. Our three products - Hike AI Agents, Hike Clinical, and SoleForge - own the full episode of device care. We have grown from $2M to a $15.6M run rate on diabetic shoes and inserts alone, and we are now expanding into AFOs, prefab devices, and bracing. This is a pivotal moment to join.
About the Center of Excellence
The Center of Excellence is the intelligence engine of Hike. It owns the clinical and coding knowledge that powers every AI agent - producing agent guides per code block, setting evaluation standards, informing all compliance policies, and managing the human-in-the-loop team. CoE roles are the highest-leverage positions in the company: the documents and workflows you build determine how fast we expand into new device categories.
The Role
As Clinical Intelligence Lead, you'll be the go-to expert on coding and medical policy at Hike. This role is for someone who deeply understands what diagnoses support what claims, which L-codes apply, where payers differ from Medicare, and what documentation is needed to prevent or resolve denials. Just as important, you'll turn that knowledge into clear, structured logic our systems can actually use. We're looking for someone who combines subject-matter depth with the ability to build repeatable, scalable processes.
What You Will Do
  • Own the coding intelligence layer: for each HCPCS code block, define what diagnosis codes qualify, what documentation is required, and how to identify gaps.
  • Translate clinical knowledge into structured agent guides - precise, field-level workflow specifications, not spreadsheets.
  • Identify coding opportunities and documentation deficiencies across intake queues, and define the rules that fix them.
  • Build and maintain the medical policy library: LCD/NCD coverage, CMS Required PA List changes, payer-specific deviations (UHC, Aetna, Cigna), and evidence-based updates as policies evolve.
  • Partner with the Protocol Specialist and Compliance Specialist to ensure agent guides reference up-to-date coverage criteria.
  • Review HITL team outputs for coding accuracy, and train new specialists on coding logic.
  • Stay current with CMS policy changes - new codes, revised LCDs, PA list additions - and propagate them into agent guides within defined SLAs.
What We Are Looking For
  • 5+ years in DMEPOS coding, with deep expertise in O&P (L-codes: AFOs, KAFOs, prosthetics) and diabetic footwear (A5500 series).
  • Direct experience at a large DMEPOS company, O&P practice, or RCM firm.
  • Working knowledge of CMS LCDs (L33686, L29702), Policy Articles, and the CMS Required Prior Authorization List.
  • Ability to write precise, structured documentation that engineers can implement.
  • Experience communicating with physicians about documentation insufficiencies, and with billers about claim adjudication.
  • Comfortable in a fast-moving, early-stage environment where you build systems, not just use them.
Why This Role
This role has outsized impact. The quality and speed of your work directly influence how quickly - and how confidently - we can expand into new device categories.
LocationUnited States (remote OK; in-person preferred for first 90 days) Compensation1.2× your current market rate. Competitive equity. Full benefits.Reports To Amit Bhanti, Head, Center of Excellence

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