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Senior R1 Rcm Medical Coding Jobs in Sacramento, CA

Sr. Certified Coder (Remote)

Roseville, CA · On-site +1

$23.75 - $31.75/hr

Audits medical records to ensure proper coding is completed and to ensure compliance with federal and state regulatory agencies. Applies strategies to improve productivity. Identify trends with tasks ...

Epic Denials Management Operator

Sacramento, CA · Remote

$19.25 - $25.50/hr

Rebill corrected claims and route issues to coding, billing, credentialing, denials, and/or ... Review hospital account records and payer remittance records, communicate with relevant Client RCM ...

Senior Special Inspector

Sacramento, CA · On-site

$38.01 - $54.40/hr

... paid Medical insurance with by-up options for your dependents. Employee and Dependent Dental and ... Knowledge of the California Building Code (CBC), International Building Code (IBC), ASTM Standards ...

Senior Special Inspector II

Sacramento, CA · On-site

$46.68 - $67.16/hr

... paid Medical insurance with by-up options for your dependents. Employee and Dependent Dental and ... Knowledge of the California Building Code (CBC), International Building Code (IBC), ASTM Standards ...

Showing results 21-40

Senior R1 Rcm Medical Coding information

See Sacramento, CA salary details

$16

$28

$40

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

As of Sep 10, 2026, the average hourly pay for senior r1 rcm medical coding in Sacramento, CA is $28.10, according to ZipRecruiter salary data. Most workers in this role earn between $23.08 and $31.54 per hour, depending on experience, location, and employer.

What is the difference between Senior R1 Rcm Medical Coding vs Medical Coding Specialist?

AspectSenior R1 Rcm Medical CodingMedical Coding Specialist
CertificationsAHIMA/ACMEC certifications, CPC, CCSSimilar certifications, often CPC or CCS
Work EnvironmentHealthcare facilities, RCM companies, remote optionsHospitals, clinics, remote or onsite
Job ResponsibilitiesComplex coding, audits, mentoringStandard coding, claim submission
Experience LevelAdvanced, with years of experienceEntry to mid-level

Senior R1 Rcm Medical Coders typically handle complex cases, audits, and mentoring, requiring more experience and advanced certifications. Medical Coding Specialists focus on standard coding tasks and claim submissions, often at entry or mid-level. Both roles share similar certifications and work environments but differ in complexity and responsibility.

What are popular job titles related to Senior R1 Rcm Medical Coding jobs in Sacramento, CA?

For Senior R1 Rcm Medical Coding jobs in Sacramento, CA, the most frequently searched job titles are:

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The top searched job categories for Senior R1 Rcm Medical Coding jobs in Sacramento, CA are:

What cities near Sacramento, CA are hiring for Senior R1 Rcm Medical Coding jobs?

Cities near Sacramento, CA with the most Senior R1 Rcm Medical Coding job openings:

Infographic showing various Senior R1 Rcm Medical Coding job openings in Sacramento, CA 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 $58,454 per year, or $28.1 per hour.

Clinical Data AMS Sr. Consultant

Sacramento, CA • On-site

Deloitte
Finance and Insurance • 10K+ employees

Full-time

Posted 16 days ago


Key responsibilities

  • Provide day-to-day administration, monitoring, patching, upgrades, troubleshooting, and performance tuning of the SAS Grid environment to ensure high availability.

  • Manage configuration, patching, upgrades, and troubleshooting for Axway Secure Transport, and support eClinical Elluminate and EAST platforms, including data review workflows, configuration, and issue triage.

  • Lead incident, problem, and change management activities, including root-cause analysis, validation activities, and maintaining compliance documentation to ensure systems remain inspection-ready and compliant with regulatory standards.


Deloitte rating

8.2

Company rating: 8.2 out of 10

Based on 93 frontline employees who took The Breakroom Quiz


Job description

Are you an experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced Clinical Data AMS Senior Consultant you will have the ability to share new ideas and collaborate on projects as a consultant without the extensive demands of travel. If so, consider an opportunity with Deloitte under our Project Talent Model. Project Talent Model (PTM) is a talent model that is tailored specifically for long-term, remote client service delivery.

Recruiting for this role ends on 10/1/2026

Position Summary

The Clinical Data Analytics (CDA) AMS Lead will serve as the primary functional and operational expert for the Clinical Data Analytics (CDA) technology portfolio, with primary emphasis on SAS Grid Administration supporting biostatistics and real-world data (RWD) science operations. This role owns the health, stability, and compliance posture of a suite of clinical and regulatory R&D platforms - including Axway Secure Transport (ST), eClinical Elluminate, Eclipse (medical coding), and EAST - across the full engagement lifecycle: implementation, configuration, validation, and steady-state managed services. The AMS Lead acts as the escalation point for platform issues, drives root-cause resolution, and ensures all supported systems remain inspection-ready in accordance with global regulatory standards (GxP, 21 CFR Part 11, GDPR/HIPAA as applicable).

Work you'll do/Responsibilities

As a Clinical Data AMS Senior Consultant, you will provide own day-to-day administration, monitoring, patching, upgrades, troubleshooting and performance tuning of the SAS Grid environment (grid nodes, metadata server, workspace/stored process servers), ensuring high availability for biostatistical programming and RWE workloads. Manage configuration, patching, upgrades, and troubleshooting for Axway Secure Transport (ST), ensuring secure, reliable file transfer for clinical data exchange with CROs, labs, and regulatory partners. Provide operational and functional support for eClinical Elluminate, including data review workflows, listings/reports configuration, and integration touchpoints with upstream/downstream clinical systems. Support EAST (Trial design and simulation platform) configuration, access provisioning, and issue triage. Lead incident, problem, and change management across all supported platforms - triaging tickets, performing root-cause analysis, and driving permanent fixes within SLA. Manage installation qualification (IQ), operational qualification (OQ), and performance qualification (PQ) activities, and maintain validation documentation (URS, FRS, test scripts, traceability matrices) for all platform changes. Coordinate patching, upgrades, DR/backup testing, and environment refreshes (Prod/UAT/Dev) in line with change control procedures. Ensure ongoing compliance with GxP, Part 11, data integrity (ALCOA+), and audit-readiness across all systems; support internal/external audits and regulatory inspections.

Manage access control, user provisioning/de-provisioning, and periodic access reviews per SOX/GxP requirements. Develop and maintain SOPs, runbooks, knowledge base articles, and platform architecture documentation. Monitor capacity, licensing, and vendor SLAs; escalate and manage vendor relationships (SAS, Axway, Elluminate, Eclipse vendors) as needed.

Conduct root cause analysis (RCA) for recurring incidents and implement corrective and preventive actions in coordination with Quality and IT teams. Support validation activities including IQ/OQ/PQ execution, traceability matrix development, and preparation of GxP-compliant documentation. Participate in go-live readiness activities, cutover planning, hypercare support, and post-implementation review. Lead teams comprising consultants and analysts and drive delivery within the quality and compliance workstream. Maintain comprehensive documentation including runbooks, SOPs, functional specifications, validation artefacts, and change management records. The successful candidate would possess these skills:

  • Ability to work independently and collaborate as part of a team
  • Effective written and verbal communication skills
  • Meticulous attention to detail and quality of work product
  • Ability to build and sustain professional relationships 
  • Ability to lead projects or workstreams
  • Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment
  • Strong interpersonal skills and professional demeanor 
  • Ability to meet deadlines
  • Ability to provide clear guidance to others

The Team 

You will be part of the Clinical Data Analytics (CDA) Technology & Operations organization, which enables biostatistics, clinical data management, and real-world evidence functions with reliable, compliant, and scalable technology platforms. The team operates at the intersection of IT infrastructure, clinical operations, and quality/regulatory compliance, partnering closely with global business and technology stakeholders to support end-to-end clinical trial data lifecycles from data capture and coding through statistical analysis and submission-ready outputs. The team follows a managed-services model with defined SLAs, on-call rotation for critical platform support, and a strong culture of continuous improvement and regulatory rigor.

Our Industry Solutions offering provides verticalized solutions that transform how clients sell products, deliver services, generate growth, and execute mission-critical operations. We deliver integrated business expertise with scalable, repeatable technology solutions specifically engineered for each sector.

Qualifications Required

  • 6+ years of IT application support/administration experience in a pharmaceutical, biotech, or CRO environment, with 3+ years hands-on SAS Grid Administration.
  • Experience supporting clinical/regulatory platforms in a GxP/validated environment, including change control, CSV (Computer System Validation), and audit support.
  • Hands-on experience with Axway Secure Transport (ST) or equivalent secure managed file transfer (MFT) tools.
  • Experience with Linux and Windows server administration in support of grid/application environments
  • Familiarity with GxP quality management concepts including 21 CFR Part 11, Annex 11, computerised system validation (CSV), and IQ/OQ/PQ documentation standards.
  • Experience with Incident Management, Problem Management, and Change Management following ITSM/ITIL frameworks.
  • Proficiency with ServiceNow and JIRA for ticket management, SLA tracking, and Agile project delivery.
  • S/B.E / B.Tech / M.C.A. / M.Sc (CS) degree or equivalent experience
  • Limited immigration sponsorship may be available 
  • Ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve
  • Role is remote

Preferred

  • Experience with CDISC standards (SDTM/ADaM) as they relate to downstream SAS programming environments.
  • SAS Certified Platform Administrator or SAS Certified Deployment Specialist credential.
  • Familiarity with supplier qualification management and third-party audit management modules within QMS platforms.
  • ServiceNow or equivalent ITSM tool experience for ticketing and change management.
  • Experience supporting regulatory submissions (FDA/EMA) from a systems/platform readiness perspective.

The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $120,200 - $140,000.

You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.

Qualifications:

Are you an experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced Clinical Data AMS Senior Consultant you will have the ability to share new ideas and collaborate on projects as a consultant without the extensive demands of travel. If so, consider an opportunity with Deloitte under our Project Talent Model. Project Talent Model (PTM) is a talent model that is tailored specifically for long-term, remote client service delivery.

Recruiting for this role ends on 10/1/2026

Position Summary

The Clinical Data Analytics (CDA) AMS Lead will serve as the primary functional and operational expert for the Clinical Data Analytics (CDA) technology portfolio, with primary emphasis on SAS Grid Administration supporting biostatistics and real-world data (RWD) science operations. This role owns the health, stability, and compliance posture of a suite of clinical and regulatory R&D platforms - including Axway Secure Transport (ST), eClinical Elluminate, Eclipse (medical coding), and EAST - across the full engagement lifecycle: implementation, configuration, validation, and steady-state managed services. The AMS Lead acts as the escalation point for platform issues, drives root-cause resolution, and ensures all supported systems remain inspection-ready in accordance with global regulatory standards (GxP, 21 CFR Part 11, GDPR/HIPAA as applicable).

Work you'll do/Responsibilities

As a Clinical Data AMS Senior Consultant, you will provide own day-to-day administration, monitoring, patching, upgrades, troubleshooting and performance tuning of the SAS Grid environment (grid nodes, metadata server, workspace/stored process servers), ensuring high availability for biostatistical programming and RWE workloads. Manage configuration, patching, upgrades, and troubleshooting for Axway Secure Transport (ST), ensuring secure, reliable file transfer for clinical data exchange with CROs, labs, and regulatory partners. Provide operational and functional support for eClinical Elluminate, including data review workflows, listings/reports configuration, and integration touchpoints with upstream/downstream clinical systems. Support EAST (Trial design and simulation platform) configuration, access provisioning, and issue triage. Lead incident, problem, and change management across all supported platforms - triaging tickets, performing root-cause analysis, and driving permanent fixes within SLA. Manage installation qualification (IQ), operational qualification (OQ), and performance qualification (PQ) activities, and maintain validation documentation (URS, FRS, test scripts, traceability matrices) for all platform changes. Coordinate patching, upgrades, DR/backup testing, and environment refreshes (Prod/UAT/Dev) in line with change control procedures. Ensure ongoing compliance with GxP, Part 11, data integrity (ALCOA+), and audit-readiness across all systems; support internal/external audits and regulatory inspections.

Manage access control, user provisioning/de-provisioning, and periodic access reviews per SOX/GxP requirements. Develop and maintain SOPs, runbooks, knowledge base articles, and platform architecture documentation. Monitor capacity, licensing, and vendor SLAs; escalate and manage vendor relationships (SAS, Axway, Elluminate, Eclipse vendors) as needed.

Conduct root cause analysis (RCA) for recurring incidents and implement corrective and preventive actions in coordination with Quality and IT teams. Support validation activities including IQ/OQ/PQ execution, traceability matrix development, and preparation of GxP-compliant documentation. Participate in go-live readiness activities, cutover planning, hypercare support, and post-implementation review. Lead teams comprising consultants and analysts and drive delivery within the quality and compliance workstream. Maintain comprehensive documentation including runbooks, SOPs, functional specifications, validation artefacts, and change management records. The successful candidate would possess these skills:

  • Ability to work independently and collaborate as part of a team
  • Effective written and verbal communication skills
  • Meticulous attention to detail and quality of work product
  • Ability to build and sustain professional relationships 
  • Ability to lead projects or workstreams
  • Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment
  • Strong interpersonal skills and professional demeanor 
  • Ability to meet deadlines
  • Ability to provide clear guidance to others

The Team 

You will be part of the Clinical Data Analytics (CDA) Technology & Operations organization, which enables biostatistics, clinical data management, and real-world evidence functions with reliable, compliant, and scalable technology platforms. The team operates at the intersection of IT infrastructure, clinical operations, and quality/regulatory compliance, partnering closely with global business and technology stakeholders to support end-to-end clinical trial data lifecycles from data capture and coding through statistical analysis and submission-ready outputs. The team follows a managed-services model with defined SLAs, on-call rotation for critical platform support, and a strong culture of continuous improvement and regulatory rigor.

Our Industry Solutions offering provides verticalized solutions that transform how clients sell products, deliver services, generate growth, and execute mission-critical operations. We deliver integrated business expertise with scalable, repeatable technology solutions specifically engineered for each sector.

Qualifications Required

  • 6+ years of IT application support/administration experience in a pharmaceutical, biotech, or CRO environment, with 3+ years hands-on SAS Grid Administration.
  • Experience supporting clinical/regulatory platforms in a GxP/validated environment, including change control, CSV (Computer System Validation), and audit support.
  • Hands-on experience with Axway Secure Transport (ST) or equivalent secure managed file transfer (MFT) tools.
  • Experience ...

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