Explore 2 coder jobs from 2 hiring companies in Loomis, CA, US. Filter by remote, salary, experience, and company, then open any listing to apply.

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Coder Jobs

Ascendiun

CommonSpirit Health

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As a Coder, you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed efficiently. Every day you will accurately translate patients’ medical records into standardized codes for diagnoses and treatments. Using your expertise and training, you will ensure compliance with legal, regulatory, and organizational standards. To be successful in this role, you must combine accuracy and attention to detail with a strong knowledge of coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time. <ul><li>Applies coding principles consistent with government regulatory standards, payer specific guidelines , and Dignity Health Medical Foundation policy</li><li>Codes Primary Care, Radiology and Hospitalist professional charges for assigned providers</li><li>Reviews all ICD, E&M, CPT and HCPCS codes to ensure documentation supports all services rendered</li><li>Queries providers, as needed, when encounters lack clear documentation or when missing documentation is discovered in the medical record</li><li>Provides education to physicians and providers on coding and documentation, as needed</li><li>Assists clinic and other department staff with coding related questions pertaining to assigned providers</li></ul> ***This position is remote within California

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Minimum Qualifications: - One (1) year or less of professional fee coding experience - High school diploma or equivalent - CPC, CPC-A or CCS-P Certification  Preferred Qualifications: - GECB/IDX and Cerner experience preferred

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Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - with hospitals and care centers in California, Arizona and Nevada. Today, Dignity Health Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services to the many communities we serve. As Dignity Health Medical Foundation continues to grow and establish new premier care centers, we provide increasing support and investment in the latest technologies, finest physicians and state-of-the-art medical facilities. We strive to create purposeful work settings where staff can provide great care, while advancing in knowledge and experience through challenging work assignments and stimulating relationships. Our staff is well-trained and highly skilled, qualities that are vital to maintaining excellence in care and service.

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Coder I

One year or less of professional fee coding experience; high school diploma; CPC, CPC-A or CCS-P certification.

Blue Shield of California Group

Your RoleAs a Clinical Coding Analyst, Experienced specializing in code governance, you will play a pivotal role in ensuring coding standards, compliance, and best practices across development teams. Your responsibilities will include implementing and maintaining a code governance framework, conducting code reviews, optimizing development workflows, and ensuring adherence to industry standards. You will collaborate with cross-functional teams to establish coding guidelines, automate governance processes, and enhance overall software quality and security. Your expertise will drive efficiency, consistency, and compliance in coding practices, supporting scalable and maintainable solutions.Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.&nbsp;<h3>Responsibilities</h3><div>Your WorkIn this role, you will:<ul><li>Provide expert input to quarterly and annual industry standard code maintenance for multiple systems</li><li>Research and prepare benefit files using industry standard codes that meet the intent of member benefit language and/or contracts, and regulatory mandates set forth by the state or federal agencies</li><li>Develop payment policies based on industry or content expert-supported research</li><li>Provide problem management recommendations on correct application of payment and benefits based on industry and internal research</li><li>Conduct research and provide recommendations on industry standard editing for appropriate application in the current system in accordance with Blue Shield of CA payment policies and regulatory guidelines</li><li>Collaborate with cross-functional departments to implement code governance framework</li></ul>&nbsp;</div><h3>Qualifications</h3><div>Your Knowledge and Experience<ul><li>HS Diploma or equivalent required; AA degree preferred</li><li>AHIMA Certified CCS or CCS-P and/or AAPC CIC, CPC or COC required</li><li>Preferred certification as CCS-P</li><li>Possess deep technical abilities</li><li>Work history in one of more of the following: 2 to 3 years of Provider billing experience in a lead, supervisory or management role; or 1 to 2 years in a payor environment working directly with payment quality and accuracy in a claims processing, providing contracting or audit capacity or; 1 to 2 years in a compliance or audit function within a health care system</li><li>Requires broad theoretical job knowledge typically obtained through advanced education</li><li>Intermittent proficiency in Microsoft Excel, Word and PowerPoint</li></ul>&nbsp;Hybrid This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week. Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.&nbsp;</div><h3>About Company</h3><div>
About Blue Shield of California
As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.&nbsp;
At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.&nbsp;
To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.
Blue Shield is&nbsp;a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities – join us!&nbsp;&nbsp;
Our Values:&nbsp;

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 <li>Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.&nbsp;</li>
 <li>Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.</li>
 <li>Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.&nbsp;</li>
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 Our&nbsp;Workplace Model&nbsp;
 We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our&nbsp;workplace model&nbsp;is designed around intentional in-person interaction, collaboration, connection,&nbsp;creativity&nbsp;and flexibility:
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 For most teams, this means coming into the office two days per week.</li>
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 Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.</li>
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 For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.</li>
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 The Company reserves the right to&nbsp;require&nbsp;more presence in the office based on business needs, and requirements are subject to change with periodic reviews. &nbsp;
 
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Physical Requirements:
Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.
<a href="https://www.blueshieldca.com/physical-job-requirements" target="_blank" rel="nofollow">Please click here for further physical requirement detail.</a>&nbsp;
Equal Employment Opportunity:
External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.</div>

Clinical Coding Analyst, Experienced – Certified Coder

Clinical Coding Analyst

HS diploma required; AA degree preferred; AHIMA CCS/CCS-P and/or AAPC CIC/CPC/COC required; CCS-P preferred; 2-3 years provider billing in leadership or 1-2 years payer/claims/audit experience; strong Excel/Word/PowerPoint skills.

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Coder Jobs in Loomis, CA, US

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