We are seeking a certified Medical Coder to support our Sacramento based client’s mission of delivering high-quality, inclusive care to diverse patient populations. This role ensures accurate coding and billing for Medi-Cal, Medicare, Quest Lab and other clinical services, supporting timely billing, regulatory compliance, and optimized reimbursement.
The ideal candidate will hold a current CPC certificate combined with at least 1 year experience of certified coding in EPIC for Medi-Cal, Medicare and Laboratory coding.
- Pay: $27.00-$35.00/hour DOE
- Location: Sacramento
- Hybrid work schedule after training
- Direct Hire
PRIMARY RESPONSIBILITIES:
- Perform accurate coding and documentation review using ICD-10, CPT, HCPCS, and E/M guidelines to ensure compliant and optimized charge processing.
- Research and resolve coding discrepancies, including ambiguous or missing documentation, by consulting providers and referencing regulatory standards.
- Apply modifiers and specialty codes (e.g., 340B) as needed for billing accuracy and reimbursement integrity.
- Ensure compliance with federal, state, and payer regulations, maintaining up-to-date knowledge of CMS, HIPAA, and industry coding standards.
- Support audit readiness and claims resolution by participating in internal reviews, addressing denials, and contributing to continuous improvement initiatives.
- Utilize EHR and coding software tools (e.g., Epic, EncoderPro) while maintaining high standards of productivity, accuracy, and professional communication.
- Collaborate with billing and clinical teams to support education on coding protocols and regulatory compliance.
SKILLS AND QUALIFICATIONS:
- High school diploma or equivalent required.
- Possess an active CPC certification through AAPC or AHIMA, demonstrating ongoing compliance with industry standards.
- 1-3 years certified coding experience for Medi-Cal and Medicare billing.
- In-depth knowledge of medical coding practices, including ICD-10, CPT, E/M coding, and payer-specific billing guidelines.
- FQHC coding experience a plus.
- Ability to leverage experience in clinical documentation review to ensure coding accuracy and identify deficiencies within Electronic Health Record systems.
- EPIC or Ochin Epic system experience a plus.
