Job Description

DirectHire

We are seeking a certified Medical Coder to support our Sacramento based clients 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.

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