Coder - Insurance/Billing/Chart Review

DaMar Staffing; Anaheim (CA); On-site; USD 70,000 - 100,000; Full time

Job summary

Providence Medical Foundation seeks a Coding Auditor to join the Provider Network Performance team. Under direction, you will audit coding and billing documentation for CPT/ICD adherence and payer policies across services. This role supports quality and compliance within Providence's network.

The ideal candidate has 3 years of professional coding experience, AHIMA/AAPC certifications, and strong MS Office skills. Join a team focused on accurate coding and exceptional patient care.

Qualifications

• Requires 3 years of professional coding experience (POS11)
• Experience in HCC coding across multiple specialties (e.g., Primary Care, Oncology)
• Physician/clinic billing experience is required
• Proficiency with Microsoft Office suite is expected

Responsibilities

• Perform coding audits of patient care billing documentation to ensure adherence with CPT/ICD guidelines and payor policies.
• Support compliance and quality assurance across Providence Medical Foundation services

Skills

HCC coding

Physician/billing

Microsoft Office

Education

Associate's Degree in Coding education

AHIMA distance learning program

AAPC certification

CCS - Coding Specialist

CDIP - Documentation Improvement

CHDA - Health Data Analyst

RHIA - Health Information Administrator

RHIT - Health Information Technician

Tools

AHIMA credentials

Job description

Coding Auditor

Under direction of the Director Provider Network Performance, performs coding audits of patient care billing documentation to ensure adherence with CPT and ICD coding guidelines and federal, state, and commercial payor billing and payment policy for all services provided by Providence Medical Foundation.

Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we Providence know that to inspire and retain the best people, we must empower them.

Required qualifications

• Associate's Degree in Coding education in college setting or certified distance learning program such as that provided by AHIMA or AAPC.
• Or Work experience in medical offices (insurance, coding, billing, registration duties).
• Upon hire: National Certification from American Academy of Professional Coders.
• Upon hire: National Certified Coding Associate - American Health Information Management Association.
• Upon hire: National Certified Coding Specialist - American Health Information Management Association.
• Upon hire: National Certified Coding Specialist - Physician - American Health Information Management Association.
• Upon hire: National Certified Documentation Improvement Practitioner - American Health Information Management Association.
• Upon hire: National Certified Health Data Analyst - American Health Information Management Association.
• Upon hire: National Registered Health Information Administrator - American Health Information Management Association.
• Upon hire: National Registered Health Information Technician - American Health Information Management Association.

Experience

• 3 years Professional (POS11) Coding experience in HCC coding, Primary Care, Oncology, Infusion, Neurology, OB/GYN, Cardiology, Endocrinology, Rheumatology, General Surgery.
• 3 years Physician/clinic billing experience.
• Experience with Microsoft Office (Word, Excel, Outlook).

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.