Medical Coder II - ICD-10/CPT Specialist | Hybrid

Neighborhood Healthcare; Escondido (CA); Hybrid; USD 41,000 - 57,000; Full time

Job summary

Neighborhood Healthcare is seeking a career-focused Medical Coder II in California. The hybrid role codes diagnoses and procedures using ICD-10-CM, CPT, and HCPCS Level II, ensuring compliance with guidelines and payer policies while supporting reimbursement processes.

You will query clinicians when documentation is unclear and collaborate with auditors and clinical teams to resolve discrepancies, aiming for high productivity and accuracy in a community health setting.

Qualifications

• High school diploma or GED required.
• Must have CPC or CCS or equivalent certification.
• Minimum 2–4 years of medical coding experience in physician group or healthcare clinic setting.
• Proficiency in outpatient coding.

Responsibilities

• Review and abstract clinical data from medical records for accurate code assignment.
• Assign ICD-10-CM, CPT, and HCPCS codes for diagnoses, procedures, and services.
• Ensure coding compliance with federal regulations, payer policies, and organizational standards.
• Query physicians for clarification when documentation is incomplete or unclear.
• Collaborate with coding staff, auditors, and clinical teams to resolve discrepancies and improve documentation.
• Meet productivity and accuracy benchmarks as defined by the department.
• Stay current with coding guidelines, CMS updates, and regulatory changes.
• Participate in audits and implement corrective actions as needed.
• May mentor or assist with training of less experienced coders.

Skills

ICD-10-CM

CPT

HCPCS

Medical terminology

EHR systems

Time management

Analytical skills

Communication

Education

High school diploma

CPC

CCS

AAPC/AHIMA equivalent

Tools

eClinicalWorks

Job description

Neighborhood Healthcare is seeking a career-focused Medical Coder II in California. The hybrid role codes diagnoses and procedures using ICD-10-CM, CPT, and HCPCS Level II, ensuring compliance with guidelines and payer policies while supporting reimbursement processes.

You will query clinicians when documentation is unclear and collaborate with auditors and clinical teams to resolve discrepancies, aiming for high productivity and accuracy in a community health setting.