Results for Medical Surgery Coder Remote Jobs in Los Angeles, CA

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Medical Surgery Coder (Remote)

Los Angeles, CA
remote
Temporary to Hire
27.97 - 43.99 USD / Hourly
A Hospital in Los Angeles is looking for a Medical Coder with experience in Surgery experience. The Medical Coder role will focuses on accurate coding for surgical and related outpatient services, helping ensure clean claims, reliable reimbursement, and strong compliance with payer and regulatory standards. The person in the Medical Coder role will work closely with revenue cycle partners, clinical teams, and leadership to resolve coding issues, improve documentation quality, and maintain consistent coding performance. This position is a remote Monday - Friday. CPC or CCS licence is a MUST for consideration. This role is remote Monday - Friday with equipment provided. Key Responsibilities:• Orthopedic Surgical Coding, Surgical Abstracting, and MediCal & CCS coding and billing guidelines (Top Requirements) • Examine surgical charge documentation and clinical records to assign accurate diagnosis, procedure, and modifier codes for billing and reimbursement activities.• Validate charge capture details, correct coding discrepancies, and confirm proper linkage between diagnoses and procedures before claims move forward.• Apply ICD-10 and CPT coding standards to surgical and designated diagnostic cases, including review of complex encounters requiring careful interpretation.• Manage daily claim and coding work queues, monitor ticket volume, and help maintain timely and accurate claim submission processes.• Review scanned charge documents for completeness and coding accuracy, escalating unusual or high-risk issues when necessary.• Support reporting and trend analysis by tracking coding errors, identifying recurring issues, and sharing findings with management for process improvement.• Collaborate with revenue cycle staff, physicians, clinicians, and departmental leadership to address questions, resolve escalations, and strengthen coding quality.• Maintain working knowledge across multiple specialties and remain current on payer rules, Medi-Cal guidance, CCS, Medicare requirements, and other compliance expectations.• Participate in audits, department meetings, and ongoing education activities while assisting with coding records management and other assigned duties. Benefits: Health, Dental, Vision, 401k, and Sick Time Off.
2026-10-26T00:00:00Z

Medical Insurance Authorization Specialist

Los Angeles, CA
remote
Temporary / Contract
25 - 30 USD / Hourly
We are seeking a detail-oriented and organized Medical Insurance Verification Specialist / Authorization Specialist to join our healthcare team. In this role, the Medical Insurance Verification Specialist / Authorization Specialist will verifying patient insurance coverage, obtaining prior authorizations, and ensuring accurate documentation to support timely billing and reimbursement. The ideal candidate has strong knowledge of insurance verification and authorization processes, excellent communication skills, and the ability to work efficiently in a fast-paced medical environment. Key Responsibilities: <ul><li>Verify patient insurance eligibility, benefits, and coverage prior to appointments, procedures, or treatment.</li><li>Obtain prior authorizations and pre-certifications from insurance carriers for medical services and procedures.</li><li>Review patient accounts for accuracy and completeness of insurance information.</li><li>Communicate with patients, providers, and insurance companies regarding authorization status, coverage details, and financial responsibility.</li><li>Follow up on pending, denied, or incomplete authorizations to ensure timely resolution. .</li><li>Maintain accurate and up-to-date records in the electronic medical record (EMR) and billing systems. Based on general knowledge.</li><li>Identify and resolve insurance-related issues that may delay patient care or reimbursement.</li><li>Ensure compliance with payer guidelines, internal procedures, and regulatory requirements.</li><li>Collaborate with front office, billing, and clinical teams to support smooth patient access and revenue cycle operations.</li></ul>This roles is remote in the CST/EST time zone. All equipment will be provided.
2026-10-27T00:00:00Z

2 results for Medical Surgery Coder Remote in Los Angeles, CA