Medical Coder CPC or CCS or CMC

San Diego, CA 92121

Employment Type: Direct Job Category: Medical Coder Job Number: 46236


$22 to $30 Hourly

Benefits Offered

401K, Dental, Life, Medical, Vision

Employment Type


Seeking Rockstar Certified Coder with HCC knowledge (MUST), able to Audit quality for reputable managed care organization in San Diego.

4,10 hour-shifts, Monday-Thursday 6:30 am to 5:00 pm with a 30-minute meal period


Certified Medical Coder will serve on a team to audit quality and HCC reporting. HCC experience is highly desired. Familiarity with quality reporting through HEDIS/NCQA/AMP in California. Strong computer literacy required to utilize our documentation system and manage data in spreadsheets.


  • Establish / generate reports and analyzes the information against contract incentive programs and health plan data.
  • Receives HCC senior diagnoses and process then into the tracking programs. Recommends training opportunities and participates in provider trainings as needed. Audits and interfaces with outside coding vendors.
  • Recommends solutions to identify performance issues. Participates in webinars and conference as needed to stay abreast of IHA / NCQA requirements.
  • Serves as the user expert of software systems. Audits software accuracy from time to time. Attends user meetings and reports systems issues to the vendor.
  • Tracks and submits audit data for program compliance. Interacts with auditor to submit annual scores.
  • Performs other duties as assigned


  • Minimum three years Healthcare Industry experience.
  • Knowledge of managed care concepts and healthcare delivery systems; understanding of health insurance industry and products.
  • Experience working with CPT and ICD-10 codes and reading claims forms / reports.
  • Organized self-starter with follow through. Ability with changing priorities and varying deadlines.
  • String computer literacy, including competence with database and spreadsheet programs.
  • Microsoft Office products familiarity required.

License/certification in medical coding (CPC OR CCS)


  • Medical, Dental, Vision, and Life Insurance; Short Term Disability Insurance and Long-Term Disability Insurance (effective the first of the month following 30 days of employment).
  • Paid Time Off (PTO) accrual basis.
  • Paid Sick Leave (PSL)
  • 401 (K) Retirement Plan (after 90 days of employment and during open enrollment period).
  • 7 Paid Holidays


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