Medical Coder
Company: North East Medical Services
Location: Daly City
Posted on: April 1, 2026
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Job Description:
The Medical Coder is primarily responsible for performing chart
reviews and coding audits; reviewing appropriate ICD-10 diagnoses
codes, and CPT and HCPCS procedure codes assigned for evaluation
and management of the patient. Additional responsibilities include
supporting pre-or post-payment coding audit for benchmark and/or
reimbursement recovery, and other coding-related activities such as
pre-appointment chart audits for HCC or risk adjustment, appeals of
denied claims, providing information or education to providers for
specificity of documentation to align with the coding guidelines to
comply with federal, state, and regulatory requirements. ESSENTIAL
JOB FUNCTIONS: Performs pre-appointment HCC or risk adjustment
chart reviews, coding audits, or other coding-related projects Acts
as internal resource for all coding inquiries from providers,
Billing, Laboratory, Radiology, and other departments. Provides
real time coding consultation and review and evaluation of
documentation to improve coding practices Provides training to
providers and Billing staff on use of ICD-10 codes Queries provider
documentation as appropriate Provides Billing staff with coding and
documentation information necessary to process a claim for
reimbursement Maintains knowledge of current coding guidelines and
standards, annual updates, changes, additions, and deletions to
ensure coding and billing compliance Communicates code changes to
appropriate departments Reviews and updates coding policies and
procedures as needed Assigns appropriate ICD-10 and CPT codes to
patient encounters as needed Assists Revenue Cycle manager and
billing staff on technical projects Acts as resource for providers
for medical documentation inquiries Performs other job duties as
required by manager/supervisor QUALIFICATIONS: Completion of an AA
or AS degree Possession of AAPC or AHIMA credential such as CPC,
CPC-P, CPMA, RHIT, RHIA, CCS, or CCS-P Minimum of two years’
experience working in the healthcare industry in the areas of HCC
or risk adjustment, health information, chart audit, medical
coding, or billing Prior coding experience highly preferred
Knowledge of medical terminology, anatomy, pathophysiology,
pharmacology, CPT, ICD-10, clinical documentation, or medical
billing processes Excellent verbal and written communication skills
Experience with Microsoft Office (Word, Excel, PowerPoint) and
Outlook Detail-oriented and problem-solving skills Ability to work
independently with minimal supervision Experience in an FQHC or
community health center setting preferred LANGUAGE: Must be able to
fluently speak, read, and write English. Fluent in other languages
are an asset. STATUS: This is an FLSA Non-exempt position. This is
not an OSHA high-risk position. NEMS is proud to be an Equal
Opportunity Employer welcoming diversity in our workforce. Pursuant
to the San Francisco Fair Chance Ordinance, we will consider for
employment qualified applicants with arrest and conviction records.
NEMS BENEFITS: Competitive benefits, including free medical, dental
and vision insurance for employee, spouse and/or children; and
company contribution to 401(k).
Keywords: North East Medical Services, Fremont , Medical Coder, IT / Software / Systems , Daly City, California
