Top 1359 Certified professional coder, auditor Jobs in California

Certified Professional Coder, Special Investigations Unit (Aetna SIU)
CVS Health —California
- $43,888 - $93,574 a year
- Full-time
- Remote
- Microsoft Excel
- Research
- Mid-level
- Health insurance
- Dental insurance
8d
Certified Professional Coder, Auditor
Integrated Pain Management Medical Group, Inc. —Walnut Creek, CA
- $28 - $33 an hour
- Full-time
- 3 years
- High school diploma or GED
- Senior level
- Paid holidays
- Health insurance
Quick Apply
Audit Staff
Hood & Strong —San Francisco, CA
- $60,000 - $75,000 a year
- Computer literacy
- Computer skills
- Accounting
Certified Professional Coder I
AltaMed Health Services Corporation —Commerce, CA
- $27.00 - $33.75 an hour
- Full-time
- Background check
- Mid-level
- High school diploma or GED
- 403(b) matching
- Paid holidays
1d
Sr. Denial Specialist (Remote)
Stanford Health Care —Sacramento, CA
- $38.91 - $43.82 an hour
- Full-time
- Remote
- 3 years
- High school diploma or GED
- Mentoring
Audit Professional 4
University of California, Riverside —Riverside, CA
- $93,200 - $179,400 a year
- Full-time
- Background check
- 6 years
- English
HCC Coding Specialist
MedPOINT Management —Sherman Oaks, CA
- $75,000 - $95,000 a year
- Full-time
- Hybrid work
- Mid-level
- 2 years
- Communication skills
- Health insurance
- Dental insurance
Quick Apply
4d
AUDITOR I
Department of Health Care Services —Orange County, CA
- $4,256 - $5,600 a month
- Multiple hires
- Hybrid work
- Microsoft Word
- Microsoft Excel
- Writing skills
- Paid holidays
- Dental insurance
6d
Claims Auditor, Managed Care (remote)
Cedars-Sinai —Los Angeles, CA
- $27.74 - $43.00 an hour
- 8 hour shift
- Remote
- Mid-level
- High school diploma or GED
- Bachelor's degree
- Health insurance
- Dental insurance
Senior Accountant – Financial Close & Audit Specialist
Sterling Pacific Financial —Watsonville, CA
- $75,000 - $100,000 a year
- Email
- Hospitality
- Microsoft Excel
- CPA
- Health insurance
- Dental insurance
Quick Apply
Certified Coder/Biller
Link Integrated Healthcare —Oxnard, CA
- $25.80 - $27.00 an hour
- Full-time
- Mid-level
- In-person
- Medical terminology
- Health savings account
- Health insurance
Quick Apply
14d
Audit Associate
Grobstein Teeple, LLP —Woodland Hills, CA
- $70,000 - $80,000 a year
- Full-time
- Hybrid work
- CPA
- Mid-level
- Office
- Health savings account
- Disability insurance
Quick Apply
8d
Internal Auditor
Federated Indians of Graton Rancheria —Rohnert Park, CA
- $88,819 - $124,347 a year
- Full-time
- Background check
- Microsoft Excel
- Mid-level
- Paid holidays
- Disability insurance
14d
Tax and Audit Associate
Maemura & Co., CPAs LLP —San Mateo, CA
- $65,000 - $80,000 a year
- Full-time
- CPA
- Office
- Master's degree
- Health insurance
- Dental insurance
Quick Apply
7d
Senior Audit Associate
Cathedral CPAs & Advisors, LLP —Pleasant Hill, CA
- $75,000 - $105,000 a year
- Full-time
- Background check
- Management
- CPA
Quick Apply
4d
Accountant I
MEXICAN AMERICAN OPPORTUNITY FOUNDATION —Montebello, CA
- $77,000 - $78,000 a year
- Full-time
- Mid-level
- Office
- Analysis skills
- Paid jury duty
- 403(b) matching
Internal Auditor
Chicken Ranch Rancheria Tribal Gaming Agency —Jamestown, CA
- $22 - $26 an hour
- Full-time
- Background check
- Pass drug screening
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
4d
Tax Accountant
Meloni Hribal Tratner LLP —Woodland Hills, CA
- $70,000 - $95,000 a year
- Email
- Hybrid work
- Background check
- Management
- CPA
- Profit sharing
- Paid training
Quick Apply
Senior Internal Auditor - Calabasas, CA
The Cheesecake Factory —Calabasas Hills, CA
- $105,000 - $115,000 a year
- Email
- Hybrid work
- CPA
- Office
- Bachelor's degree
- Health insurance
- Dental insurance
Audit Senior
Next Level Resources —Carlsbad, CA
- $90,000 - $110,000 a year
- Email
- Hybrid work
- Management
- CPA
- Mid-level
- Opportunities for advancement
Quick Apply
14d

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certified professional coder, auditor jobs near california

Certified Professional Coder, Special Investigations Unit (Aetna SIU)

CVS Health -
California

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Job Details

Full-time
$43,888 - $93,574 a year
8 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Microsoft Excel
Word embeddings
Research
High school diploma or GED
Certified Professional Coder
Productivity software
Clinical documentation standards
Documentation review

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends.

Conduct a comprehensive medical record audit to ensure the CPT/HCPCS or modifiers billed are consistent with medical record documentation.
Provide detailed written summary of medical record review findings.
Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state regulators, etc.
Research and accurately apply state or CMS guidelines related to the audit with minimal support.
Review and discuss cases with Medical Directors to validate decisions.
Assist with investigative research related to coding questions, state and federal policies.
Identify potential billing errors, abuse, and fraud.
Identify opportunities for savings related to potential cases which may warrant a prepayment review.
Maintain appropriate records, files, documentation, etc.
Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
Maintains up-to-date coding knowledge, including new changes to coding compliance and reimbursement.

Required Qualifications

AAPC Certified Professional Coder Certification (CPC)
3+ years of experience in medical coding or documentation auditing.
Knowledge of standard industry coding guides and guidelines including CPT, HCPCS, ICD-10, CMS 1500 and UB04 data elements
Experience with researching coding and policies.
Experience with Microsoft products, specifically Excel and Word

Preferred Qualifications

CPMA
Strong attention to detail and ability to review and interpret data.
Demonstrates strong communication skills.
Prior payor auditing experience
Excellent communication skills
Excellent analytical skills
Two years or more previous experience with Behavioral Health coding/auditing of records

Education

GED or equivalent
AAPC Certified Professional Coder Certification (CPC)

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$43,888.00 - $93,574.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/22/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

certified professional coder, auditor jobs in california

Certified Professional Coder, Special Investigations Unit (Aetna SIU)

Certified Professional Coder, Auditor

Audit Staff

Certified Professional Coder I

Sr. Denial Specialist (Remote)

Audit Professional 4

HCC Coding Specialist

AUDITOR I

Claims Auditor, Managed Care (remote)

Senior Accountant – Financial Close & Audit Specialist

Certified Coder/Biller

Audit Associate

Internal Auditor

Tax and Audit Associate

Senior Audit Associate

Accountant I

Internal Auditor

Tax Accountant

Senior Internal Auditor - Calabasas, CA

Audit Senior

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