Top 4 Cpc a remote Jobs in Emeryville, Ca

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
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Remote Physician Coding Specialist II
Mount Carmel —Columbus, OH
Attends educational opportunities to enhance knowledge in coding and reimbursement systems and obtains/maintains certification from AHIMA or AAPC to validate…
Coding and Reimbursement Specialist
Mount Carmel —Columbus, OH
Assist in the development of tools and presentations on documentation, coding, billing, and other topics of interest to our provider community.
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Certified Professional Coder, Auditor

Integrated Pain Management Medical Group, Inc. -
Walnut Creek, CA

Quick Apply

Job Details

Full-time
$28 - $33 an hour

Benefits

Paid holidays
Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching
Employee discount

Qualifications

Pain medicine
Medicare
High school diploma or GED

Full Job Description

The Revenue Cycle Management CPC Auditor is responsible for conducting comprehensive audits across all phases of the revenue cycle to ensure accuracy, compliance, and optimal reimbursement. This role is critical in identifying revenue leakage, reducing denials and strengthening internal controls and staff productivity requirements. The Auditor will evaluate charge capture, coding accuracy, documentation integrity, billing workflows, payment posting, denial follow-up, Appeals, and AR follow-up for RCM, clinical, and provider teams to drive continuous process improvement.

This is a remote role. We are only hiring in the following states: AZ, CA, NM, NV, OR, TX and WA.

What you will do:

Audit execution & oversight by performing routine and ad hoc audits across the full revenue cycle process, including:
- Charge entry and charge capture accuracy
- CPT, HCPCS, and ICD-10 coding compliance
- Modifier usage
- Workers’ compensation billing rules and state-specific fee schedules
- Claim submission accuracy and clean claim rates
- Payment posting and adjustment accuracy
- AR follow-up effectiveness and denial resolution workflows
Conduct pre-bill and post-bill audits to identify trends impacting reimbursement and compliance
Denial & Revenue leakage analysis:
- Analyze denial trends across WC, Medicare, and commercial payers
- Identify root causes of denials and recommend corrective actions
- Quantify revenue impact from:
- Coding errors
- Missed charges
- Underpayments
- Inefficient workflows

Ensure adherence to:
- CMS guidelines and Medicare billing requirements
- NCCI (CCI edits) and payer-specific edits
- State Workers’ Compensation regulations
- Documentation standards for pain management procedures
- Support internal and external audit readiness (RAC, MAC, payer audits).
Reporting & KPI development through audit dashboard
Maintain monthly & quarterly records of all RCM, clinical, and provider audit scores and training requirements
Partner with all BHC teams to develop and deliver targeted education based on audit findings.
Assist in creating and updating SOPs and workflows to reduce errors and improve efficiency
Establish and maintain quality assurance programs across RCM functions
Perform routine QA reviews of staff productivity and accuracy
Recommend automation opportunities and system enhancements
Assumes other responsibilities as appropriate to the position and organizational needs

Qualifications:

High school diploma or equivalent required; Associate degree preferred
Active coding certification required: CPC, CCS, or equivalent (AAPC or AHIMA)
5+ years of experience in revenue cycle management
3+ years of auditing experience within healthcare billing or coding
Strong experience in pain management
Experience with Medicare and commercial payer guidelines
Ability to work in a fast-paced environment, meet daily deadlines, and collaborate with cross-functional RCM teams
Excellent communication skills with ability to present findings to providers and RCM leadership
Advanced understanding of NCCI edits and payer-specific billing guidelines
Accuracy and attention to detail, analytical thinking and problem solving and high integrity and compliance focus
Advanced proficiency in Microsoft Excel (e.g., formulas, pivot tables) and solid skills in other Microsoft Office applications

Compensation Range:

$28.00 to $33.00 Hourly

All compensation ranges are posted based on internal equity, job requirements, experience, and geographical locations.

Why You'll Love Working Here:

Amazing work/life balance
Generous Medical, Dental, Vision, and Prescription benefits (PPO & HMO)
401(K) Plan with Employer Matching
License & Tuition Reimbursements
Paid Time Off
Holiday Pay & Floating Holiday
Employee Perks and Discount Programs
Supportive environment to help you grow and succeed

Boomerang Healthcare (BHC) is a multidisciplinary and comprehensive team of experienced, committed healthcare providers that treat pain. Our team of doctors approaches each patient with one goal in mind: to help patients return to normal daily activities. We work with our patients to identify the cause of their pain and create a personalized treatment plan, recognizing that no two patients are alike, and neither is their pain. Our providers create a comprehensive care plan, then monitor, manage and coordinate patient access to health services at BHC.

Boomerang Healthcare strives to be a diverse workforce that reflects, at all job levels, the patients we serve. We are an equal opportunity employer. Boomerang Healthcare is committed to compliance with the American Disabilities Act. If you require reasonable accommodation during the application process or have a question regarding an essential job function, please contact us.

Monday-Friday, 8am-5pm
40

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Certified Professional Coder, Auditor

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