Top 39 Coding specialist Jobs in San Francisco Bay Area Ca

DME Documentation Criteria Reviewer
Hike Medical —San Francisco, CA
- $90,000 - $145,000 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- Commercial
Patient Records Abstractor 2
University of California San Francisco —Emeryville, CA
- Full-time
- Remote
- 5 years
- Data analysis skills
- Analysis skills
8d
Radiation Oncology Coder Outpatient Speciality
Sutter Health —Berkeley, CA
- $47.58 - $66.60 an hour
- 8 hour shift
- Anatomy knowledge
- Surgery
- Writing skills
Medical Billing and Coding Specialist
TOTAL Medical Billing Services —San Francisco, CA
- $19 - $22 an hour
- Full-time
- HIPAA
- Mid-level
- Office
- Paid time off
Quick Apply
1d
Medical Billing Specialist
Innova People —San Francisco, CA
- $30 - $31 an hour
- Contract
- Hybrid work
- Mid-level
- High school diploma or GED
- Epic
Quick Apply
11h
Sr. Professional Fee Coder - Analyst III (F/T) - (Sign-On Bonus eligible)
University of California San Francisco —Emeryville, CA
- From $119,809 a year
- Full-time
- 3 years
- High school diploma or GED
- Analysis skills
Provider Services Advisor - Santa Cruz / Santa Clara
Altais Health Solutions —Oakland, CA
- $75,000 - $90,000 a year
- Full-time
- Hybrid work
- Background check
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Health insurance
Quick Apply
9d
Provider Services Advisor - Bay Area
Altais Health Solutions —Oakland, CA
- $75,000 - $90,000 a year
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Health insurance
Quick Apply
5d
Compliance & Outcomes Specialist
Hike Medical —San Francisco, CA
- $140,000 - $200,000 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- Commercial
Medical Records Coder II/III - Correctional Health (Open & Promotional)
County of San Mateo —San Mateo, CA
- $93,704 - $134,784 a year
- Full-time
- Anatomy knowledge
- Mid-level
- Windows
- Retirement plan
13d
Inpatient Medical Coding Specialist - 20 hrs/wk
Huron Managed Services LLC —San Francisco, CA
- $26.44 - $37.50 an hour
- Part-time
- Remote
- Anatomy knowledge
- Customer service
- Computer literacy
- Dental insurance
Quick Apply
19h
Inpatient Coding Auditor
Huron Managed Services LLC —San Francisco, CA
- $38.46 - $52.40 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Dental insurance
Quick Apply
19h
Professional Fee Coder - Analyst II (part-time / per diem)
University of California San Francisco —Emeryville, CA
- From $45 an hour
- Full-time
- Anatomy knowledge
- Mid-level
- Bachelor's degree
Outpatient Coding Assistant Director
University of California San Francisco —Emeryville, CA
- Full-time
- Management
- 5 years
- IT
Risk Adjustment Coding Specialist II
Millennium Healthcare Management Serv LLC —San Francisco, CA
- $22 - $33 an hour
- Full-time
- Anatomy knowledge
- Mid-level
- Math
Quick Apply
8d
Revenue Cycle Healthcare Manager
University of California San Francisco —Emeryville, CA
- Full-time
- 7 years
- Bachelor's degree
- Organizational skills
9d
Director of Revenue Management
University of California San Francisco —San Francisco, CA
- $148,700 - $360,900 a year
- Computer literacy
- System design
- Master's degree
Senior Consultant - Clinical Documentation Specialist
Deloitte —San Francisco, CA
- $110,700 - $218,300 a year
- Full-time
- Microsoft Word
- Nursing
- RN License
Risk Adjustment Compliance Specialist, Principal
Blue Shield of California —Oakland, CA
- $148,940 - $223,300 a year
- Full-time
- Hybrid work
- Background check
- Pass drug screening
- Office
- Work from home
Supervisor, Professional Fee Coding
Alameda Health System —San Leandro, CA
- Full-time
- 5 years
- Bachelor of Science
- Research
Quick Apply
1d

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coding specialist jobs near san francisco bay area ca

DME Documentation Criteria Reviewer

Hike Medical
San Francisco, CA

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Job Details

Full-time
$90,000 - $145,000 a year

Qualifications

Overseeing health insurance pre-certification
Medicare
Medicare coding guidelines
Managed care organization experience
CMS
Healthcare documentation compliance audits
Mid-level
CMS regulatory compliance
Medicare regulations
Utilization management
Document review
Insurance policy review
Centers for Medicare & Medicaid Services (CMS) billing regulations
Clinical documentation improvement
Red flag analysis
Clinical documentation standards
Documentation review
Documentation reviews

Full Job Description

About Hike Medical

Hike Medical is building the defining company in musculoskeletal care. We sit at the intersection of AI, robotics, and healthcare, operating across three product lines: a proprietary AI-vision platform that turns a 30-second, web-based foot scan into custom 3D-printed orthotics; an AI agent platform that automates the entire DME workflow from pre-visit processing through claims and revenue cycle; and SoleForge, our vertically integrated 3D-printing factory producing custom medical devices at a scale the industry has never seen.

Insoles today, full DME tomorrow, bionics by 2040. Custom insoles are just the wedge. Our long-term vision is bionics: AI-designed, robotically manufactured orthotic and prosthetic devices at scale, replacing a fragmented, manual industry that hasn’t changed in decades. Read the full vision at bionics2040.com.

We’re live across the industry’s largest national orthotics-and-prosthetics providers and tracking toward a $50M run rate by the end of 2026. We’ve stealthily raised $22M across Seed and Series A from top-tier investors who backed OpenAI, Anduril, and Mercury early, and we run a fast, results-first, high-ownership culture out of our SF Rincon Hill office.

About the Center of Excellence

The Center of Excellence is the intelligence engine of Hike. It owns the clinical and coding knowledge that powers every AI agent — producing agent guides per code block, setting evaluation standards, informing all compliance policies, and managing the human-in-the-loop team. CoE roles are the highest-leverage positions in the company: the documents and workflows you build determine how fast we expand into new device categories.

The Role

The DME Documentation Criteria Reviewer is the clinical analyst who turns medical necessity requirements into auditable, reviewable criteria sets. You review incoming patient documentation — physician notes, evaluations, prior authorization packets — against LCD criteria and payer policy, and identify exactly what is present, what is missing, and what can be obtained. You work inside our platform, and every review action you take becomes training data for the automation layer.

What You Will Do

Review patient documentation for each device category against CMS LCD criteria and payer-specific requirements.
Identify documentation gaps and generate structured deficiency notices to clinicians and prescribers.
Build and maintain criteria checklists per code block, aligned with the Clinical Intelligence Lead's agent guides.
Audit HITL team reviews for criteria accuracy and consistency.
Flag payer-specific deviations (e.g., UHC requirements that differ from Medicare) and document them in the policy library.
Collaborate with the Protocol Specialist to update criteria sets when LCDs change.
Support prior authorization packet assembly, ensuring each packet maps to the coverage criteria for the relevant payer.

What We Are Looking For

3+ years reviewing DMEPOS documentation in a clinical, billing, or utilization management role.
Solid understanding of CMS Local Coverage Determinations and Policy Articles for O&P and DME categories.
Experience with prior authorization at Medicare FFS and major commercial payers (UHC, Aetna, Cigna).
Detail-oriented, comfortable with structured checklists and building systematic review processes.
Familiarity with HCPCS L-code ranges for orthotics and prosthetics preferred.
Experience at a DMEPOS supplier, O&P company, or managed care organizatio

Compensation Range: $90K - $145K

Apply Now

Refine Your Search

coding specialist jobs in san francisco bay area ca

DME Documentation Criteria Reviewer

Patient Records Abstractor 2

Radiation Oncology Coder Outpatient Speciality

Medical Billing and Coding Specialist

Medical Billing Specialist

Sr. Professional Fee Coder - Analyst III (F/T) - (Sign-On Bonus eligible)

Provider Services Advisor - Santa Cruz / Santa Clara

Provider Services Advisor - Bay Area

Compliance & Outcomes Specialist

Medical Records Coder II/III - Correctional Health (Open & Promotional)

Inpatient Medical Coding Specialist - 20 hrs/wk

Inpatient Coding Auditor

Professional Fee Coder - Analyst II (part-time / per diem)

Outpatient Coding Assistant Director

Risk Adjustment Coding Specialist II

Revenue Cycle Healthcare Manager

Director of Revenue Management

Senior Consultant - Clinical Documentation Specialist

Risk Adjustment Compliance Specialist, Principal

Supervisor, Professional Fee Coding

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