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Job ID 9318-977 Date posted 03/26/2020

We’re a nonprofit, regional healthcare network with two hospitals, numerous outpatient medical offices, a multi-specialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer and emergency services. Our leadership is dedicated to putting patients first—a cornerstone of our mission, vision and values—as we deliver top-quality healthcare.

From our extensive facilities in Whittier, California and Downey, California, PIH Health serves more than two million residents in Los Angeles and Orange Counties and throughout the San Gabriel Valley.

The Senior Coding Analyst (SCA) reports to the Lead Coding Analyst.  The SCA is primarily responsible to assist with identifying gaps in submissions, ensuring correct data quality issues and areas of coding improvements for CMS Risk Adjustment and Quality Incentive programs. The SCA is responsible to continuously educate physician and staff on correct and acceptable HCC coding. The SCA will discuss missed opportunities of diagnosis with physician and office staff which will assist with consistent charting and identification of HCC.  The SCA will assist with data collection for CMS Sweeps. The SCA will participate in the Annual Wellness chart review to ensure practitioners are charting appropriately and identifying possible improvement. The SCA will mentor entry level Coding Analyst for a minimum of 12 months. During that time the SCA will educate and monitor the Coding Analyst in order to eventually allow coding analyst to work independently.

Required Skills

  • Excellent oral and written communications
  • Ability to learn quickly
  • Strong organizational skills
  • Data entry skills
  • Strong knowledge of ICD-10 coding

Required Experience


  • High School diploma or G.E.D. is required.
  • Three (3) years of work experience performing medical group related billing, claims, medical assisting or medical records.
  • Knowledge of Medical Terminology, Anatomy, Physiology, Pharmacology and Disease Processes
  • ICD-10 Certified/Proficient
  • Certified Professional Coder (CPC) is required.
  • Certified Risk Adjustment Coder (CRC) preferred
  • Microsoft Office: Word, Excel and Power Point
  • Computer keyboarding is required.

Beyond the benefits that come with working for the area's leading community healthcare provider – one that also recognizes the need to ensure patient safety and comfort – you'll enjoy an extremely competitive compensation and benefits package.  We are an equal opportunity employer and seek diversity in our workforce.   EOE M/F/D/V

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  • Billing and Coding, Whittier, California, United StatesRemove