Hire the Best Medical Coders in California

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Dhang A.

National City, California

$30/hr
5.0
1 jobs

I am a highly motivated and detail-oriented Medical Coder with advanced expertise in PointClickCare and extensive hands-on experience in high-volume Skilled Nursing Facility (SNF) environments. My focus is on ensuring coding integrity and optimizing reimbursement through precise clinical documentation analysis. * Post-Acute Care Specialist: Specialized training in ICD-10-CM coding specifically for post-acute care settings. * PDPM Mastery: Deep knowledge of Patient-Driven Payment Model (PDPM) categories to ensure accurate payment mapping. * Software Proficiency: Expert-level navigation and data management within PointClickCare. * Clinical Analysis: Adept at auditing complex clinical records to identify accurate diagnoses and capture all appropriate comorbidities.

  • Medical Terminology
  • ICD Coding
  • Revenue Cycle Management
  • Medical Records
  • Epic Systems Medical Software
  • Healthcare Common Procedure Coding System
Hamid K.

Fremont, California

$18/hr
5.0
12 jobs

๐ŸŸข Available Full-Time | HIPAA Certified | Fremont, California, USA Is your practice losing revenue to unpaid claims, aging AR, or slow reimbursements? As a dedicated Medical Biller and Revenue Cycle Specialist with 8+ years of U.S. RCM experience, I help healthcare providers recover unpaid claims, reduce denials, verify insurance eligibility, and manage prior authorizations โ€” so your cash flow stays healthy and predictable. With $100K+ earned, 9,000+ hours, and Top Rated Plus status, I bring the Medical Billing expertise that translates directly into improved collections and stronger revenue cycle performance for your practice. โœ… CORE MEDICAL BILLING & RCM SERVICES As your dedicated Medical Billing Specialist, I manage every stage of your revenue cycle: โœ” Medical Billing & Claims Submission โ€” clean claim creation, charge entry, and electronic submission with 95%+ acceptance rate โœ” AR Recovery & Follow-Up โ€” systematic pursuit of 30/60/90/120+ day aging claims bringing average AR days below 38 โœ” Denial Management โ€” root cause analysis, appeals preparation, corrected claim resubmission, and persistent payer follow-up โœ” Insurance Verification & Eligibility โ€” real-time benefits verification before every patient visit preventing front-end rejections โœ” Prior Authorization & Pre-Authorization โ€” submission, tracking, renewal management, and payer coordination โœ” Payment Posting โ€” accurate ERA/EOB posting, reconciliation, and underpayment identification โœ” Clearinghouse Rejection Resolution โ€” fast identification and correction of rejected claims โœ” Patient Billing & Statements โ€” clear invoicing, balance follow-up, and collections support โœ… AR RECOVERY & DENIAL MANAGEMENT As your RCM Specialist, I do not just submit claims โ€” I analyze your entire revenue cycle to protect and recover your revenue: โœ” Identify denial patterns and permanently fix root causes โœ” Submit timely appeals with full supporting documentation โœ” Follow up aggressively with payers via phone and portal โœ” Recover aged receivables across all 30/60/90/120+ day buckets โœ” Bring AR days from 60โ€“90 days down to under 38 days โœ” Reduce future denials through proactive claim scrubbing โœ” Implement front-end verification workflows that prevent rejections before submission โœ… INSURANCE VERIFICATION & PRIOR AUTHORIZATION โœ” Real-time eligibility and benefits verification before every appointment โœ” Identify coverage gaps before claims are ever submitted โœ” Submit and track prior authorizations for all procedure types โœ” Manage authorization renewals and expiration tracking โœ” Coordinate between providers and payers preventing revenue delays โœ” Handle pre-authorization for Medicare, Medicaid, and all commercial payers โœ” Verify patient demographics, copays, deductibles, and coverage limits โœ… SPECIALTIES I SERVE Behavioral Health โ€ข Mental Health โ€ข Psychiatry โ€ข Psychology โ€ข Therapy & Counseling โ€ข Pediatrics โ€ข Family Medicine โ€ข Primary Care โ€ข Internal Medicine โ€ข Pain Management โ€ข Physical Therapy โ€ข Occupational Therapy โ€ข Speech Therapy โ€ข Cardiology โ€ข Neurology โ€ข Dermatology โ€ข Podiatry โ€ข Urology โ€ข Urgent Care โ€ข Home Healthcare โ€ข DME โ€ข OB/GYN โ€ข Gastroenterology โ€ข Radiology โœ… SOFTWARE & CLEARINGHOUSES AthenaOne โ€ข Kareo/Tebra โ€ข eClinicalWorks โ€ข AdvancedMD โ€ข Office Ally โ€ข SimplePractice โ€ข CollaborateMD โ€ข DrChrono โ€ข Practice Fusion โ€ข TherapyNotes โ€ข RXNT โ€ข NextGen โ€ข ModMed โ€ข WebPT โ€ข CureMD โ€ข Epic โ€ข Cerner โ€ข Medisoft โ€ข Availity โ€ข Change Healthcare โ€ข Waystar โ€ข Trizetto โ€ข ClaimMD โœ… PAYERS I WORK WITH Medicare โ€ข Medicaid โ€ข Blue Cross Blue Shield โ€ข Aetna โ€ข UnitedHealthcare โ€ข Cigna โ€ข Humana โ€ข Tricare โ€ข Molina โ€ข WellCare โ€ข Oscar Health โ€ข All major commercial payers โœ… WHY CLIENTS CHOOSE ME โœ” HIPAA-Certified โ€” fully compliant with all U.S. billing regulations โœ” Top Rated Plus with $100K+ earned and 9,000+ hours on Upwork โœ” 94% Job Success Score with consistent 5-star client reviews โœ” 95%+ clean claim acceptance rate maintained across all clients โœ” 0โ€“4 hour average response time โ€” available full-time โœ” Deep expertise across Medicare, Medicaid, and all commercial payers โœ” Proactive communication โ€” you always know your claim status โœ” I work as a seamless extension of your billing team โœ… WHAT CLIENTS SAY โœ” "Highly responsive โ€” our denial rate dropped significantly after Hamid joined." โœ” "Best AR recovery specialist we have worked with on Upwork." โœ” "Integrates seamlessly into our billing team โ€” highly recommend." โœ” "Excellent attention to detail with payment posting and follow-up." Is your practice struggling with unpaid claims, aging AR, or authorization delays? Let's connect today. ๐Ÿ“ฉ Message me now โ€” I respond within 4 hours and am available to start immediately.

  • Data Entry
  • ICD Coding
  • Medical Billing & Coding
  • Medical Procedure Coding
  • Accounts Receivable Management
  • Insurance Verification
  • Revenue Cycle Management
  • Payment Processing
  • Healthcare Common Procedure Coding System
  • EMR Data Entry
  • Insurance Claim Submission
  • Electronic Medical Record
  • Medical Mastermind Medical Billing Services
  • Accuracy Verification
  • Healthcare Management
  • Administrative Support
  • Customer Service
  • Microsoft Excel
  • Communications
  • Email Communication
Huda S.

Fremont, California

$22/hr
4.8
23 jobs

๐Ÿ† ๐“๐Ž๐ ๐‘๐€๐“๐„๐ƒ ๐๐‹๐”๐’ | ๐Ÿ๐ŸŽ+ ๐’๐”๐‚๐‚๐„๐’๐’๐…๐”๐‹ ๐๐‘๐Ž๐‰๐„๐‚๐“๐’ ๐ŸŸข ๐€๐ฏ๐š๐ข๐ฅ๐š๐›๐ฅ๐ž ๐…๐ฎ๐ฅ๐ฅ-๐“๐ข๐ฆ๐ž | ๐‡๐ˆ๐๐€๐€ ๐‚๐ž๐ซ๐ญ๐ข๐Ÿ๐ข๐ž๐ | ๐‚๐š๐ฅ๐ข๐Ÿ๐จ๐ซ๐ง๐ข๐š, ๐”๐’๐€ ๐Œ๐ž๐๐ข๐œ๐š๐ฅ ๐๐ข๐ฅ๐ฅ๐ž๐ซ | ๐๐ข๐ฅ๐ฅ๐ข๐ง๐  ๐’๐ฉ๐ž๐œ๐ข๐š๐ฅ๐ข๐ฌ๐ญ | ๐Œ๐ž๐๐ข๐œ๐š๐ฅ ๐•๐ข๐ซ๐ญ๐ฎ๐š๐ฅ ๐€๐ฌ๐ฌ๐ข๐ฌ๐ญ๐š๐ง๐ญ Hi, I'm Huda Saeedโ€”a Top Rated Medical Biller, Billing Specialist and Medical Virtual Assistant with 5+ years of experience in complete Revenue Cycle Management (RCM) for US healthcare practices. I help medical providers eliminate claim denials, recover unpaid accounts receivable, and maximize reimbursements through accurate medical billing, expert coding, and streamlined workflows. I've supported private clinics, mental health practices, and billing companies nationwide with precision, clear communication, and fast turnaround. As both a Medical Biller and Medical Virtual Assistant, I deliver end-to-end supportโ€”from claims submission and denial management to front-desk scheduling and patient communications. โœ… ๐‚๐Ž๐‘๐„ ๐Œ๐„๐ƒ๐ˆ๐‚๐€๐‹ ๐๐ˆ๐‹๐‹๐ˆ๐๐† & ๐‘๐‚๐Œ ๐’๐„๐‘๐•๐ˆ๐‚๐„๐’ - Medical Billing & Coding: Accurate ICD-10, ICD-11, CPT, and HCPCS code assignment - Claims Submission & Scrubbing: Clean claim submission with clearinghouse rejection resolution - Denial Management & Appeals: Root cause analysis, appeals processing, and denial prevention - Accounts Receivable (AR) Follow-up: Aging report management, AR recovery, and collection optimization - Payment Posting: ERA/EOB posting, reconciliation, and adjustment accuracy - Charge Entry: Daily charge entry with proper coding and modifier application - Prior Authorization: Obtaining authorizations and referrals for procedures and services - Insurance Verification: Eligibility checks, benefits verification (VOB), and coverage validation - Credentialing Support: CAQH maintenance, provider enrollment, and payer credentialing assistance - Financial Reporting: Weekly/monthly KPI reports, aging analysis, and revenue cycle insights ๐Ÿฅ ๐’๐๐„๐‚๐ˆ๐€๐‹๐“๐ˆ๐„๐’ ๐ˆ ๐’๐„๐‘๐•๐„ Mental Health & Behavioral Health | Psychiatry | Psychology | Counseling | Primary Care | Family Medicine | Internal Medicine | Physical Therapy | Occupational Therapy | Speech Therapy | Cardiology | Neurology | Pediatrics | Podiatry | Dermatology | Urgent Care | Home Healthcare | DME (Durable Medical Equipment) | Chiropractic | Pain Management | Radiology | Allergy & Immunology ๐Ÿ’ป ๐„๐‡๐‘/๐„๐Œ๐‘ & ๐๐ˆ๐‹๐‹๐ˆ๐๐† ๐’๐Ž๐…๐“๐–๐€๐‘๐„ ๐„๐—๐๐„๐‘๐“๐ˆ๐’๐„ EHR/EMR Systems: Kareo/Tebra | AdvancedMD | Office Ally Practice Mate | eClinicalWorks (ECW) | Epic | Athenahealth | NextGen | Practice Fusion | SimplePractice | TherapyNotes | RXNT | DrChrono | ModMed | CureMD | ICANotes | TheraNest | CollaborateMD | WebPT | Therapy Appointments | Headway | ChiroTouch | Healthie | Candid Clearinghouses & Portals: Availity | Change Healthcare | Office Ally | Waystar | Trizetto | Zirmed | ClaimMD Insurance Portals: Medicare (Noridian, Palmetto, CGS, WPS, Novitas) | Navinet | UHC | Cigna | Optum | Humana | Aetna | Blue Cross Blue Shield | Medicaid portals Productivity Tools: Microsoft Excel | Google Workspace | Slack | ClickUp | Zoom | Microsoft Office Suite ๐Ÿ’ก ๐–๐‡๐˜ ๐‚๐‹๐ˆ๐„๐๐“๐’ ๐‡๐ˆ๐‘๐„ ๐Œ๐„ ๐€๐’ ๐“๐‡๐„๐ˆ๐‘ ๐Œ๐„๐ƒ๐ˆ๐‚๐€๐‹ ๐๐ˆ๐‹๐‹๐„๐‘ & ๐๐ˆ๐‹๐‹๐ˆ๐๐† ๐’๐๐„๐‚๐ˆ๐€๐‹๐ˆ๐’๐“ โœ” Top Rated Plus with $90K+ earned and 10+ successful projects โœ” 5+ years specializing in Medical Billing, RCM, and Medical Virtual Assistant services โœ” Expertise in mental health billing (my strongest specialty) + 20 additional specialties โœ” Proven track record in denial management and AR recovery โœ” Fast, clear communication through Zoom, email, or chat โœ” HIPAA-compliant with secure, accurate data handling โœ” Flexible availability for long-term or project-based work โœ” US-based (California) for timezone alignment and cultural understanding ๐Ÿ“Š ๐Œ๐˜ ๐€๐๐๐‘๐Ž๐€๐‚๐‡ ๐€๐’ ๐˜๐Ž๐”๐‘ ๐๐ˆ๐‹๐‹๐ˆ๐๐† ๐’๐๐„๐‚๐ˆ๐€๐‹๐ˆ๐’๐“ As your dedicated medical biller, I don't just submit claims; I analyze your entire revenue cycle. I identify denial patterns, track aging accounts receivable, follow up persistently with insurance companies, and implement preventive measures to keep your cash flow healthy. Whether you need a billing specialist for AR cleanup, a medical biller for daily operations, or a medical virtual assistant for administrative support, I bring comprehensive expertise to every aspect of your practice management. ๐Ÿค LET'S TALK ABOUT YOUR PRACTICE ๐Ÿ“Œ What EHR or billing system does your practice currently use? ๐Ÿ“Œ Are you struggling with claim denials, AR backlogs, or slow reimbursements? ๐Ÿ“Œ Do you need a medical biller, billing specialist, or medical virtual assistant (or all three)? ๐Ÿ“Œ What specialties does your practice serve? Let's streamline your medical billing, fix your cash flow, and make your revenue cycle predictable. ๐Ÿ’ฌ MESSAGE ME NOWโ€”I'm ready to start immediately and build a workflow that works for your practice.

  • ICD Coding
  • Medical Billing & Coding
  • HIPAA
  • Insurance Verification
  • Accounts Receivable Management
  • Insurance Claim Submission
  • Medical Records Research
  • Payment Processing
  • Virtual Assistance
  • Electronic Medical Record
  • Healthcare Management
  • Customer Service
  • Medical Mastermind Medical Billing Services
  • eClinicalWorks
Krista P.

El Monte, CA, California

$22/hr
5.0
2 jobs

My name is Krista Place and I am a medical biller and coder with over 15 years of experience. I have billed for both inpatient and outpatient mental health facilities, speciality billing in the field of audiology, as well as primary care services. As a freelancer I have billed physical therapy, chiropractic claims, and dental services. I have extensive experience billing Medicare, Medicaid/Medi-Cal, and Worker's Comp. With every job I've taken I have increased revenue by at least 65% and have been successful in getting many aged accounts paid by insurance companies. I can also credential any physician with private, public, or government health insurance companies. I have negotiated contracts with our local medical groups, as well as some of the biggest insurance companies to date.

  • Data Entry
  • ICD Coding
  • Medical Billing & Coding
  • Medical Procedure Coding
  • Scheduling
  • HIPAA
Tracy G.

Perris, California

$25/hr
5.0
23 jobs

I was a business owner and entrepreneur for 13 years in the fields of Real Estate, Construction and Restaurant Industry. I am able to juggle and multi-task responsibilities. I believe in the pro-active approach and can work alone without supervision and can successfully communicate with a team. I have experience in bookkeeping, project management, and various administrative affairs. I am a Certified Professional Coder and Certified Professional Biller by the AAPC and have experience in Medical Coding and Billing for a Primary Care Practice as well.

  • Data Entry
  • Medical Billing & Coding
  • Intuit QuickBooks
  • Microsoft Excel
  • Typing
  • WordPress
  • Administrative Support
  • EMR Data Entry
  • Google Workspace
  • Intuit Quicken
  • Microsoft Office
Victoria M.

La Palma, California

$135/hr
5.0
80 jobs

Certified medical coder partnering with provider organizations to optimize outcomes by - Outsourced medical coding and medical billing (CIRCC, I/P, O/P, PHP, ASC, HH, SNF, CC, ED, Imaging, Cath Lab, Interventional Cardiology) - Credentialing with Medicare, Medicaid and Commercial payers (including delegated groups) - Performance measures documentation - Streamlining practice workflows - Engaging stakeholders through education - Providing feedback via periodic chart audits - Re-engineering templates through CDI - Reimbursement analysis to identify gaps - Development of periodic executive level reports - Reports generation for presentation to Board - Revenue Cycle Improvements - Electronic health record template creation / updates - Compliance program - Staff training, development and mentoring - Cost reporting file support - wRVU reporting - Data analysis - Charge master Analysis of your productivity and customization of reporting from your system. Certifications: CCS, CCS-P, CIRCC, CDEO, CMARS, CICA, CPC-I, CPC Datasets: CPT-4, ICD-10-CM, ICD-10-PCS, ICD-9-CM, HCPCS Level II, RXNORM, NDC, LOINC, SNOMED CT, HL7, HSLOC, ICF, CVX, IS-A, HCPCS Level III, SDOH SYSTEMS: EPIC, CPSI, 3M, HBO, GE patient management systems IDX and GPMS, Allscripts/Touchworks, TES, Ingenix Claims Manager, Medinformatix, Meditech, eClinicalWorks, NextGen, Athena, Charm, AdvancedMD, SMS Signature, Cycare, BCA, OXFORD, MEDCAT, PM2000, Medical Manager, Mestamed, Medisoft, RIMS, NICE, HCPS, CSS, Dairyland, OfficeAlly, ClearCare. Web-page experience: HTML 5.0, CSS, Python, Microsoft FrontPage, Visio. Rate negotiable based on the project.

  • ICD Coding
  • Medical Billing & Coding
  • Medical Condition Coding
  • Medical Procedure Coding
  • Electronic Medical Record
  • Healthcare Common Procedure Coding System
  • Healthcare Management
  • Medical Translation
  • Medical Records Research
  • Error Detection

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