Ambulatory Professional Fee and Hospitalist Coder

At NorthBay, the Coder will play a crucial role in accurately translating medical procedures and diagnoses into ICD‐10, CPT and HCPCS codes in an accurate and timely manner in the hospital setting. Our ideal candidate is a dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR / encoder system. Can effectively communicate with providers via email, query, phone call or in person to educate or discuss coding requirements. Abstracts demographic and physician data to meet both internal and regulatory requirements for reporting utilizing the hospital’s abstracting system. Work is performed using the approved classification Coding systems to include the modifiers. All work carried out in accordance with the rules, regulations and coding conventions of the AAPC / AMA CPT Guidelines, AAPC / AMA, American Hospital Association (Coding Clinic), ICD‑10‑CM CMS, HCAI, and NorthBay Healthcare coding guidelines.

At NorthBay Health, our vision is to be the trusted healthcare partner of choice for the communities we serve. We are dedicated to improving the well‑being of our community by providing accessible, high‑quality care to all who need it. Every member of our team plays a vital role in delivering compassionate and effective healthcare solutions. We invite you to join us in our mission to ensure that every patient and family member feels valued, respected, and cared for throughout their healthcare journey.

Education

High School Graduate or equivalent preferred.

Licensure

Certified Professional Coder (CPC), Certified Coding Specialist – Physician (CCS‑P), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).

Experience

• Five or more years of continuous experience in Multi‑specialty Prof­ee Hospital and clinical coding required.
• EMR Medical records experience is required. Experience with an encoder system preferred.
• Comprehensive knowledge and application of profee E&M guidelines for physician inpatient coding and billing.
• Demonstrated knowledge of anatomy and physiology, medical terminology, disease process, reimbursement methodologies (DRGs, HCCs, APCs), and the conventions, rules and guidelines for current coding classification (ICD‑10‑CM, CPT and HCPCS).
• Demonstrated understanding of the clinical content of a health record.
• Knowledge of and experience with PC’s, Cerner, and / or computer systems and programs highly desired.
• Microsoft Office : Email, Word, Excel.
• Has a comprehensive understanding of insurance requirements and compliance guidelines for Medicare, PHP, WHA and Medi‑Cal, Worker’s Compensation, Commercial Insurances.
• Ability and self‑discipline to be able to work remotely. Ability to withstand the pressure of continual deadlines and receipt of work with variable requirements. The ability to work independently as well as in a team environment.

Skills

Interpersonal Skills

Demonstrates the True North values. The True North values are a set of value‑based behaviors that are to be consistently demonstrated and role‑modeled by all employees that work at NorthBay Health. The True North values principles consist of Nurture / Care, Own It, Respect Relationships, Build Trust and Hardwire Excellence.

Hours of Work

Full Time. Days Monday through Friday as assigned based on business need. Timing may also be at discretion of leadership based on business need.

Other Requirements

Compensation

$41.00 to $49.00 based on years of experience doing the duties of the role. Max is commensurate with 20+ years of experience.

About NorthBay Health

At NorthBay Health, we are guided by our values : Nurturing Care; Own It; Respect; Build Trust; and Hardwire Excellence. These principles lead us to our TRUE NORTH and inspire us to provide exceptional care.

These values serve as the foundation of everything we do, guiding us to deliver individualized care with integrity and accountability. We are committed to fostering a culture of collaboration, where every team member is valued and empowered to contribute their best to the health and well‑being of those we serve.

This is an exciting time to join NorthBay Health.

As an independent, nonprofit health system north of the San Francisco Bay Area, in the Napa / Solano Region, we are expanding our footprint across Solano, Yolo, and Napa counties to meet the evolving needs of our communities. With two acute‑care hospitals—including a Level II Trauma Center and a modern maternity unit with a Level III Neonatal Intensive Care Unit (NICU)—along with a comprehensive cancer center, multiple urgent care facilities, and a growing network of primary and specialty clinics, we are investing in the future of care across the region.

NorthBay Health is home to advanced clinical programs and nationally recognized cardiovascular, neuroscience, and orthopedic services, as well as comprehensive surgical and outpatient specialties. Our commitment to excellence is reflected in our Magnet with Distinction designation for nursing (one of only 12 organizations nationwide) and recognition from U.S. News & World Report as “High Performing” in multiple clinical areas, including maternity care, heart failure, and stroke. NorthBay Medical Center has earned the High Performing designation in maternity care for four consecutive years.

As the only locally governed health system in the region, we remain deeply rooted in our communities while growing into a trusted regional healthcare leader. If you are seeking meaningful work, collaborative teams, and the opportunity to help shape the future of healthcare in Northern California, you will find it at NorthBay Health.

Join us with our commitment to excellence, to achieve our vision to be the trusted healthcare partner of choice for the communities we serve.

To learn more about NorthBay Health's benefits, diversity statement and community please visit [Link available when viewing the job].

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