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Southwest Healthcare is comprised of five acute care hospitals and several non-hospital access points, including: Corona Regional Medical Center, Palmdale Regional Medical Center, Southwest Healthcare Rancho Springs Hospital, Southwest Healthcare Inland Valley Hospital and Temecula Valley Hospital, Temecula Valley Day Surgery, A+ Urgent Care Centers, Riverside Medical Clinics, and APEX Heart Specialists. Southwest Healthcare is owned and operated by subsidiaries of Universal Health Services, Inc. (UHS), a King of Prussia, PA-based company, one of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation.

University Health Services Inc

HIM Coding & System Specialist-Full Time

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The Risk Adjustment Coding Auditor is responsible for conducting retrospective and prospective coding audits, diagnosis validation reviews, provider documentation assessments, and compliance monitoring activities to support accurate Medicare Advantage risk adjustment reporting and CMS audit readiness. One of more of the following certifications are required: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician-Based (CCS-P), Certified Risk Adjustment Coder (CRC), Certified Professional Medical Auditor (CPMA), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA).

YEAR

Clever Care Health Plan Inc

Risk Adjustment Coding Auditor

Community Development manages and promotes the overall well-being of a community by overseeing initiatives that encourage economic growth, improve quality of life, and facilitate responsible development through planning, housing programs, business recruitment, code enforcement, and building permits, all while considering the needs of residents and businesses within the area. A Tustin Code Enforcement Officer delivers a high level of customer service, actively listening to and addressing community concerns while managing difficult complaints, public contacts, and site visits with professionalism.

City of Tustin

Code Enforcement Officer

However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models.

SCAN Health Plan

Configuration Analyst II

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However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models.

SCAN Healthplan

The Healthcare Quality Affordability (HQA) Analytics team plays a key role in discovering insights from large healthcare datasets that can lead to smarter decisions, deliver better service for customers, and contain the rising cost of healthcare. Experience using R Studio, Python, SAS or other relevant statistical software for calculating multivariate statistics, producing complex statistical graphics, and supporting applied clinical study designs such as risk adjustment or provider profiling.

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry.  We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

Blue Cross and Blue Shield Association

Medical Informatics Analyst, Consultant

We are hoping you will join us as a AI Solutions Analyst (ITS Analyst Sr) and help shape the future of healthcare where you'll be an integral part of our IT - Data Warehouse and Analytics Technology team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. Builds and maintains AI program explainability, adoption, and outcome dashboards within the organization's Power BI environment, communicating to department leadership what the AI flagged, what was human-reviewed, model confidence levels, and program value against defined success criteria.

CalOptima

AI Solutions Analyst (ITS Analyst Sr)

FULL_TIME

Bachelor’s degree in biological sciences, public health, health administration, public administration, mathematics, statistics, computer science, or other healthcare related focus from an accredited institution required Master’s degree in biological sciences, public health, health administration, public administration, mathematics, statistics, computer science, or other healthcare related focus from an accredited institution preferred. Manage assigned projects and effectively communicate between Quality Department and other business units to ensure accuracy, validity, and reliability in support of root cause analytics insights generation on quality measures impacting HEDIS, MCAS, STARS, Covered California, Health Plan Rating, and Health Plan Accreditation Programs.

Inland Empire Health Plan

Quality Systems Analyst II - Medicare Stars

[AW]-iCims

As Orange County’s only academic health systems, UCI Health is home to the only National Cancer Institute-designated comprehensive cancer center based in the county, the region’s only American College of Surgeons-verified Level I adult and Level II pediatric trauma center , American College of Emergency Physicians Gold Level 1 Geriatric Emergency Department and a nationally recognized regional burn center verified by the American Burn Association. *Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.

University of California, Irvine

Outpatient Revenue Cycle Analyst 3 - Health Information - FT Days

As an Accounts Receivable Analyst you will deliver Back End Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.

Deloitte

Accounts Receivable Analyst

OTHER

Strong understanding of healthcare revenue cycle operations, including patient billing, collections, claims submission, payment posting, denials, accounts receivable, reimbursement, charge capture, insurance clearinghouses, HCFA-1500 forms, 835/837 EDI files, CPT/ICD-10 coding, payer requirements, regulatory requirements, contract terms, and healthcare audit guidelines. The role monitors key performance indicators, identifies revenue trends, variances, denials, underpayments, workflow errors, and potential revenue leakage, and recommends data-driven process improvements to support timely reimbursement, revenue integrity, compliance, and operational performance.

HOUR

Memorial Health Services

PBS Reporting Analyst

MemorialCare Health System

Deloitte Touche Tohmatsu Ltd

Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.

Epic Resolute Hospital Billing Associate Analyst

Rev Cycle HC Analyst 3 (Inpatient) - Health Information - F/T - Days

If you are a current USC employee, please apply to this USC job posting in Workday by copying and pasting this link into your browser: https://wd5.myworkday.com/usc/d/inst/1$9925/9925$154162.htmld . WorkWell Center that provides programs, resources, and services to benefits-eligible staff and their dependents, that help them thrive in all areas of work-life wellness: https://workwell.usc.edu/ .

University of Southern California

Credit Union Programmer Analyst III

This role is a hands-on position focused on dynamic application security testing and working directly with development teams to embed security into the SDLC. Role Summary: The AppSec Analyst DAST is responsible for finding and remediating security vulnerabilities in MNAO s running applications.

Tekfortune is a software solutions company providing project development and staff augmentation services to companies in various industries including Healthcare, Banking, Finance, Telecommunication and Aviation.
 
Tekfortune Inc delivers solutions to a wide variety of organizations of various sizes and industries. Our clients include mid-market to Fortune 1000 companies spanning across industries such as: Insurance, Financial, Pharmaceutical, Manufacturing, Retail and many others.
 
In Tekfortune Inc, we are offering selection of services and solutions at very reasonable rates. With years of experience in the placement and recruitment Industry and over time we have acquired the knowledge essential to comprehend the exact need and dependence on customers. Therefore we provide the customers the best and also the brightest candidates for vacancies. Moreover, by understanding the working interest of customers who is able to place them within the companies where they are able to get maximum opportunity for professional growth.
 
Tekfortune Inc has a strong emphasis on quality. Its goal would be to achieve client satisfaction by looking into making deliveries satisfaction of customer's business needs. Our ability to quickly identify and effectively employ proven fundamental principles, techniques and resources yields highly desirable results for our clients.
 
We understand that each industry and organization share a level of uniqueness that requires a tailored approach in order to deliver specific solutions. Such factors as client culture, industry regulations, organizational maturity, financial health and many more items may impact our approach to delivering client solutions.
 
Having served a wide variety of clients has provided Tekfortune the ability to build subject matter expertise across numerous industries. Our industry expertise combined with our specialized knowledge of Business Process Improvement, Requirements Management and Program & Project Management provides a powerful combination and a tremendous value to our clients.
 
We are run by a group of industry experts who have decades of experience in delivering custom solutions to our clients.

Tekfortune Inc.

AppSec Analyst DAST

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Analyze billing, collections, denials, and accounts receivable to identify trends and improvement opportunities Support process improvements across registration, coding, billing, and collections This opportunity offers the following: Challenging and rewarding work environment Growth and Development Opportunities within UHS and its Subsidiaries Competitive Compensation About Universal Health Services One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.

Healthcare Revenue Cycle Analyst - Full Time

The ideal candidate will have expertise in C++ programming, system analysis, software design, debugging, and working with cross-functional teams to develop and maintain high-performance applications. We are looking for a System Analyst with strong C++ development experience to join our team in Irvine, CA .

Info Way Solutions LLC

System Analyst (C++)

Gather requirements, perform detailed analysis and functional design, create and execute test plans (unit, integration, system, and user acceptance), coordinate implementation, and provide documentation and warranty support. - Analysis/design: approximately 30–40%; development (coding, unit testing, integration testing, system testing, UAT, implementation, and warranty support): approximately 30–40%; architectural solutioning: approximately 20–40%.

Coding Analyst Jobs in Irvine, CA

HIM Coding & System Specialist-Full Time University Health Services Inc

Risk Adjustment Coding Auditor Clever Care Health Plan Inc

Code Enforcement Officer City of Tustin

Configuration Analyst II SCAN Health Plan

Configuration Analyst II SCAN Healthplan

Medical Informatics Analyst, Consultant Blue Cross and Blue Shield Association

AI Solutions Analyst (ITS Analyst Sr) CalOptima

Quality Systems Analyst II - Medicare Stars Inland Empire Health Plan

Outpatient Revenue Cycle Analyst 3 - Health Information - FT Days University of California, Irvine

Accounts Receivable Analyst Deloitte

PBS Reporting Analyst Memorial Health Services

PBS Reporting Analyst MemorialCare Health System

Accounts Receivable Analyst Deloitte Touche Tohmatsu Ltd

Epic Resolute Hospital Billing Associate Analyst Deloitte Touche Tohmatsu Ltd

Rev Cycle HC Analyst 3 (Inpatient) - Health Information - F/T - Days University of California, Irvine

Credit Union Programmer Analyst III University of Southern California

AppSec Analyst DAST Tekfortune Inc.

Healthcare Revenue Cycle Analyst - Full Time University Health Services Inc

System Analyst (C++) Info Way Solutions LLC

Business Analyst IT L3 UNICON International, Inc.

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