276 Results for

Medical Billing And Coding Jobs in California

Director - Hospital Coding

Stamford American International Hospital

$89.01 - $117.94

San Francisco, CA

Technology Management: Assure facility coding staff is provided with the technology and education to support optimal performance while appropriately collaborating with key stakeholders to optimize EHR technology and appropriately introduce new system functionality, tools, automation, and artificial intelligence (AI) capabilities. Subject Matter Expert: Serve as a subject matter expert for the enterprise, in IP/OP facility coding, while participating on an array of business operations and clinical committees and demonstrating in-depth working knowledge of the appropriate coding frameworks (CPT, ICD, etc).

30+ days ago
Medical Coder/Biller, Front Office Support

Denham Resources

$22 - $25

FRESNO, CA

Send your resume in MS Word format to Sheri Wright, sheriw@denham.net or call (559) 222.5284 if you have any questions. Our client is seeking an experienced Back Office Medical Coder/Biller who can also serve as the friendly and professional face of their practice.

25 days ago
Coder II

Volt

Duarte, CA

Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from VOLT and its affiliates, and contracted partners.

3 days ago
Consumer Services Reimbursement Specialist 1

Inland Regional Center

$24.0366

SAN BERNARDINO, CA

Accurately calculate payment from vendorized rates, Schedule of Maximum Allowance (SMA), Current Procedural Terminology (CPT) or negotiated rate, and/or bill for third party payments, proportionate cost, and absences. Verify level of supervision with rate tools; verify source of fund (SOF) information, payee status, and ensure SOF amounts cover basic cost of care.

20 days ago
Nurse Graduate, Labor and Delivery, Mother and Baby

Intermountain Health

$40.39 - $60.96

San Jose, CA

40.39 - $60.96 We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. They coordinate unit resources to ensure appropriate staffing levels based on the unique needs of patients on the unit, both clinically and financially.

3 days ago
Registered Charge Nurse Medical Surgical

Intermountain Health

Santa Clara, CA

Frequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations. $40.39 - $60.96 We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

3 days ago
Claims Supervisor

Health Source MSO

Alhambra, CA

Providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, process, and adjusting claims. Responsibilities include, but not limited to: • Maintain up-to-date knowledge of procedures for all ICD-10, CPT, HCPC codes including:  Contractual agreement rates.

6 days ago
Claims Auditor

Health Source MSO

Alhambra, CA

Responsibilities include, but not limited to: Maintain up-to-date knowledge of procedures for all ICD-10, CPT, HCPC codes including:Contractual agreement rates. Job Description: Claims Auditor will be responsible for auditing claims processed by Claims Examiners.

6 days ago
Urgent Care Physician

CommonSpirit Health

Redding, CA

Redding is truly the "Choose-your-own-adventure" town with two reservoirs just minutes away, the mighty Sacramento River flowing through the center of town, 225 miles of trails within a 15-miles radius, an active musical theater scene, state and national parks, and hunting and fishing opportunities galore. Dignity Health Medical Group-NorthState is an established physician-owned multi-specialty group serving the continuing health care needs of California’s North State region with care centers in Redding and Red Bluff.

5 days ago
Property Accountant

Jobot

$70000 - $85000

Los Angeles, CA

Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. In this role, you will be responsible for a variety of accounting duties, including preparing monthly bank reconciliations, financial statements, and balance sheets.

6 days ago
Travel Nurse RN - Case Manager - $2,680 per week in Santa Barbara, CA

TravelNurseSource

$2679.74

Santa Barbara, CA

Case Management/Utilization ReviewAdmission Criteria RequiredCare coordination RequiredDischarge Planning RequiredUtilize InterQual Criteria RequiredUtilize Milliman Guidelines RequiredUtilization ReviewAdmission Criteria RequiredAppeals and Denials RequiredConcurrent Review RequiredContinued Stay Reviews RequiredMedical Necessity RequiredRetrospective Review RequiredUtilize InterQual Criteria RequiredUtilize Milliman Guidelines RequiredREGULATORYCMS: Centers for Medicare and Medicaid Services RequiredCPT (Current Procedural Terminology) coding and billing RequiredDepartment of Health RequiredDRG (Diagnosis Related Groups) RequiredHEDIS (The Healthcare Effectiveness Data and Information Set) Measures RequiredHIPAA (The Health Insurance Portability and Accountability Act) RequiredICD 10 Coding RequiredNCQA (National Committee for Quality Assurance) RequiredOSHA: Occupational Safety and Health Administration RequiredThe Joint Commission/ Core Measure/National Safety Goals RequiredWorker s Compensation Required Modified 7:00:00 AM Account Manager: Laura Kremicki Account Manager Email: COVID-19 Vaccine: Required + Booster - Medical/Religious Exemptions only Flu Vaccine: Required - Medical/Religious Exemptions and Declinations Allowed Job Requirements & Qualifications Previous Charge Experience : - Years of Experience : 2 Patient Ratio Experience : Charting System Experience : Required Charting System Name : Epic Community Hospital Experience : - LTAC Experience : - Trauma Level I Experience : Preferred Trauma Level II Experience : Preferred Travel Experience Required : Yes Certifications : BLSSkills : Acute Hospital, Long Term Acute Care/Rehab/Skilled Nursing, Admission Criteria, Care coordination, Discharge Planning, Utilize InterQual Criteria, Utilize Milliman Guidelines, Admission Criteria, Appeals and Denials, Concurrent Review, Continued Stay Reviews, Medical Necessity, Retrospective Review, Utilize InterQual Criteria, Utilize Milliman Guidelines, CMS: Centers for Medicare and Medicaid Services, CPT (Current Procedural Terminology) coding and billing, Department of Health, DRG (Diagnosis Related Groups), HEDIS (The Healthcare Effectiveness Data and Information Set) Measures, HIPAA guidelines (Health Insurance Portability and Accountability Act), ICD 10 Coding, NCQA (National Committee for Quality Assurance), OSHA, The Joint Commission/ Core Measure/National Safety Goals, Workers Compensation Unit Details Staffing & Scheduling Scheduling Type : block Patient Ratios Days : - Patient Ratios Nights : - Patient Ratios Weekends : - Float Required : When needed Call Required : N/A Weekend Coverage : - Number of Weekend Shifts Per Contract : - Pre-Approved Time Off : - Orientation Hours : - Facility & Patient Care Details Patient Age Groups : Adults Daily Census : 30 Number of Visits Per Day : 18 Number of Rooms : 30 Number of Beds : 32 Additional Unit Information Interdisciplinary Support : Interpretation Services, Social Services, Transportation Patient Diagnoses : - Special Procedures/Unit Details : For this role, we need someone actively functioning as an RNCM, with hands-on experience in inpt care coordination. Special Equipment : - #Tier1 Travel Compliance Compliance document deadline is the Wednesday prior to start at 5:00pm PST RTO required with submittal License in hand required with submittal Modules: Modules are not required Submittal Details: #Tier1 Travel ComplianceCompliance document deadline is the Wednesday prior to start at 5:00pm PSTRTO required with submittalLicense in hand required with are not required Guaranteed Hours: Contract Weeks:91

2 days ago
Compliance Clerk

Health Source MSO

Alhambra, CA

Provide support to management to ensure that all claims and regulatory responsibilities are met - including claims timeliness reports, universal listings and regulatory audits. Liaison with managers of each business unit to determine whether departments are operating efficiently, as well as to recommend improvements for internal controls.

6 days ago
Access Service Representative - SRN Float Pool - Sharp HealthCare - Variable Shift - Per Diem

SHARP HEALTHCARE

$40000 - $48000

San Diego, CA

Coordinates all registration functions necessary to ensure the processing of a clean claim including but not limited to obtaining and processing patient demographics, visit and financial information in a manner that facilitate maximum financial reimbursement and promotes premier customer service. See Sharp HealthCare Terms & Conditions at https://www.sharp.com/patient-rights-privacy/terms-of-use.cfm and Privacy Policy at https://www.sharp.com/patient-rights-privacy/privacy-practices.cfm and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.

5 days ago
Program Manager

Sierra Health and Wellness Centers

$88000 - $145000

Carmichael, CA

The Program Manager is responsible for providing assistance to the Regional Director as well as providing a leadership presence at the facility, engaging in staff and client interactions in order to assist in developing a structured environment and upholding all policies and procedures at SHWC. As one of the primary leaders to the facility’s staff, you are responsible to build the morale of the team by implementing incentive programs and other peer-to-peer activities that encourage an increase of productivity and team building.

3 days ago
Manager, Radiation Therapy (Radiation Therapist)

Stamford American International Hospital

$83.98 - $111.27

San Jose, CA

The Manager - Radiation Therapy oversees the day-to-day technical operations of the Radiation Therapy department by supporting the organizational mission, priorities and goals, and ensures the delivery of cost effective, optimal quality care services. The Manager, Radiation Therapy oversees the day to day technical operations of the Radiation Therapy department by supporting the organizational mission, priorities and goals, and ensures the delivery of cost effective, optimal quality care services.

30+ days ago
Interventional Technologist $8,000 Sign on

Intermountain Health

Santa Clara, CA

Angio/Interventionalist I: Required Qualifications ARRT - American Registry Upon Hire BCLS - Basic Life Support ACLS - within 120 Days Relevant State Licensure and/or certifications PALS - Pediatric Advanced within 120 Days (for pediatric hospitals) Preferred Qualifications ~1-2 years Angio/Interventional experience, or 1-2 years vascular or interventional experience ~ Vascular/Interventional radiography (VIR) certification Angio/Interventionalist II: Required Qualifications ARRT - American Registry Upon Hire BCLS - Basic Life Support ACLS - within 120 Days Relevant State Licensure and/or certifications PALS - Pediatric Advanced within 120 Days (for pediatric hospitals) Minimum 2 years Angio/Interventional experience or Vascular/Interventional radiography certification. Preferred Qualifications ~ Vascular/Interventional radiography (VIR) certification Angio/Interventionalist III: Required Qualifications ARRT - American Registry Upon Hire BCLS - Basic Life Support ACLS - within 120 Days Relevant State Licensure and/or certifications PALS - Pediatric Advanced within 120 Days (for pediatric hospitals) Minimum 5 years Angio/Interventional experience with demonstrated proficiency in performing advanced Interventional procedures.

3 days ago
Travel Nurse RN - Case Manager - $2,376 per week in Santa Rosa, CA

TravelNurseSource

$2376

Santa Rosa, CA

Modified 12:00:00 AM Account Manager: Jordan Hinojos Account Manager Email: COVID-19 Vaccine: Not Required Flu Vaccine: Unknown Job Requirements & Qualifications Previous Charge Experience : - Years of Experience : 2 Patient Ratio Experience : 20 Charting System Experience : Required Charting System Name : Epic Community Hospital Experience : Preferred LTAC Experience : Preferred Trauma Level I Experience : Preferred Trauma Level II Experience : Preferred Travel Experience Required : Yes Certifications : BLSSkills : Acute Hospital, Admission Criteria, Ambulatory*, Behavioral Health*, Behavioral Health*, Benefits Eligibility, Care coordination, CMS: Centers for Medicare and Medicaid Services, CPT (Current Procedural Terminology) coding and billing*, Data Abstraction*, Department of Health*, Determine Medical Necessity per Evidence-Based Guidelines*, Disability case management*, Discharge Planning, Disease management*, DRG (Diagnosis Related Groups), Emergency Department*, HIPAA guidelines (Health Insurance Portability and Accountability Act), Home Health*, Hospice*, ICD 10 Coding*, ICU*, Insurance Company*, Long Term Acute Care/Rehab/Skilled Nursing*, MS, NCQA (National Committee for Quality Assurance)*, Needs Assessment/ Order DME, NICU*, OSHA, Pediatrics*, Plan of Care, Prior Authorizations, SDU/PCU/IMC/Obs*, The Joint Commission/ Core Measure/National Safety Goals, Utilize InterQual Criteria*, Worker s comp case management*, Workers Compensation*, Extra checklist required Unit Details Staffing & Scheduling Scheduling Type : Other Patient Ratios Days : 20 Patient Ratios Nights : - Patient Ratios Weekends : - Float Required : - Call Required : - Weekend Coverage : True Number of Weekend Shifts Per Contract : to meet dept needs Pre-Approved Time Off : one Orientation Hours : 40 Facility & Patient Care Details Patient Age Groups : Adults, Geriatrics Daily Census : - Number of Visits Per Day : - Number of Rooms : - Number of Beds : - Additional Unit Information Interdisciplinary Support : IV Teams, Physical Therapy, Respiratory Services, Interpretation Services, Phlebotomy, Radiology, Social Services, Rapid Response Teams, Transportation, Unit Secretary Patient Diagnoses : HARDSTOP, clinician must have current work history within 2 years. Over 20 hours requires PM approval Modules are completed pre-start, and annually Time spent on modules is self-reported, completion is recorded in Workramp transcripts Submittal Details: #Tier3 Travel ComplianceWe must have these three things before your traveler can be reviewed by our clinical team so please submit with this information is their upcoming interview availability?.Please confirm the DOB and full SSN is correct in Connect.

2 days ago
Paralegal

State Farm Mutual Automobile Insurance Company

$62062 - $92000

Glendale, CA

With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you! Plan for those big moments in life with benefits like fertility/IVF/adoption assistance, college coaching, national discount programs, interactive monthly financial workshops, free financial coaching, and more.

3 days ago
Assistant Manager

Sares-Regis Group

$24 - $27

Sacramento, CA

Sares Regis Group of Newport Beach, California, is a privately held real estate development, investment and management firm that focuses on commercial properties and multifamily communities in the western U.S. Since its founding in 1993, SRG has developed and acquired more than $7 billion in commercial and residential assets. Posts invoices; uses purchase orders; Codes invoices with correct General Ledger (GL) coding; submits security deposit reconciliation timely.

2 days ago
Travel Nurse RN - Case Manager - $2,759 per week in Orange, CA

TravelNurseSource

$2759

Orange, CA

Job Title: Registered Nurse Profession: Nursing Specialty: Utilization Review Duration: 13 Weeks Shift: Day Hours per Shift: 8 Experience: Minimum 1 year of relevant experience License: Valid State License required in-hand when applying Certifications: All required certifications must be in-hand when applying Must-Have: Proficiency in EPIC and InterQual Experience in clinical review and medical necessity determination CPI Blue Card from the Crisis Prevention Institute in-hand when applying Description: The candidate must be highly proficient in EPIC and InterQual. TravelNurseSource is working with Cynet Health to find a qualified Case Manager RN in Orange, California, 92868!

2 days ago
Travel Nurse RN - Case Manager - $2,759 per week in Oakland, CA

TravelNurseSource

$2759

Oakland, CA

Modified 12:00:00 AM Account Manager: Kyle Shook Account Manager Email: COVID-19 Vaccine: Required - Medical/Religious Exemptions Only Flu Vaccine: Unknown Job Requirements & Qualifications Previous Charge Experience : - Years of Experience : 3 Patient Ratio Experience : 25-30 Charting System Experience : Required Charting System Name : Epic Community Hospital Experience : Preferred LTAC Experience : Preferred Trauma Level I Experience : Preferred Trauma Level II Experience : - Travel Experience Required : - Certifications : BLS, CA License, ADNSkills : Ambulatory*, Behavioral Health*, Home Health*, Hospice*, Insurance Company*, Long Term Acute Care/Rehab/Skilled Nursing*, Telephonic*, Behavioral Health*, Emergency Department*, ICU*, MS*, NICU*, Pediatrics*, PICU*, SDU/PCU/IMC/Obs*, Surgical Services*, Women s Services*, Benefits Eligibility*, Disability case management*, Disease management*, Worker s comp case management*, CPT (Current Procedural Terminology) coding and billing*, DRG (Diagnosis Related Groups)*, Workers Compensation*, Acute Hospital, Admission Criteria, Care coordination, Discharge Planning, Needs Assessment/ Order DME, Plan of Care, CMS: Centers for Medicare and Medicaid Services, Department of Health, HIPAA guidelines (Health Insurance Portability and Accountability Act), OSHA, The Joint Commission/ Core Measure/National Safety Goals Unit Details Staffing & Scheduling Scheduling Type : Other Patient Ratios Days : - Patient Ratios Nights : - Patient Ratios Weekends : - Float Required : Will cover all the inpatient units. Modules are completed during orientation and factored in NBO Modules are tracked through e-learning during orientation Submittal Details: #Tier2 Travel ComplianceSSN Required at time of submittalDOB required at time of submittalCerts required at time of submittal please see job description/unit description to find list of required certs depending on unitRTO Always needs facility approval1 year experience required, however please refer to job description for any exceptions made depending on the unitValid CA License (required at time of submission)Radius Rule: 75 miles2 Supervisor references preferredCandidates will float within hospital when needed (please refer to JD for specifics by specialty)No Specific Charting Experience RequiredBackground Policy to be noted prior to submission so we can seek approval prior to offerAny Permanent Employee must be gone for at least 6 monthsLabs must be completed labs 48-72 hours from are non-billable, average 7.25 hrs.

2 days ago
Primary Care Physician

CommonSpirit Health

Redding, CA

Redding is truly the "Choose-your-own-adventure" town with two reservoirs just minutes away, the mighty Sacramento River flowing through the center of town, 225 miles of trails within a 15-miles radius, an active musical theater scene, state and national parks, and hunting and fishing opportunities galore. Dignity Health Medical Group - North State is an established physician-owned multi-specialty group serving the continuing health care needs of California’s North State region with care centers in Redding and Red Bluff.

8 days ago
Travel Certified Occupational Therapist Assistant (COTA) - $1,578 to $1,626 per week in San Leandro, CA

AMN Healthcare Allied

$1578 - $1626

SAN LEANDRO, CA

Start Date: asap Bill Rate: VMS MSP OID: Fees: 5% Modality: Credentialing req: Due Wednesday before start SNF exp License: must be active Equipment: Shift/Hours: days Bill GWW:35 Pay GWW:35 OT Bill: On Call: n/a Billing Cycle: Parking: Dress Code: Navy polo and Khakis SUBMIT WITH DOB/LAST 4 OF SOCIAL/ZIP CODE Vazquez, Christine and . Certified occupational therapist, occupational therapist, COTA, OT, therapy assistant, rehabilitation, rehab, occupational therapy, therapy, skilled, skilled nursing, allied, allied health, healthcare, health care, patient care, occupational therapy assistant

1 day ago
Travel Physical Therapist (PT) - $1,769 to $1,823 per week in Palo Alto, CA

AMN Healthcare Allied

$1769 - $1823

PALO ALTO, CA

MUST have ACTIVE LICENSE and MINIMUM of 1 year of SNF License: must be active Equipment: rehab optima Shift/Hours: Bill GWW: 0 Pay GWW:0 40 Exp OT Bill: On Call: n/a Billing Cycle: weekly Notice:2 weeks after the initial 2 weeks Parking: Dress Code: TENDER TOUCH PRE-SCREEN REQUIRED cONTACT JESSIKA MITCHELL Jessika Mitchell and MUST HAVE TWO REFERENCES FROM WITHIN THE PAST YEAR . Start Date: 1 yr of professional SNF exp required Will not accept RTO after time of submission Screen shot/Email of rto must be included with submittal Bill Rate: VMS MSP OID: Fees: 5% Modality: Credentialing req: 3 business days before start Requirements:NO NEW GRADS.

1 day ago
Speech-Language Pathologist(SLP), PRN

Lifepoint Rehabilitation

$53 - $55

West Covina, CA

Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. At Kindred Hospital San Gabriel Valley is a 55-bed located in West Covina, California, and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier® with acute care, rehabilitation, and behavioral health facilities from coast to coast.

Today
Family Practice - Without OB Physician

Jefferson Health

Los Angeles, CA

Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Jefferson Health , nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region.

9 days ago
Obstetrics & Gynecology Physician

TeamHealth

Stockton, CA

Join the new 2-physician, in-house model with 24/7 specialty support, and focus on what matters most: patient care and making a difference in women's health; all while maintaining true work/life balance. Work in a supportive, team-driven environment with clinical leadership at your side and tap into TeamHealth?s national OB/GYN hospitalist network for resources and career advancement .

3 days ago
In-Classroom Instructor - Medical Billing and Coding (Part-Time)

ProTrain

Rancho Santa Margarita, CA

We provide a CE-Turnkey Solution and partnership opportunities for institutions of higher learning to provide programs to various verticals such as Military Tuition Assistance (TA), Military Spouses (MyCAA), Wounded Warriors, Veterans, Unemployed (WIA), Corporate and Individuals. ProTrain is an affordable solution for students seeking to prepare for an in-demand career that will help move them and America forward to achieve the goal of Education 2 Employment!

30+ days ago
Registration Representative

Careers Integrated Resources Inc

$22 - $25

Laguna Hills, CA

The registration representative is responsible for collecting and posting the patient’s financial responsibility in Epic and immediately dropping the payment in the safe or locked cash drawer. · Avoids HIPAA violations by accurately entering information into the Epic system to avoid passing on defects; such as incorrect patient name, PCP, guarantor and insurance information.

12 days ago
Manufacturing Engineer Planner - Secret Clearance

Nesco Resource

$20 - $95

Palmdale, CA

May collaborate with Designers and Production Engineers by interpreting and advising on engineering, tooling, and manufacturing requirements to produce and compliance check electronic work instructions along to include required revisions. Analyze engineering drawings, models, specifications, process, policies and procedures to determine and plan the practical operations and sequence, required to produce comprehensive work instructions and support documents to one or more groups.

3 days ago
Electronic Technician

Monterey Bay Aquarium Research Institute

Moss Landing, CA

Founded in 1987 by the late David Packard, the Monterey Bay Aquarium Research Institute (MBARI) is a nonprofit oceanographic research center advancing marine science and engineering to understand our changing ocean. Ongoing research programs range across autonomous and remotely operated underwater vehicle systems, control technologies, ocean physics, chemistry, geology, biology, ocean instrumentation, and information management.

2 days ago
Salesforce Architect

V-Soft Consulting Group, Inc.

Santa Clara, CA

Architect and implement Advanced Revenue Management (ARM) solutions including: Billing processes, Revenue recognition and Subscription management. For more information or to view all our open jobs, please visit www.vsoftconsulting.com or call (844) 425-8425.

16 days ago
Medical Coder - Physician Surgical (Ortho) Coding

Alura Workforce Solutions

Los Angeles, CA

Abstracts all surgical and designated diagnostic procedures and assigns appropriate procedure codes and modifiers using the International Classification of Diseases (ICD-10) system, and the Physicians' Current Procedural Terminology (CPT-4). The Medical Coder is responsible for abstracting and assigning diagnosis, procedural, and modifier codes for medical billing, with a primary focus on orthopedic surgical cases and some evaluation and management (E&M) encounters.

30+ days ago
Billing/Coding Specialist

Tri City Healthcare District

Oceanside, California

Job Locations: US-CA-Oceanside Overview: Tri-City Medical Center has served San Diego County’s coastal communities of Carlsbad, Oceanside and Vista, as well as the surrounding region for more than 60 years and is one of the largest employers in North San Diego County. As a full-service acute care public hospital with over 500 physicians practicing in over 60 specialties, Tri-City is vital to the well-being of our community and serves as a healthcare safety net for many of our citizens.

30+ days ago
Medical Coder - Physician Surgical (Ortho) Coding 25-00421

Alura Workforce Solutions

Los Angeles, CA

Abstracts all surgical and designated diagnostic procedures and assigns appropriate procedure codes and modifiers using the International Classification of Diseases (ICD-10) system, and the Physicians' Current Procedural Terminology (CPT-4). The Medical Coder is responsible for abstracting and assigning diagnosis, procedural, and modifier codes for medical billing, with a primary focus on orthopedic surgical cases and some evaluation and management (E&M) encounters.

30+ days ago
Remote Medical Billing, Claims and Denials Associate

Hire Up Healthcare (Division of Hire Up Staffing)

Roseville, CA

Reviews unpaid accounts, initiates correct actions to collect the accounts, and follows up on action to assure that expected results is achieved. Communicates with patients, government agencies and third-party payers to gather, process and record information to receive appropriate reimbursement.

30+ days ago
Out-of-Network Medical Billing and Appeals Specialist (Plastic Surgery)

Pacific Plastic Surgery Group

San Francisco, CA

We are an established plastic surgery practice in San Francisco led by a board-certified plastic surgeon, seeking an experienced Medical Billing Specialist to join our growing team. Prior exposure to out-of-network billing or willingness to quickly learn OON workflows and reimbursement strategies.

3 days ago
Senior Coding Quality Analyst

UnitedHealth Group

$28.27 - $50.48

Walnut Creek, CA

Expert level of experience working in a level II trauma center and/or teaching hospital with a mastery of complex procedures in one or more the following specialty areas: Cardiothoracic, Vascular and Cardiac, Urology, Oncology, Gastroenterology, General Surgery, OB/GYN, Hospitalist, Primary Care, and other specialties may be applicable. Identify appropriate assignment of ICD-10-CM, CPT, and HCPCS II Codes for physician services, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility.

30+ days ago
Front desk Medical Billing /In-Person/Fluency in Tagalog/Filipino

Kohan International Foundation

CULVER CITY, CA

We are a non-profit group therapy practice seeking a skilled and dedicated Medical Biller/Office Administrator to join our team immediately! Fluency in Tagalog/Filipino is A MUST to effectively serve our diverse clientele and team but not required.

30+ days ago
Medical Billing Specialist

Tap Growth ai

San Diego, CA

The ideal candidate will have strong knowledge of medical coding, insurance procedures, and billing software to ensure accurate and timely processing of medical claims and patient accounts. We are seeking a detail-oriented and experienced Medical Billing Specialist to manage our healthcare billing operations.

30+ days ago
Medical Billing Specialist

Accede Solutions Inc

Novato, CA

Works with Revenue Cycle and Operation Directors on overall status of outstanding billing for these specialties. In conjunction with Practice Leaders ensures accurate charge capture and management of the reconciliation process.

30+ days ago
HIM Coding Manager Auditing and Education - HIM Financial - Full Time 8 Hour Days (Exempt) (Non-Union)

University of Southern California

$110240 - $181896

Los Angeles, CA

Preferred Qualifications: Required Licenses/Certifications: Req Advanced knowledge of: • ICD-10-CM • ICD-10-PCS • CPT • HCPCS • MS-DRG • APR-DRG Req Knowledge of coding compliance and regulatory requirements Req Knowledge of CMS coding and billing rules Req Strong analytical and problem-solving skills Req Excellent organizational and time management skills Req Strong written and verbal communication skills Req Ability to work independently and collaboratively Req Ability to interpret and apply official coding guidelines Req Strong presentation and training skills Req Certified Coding Specialist - CCS (AHIMA) AHIMA Certified Coding Specialist (CCS) only; or AAPC Certified Inpatient Coder (CIC) only; or either the CCS or CIC in conjunction with any one of the following national HIM credentials: 1. • Ensure effective use of coding and electronic health record systems including: ◦ Cerner/PowerChart and Coding mPage ◦ Solventum/3M 360 Encompass (CAC/CRS) ◦ Solventum/3M HDM, HRM, and ARMS ◦ Soarian Financials and CHC Assurance PFS systems • Promote effective use of system tools to support coding accuracy, audit activities, and denial prevention Perform other duties as assigned.

18 days ago
Medical Coder and Biller (Vascular Procedures)

California Foot & Ankle Centers

Sacramento, CA

With a growing network of locations, California Foot & Ankle Centers (CALFAC) and the Vascular Institutes in Sacramento, Dallas, and Houston, provide comprehensive care and surgery, including advanced wound care and amputation-prevention therapies, lower extremity peripheral nerve surgery, vascular surgery and endovascular procedures. As you consult, advise, interpret, and code patients' medical records, transcriptions, test results, and other documentation, we will rely on you to ask questions, connect the dots, and uncover information that may be difficult to find-all with the ultimate goal of ensuring a smooth billing process.

30+ days ago
Collector, Management Services Organization/Centralized Billing Office - CBO - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

University of Southern California

$25 - $39.69

Alhambra, CA

Essential Duties: TECHNICAL DUTIES Billing Tasks Analyzes and determines which billing procedure should be followed, based upon the type of financial class, e.g., contracts, private insurance carrier, HMOs, government programs, Federal/State/Local, Self-Pay accounts in conjunction with type of billing: transplants, grants, trauma and indigent programs, LOAs, MSP billing. Responsible for ensuring timely filing and guidelines are met; provided quality control checks on paper and electronic claims; process tracers, denial and related correspondence; initiate appeals; compose and submit appeal letters specific challengeable denial issues consistent with the most update American Medical Association Current Procedural Terminology.

30+ days ago
Billing and Credentialing Specialist

Clinivoy LLC

Irvine, CA

Assist patients with submitting financial assistance applications, including obtaining consent forms, uploading documentation, completing electronic applications, and following up with financial assistance programs to prevent therapy interruptions. Work closely with the Prior Authorization team by providing all required clinical and documentation updates, ensuring timely submission, tracking authorization progress, and maintaining consistent communication with the patient and provider.

30+ days ago
Lead Coordinator, Revenue Cycle Management, Billing

Cardinal Health

$24.5 - $32

Sacramento, CA

_Directly supporting cCare, the largest private oncology practice in California, our experienced revenue cycle management specialists simplify and optimize the practice’s revenue cycle, from prior authorization through billing and collections._. Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue.

30+ days ago
Supervisor, Revenue Cycle Management, Billing

Cardinal Health

$74400 - $95670

Fresno, CA

_Directly supporting cCare, the largest private oncology practice in California, our experienced revenue cycle management specialists simplify and optimize the practice’s revenue cycle, from prior authorization through billing and collections._. The Revenue Cycle Management team focuses on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue.

30+ days ago
Billing Support Specialist

Tebra

$23.31 - $25

Corona del Mar, CA

Collaborate effectively with payers (insurance companies), Clearinghouses, and internal teams (e.g., enrollments, product, engineering) to troubleshoot and resolve escalated issues. 1-year minimum experience in customer support, technical support, or billing support, preferably for a billing company, medical office billing team, contact center or healthcare Saas company.

30+ days ago
Coder - Coding Services - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

University of Southern California

$33 - $54.02

Los Angeles, CA

Required Qualifications: Req High school or equivalent Req Specialized/technical training; Combined experience/education as substitute for minimum education Graduation from a formal coder training program or completion of academic class in medical coding Combined experience/education as substitute for minimum education Req 2 years; Combined education/experience as substitute for minimum experience 2 years' coding experience. Required Licenses/Certifications: Req Certified Professional Coder - CPC (AAPC) OR AHIMA Certified Coding Specialist-Physician (CCS-P); ◦ *Certified Coding Specialist (CCS) in lieu of (CCS-P) acceptable for employees hired prior to April 30, 2020.

30+ days ago
Patient Services Supervisor - Hospital Billing and Follow Up (Open & Promotional)

County of San Mateo

San Mateo, CA

The ideal candidate will have at least four years of experience in hospital billing and follow up functions; be able to plan, organize, prioritize and supervise the work of hospital follow up effectively; supervise staff conducting patient billing and follow up activities; work independently with minimal supervision using initiative and sound independent judgment within established guidelines; read, interpret and apply rules, policies and procedures; maintain accurate records and files; organize work, set priorities and meet critical deadlines; communicate effectively and establish and maintain effective positive working relationships with those contacted in the course of work; and demonstrate experience working with diverse client groups and staff. Coordinating with coding, billing, and clinical departments to resolve claim issues and ensure accurate documentation and resubmission of denied claims.

19 days ago