JobotNewMedical Billing Specialist JobotMedical Billing SpecialistLos Angeles, CA$25–$29 / hourInformation 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. This role is responsible for preparing, reviewing, and submitting claims, resolving denied or unpaid claims, and maintaining compliance with local, state, and federal billing regulations.
GuidehouseNewClinical Documentation Improvement (CDI) Specialist - Onsite GuidehouseClinical Documentation Improvement (CDI) Specialist - OnsiteEscondido, CA$74,000–$124,000 / yearInitiates compliant physician queries when documentation is confusing, ambiguous, or missing and follows up with MD to seek immediate response to query (utilizing the following AHIMA practice briefs as a guide: “Managing an Effective Query Process,” October 2008 and “Guidance for Clinical Documentation Improvement Programs”, May 2010). Reviews daily admissions to assigned unit, perform initial code assignment for a working DRG and complete CDI software data entry for initial and follows up case reviews (or worksheet to include code and DRG assignment) and submit to Program Assistant.
Reed Smith USResearch Services Specialist Reed Smith USResearch Services SpecialistLos Angeles, CaliforniaFull timeThe Research Services Specialist supports the delivery of document retrieval, docket and case procurement, and basic legal research services using a variety of traditional and electronic resources. Working as part of the Library & Research team, the Specialist collaborates with team members to manage research requests, support service delivery, and contribute to coverage across U.S. time zones.
Vaco LLCNewAccounts Payable Specialist Vaco LLCAccounts Payable SpecialistLake Forest, CA$23–$28Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
L3Harris TechnologiesNewSenior Specialist, Electrical Engineer L3Harris TechnologiesSenior Specialist, Electrical EngineerCarlsbad, CA$106,500–$197,500 / yearCandidate will perform electronics design using electrical design and analysis tools, including schematic capture, functional and block diagram generation, electrical wiring diagrams, involving digital, power, analog, and mixed signal designs. With customers’ mission-critical needs always in mind, our employees deliver end-to-end technology solutions connecting the space, air, land, sea and cyber domains in the interest of national security.
L3Harris TechnologiesNewSpecialist Software Engineer L3Harris TechnologiesSpecialist Software EngineerAnaheim, CA$97,000–$180,000 / yearBachelor of Science degree in Computer Engineering, Computer Science, Electrical Engineering, or equivalent from a four-year college or university; and minimum 6 years of experience in design and analysis of systems software for power conversion equipment. Under general direction of the Management of Software Engineering, this position develops and applies advanced software engineering methods in the investigation and solution of complex and advanced technical problems power system architectures and power conversion equipment.
JobotNewDocumentation Specialist-In Office JobotDocumentation Specialist-In OfficeAnaheim, CA$22–$25 / hourInformation 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. The Quality Support Coordinator Provides administrative and operational support for quality‑related processes, including performance tracking, reporting, and coordination of internal and external feedback.
L3Harris TechnologiesNewSenior Specialist, Software Engineering L3Harris TechnologiesSenior Specialist, Software EngineeringAnaheim, CA$122,500–$177,500 / yearBachelor of Science degree in Computer Engineering, Computer Science, Electrical Engineering, or equivalent from a four-year college or university; and minimum 6 years of experience in design and analysis of systems software for power conversion equipment. Under general direction of the Management of Software Engineering, this position develops and applies advanced software engineering methods in the investigation and solution of complex and advanced technical problems power system architectures and power conversion equipment.
L3Harris TechnologiesNewSpecialist, Manufacturing Welding Engineer L3Harris TechnologiesSpecialist, Manufacturing Welding EngineerCanoga Park, CA$84,000–$156,000 / yearWith customers’ mission-critical needs always in mind, our employees deliver end-to-end technology solutions connecting the space, air, land, sea and cyber domains in the interest of national security. By submitting your resume for this position, you understand and agree that L3Harris Technologies may share your resume, as well as any other related personal information or documentation you provide, with its subsidiaries and affiliated companies for the purpose of considering you for other available positions.
L3Harris TechnologiesNewSpecialist, Project Engineering 1 L3Harris TechnologiesSpecialist, Project Engineering 1Canoga Park, CA$92,500–$171,500 / yearThe Project and Component Engineer will assist in executing multiple phases of Pressurant and Propellant components (i.e. tanks, pressure switch, filters, regulators, transducers and valves) within assigned defense programs, as well as supporting advanced propulsion systems. Coordinate with subject matter experts and multiple engineering disciplines to author and refine specifications, trade studies, design concepts, systems integration and component-level test plans.
L3Harris TechnologiesNewSpecialist, Quality Engineer L3Harris TechnologiesSpecialist, Quality EngineerCanoga Park, CA$84,000–$156,000 / yearActively participates in the Material Review Board, including segregation and control of nonconforming hardware to preclude inadvertent processing, disposition nonconforming hardware, preparing for and conducting board meetings, and implementing disposition decisions. This individual will provide program Quality Engineering support for assigned contracted programs spanning the lifecycle of the program including design, development, production, test and supplier support.
JouléNewCompliance Specialist III JouléCompliance Specialist IIIMountain View, CA$25–$25 / hourSystem One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. Assist with internal and external audits (e.g., FDA, ISO), including preparation, documentation, and follow-up actions .
L3Harris TechnologiesNewSenior Specialist, Electrical Engineering L3Harris TechnologiesSenior Specialist, Electrical EngineeringSan Diego, CA$106,500–$197,500 / yearIn compliance with pay transparency requirements, the salary range for this role in California, Seattle, Washington D.C., Maryland Greater Washington D.C. area, the city of Denver, Washington State and New York City, the salary range for this role is $106,500-$197,500. L3Harris in San Diego, CA is seeking a senior professional with strong knowledge of RF/microwave engineering and communication theory to support the design and manufacture of Tracking, Telemetry, and Command products for airborne and space-based applications.
Greater Hope Foundation for Children Inc.NewBehavioral Health Medical Biller Greater Hope Foundation for Children Inc.Behavioral Health Medical BillerVictorville, CA$20–$21 / hourAccurately prepare and submit claims for behavioral health services to commercial payers, Medicare, Medicaid, and other third-party insurers. The ideal candidate will ensure accurate and timely billing and contribute to the organization’s financial health by minimizing denials and optimizing reimbursements.
Pinnacle Technical ResourcesProduction Specialist/Engineer II Pinnacle Technical ResourcesProduction Specialist/Engineer IICupertino,, California$50–$60 / hourContractorThe specific compensation for this position will be determined by a number of factors, including the scope, complexity and location of the role as well as the cost of labor in the market; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Strong listening skills with the ability to interpret requests from creative and production teams, asking thoughtful clarifying questions when needed.
State Farm Mutual Automobile Insurance CompanyNewClaim Specialist - Property Field Inspection State Farm Mutual Automobile Insurance CompanyClaim Specialist - Property Field InspectionSanta Monica, CA$64,965.62–$111,595 / yearAdditional Details: Employees must successfully complete all required training, including applicable licensing exam(s), Motor Vehicle Record (MVR) checks, and background checks required of various state(s). 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!
L3Harris TechnologiesNewSenior Specialist, Program Scheduler L3Harris TechnologiesSenior Specialist, Program SchedulerCarlsbad, CA$82,500–$153,000 / yearThis individual will interface with all elements of the program team to develop Integrated Master Schedules, complete regular maintenance of the schedule, and provide analysis and reports as needed to support Program Management and Leadership decision making. Success in this role requires in-depth knowledge of Program Life Cycles to develop networked models in Microsoft Project Server from requirements documentation, bases of estimates, and execution team inputs.
Kaiser PermanenteNewBehavioral Medicine Specialist Pediatrics, Psychologist, Milpitas Kaiser PermanenteBehavioral Medicine Specialist Pediatrics, Psychologist, MilpitasMilpitas, CAMay supervise Post Masters Fellows, Associate Clinical Social Workers, Associate Marriage Family Therapists or Associate Professional Clinical Counselors as needed if supervision course is completed. If not licensed in CA at hire, must be licensed to practice in a state in the United States and able to practice under Business and Professional Code Section 2946 (maximum of 180 days subject to the specifics of the regulation).
Kaiser PermanenteNewBehavioral Medicine Specialist, Psychologist - Adult Family Medicine Kaiser PermanenteBehavioral Medicine Specialist, Psychologist - Adult Family MedicineSanta Clara, CAMay supervise Post Masters Fellows, Associate Clinical Social Workers, Associate Marriage Family Therapists or Associate Professional Clinical Counselors as needed if supervision course is completed. If not licensed in CA at hire, must be licensed to practice in a state in the United States and able to practice under Business and Professional Code Section 2946 (maximum of 180 days subject to the specifics of the regulation).
Health Source MSOCase Manager RN Health Source MSOCase Manager RNAlhambra, CAFull timeMonitors nursing and medical plans of care/discharge plans and provides appropriate interventions to assure care is appropriate, coordinated and that avoidable patient days are addressed effectively through education, consultation, and counseling as needed. Ensures collaboration between multidisciplinary healthcare team members, primary physician, community agencies, HMOs/PPOs, CCS, etc., whose services may be required and/or related to the care needs of the patient after hospital discharge.
Snowline Hospice of El DoradoNewNurse Practitioner (NP) ElderCare Program Snowline Hospice of El DoradoNurse Practitioner (NP) ElderCare ProgramEl Dorado, CA$65–$80 / hourAs part of a multidisciplinary care team, the provider will coordinate care, develop robust treatment plans, and guide complex care transitions to support program participants and their families. Our team of dedicated, dynamic professionals is committed to providing the highest level of care—reflected in our consistently exceptional patient satisfaction surveys and quality outcomes.
TravelNurseSourceNewTravel Nurse RN - Outpatient Clinic - $2,387 per week in Eureka, CA TravelNurseSourceTravel Nurse RN - Outpatient Clinic - $2,387 per week in Eureka, CAEureka, CA$2,386.93–$2,386.93A Registered Nurse (RN) – Outpatient Clinic provides direct nursing care and support to patients in an outpatient setting, focusing on preventive care, chronic disease management, and patient education. Key Responsibilities: Patient Assessment and Triage: Perform initial assessments for patients visiting the clinic, including taking medical histories, measuring vital signs (e.g., blood pressure, temperature, weight), and assessing current health status.
TravelNurseSourceNewTravel Nurse RN - Outpatient Clinic - $1,910 per week in Los Angeles, CA TravelNurseSourceTravel Nurse RN - Outpatient Clinic - $1,910 per week in Los Angeles, CALos Angeles, CA$1,910–$1,910A Registered Nurse (RN) – Outpatient Clinic provides direct nursing care and support to patients in an outpatient setting, focusing on preventive care, chronic disease management, and patient education. Key Responsibilities: Patient Assessment and Triage: Perform initial assessments for patients visiting the clinic, including taking medical histories, measuring vital signs (e.g., blood pressure, temperature, weight), and assessing current health status.
CommonSpirit HealthPrimary Care Physician CommonSpirit HealthPrimary Care PhysicianRedding, CARedding 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.
Astrana Health, Inc.NewRisk Adjustment Coding Specialist II - Remote Astrana Health, Inc.Risk Adjustment Coding Specialist II - RemoteMonterey Park, CaliforniaRemote$70,000–$85,000 / yearPerform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines . Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements.
EclaroLitigation Specialist EclaroLitigation SpecialistPasadena, CAFull timeThe ideal consultant should have thorough knowledge of liability coverages, basic reinsurance, technical coding, and possess the ability to negotiate claim settlements efficiently, including using structured settlements when appropriate. Responsibilities:In this role, the individual will handle litigated or complex claims—such as cases involving severe damages, coverage issues, sensitive matters, and declaratory relief actions.
Company ConfidentialPayroll Specialist Company ConfidentialPayroll SpecialistOakland, CAFull timeManage full-cycle payroll (weekly, bi-weekly, semi-monthly) for a multi-state workforceReview timesheets, earnings, deductions, and adjustments for accuracyEnsure compliance with federal, state, and local wage & hour laws (including CA regulations)Perform payroll audits and resolve discrepancies proactivelyPartner with HR on employee changes, onboarding, and terminationsMaintain accurate payroll records and support audit requests. 5+ years of payroll experience, with strong California payroll knowledgeHands-on experience with prevailing wage, certified payroll, and rate sourcingExperience supporting expatriate payroll and multi-state tax complianceProficiency with ADP Workforce Now and strong Excel skillsHigh attention to detail with strong communication skills.
Tandem DiabetesSr. Regulatory Affairs Specialist I Tandem DiabetesSr. Regulatory Affairs Specialist ISan Diego, CARemoteFull timePrepare US regulatory submissions for new product introductions & product modifications including 510(k)s, De Novos, Medical Device License (MDL) applications. Regulatory Affairs Specialist I (TAN-KL): Support preparation & filing of international premarket submissions as needed, including technical file preparation.
ProTrainIn-Classroom Instructor - Medical Billing and Coding (Part-Time) ProTrainIn-Classroom Instructor - Medical Billing and Coding (Part-Time)Rancho Santa Margarita, CAWe 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!
El Camino HospitalManager, HIM Professional Billing Coding - FT - Days - HIMS - Medical Records @ MV El Camino HospitalManager, HIM Professional Billing Coding - FT - Days - HIMS - Medical Records @ MVmountain view, CA$67.54–$101.31 / hourThe PB coding manager leads a team of professional coders and collaborates closely with the Revenue Cycle professional billing teams ensuring providers charging/billing are compliant in adherence with Official Coding Guidelines, American Medical Association CPT procedural assignments and Healthcare Common Procedure Coding System (HCPCS) requirements. Leads educational sessions with the coding team by conducting research on various regulatory sites and coding guidelines in creating educational content for both clinicians and coding team members in reducing claim and payer denials providers continuous education strategies.
Community Health SystemCoding Compliance Auditor Community Health SystemCoding Compliance AuditorFresno, CAExperienceExperience performing medical record and billing audits/reviews, including clinical documentation, medical terminology, codes (CPT, HCPCS, ICD-10-CM, and revenue), and reviews for charge and reimbursement accuracy required. As a Coding Compliance Auditor, you will be responsible for conducting coding and documentation audits to ensure accurate code assignment, appropriate billing, integrity of the medical record, and compliance with federal and state healthcare program requirements.
ConcentraNewCoding and Compliance Specialist ConcentraCoding and Compliance SpecialistSanta Clarita, California$28.81–$33.13 / hourSchedule meetings to present audit findings and be available to meet with clinicians via Zoom as their schedules dictate, accommodating calls outside of normal working hours when the need arises. This function is critical to the overall revenue cycle in supporting charge entry, level of service selection, procedure and diagnosis coding, as well as one on one, and group, education and training to employed and contracted Clinicians.
University of Southern CaliforniaHIM Coding Manager Auditing and Education - HIM Financial - Full Time 8 Hour Days (Exempt) (Non-Union) University of Southern CaliforniaHIM Coding Manager Auditing and Education - HIM Financial - Full Time 8 Hour Days (Exempt) (Non-Union)Los Angeles, CA$110,240–$181,896 / yearPreferred 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.
University of Southern CaliforniaHIM Coding Manager - HIM Financial - Full Time 8 Hour Days (Exempt) (Non-Union) University of Southern CaliforniaHIM Coding Manager - HIM Financial - Full Time 8 Hour Days (Exempt) (Non-Union)Los Angeles, CA$110,240–$181,896 / yearReq 2 years Leadership Experience.\n Req Experience in using a computerized coding & abstracting database software and encoding/code-finder systems [e.g., 3M 360 Encompass/CAC and 3M Coding and Reimbursement System (CRS)].\n \nPreferred Qualifications:\n \nRequired Licenses/Certifications: \n\n Req Advanced knowledge of: \u2022 ICD-10-CM \u2022 ICD-10-PCS \u2022 CPT \u2022 HCPCS \u2022 MS-DRG \u2022 APR-DRG\n Req Knowledge of coding compliance and regulatory requirements\n Req Knowledge of CMS coding and billing rules\n Req Strong analytical and problem-solving skills\n Req Excellent organizational and time management skills\n Req Strong written and verbal communication skills\n Req Ability to work independently and collaboratively\n Req Ability to interpret and apply official coding guidelines\n Req Strong presentation and training skills\n 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. \u2022 Ensure effective use of coding and electronic health record systems including: \u25e6 Cerner/PowerChart and Coding mPage \u25e6 Solventum/3M 360 Encompass (CAC/CRS) \u25e6 Solventum/3M HDM, HRM, and ARMS \u25e6 Soarian Financials and CHC Assurance PFS systems \u2022 Promote effective use of system tools to support coding accuracy, audit activities, and denial prevention\n Perform other duties as assigned.\n
University of Southern CaliforniaCoding Compliance Auditor - Coding Services - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaCoding Compliance Auditor - Coding Services - Full Time 8 Hour Days (Non-Exempt) (Non-Union)los angeles, CA$33–$54.02 / hourRequired Qualifications:Req High school or equivalentReq Specialized/technical training Successful completion of college courses in Medical Terminology, Anatomy & Physiology and a certified coding courseCombined education/experience can substitute for Completion of Specialized/Technical Training CoursesReq 5 years Five (5) -years of experience in ICD-9 & ICD-10 (combined) coding and auditing of Professional charges, E/M, surgical, and multispecialty medical records in the clinic and hospital setting and experience in researching CMS regulations and guidance for documentation and coding. In accordance with current federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review of previously coded accounts to ensure appropriate CPT, ICD-10-CM, and HCPCS assignments - and accuracy and completeness of all ICD-10-CM, CPT, and HCPCS codes assigned by professional revenue coders and providers.
University of California, IrvineManager of Coding - Health Information - F/T Days University of California, IrvineManager of Coding - Health Information - F/T DaysOrange, CaliforniaListed among America’s Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County’s only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. *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.
County of Riverside, CaliforniaHealthcare Coding Compliance Auditor - RUHS County of Riverside, CaliforniaHealthcare Coding Compliance Auditor - RUHSRiverside, CA$101,536.34–$139,533.58 / yearExperience: Minimum of three years experience in an administrative or staff capacity which must have included at least two years of experience supervising professional and technical staff in two of the following areas: gathering and compiling facts and statistics to evaluate program effectiveness and recommend program revisions; preparing and maintaining a program budget or maintaining and controlling the fiscal record keeping functions and systems in a department, agency, division, unit or company; coordinating and conducting studies of administrative and operational activities including budget preparation and control, equipment usage, staff patterns, work flow and space utilization. This includes extensive expertise in inpatient and outpatient auditing (MS-DRGs, CC/MCC validation, POA indicators, PSI/HAC implications), managing external audits (RAC, MAC, OIG, UPIC, commercial payers), and strong knowledge of CMS IPPS/OPPS regulations, OIG Work Plan priorities, Medicare Conditions of Participation, Official Coding Guidelines, NCCI edits, and medical necessity rules.
University of Southern CaliforniaCoder - Coding Services - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaCoder - Coding Services - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Los Angeles, CA$33–$54.02 / hourRequired 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.
County of RiversideHealthcare Coding Compliance Auditor - RUHS County of RiversideHealthcare Coding Compliance Auditor - RUHSRiverside, CAFull timeExperience: Minimum of three years experience in an administrative or staff capacity which must have included at least two years of experience supervising professional and technical staff in two of the following areas: gathering and compiling facts and statistics to evaluate program effectiveness and recommend program revisions; preparing and maintaining a program budget or maintaining and controlling the fiscal record keeping functions and systems in a department, agency, division, unit or company; coordinating and conducting studies of administrative and operational activities including budget preparation and control, equipment usage, staff patterns, work flow and space utilization. This includes extensive expertise in inpatient and outpatient auditing (MS-DRGs, CC/MCC validation, POA indicators, PSI/HAC implications), managing external audits (RAC, MAC, OIG, UPIC, commercial payers), and strong knowledge of CMS IPPS/OPPS regulations, OIG Work Plan priorities, Medicare Conditions of Participation, Official Coding Guidelines, NCCI edits, and medical necessity rules.
County of VenturaBilling and Coding Analyst - Surgical Subspecialty Clinic County of VenturaBilling and Coding Analyst - Surgical Subspecialty ClinicVentura, CA$62,964.97–$88,150.95 / yearThe required knowledge, skills, and abilities can typically be obtained by: Seven (7) years of hands-on working knowledge and experience performing professional medical coding and/or billing duties in a medical system comparable to the Ventura County Medical Center or an outpatient clinic providing high volume surgical specialty services similar to the Ventura County Ambulatory Care clinics. LATERAL TRANSFER OPTION: If presently permanently employed in another "merit" or "civil service" public agency/entity in the same or substantively similar position as is advertised, and if appointed to that position by successful performance in a "merit" or "civil service" style examination, then appointment by "Lateral Transfer" may be possible.
County of VenturaMedical Billing Specialist III/IV - Behavioral Health County of VenturaMedical Billing Specialist III/IV - Behavioral HealthVentura, CA$52,216.65–$73,565.49 / yearMedical Billing Specialist IV:In addition to Medical Billing Specialist III level duties, Medical Billing Specialist IV may also include:Advises and consults with management on how to reduce the days in accounts receivable regarding Medicare, Medi-Cal, or other insurance;Develops effective trainings for staff in registration and billing and supervises or conducts training on the specific areas of Managed Care/Medicaid/Medi-Cal/Medicare and/or Commercial Insurance;Works with the billers and management to identify areas where reimbursement delays may be decreased; andCoordinates integration of workflow. Examples Of Duties Duties may include but are not limited to the following: Reviews and analyzes bills as they come off the system and bills/ transmits them in a timely manner to the appropriate intermediary;Ensures accuracy and compliance with billing, coding, and follow-up requirements and identifies overpayments and lack of documentation issues;Maintains work queue with backlog to 46 hours of receipt only;Reviews and follows up on denial codes transmitted to providers for potential reimbursement on claims;Provides information to payors and ensures that reimbursement is received.
Center Point, IncMedical Billing Specialist Center Point, IncMedical Billing SpecialistSan Rafael, California$28–$30About Center Point, Inc:Center Point’s mission is to provide comprehensive social, educational, vocational, medical, psychological, housing, and rehabilitation services to combat social problems such as substance abuse, poverty, unemployment, and homelessness. Center Point offers rehabilitation and treatment services that interrupt the abusive cycles of psychological, social, and economic dislocation by providing critical training and support so that individuals and families can claim self-worth and dignity.
HEALTH ATLAST WEST LASenior Medical Billing Specialist – Multi-Specialty (PM&R Focus) HEALTH ATLAST WEST LASenior Medical Billing Specialist – Multi-Specialty (PM&R Focus)Los Angeles, CA$20–$28 / hourWe are hiring a seasoned Medical Billing Specialist with direct, hands-on experience billing PM&R-based services in an outpatient, multi-provider environment. Health Atlast is a high-volume, integrated, multi-disciplinary healthcare organization in West Los Angeles.
University of California, IrvineDirector of Coding - Health Information - F/T Days University of California, IrvineDirector of Coding - Health Information - F/T DaysOrange, California
Apex Practice Management GroupMedical Assistant/ Insurance verifier , authorization specialist Apex Practice Management GroupMedical Assistant/ Insurance verifier , authorization specialistNorthridge, CAThe ideal candidate will be responsible for obtaining insurance authorizations and check eligibility for medical procedures and services, ensuring timely approvals to facilitate patient care. - Communicate with healthcare providers, insurance companies, and patients to gather necessary information.
Datavant IncClient Coding Project Manger CCPM Datavant IncClient Coding Project Manger CCPMCA$75,000–$90,000 / yearGuided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services.
University of California, IrvineMedical Staff Service Specialist - Medical Staff Administration - FT Days University of California, IrvineMedical Staff Service Specialist - Medical Staff Administration - FT DaysOrange, CaliforniaListed among America’s Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County’s only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. *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.
Tellus SolutionsMedical Malpractice Claims Specialist Tellus SolutionsMedical Malpractice Claims SpecialistOrange, CARole involves handling technical and administrative responsibilities related to managing assigned claim files and taking on a larger caseload of highly complex claims. Responsibilities:Manage medical malpractice claims, including the assignment, direction, and control of defense counsel, under supervision and in compliance with the Claims Technical Manual, the Defense Attorney Guidelines, and the MPT Agreement.
County of VenturaMedical Imaging Specialist II - Ultrasound - Ambulatory Care County of VenturaMedical Imaging Specialist II - Ultrasound - Ambulatory CareOxnard, CA$98,200.74–$119,364.11 / yearUltrasonographer: American Registry of Diagnostic Medical Sonographers (ARDMS) CertificationDESIREDFetal Ultrasound experienceDiagnostic Cardiac Sonographers (ARDCS) CertificationExperience performing ultrasounds to support Maternal-Fetal Medicine, including complex diagnostic anatomical scans for fetal anomaliesKnowledge Skills and Abilities: Comprehensive knowledge of:Anatomy, physiology, physics, and medical terminology as it relates to each imaging modalityComplex diagnostic anatomical scansExam specific requirements when imaging neonates, pediatric, and adult patientsAdherence to HIPAA regulationsDocumentation required for exam billing processesGeneral imaging patient care practices/operations utilized in a hospital settingSkill in:Positioning patients for image acquisitionShielding patients per ALARARecognizing and evaluating projected images for clarity, content, and scope of examinationDemonstrated ability to:Perform routing, complex, and specialty imaging services studies to include measurements of normal and abnormal pathology and detailed anatomical statisticsProficiently perform exams requiring sterile field set-up and maintenanceExercise a high degree of tact, courtesy, poise, sensitivity, and respect when explaining procedures to patientsProvide clear and concise explanations to patients to reduce anxieties and obtain cooperationEstablish effective working relationships with patients, physicians, and staffCommunicate effectively, both orally and in writing Recruitment Process FINAL FILING DATE: This is a continuous recruitment and may close at any time; therefore, apply as soon as possible if you are interested. Examples Of Duties Duties may include but are not limited to the following:Prepares and positions patients for examination according to approved modality protocols;Operates various portable and stationary ultrasound machines throughout the clinic to obtain images for diagnostic interpretation by Radiologists;Completes billing processes for each patient encounter, utilizing all Radiology department electronic systems and the hospital electronic medical record system;Independently performs the full range of sonographic examinations that require a comprehensive knowledge of cardiac anatomy, physiology, and sonographic principles;Performs Ob/Gyn sonograms, biophysical profiles and AFIs (Amniotic Fluid Index);Assists with amniocentesis procedures;Performs sonographic evaluations of fetal morphology, age, growth assessment, and color doppler studies;Performs ultrasound exams utilizing different scanning modalities as required by the patients condition and/or examination requested;Evaluates images for quality;Works with physicians, nursing staff and schedulers to ensure patients are seen promptly;Cleans and sterilizes equipment and procedure table before and after each procedure;Assist with inventory control and purchasing of supplies for assigned area; andPerforms other related duties as required.
The Arora GroupMedical Administration Specialist (PACS) The Arora GroupMedical Administration Specialist (PACS)San Diego, CAThe Arora Group is an award-winning, Joint Commission-certified nationwide healthcare services company that has supported the health care needs of the men and women who serve our country, their families, and veterans since 1989. Currently recruiting a Medical Administration Specialist (Picture Archiving and Communication System) (PACS) to provide PACS and radiology imaging informatics support services at Naval Medical Center San Diego in San Diego, California.