NewSpecialist, Financial Analytics & AI Intelligence Reed Smith USSpecialist, Financial Analytics & AI IntelligenceSan Francisco, California$30–$33.65Full timeReporting to the Manager - Financial Operations & Analytics, this entry-level role assists with financial reporting, operational analytics, AI market intelligence, and strategic research supporting the Reed Smith AI Lab. This role provides a development path toward Senior Analyst, Manager, Financial Operations & Analytics, AI Strategy, and other business and technology leadership opportunities within Reed Smith Legal Solutions.
Accounts Payable Specialist Vaco LLCAccounts Payable SpecialistIrvine, CA$31–$34 / hourDetermining 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.
Payroll Specialist Vaco LLCPayroll SpecialistOakland, CA$50–$60 / hourDetermining 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.
Payroll Specialist Roadsafe Traffic SystemsPayroll SpecialistSutter, CA$25–$28 / hourThis position partners closely with branch operations, regional finance leadership, and the centralized payroll team to resolve routine payroll questions, support compliant payroll processing, escalate complex matters when appropriate, and provide a consistent, high-quality payroll support experience. Support California-specific payroll processes, including meal and rest break premium review, final pay coordination, sick leave tracking, Wage Theft Prevention Act requirements, blended overtime rate considerations, and hourly employee attestation requirements.
Production 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.
M&A Tax Specialist Diedre Moire Corp.M&A Tax SpecialistSan Diego, CA$300,000–$400,000 / yearFull timeSeeking attorney, accountant or other professional with related experience to collaborate with Tax Opinion Insurance Underwriters, Business Owners, Public Company C-Level Executives and Senior Tax Professionals for the purpose of developing individually customized transactional risk products which protect participants from tax opinion risks arising in connection with underlying business mergers and acquisitions deal structures. CONSIDERED EXPERIENCE INCLUDES: Tax Accountant Attorney Mergers Acquisitions Divestitures Equity Funds Tax JD CPA MBA Representations Warranties Insurance RWI Transactional Risk Insurance #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs.
Medical Coding Specialist OneOncology IncMedical Coding SpecialistCARemoteOneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.
Medical Billing & Coding Specialist CrewBloomMedical Billing & Coding SpecialistLos Angeles, CARemoteYou will work closely with healthcare practitioners in private practices and medical clinics to accurately review, assign, and manage medical codes, ensuring compliant billing, timely reimbursements, and efficient revenue cycle operations. While industry certifications are a plus, what matters most is hands-on experience with medical billing and coding, particularly a strong understanding of Eye Care Practice (ECP) coding guidelines and regulations.
Risk Adjustment Coding Specialist II - Orange County Astrana Health, Inc.Risk Adjustment Coding Specialist II - Orange CountyOrange, California$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.
Risk 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.
NewRisk Adjustment Compliance Coding Specialist, Consultant Blue Cross and Blue Shield AssociationRisk Adjustment Compliance Coding Specialist, ConsultantOakland, CAProvider Collaboration: Engage with physicians, advanced practice providers, and clinical staff to clarify ambiguous documentation, provide education on best practices, and resolve coding questions to ensure accurate capture of patient acuity. Education and Training: Develop and deliver training sessions and educational materials to coding staff, providers, and ancillary teams on risk adjustment principles, compliant documentation, and the significance of accurate coding for organizational success.
Risk Adjustment Coding Specialist II - Remote Astrana Health IncRisk Adjustment Coding Specialist II - RemoteMonterey Park, CARemoteIn this role, you will support risk adjustment efforts by conducting high-volume chart reviews to identify coding gaps, trends, and opportunities for improved accuracy for our providers. Additionally, you'll track and report on key performance metrics-such as HCC recapture rates, AWVs, and other KPIs, helping drive provider performance and overall program success.
NewHome Health Quality Assuranc / Coding Specialist CbHome Health Quality Assuranc / Coding SpecialistSanta Ana, CaliforniaThe Home Health Quality Assurance (QA) / Coding Specialist is responsible for reviewing clinical documentation to ensure compliance with Medicare Conditions of Participation (CoPs), state and federal regulations, and agency policies. This position performs ICD-10 coding, OASIS review, chart audits, and quality assurance activities to support accurate reimbursement, regulatory compliance, and high-quality patient care.
Coding 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.
Clinical Coding Specialist SmarterDx IncClinical Coding SpecialistCARemote$75,000–$105,000 / yearThis role is fully remote within the US What You'll Do Review and analyze medical records to ensure coding accuracy in a timely fashion Identify opportunities for improvement in coding models Understand and apply coding guidelines to assign appropriate codes to diagnoses and procedures as supported by clinical documentation Participate in ongoing training and professional development to stay current on documentation and coding guidelines Contribute to process improvement efforts to enhance coding practices and support efficient and effective healthcare delivery What You Bring 5+ years of recent experience in performing inpatient coding and/or auditing Strong expertise in ICD-10 classification system Active RHIA, RHIT, and/or CCS credential(s) Experience reviewing complex medical records and applying coding conventions and guidelines accurately Familiarity with DRG and inpatient reimbursement methodologies Strong attention to detail and ability to identify subtle coding inaccuracies Experience with coding audits, QA, or validation workflows Strong written communication for documenting rationale and feedback Nice To Haves Experience working with AI coding tools or CAC (computer-assisted coding) systems Prior experience in auditing or coding quality assurance roles Familiarity with evaluation frameworks, labeling, or annotation workflows Certified Clinical Documentation Specialist (CCDS) or Clinical Documentation Improvement Practitioner (CDIP) credentials Compensation $75k - $105k salary + benefits, 100% US-based remote #LI-Remote #LI-DNP Benefits Medical, Dental & Vision - Comprehensive plans with leading insurance providers, covering 75% of your premiums, depending on the plan. Clinical Coding Specialist (Inpatient) Role As an Inpatient Coding Specialist at SmarterDx, you will be responsible for conducting comprehensive chart reviews and coding validation of AI diagnostic models to support coding improvement.
Medical Coding Leader - Fully Remote MercorMedical Coding Leader - Fully RemoteSan Francisco, CaliforniaRemoteEvaluate AI-generated coding assignments for ICD-10-CM/PCS , CPT/HCPCS , and DRG assignments to ensure accuracy and compliance. Monitor coding KPIs such as coder productivity, accuracy rates, unbilled accounts, and claim denial rates due to coding errors.
Clinical Documentation Specialist - Coding Pyramid, IncClinical Documentation Specialist - CodingOakland, CA$45–$50 / hourFull timeKey Requirements and Technology Experience: Minimum of four (4) years of clinical nursing experience in inpatient care, clinical documentation, discharge planning, or case management. Collaborate with physicians and medical coding staff to identify and clarify additional diagnoses impacting severity of illness and risk of mortality indicators.
Profee Coding Consultant - PRN Datavant LLCProfee Coding Consultant - PRNCA$20–$28 / hourGuided 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. Collaborating closely with key stakeholders such as clients and healthcare leaders, you'll meet and exceed customer expectations through identifying and proposing solutions, and being a responsible and reliable teammate.
Profee Coding Consultant - Full Time Datavant LLCProfee Coding Consultant - Full TimeCA$20–$28 / hourGuided 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. Collaborating closely with key stakeholders such as clients and healthcare leaders, you'll meet and exceed customer expectations through identifying and proposing solutions, and being a responsible and reliable teammate.
Cardiology Coding Specialist (Remote) CardiologyCardiology Coding Specialist (Remote)California, CaliforniaRemoteOversees understands and communicates coding and charging processes for each client account based on their existing EHR system as it relates to office and hospital-based services which includes charge captures charge linkages to the CDM and charging processes. The Cardiology Coding Specialist works collaboratively with leadership to assist in development project management and implementation of process enhancements or corporation initiatives to enhance charge capture accuracy.
Clinical Documentation Specialist - Coding Pyramid Consulting, IncClinical Documentation Specialist - CodingOakland, CARemote$45–$50 / hourKey Requirements and Technology Experience: Minimum of four (4) years of clinical nursing experience in inpatient care, clinical documentation, discharge planning, or case management. Collaborate with physicians and medical coding staff to identify and clarify additional diagnoses impacting severity of illness and risk of mortality indicators.
Coding Technician III - FT Days Torrance Memorial Medical CenterCoding Technician III - FT DaysTorrance, CaliforniaReviews the assignment and sequencing of codes for the principal diagnosis, principal procedure, complications and comorbid (CC) conditions, and other significant invasive and non-invasive procedures that should be coded according to ICD-10-CM official guidelines for coding and reporting, published by the U.S. Department of Health and Human Services (DHHS) and the AHA Coding Clinic for ICD-10-CM. Applies Medicare Outpatient Prospective Payment System (OPPS) coding assignment requirements regarding the following: Modifiers approved for Hospital Outpatient use, CPT consistent with HCPCS Level II, Medical Necessity Justification (i.e., linking diagnosis to procedure/service performed), Evaluation and Management code assignment, when necessary.
Coding Compliance Auditor Community Medical CenterCoding Compliance AuditorFresno, CAExperience 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.
Coding 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, CaliforniaIn 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. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.
Coding Audit Supervisor Cedars-Sinai Medical CenterCoding Audit SupervisorLos Angeles, CAA minimum of 2 years of experience with outpatient/ambulatory care coding or inpatient acute care coding required, with familiarity with ICD-10-CM, CPT-4 coding and APC payment methodologies required. Cedars-Sinai was awarded the National Research Corporation's Consumer Choice Award 19 times for providing the highest-quality medical care in Los Angeles.
Manager, Coding Quality Review (Remote) Adventist Health SystemManager, Coding Quality Review (Remote)Roseville, CARemoteManage projects and initiatives related to ensuring coding integrity and maintaining the highest degree of coding accuracy, documentation integrity, charge capture accuracy and regulatory compliance across ambulatory settings. Leads the implementation and facilitation of ongoing coding audits, reporting, and coding education for ambulatory coding teams, vendor coding teams, and other external/internal stakeholders as needed.
Remote Physician Pro Fee Coding Specialist-Cardiology/Electrophysiology Community Health Systems IncRemote Physician Pro Fee Coding Specialist-Cardiology/ElectrophysiologyCARemoteEnsures compliance with governmental regulations, third-party payer policies, and corporate coding protocols, following National Correct Coding Initiative (NCCI) edits, Local Coverage Determinations (LCDs), and National Coverage Determinations (NCDs). The Physician Coder plays a key role in revenue cycle accuracy by identifying documentation gaps, ensuring coding integrity, and working collaboratively with internal teams to support physician coding compliance and reimbursement.
Coding and Compliance Specialist Hybrid Concentra Inc.Coding and Compliance Specialist HybridSanta Clarita, CA$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.
NewCoding and Compliance Specialist- Hybrid ConcentraCoding and Compliance Specialist- HybridSanta Clarita, California$28.85–$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.
Acute Coding Quality Review Auditor (Remote) Adventist Health SystemAcute Coding Quality Review Auditor (Remote)Roseville, CARemoteUses performance improvement analyses to improve the accuracy, integrity and quality of patient data, ensure minimal variation in coding practices, and improve the quality of physician documentation within the body of the medical record to support code assignments which results in appropriate reimbursement and data integrity. Essential Functions: Performs regularly scheduled quality reviews and audits per departmental policies and procedures (routine, pre-bill, policy driven, targeted, and post-bill) for hospital inpatient and/or outpatient coding.
Claim Review Specialist - Coding Certification Required CorroHealth IncClaim Review Specialist - Coding Certification RequiredCARemoteJOB SUMMARY: Assist the Director of HIM in preparing claim audits, reviewing and recommending coding, revenue cycle and charge/billing changes on client hospital outpatient and Profee claims using proprietary software product. Become proficient in the use of the PARA Data Editor, our proprietary software; Select and review claims for review based on trends/data analysis in the PARA Data Editor; organize information and access to medical documentation.
Coding Compliance Analyst III Sutter HealthCoding Compliance Analyst IIISacramento, CaliforniaA thorough understating of current hospital facility rules/ regulations/ guidelines/ policies/, coding and billing compliance, National Coverage Determinations (NCDs), Local Coverage Determinations (LCDs), and ICD-10-CM/PCS, CPT, and HCPCS is necessary to ensure accurate guidance is provided to those functional teams who rely upon it. Ability to design and implement regulatory and specialty specific education/ training to a wide variety of professionals including but not limited to professional coders, physicians, clinical documentation improvement specialists, other coding education professionals, non-coding professionals.
Claim Review Specialist - Coding Certification Required CorroHealthClaim Review Specialist - Coding Certification RequiredCaliforniaRemoteAssist the Director of HIM in preparing claim audits, reviewing and recommending coding, revenue cycle and charge/billing changes on client hospital outpatient and Profee claims using proprietary software product. Become proficient in the use of the PARA Data Editor, our proprietary software; Select and review claims for review based on trends/data analysis in the PARA Data Editor; organize information and access to medical documentation.
NewCoding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorCA$18.50–$38.82 / hourResponsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting.
Risk Adjustment Coding Auditor Clever Care Health Plan IncRisk Adjustment Coding AuditorHuntington Beach, CA$72,800–$80,000 / yearThe 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. The position supports enterprise risk adjustment initiatives through audit activities, RADV preparedness, chart review validation, vendor oversight, provider education, and continuous quality improvement efforts aimed at enhancing coding accuracy, documentation integrity, and risk score accuracy.
SPECIALIST II, CLINICAL CODING Pomona Valley Hospital Medical CenterSPECIALIST II, CLINICAL CODINGPomona, CA$39.89–$56.13 / hourPosition Summary:Responsible for the review and evaluation of the medical record in order to assign accurate diagnosis and procedural codes ensuring optimal reimbursement while remaining compliant with all regulatory agencies. As part of our ongoing effort to remain an employer of choice, eligible employees who work qualifying weekend shifts receive a competitive weekend rate.
HIM 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
HIM 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.
Coding Policy Analyst - Remote Providence Health & ServicesCoding Policy Analyst - RemoteCalifornia, CARemoteRequsition ID: 432922 Company: Providence Jobs Job Category: Coding Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Business Professional Department: 5018 HCS MEDICAL MANAGEMENT OR REGION Address: WA Liberty Lake 24021 E Mission Ave Work Location: Liberty Lake Workplace Type: Remote Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. The analyst is responsible for monitoring changes to codes, coding guidelines and regulations, and coding edits from external agencies such as AMA, CMS, Medicaid, and specialty societies, and assists with implementation of such changes to the claims adjudication and editing software.
Building Plans Examiner - Construction Code Review Specialist Staffmark Group LlcBuilding Plans Examiner - Construction Code Review SpecialistRiverside, CAWhat You Will Do As a Building Plans Examiner - Construction Code Review Specialist, you will review construction plans, drawings, and supporting documents to verify compliance with applicable building codes and regulations. Successful Building Plans Examiner candidates understand the importance of teamwork, communication, safety, and continuous improvement while supporting business objectives.
Healthcare 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.
Healthcare Coding Compliance Auditor - RUHS County of Riverside, CaliforniaHealthcare Coding Compliance Auditor - RUHSRiverside, CA$105,597.80–$145,114.92 / 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.
Medical Billing Specialist- Certified Coder Men's Health Foundation USAMedical Billing Specialist- Certified CoderLos Angeles, CAPerforms billing functions for the various service components of the Clinics, assists other claims processors as needed; serves as back up for the Billing Manager and runs various financial reports as needed by the CFO. Must take yearly flu shot or wear flu mask during flu season for patient-facing positions and test for tuberculosis as required by the Centers for Disease Control and Prevention.
Payer Coding Ops Hourly Datavant LLCPayer Coding Ops HourlyCA$25–$26 / hourGuided 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. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health.
Coder - 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.
NewCoding Analyst, Care Delivery Organization - Fully remote Alignment Healthcare IncCoding Analyst, Care Delivery Organization - Fully remoteCARemote$58,531–$87,797 / yearWorking closely with clinical documentation teams, and CDO provider partners - including PCPs, specialists, and clinical support staff - this role delivers accurate HCC code assignments, conducts structured provider coding audits, and provides targeted education that improves documentation quality and risk capture at the point of care. The Coding Analyst''s work directly drives RAF score accuracy, revenue integrity, and the quality of clinical documentation across the CDO''s provider network, making this role both a production function and a trusted clinical partner in Alignment''s Medicare Advantage operations.
Senior Coding Auditor Montefiore Medical CenterSenior Coding AuditorLos Angeles, CA$76,632.04–$95,790.05 / yearThe Senior Coding Auditor reviews and audits current and retro accounts, and reports audit outcomes regarding charge errors, percentage of savings or losses for the facility, data processing errors, the performance of the hospital charging system as well as documentation and justification within the medical record and itemized bill. The Senior Coding Auditor performs detailed audits of medical cases to ensure accuracy of assigned codes, charges, availability of documented medical records, medical accounts and compares the cases with the itemized bill and overall procedures.
Medical Data Specialist II — Medical Device (Hybrid — Valencia, CA) Contract Pharmavise CorporationMedical Data Specialist II — Medical Device (Hybrid — Valencia, CA) ContractValencia, CaliforniaData Modeling: Strong knowledge of relational (PostgreSQL, MySQL) and NoSQL (MongoDB, DynamoDB) data models, especially clinical or device data schemas (FHIR, HL7, OMOP). • Builds data APIs and data delivery services that support critical operational and analytical applications for our internal business operations, customers and partners.
Outpatient Coding Assistant Director UCSF Medical CenterOutpatient Coding Assistant DirectorEmeryville, CADemonstrated leadership and managerial skills, with the ability to create and maintain a goal-oriented climate of teamwork and cooperation across departments for effective problem solving, conflict resolution, support for organizational values, and consistent achievement of targets and objectives. Under the direction of UCSF HIMS Leadership and in partnership with the Clinical Documentation Integrity program and related Apex Programs, this position is accountable for driving the implementation of the organizational best practices at UCSF HIMS Health to achieve optimum overall performance.
Client Coding Project Manger CCPM Datavant LLCClient 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.