JobotNewMedical Billing Specialist JobotMedical Billing SpecialistLos Angeles, CA$25ā$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.
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 SpecialistIrvine, CA$26ā$28Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individualās 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 individualās skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
JobotNewDocumentation Specialist-In Office JobotDocumentation Specialist-In OfficeAnaheim, CA$22ā$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 qualityārelated processes, including performance tracking, reporting, and coordination of internal and external feedback.
L3Harris TechnologiesNewSpecialist Software Engineer L3Harris TechnologiesSpecialist Software EngineerAnaheim, CA$97,000ā$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.
L3Harris TechnologiesNewSenior Specialist, Software Engineering L3Harris TechnologiesSenior Specialist, Software EngineeringAnaheim, CA$122,500ā$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, Project Engineering 1 L3Harris TechnologiesSpecialist, Project Engineering 1Canoga Park, CA$92,500ā$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$84,000ā$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.
L3Harris TechnologiesNewSpecialist, Manufacturing Welding Engineer L3Harris TechnologiesSpecialist, Manufacturing Welding EngineerCanoga Park, CA$84,000ā$156,000 / yearWith customersā 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.
State Farm Mutual Automobile Insurance CompanyNewClaim Specialist - Property Field Inspection State Farm Mutual Automobile Insurance CompanyClaim Specialist - Property Field InspectionSanta Monica, CA$64,965.62ā$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!
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.
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$1,910ā$1,910A Registered Nurse (RN) ā 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.
Astrana Health, Inc.NewRisk Adjustment Coding Specialist II - Remote Astrana Health, Inc.Risk Adjustment Coding Specialist II - RemoteMonterey Park, CaliforniaRemote$70,000ā$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 claimsāsuch as cases involving severe damages, coverage issues, sensitive matters, and declaratory relief actions.
ConcentraNewCoding and Compliance Specialist ConcentraCoding and Compliance SpecialistSanta Clarita, California$28.81ā$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$110,240ā$181,896 / yearPreferred Qualifications: Required Licenses/Certifications: Req Advanced knowledge of: ā¢ ICD-10-CM ā¢ ICD-10-PCS ā¢ CPT ā¢ HCPCS ā¢ MS-DRG ā¢ 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. ā¢ Ensure effective use of coding and electronic health record systems including: ā¦ Cerner/PowerChart and Coding mPage ā¦ Solventum/3M 360 Encompass (CAC/CRS) ā¦ Solventum/3M HDM, HRM, and ARMS ā¦ Soarian Financials and CHC Assurance PFS systems ā¢ 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$110,240ā$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
Cedars-Sinai Medical CenterCoding 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.
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$33ā$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 Americaās 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 Countyās 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.
Pomona Valley Hospital Medical CenterSPECIALIST II, CLINICAL CODING Pomona Valley Hospital Medical CenterSPECIALIST II, CLINICAL CODINGPomona, CA$38.36ā$53.97 / 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.
R1 RCM IncNewNeuro Coding Associate III (Neurosurgery & Neuro IR) R1 RCM IncNeuro Coding Associate III (Neurosurgery & Neuro IR)CA$20.87ā$32.20 / hourWe are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. This role is for experienced coders who are actively working in neurosurgery and Neuro Interventional Radiology (Neuro IR) and are ready to operate at an elevated level in a fast-paced, production-driven environment.
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$33ā$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); ā¦ *Certified Coding Specialist (CCS) in lieu of (CCS-P) acceptable for employees hired prior to April 30, 2020.
Molina Healthcare IncAnalyst, Pre-Pay Dispute Coding-CPC (Remote) Molina Healthcare IncAnalyst, Pre-Pay Dispute Coding-CPC (Remote)CARemoteReviews coding-related provider claims denials by systematically examining medical records, denial reasons, submitted claims, and claim history, in accordance with applicable state, federal, and Molina guidelines, rules, and protocols, to determine whether the documentation substantiates the services rendered. Identifies, documents, and communicates any identified coding errors or inconsistencies, collaborating with appropriate internal department(s)to capture and track issues to ensure precise code editing and compliance.
Datavant LLCPayer Coding Ops Hourly Datavant LLCPayer Coding Ops HourlyCA$25ā$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.
HEALTH ATLAST WEST LASenior Medical Billing Specialist ā Multi-Specialty (PM&R Focus) HEALTH ATLAST WEST LASenior Medical Billing Specialist ā Multi-Specialty (PM&R Focus)Los Angeles, CA$20ā$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.
Team Health Holdings IncAnesthesia Coding Trainer Team Health Holdings IncAnesthesia Coding TrainerCAMissing Translation: layouts.eu_consumer_core.application.custom_footer.footer_title. Anesthesia Coding Trainer Job in USA | www.teamhealthcareers.com
University of California, IrvineDirector of Coding - Health Information - F/T Days University of California, IrvineDirector of Coding - Health Information - F/T DaysOrange, California
Datavant LLCClient Coding Project Manger CCPM Datavant LLCClient Coding Project Manger CCPMCA$75,000ā$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.
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.
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 Americaās 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 Countyās 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.
University of Southern CaliforniaClinical Authorization Specialist - Cardiovascular Medical Clinic - Full Time 8 Hour Days (Non-Exempt) (Union) University of Southern CaliforniaClinical Authorization Specialist - Cardiovascular Medical Clinic - Full Time 8 Hour Days (Non-Exempt) (Union)Los Angeles, CA$23ā$39.10 / hourWhen 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. The Clinical Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for outpatient clinic, inpatient admission, ancillary services and/or chemotherapy and other infused treatments as needed.
University of Southern CaliforniaMedical Assistant/Cast Specialist - PMOB Ortho Clinic - Full Time 8 Hour Days (Non-Exempt) (Non-Union) Target Start Date 05/12/2025 University of Southern CaliforniaMedical Assistant/Cast Specialist - PMOB Ortho Clinic - Full Time 8 Hour Days (Non-Exempt) (Non-Union) Target Start Date 05/12/2025Pasadena, CA$29ā$45.20 / hourRequired Licenses/Certifications: Req Basic Life Support (BLS) Healthcare Provider from American Heart AssociationReq Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. 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.
The Coos, Lower Umpqua and Siuslaw IndiansMedical Coder The Coos, Lower Umpqua and Siuslaw IndiansMedical CoderCARemoteThe Medical Coder is responsible for reviewing clinical documentation and accurately assigning diagnostic, procedural, and billing codes for medical, dental, behavioral health, and ancillary healthcare services provided by CTCLUSI Health Services. Collaborates efficiently and effectively while consistently demonstrating professionalism and maintaining positive, respectful relationships with internal teams, external partners, and Tribal members.
Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistLos Angeles, CA$110,700ā$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Ultimate Staffing ServicesMedical Claims Examiner Ultimate Staffing ServicesMedical Claims ExaminerPasadena, California$26ā$29 / hourWe are seeking an experienced Medical Claims Examiner to review, analyze, and adjudicate medical claims for accuracy, compliance, and medical necessity. Identify coding discrepancies, overpayments, and potential fraud or abuse.
VICTORY HEMATOLOGY AND ONCOLOGY INCMedical Biller VICTORY HEMATOLOGY AND ONCOLOGY INCMedical BillerSherman Oaks, CAHas experience in medical billing processes including charge entry, payment posting and claim follow-up and extensive knowledge of Medicare, HMO, local IPAs, and PPO carriers. Victory Hematology and Oncology has a Medical Billing Specialist position available for a well-organized and knowledgeable Medical Billing and Coding Specialist with a Hematology and Oncology practice in Sherman Oaks, California.
CorroHealth IncClaim Review Specialist CorroHealth IncClaim Review SpecialistCARemoteJOB 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. 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.
Clinivoy LLCBilling and Credentialing Specialist Clinivoy LLCBilling and Credentialing SpecialistIrvine, CA$23ā$28Assist 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.
Providence St. Joseph HealthSenior Charge Description Master Specialist - Full time, Day, Remote Providence St. Joseph HealthSenior Charge Description Master Specialist - Full time, Day, RemoteLos Angeles, CARemoteAs a member of the PSJH System Revenue Integrity Chargemaster (RICDM) team, the CDM Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. The CDM Specialist responds to Hospital ministry inquiries regarding Chargemaster issues and is responsible for the training of Hospital ministry staff regarding the CDM Maintenance process, coding updates and charge capture improvement.
Providence Health & ServicesSenior Charge Description Master Specialist - Full time, Day, Remote Providence Health & ServicesSenior Charge Description Master Specialist - Full time, Day, RemoteCalifornia, CARemoteRequsition ID: 432744 Company: Providence Jobs Job Category: Patient Financial Services Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4001 SS RC CHARGE DECR MSTR Address: WA Renton 1801 Lind Ave SW Work Location: Providence Valley Office Park-Renton 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. As a member of the PSJH System Revenue Integrity Chargemaster (RICDM) team, the CDM Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided.
Integrated Resources, IncGovernment Audit Recovery Specialist Integrated Resources, IncGovernment Audit Recovery SpecialistCosta Mesa, CAContractorAs an essential role and focal point of all government audit activity, the Government Recovery Specialist is responsible for responding to correspondence from Government Agencies related to Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Cliented Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement Organizations (QIO) and other Medicaid, Medi-Cal regulatory auditing body for pre and post payment audits The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and enforcement agency audits for documentation and billing compliance. As an essential role and focal point of all government audit activity, the Government Recovery Specialist is responsible for responding to correspondence from Government Agencies related to Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Cliented Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement Organizations (QIO) and other Medicaid, Medi-Cal regulatory auditing body for pre and post payment audits.
Krista CareAccountant & Billing Specialist Krista CareAccountant & Billing SpecialistArcadia, CA$52,000ā$62,400As we continue to grow, we are seeking an experienced and proactive Accountant & Billing Specialist to manage our financial operations, billing cycle, and reimbursement tracking across multiple payor sources. Krista Care, LLC is a licensed California home care agency providing compassionate, non-skilled in-home support services to seniors and individuals with disabilities.
University of Southern CaliforniaClinical Documentation Specialist - Clinical Doc Integrity - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaClinical Documentation Specialist - Clinical Doc Integrity - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Alhambra, CA$58.50ā$96.53 / hourImproves the overall quality and completeness of clinical documentation by working closely with providers and the application of coding guidelines, evidence-based knowledge, analysis, in-depth review, interpretation, identification of opportunities, communication, and consistent follow-up and evaluation of concurrent and retrospective (as required) medical record documentation. 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.
University of California, IrvineNewCLINICAL DOCUMENTATION SPECIALIST 4 HX - Clinical Doc Integrity - FT Days REMOTE University of California, IrvineCLINICAL DOCUMENTATION SPECIALIST 4 HX - Clinical Doc Integrity - FT Days REMOTEIrvine, CaliforniaRemoteListed among Americaās 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 Countyās 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.
University of California, IrvineCLINICAL DOCUMENTATION SPECIALIST 4 HX - Clinical Doc Integrity - FT Days HYBRID University of California, IrvineCLINICAL DOCUMENTATION SPECIALIST 4 HX - Clinical Doc Integrity - FT Days HYBRIDOrange, CaliforniaListed among Americaās 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 Countyās 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.
University of CaliforniaCLINICAL DOCUMENTATION SPECIALIST 4 HX - Clinical Doc Integrity - FT Days University of CaliforniaCLINICAL DOCUMENTATION SPECIALIST 4 HX - Clinical Doc Integrity - FT DaysIrvine, CAListed 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.
Mid-Columbia Medical CenterClinical Documentation Integrity Specialist Mid-Columbia Medical CenterClinical Documentation Integrity Specialistglendale, CAJob Summary: Reviews, evaluates and assesses medical records of patients, looks for specificity of an illness, the accuracy of the clinician's documentation, coding requirements and documentation of important medical details to ensure the overall quality and completeness of clinical documentation of the patient medical record and ensure it is in compliance with government and other regulations. Essential Functions: Evaluates and assesses medical records of patients, looks for specificity of an illness, the accuracy of the clinician's documentation, coding requirements and documentation of important medical details to ensure the overall quality and completeness of clinical documentation of the patient medical record.
Hollywood Presbyterian Medical CenterCharge Capture Specialist Exempt Hollywood Presbyterian Medical CenterCharge Capture Specialist ExemptLos Angeles, CAReviews, analyzes and coordinates charge capture activities, including, but not limited to charge reconciliation, charge posting, evaluation/resolution of billing edits, department outreach and AD HOC reporting. Utilize coding systems (CPT, ICD-10, HCPCS, NRVs/Revenue Codes) to assign appropriate codes for services rendered.