Payment Specialist I El Proyecto del Barrio IncPayment Specialist ICAEmployees driving personal vehicles for El Proyecto business must provide El Proyecto proof of a valid driving license, and auto liability insurance. To receive mileage reimbursement, the employee must log their mileage and submit the mileage expense report to their Appropriate Administrator.
Patient Care Coordinator Upperline HealthPatient Care CoordinatorOrange City, CaliforniaUpperline Health providers coordinate patients’ care among a team of physician specialists, nurse practitioners, care navigators, nutritionists, social workers, and pharmacists for integrated treatment that addresses patients’ immediate and long-term health needs. The Patient Care Coordinator will be responsible for medical front desk receptionist duties including greeting patients in a friendly manner, and ensuring patients are accurately checked in and prepared for their appointments in a timely manner.
Senior 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 / hourFull timeWe 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.
NewLead, Clinical Validation Reviewer (RN) Molina Healthcare IncLead, Clinical Validation Reviewer (RN)CARequires a minimum of 3 years of experience in payment integrity medical claim review, including DRG validation, itemized bill review, clinical validation, or coding/reimbursement-focused claim review, and experience working with ICD-10, MS-DRG, AP-DRG and APR-DRG, CPT, HCPCS, revenue codes, and related coding, billing, and reimbursement guidelines; or any combination of education and experience which would provide an equivalent background. Performs advanced focused clinical reviews of claims to verify that coded diagnoses, procedures, revenue codes, billed charges, and corresponding reimbursement methodologies accurately reflect the patient's documented clinical condition, services rendered, and applicable coding, billing, payer policy, and regulatory requirements.
Medical Records Universal Community Health CenterMedical RecordsLos Angeles, CAReporting to the Director of Operations, the coordinator will be responsible for accessing third-party portals, managing medical records email correspondence, updating electronic medical record (EMR) systems, scheduling appointments, coordinating pre-op clearances, and facilitating communication between patients, providers, and specialists. The Medical Records Care Coordinator plays a crucial role in ensuring the efficient management and accessibility of medical records essential for patient care and administrative processes.
Biller/Collector III HireTalentBiller/Collector IIIIrwindale, CAMaintains superior understanding of CPT/HCPCS codes, ICD-10 codes, CMS 1500 form guidelines, eligibility and coverage requirements, remit and remark codes, payor/plan codes, claims management, third-party payer guidelines, state and federal regulations, claims clearinghouse workflow, and all other pertinent functions of the job. % Assists staff in identifying high-risk accounts and prioritizing resolution efforts; Ensures staff is researching high dollar accounts, high volume denials, credits, adjustments, and undistributed balances, etc. in adherence to internal policies and procedures.
Medical Billing Specialist- Collector Men's Health Foundation USAMedical Billing Specialist- CollectorLos Angeles, CAExtensive experience with Commercial insurance, Medicare, Medi-Cal/Medicaid, Medicare Advantage, Medi-Cal Managed Care, HMO, PPO, and other third-party payers. The Medical Collector / Accounts Receivable Representative is responsible for professional provider-side insurance collections, Accounts Receivable (AR) follow-up, denial resolution, reconsiderations, and appeals.
Government Audit Recovery Specialist Apidel TechnologiesGovernment 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), Targeted 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. Experience working on government, Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), and other Medicaid, Medi-Cal and other regulatory audits.
Podiatrist - Part-Time | FQHC The Staff PadPodiatrist - Part-Time | FQHCPomona, CaliforniaReporting to the Chief Medical Officer, this role is responsible for diagnosing, treating, and preventing conditions affecting the foot, ankle, and related structures while delivering high-quality, patient-centered care. The Podiatrist collaborates closely with primary care providers and other healthcare professionals to improve patient outcomes and enhance mobility, independence, and overall quality of life.
SIU Investigator Centene Corporation GroupSIU InvestigatorCA$56,200–$101,000 / yearLicenses/Certifications: Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification preferred. Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts.
Specialty Physician Coder ICONMA, LLCSpecialty Physician CoderFountain Valley, CA$38.65–$41.69 / hourAnalyze and interpret medical information in the medical record and assign and sequence the correct ICD10CM, CPT, and/or HCPCS codes to the diagnoses/procedures of office, inpatient, and/or outpatient medical records according to established coding guidelines. Participate in developing, implementing, and reviewing programs for coding compliance monitoring, benchmark comparisons, organizational policies and procedures, and physician clinical documentation improvement programs.
Documentation Integrity Specialist IV, Clinical Licensure-Risk Adjustment-RN Kaiser PermanenteDocumentation Integrity Specialist IV, Clinical Licensure-Risk Adjustment-RNPasadena, CAWorks on clinical documentation reviews by: reviewing a moderate caseload of medical/health records to promote accuracy and completeness of clinical documentation; reviewing results of a moderate to large caseload of medical record reviews and working alongside others to rectify identified omissions or contradictions in medical records; completing medical codes and diagnostics-related groups (DRGs) to facilitate the accurate capture of diagnoses in collaboration with senior team members and leadership; contributing to the identification of medical conditions that impact the severity of illness (SOI) and risk of mortality (ROM) indicators; and monitoring the documentation clarification queries to support efficient resolution of open queries. Integrates processes to improve clinical documentation by: supporting reviews of clinical documentation improvement/integrity (CDI) programs and integrating processes to improve the accuracy and completeness of clinical documentation and documentation issue resolution; determining areas to improve clinical review and documentation processes; and collaborating with team members to identify and implement documentation improvement initiatives.
Procedural Scheduler - Orthopedics Surgery Providence Health & ServicesProcedural Scheduler - Orthopedics SurgeryFullerton, CA$25–$35.77 / hourRequsition ID: 454401 Company: Providence Jobs Job Category: Patient Access Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 7520 ORTHO SURGERY CA PSJMC FULLERTON ST JUDE PLAZA Address: CA Fullerton 2141 N Harbor Blvd Work Location: St Joseph Health Medical Grp-Orthopedics-Plaza II Bldg Workplace Type: On-site Pay Range: $25.00 - $35.77 Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Procedural Scheduler - Orthopedics Surgery Providence St. Joseph HealthProcedural Scheduler - Orthopedics SurgeryFullerton, CATogether, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. These amounts 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.
NewSpecialty Physician Coder IconmaSpecialty Physician CoderFountain Valley, CA$38.65–$41.69 / hourAnalyze and interpret medical information in the medical record and assign and sequence the correct ICD10CM, CPT, and/or HCPCS codes to the diagnoses/procedures of office, inpatient, and/or outpatient medical records according to established coding guidelines. Participate in developing, implementing, and reviewing programs for coding compliance monitoring, benchmark comparisons, organizational policies and procedures, and physician clinical documentation improvement programs.
Clinical Documentation Improvement Specialist (Remote), Day Shift, Clinical Documentation Shady Grove Adventist HospitalClinical Documentation Improvement Specialist (Remote), Day Shift, Clinical DocumentationCARemote$77,313.60–$115,980.80 / weekWe do this by offering: Work life balance through nonrotating shifts Recognition and rewards for professional expertise Free Employee parking Medical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hire Employer-paid Short & Long-Term Disability, Basic Life Insurance and AD&D, (short-term disability buy-up available) Paid Time Off Employer retirement contribution and match after 1-year of eligible employment with a 3-year vesting period Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long term care, and critical illness & accident insurance Subsidized childcare at participating childcare centers Tuition Reimbursement * Employee Assistance Program (EAP) support As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has earned a reputation for high-quality, compassionate care. Education and Experience: Doctor of Medicine (MD), Doctor of Osteopathy (DO), Foreign Medical Graduate (FMG), Registered Nurse (RN), Pharmacist, Doctor of Physical Therapy RHIA, RHIT, or related clinical/allied health degree Minimum of 5 years inpatient clinical experience 2+ years of clinical documentation, coding, case management, utilization review, or acute-care clinical experience Experience interpreting physician documentation, lab results, imaging, and clinical indicators.
Chart Auditor - Glendale Adventist HealthChart Auditor - GlendaleGlendale, CAWe are comprised of a 515-bed hospital, two urgent cares, home care services, comprehensive cardiology care and a vast scope of services located in the San Fernando Valley. Essential Functions: Conducts concurrent audits of active cases to identify documentation and order issues in real time, preventing downstream denials.
Chart Auditor - Glendale Adventist Health SystemChart Auditor - GlendaleGlendale, CAJob Summary: Supports the Revenue Management Department by auditing medical records and clinical documentation to ensure proper patient status placement, accurate coding, and defensible payer billing. Essential Functions: Conducts concurrent audits of active cases to identify documentation and order issues in real time, preventing downstream denials.
Clinical Documentation Integrity Specialist- Onsite, Los Angeles UnitedHealth Group IncClinical Documentation Integrity Specialist- Onsite, Los AngelesLos Angeles, CA$72,800–$130,000 / yearPrimary Responsibilities: Provides expert level review of inpatient clinical records within 24-48 hours of admit; identifies gaps in clinical documentation that need clarification for accurate code assignment to ensure the documentation accurately reflects the severity of the condition and acuity of care provided. The Clinical Document Integrity Specialist - (CDIS) is responsible for providing CDI program oversight and day to day CDI implementation of processes related to the concurrent review of the clinical documentation in the inpatient medical record of Optum 360 clients' patients.
HIM Specialty ROCC Coder - Health Information - FT Days University of California, IrvineHIM Specialty ROCC Coder - Health Information - FT DaysIrvine, CaliforniaFull timeAs Orange County’s only academic health systems, UCI Health is home to the only National Cancer Institute-designated comprehensive cancer center based in the county, the region’s only American College of Surgeons-verified Level I adult and Level II pediatric trauma center , American College of Emergency Physicians Gold Level 1 Geriatric Emergency Department and a nationally recognized regional burn center verified by the American Burn Association. *Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.