Collector, Management Services Organization/Centralized Billing Office - CBO - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaCollector, Management Services Organization/Centralized Billing Office - CBO - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Pasadena, California$26–$41.28 / hourResponsible for ensuring timely filing and guidelines are met; provided quality control checks on paper and electronic claims; process tracers, denial and related correspondence; initiate appeals; compose and submit appeal letters specific challengeable denial issues consistent with the most update American Medical Association Current Procedural Terminology. System Folder Notes / Account Documentation Documents claim bill date, billed amounts, billing address, billing attachments, invoice number, expected payment, contractual amount, received payments, actual transplant date(s), type of transplant, pre and post periods for transplant days, and all pertinent billing data relevant to billing the claim.
DRG Coder Astrana Health, Inc.DRG CoderCA, CaliforniaRemote$28–$32 / hourIn an Independent Practice Association (IPA) and Management Services Organization (MSO) environment, the DRG Coder partners with utilization management, care management, finance, and provider network teams to support accurate payment, risk adjustment, quality reporting, and medical expense analysis. The DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS to determine the appropriate Diagnosis-Related Group (DRG) assignment.
Outpatient Coder - Per Diem University of CaliforniaOutpatient Coder - Per DiemLos Angeles, CARemote$47.60–$62.78 / hourYou will assign ICD-10-CM and CPT/HCPCS codes for patients receiving our services while correctly assigning APCs for all patients to assure accurate reimbursement and the highest quality data possible. As a condition of employment, the final candidate who accepts an 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; or have filed an appeal of a finding of substantiated misconduct with a previous employer.
Emergency Department Charger/Coder University of CaliforniaEmergency Department Charger/CoderLos Angeles, CARemote$40.04–$52.83 / hourAs a condition of employment, the final candidate who accepts an 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; or have filed an appeal of a finding of substantiated misconduct with a previous employer. You will assign ICD-10-CM and CPT/HCPCS codes for emergency department patients while ensuring accurate charge assignments using ASAP software within EPIC (CareConnect).
Medical Biller Registry AllyMedical BillerTorrance, CaliforniaOur client, a well-established Cardiology Clinic with locations in Torrance and Koreatown, is seeking a detail-oriented and results-driven Medical Biller who can also assist with front office responsibilities. Minimum 2 years of recent medical billing experience in an outpatient clinic, preferably in cardiology.
Office Manager/Supervisor Skyline UrologyOffice Manager/SupervisorTarzana, CaliforniaThe Office Manager/Supervisor leads goals and objectives that will provide the efficient operation of the Physician/s practice by overseeing daily operations and staff. Oversees and approves medical office supply inventory, ensures that mail is opened and processed, and offices are opened and closed according to procedures.
NewOptometric Technician (Pre-Testing and Front Office) Santa Fe Springs OptometryOptometric Technician (Pre-Testing and Front Office)Santa Fe Springs, CAFull timeWork-up patients prior to seeing doctor Includes autorefraction, lensometry, retinal photos (Optos), intraocualar pressure assessment (using iCare), visual acuities, case history, medical history and recording all above tests in patient's electronic medical record (average 10 patients per day). When not working directly with patients, your role will be to assist the front office with answering phones and emails to communicate with our patients, as well as assist with medical billing and processing orders for glasses and contact lenses.
SIU Investigative Analyst III (ATL) The Intersect GroupSIU Investigative Analyst III (ATL)Los Angeles, CARemote$32–$41.99 / hourYou will act as a subject matter expert, overseeing reporting processes, analyzing fraud patterns, and collaborating with internal teams and regulatory agencies to strengthen program integrity. Our client supports large scale public healthcare programs and emphasizes compliance, accountability, and innovation to protect critical resources.
Director, Safety Physician Summit Therapeutics IncDirector, Safety PhysicianCA$190,000–$237,000 / yearHARMONi: Phase 3 clinical study which was intended to evaluate ivonescimab combined with chemotherapy compared to placebo plus chemotherapy in patients with EGFR-mutated, locally advanced or metastatic non-squamous NSCLC who were previously treated with a 3rd generation EGFR TKI. Primary responsibilities include medical review of individual case safety reports (ICSRs), strategic input for adverse event monitoring and signal detection, ensuring global pharmacovigilance regulatory requirements are met, and safeguarding patients enrolled in our trials or administered our products.
Senior Clinical Documentation Integrity Specialist Blue Cross and Blue Shield AssociationSenior Clinical Documentation Integrity SpecialistLos Angeles, CAPursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. The Senior Clinical Documentation Integrity Specialist ensures accurate, complete, and compliant clinical documentation that appropriately reflects severity of illness, risk of mortality, and supports correct reimbursement.
Claims Examiner Career AdvocatesClaims ExaminerLos Angeles, CaliforniaThe Claims Examiner will be responsible for researching and resolving pending claims, reviewing claim denials requiring manual review, and ensuring timely processing in compliance with policies, procedures, and regulatory guidelines. Assist in claims processing and report billing/error trends identified during reviews.
Drug Safety Analyst BelcanDrug Safety AnalystLos Angeles, CA$42–$45.70 / hourAbility to effectively prioritize and manage multiple tasks to ensure successful completion targeted deadlines-Proficient in Windows 7 and MS Office (Excel, PowerPoint, Visio, Word)- Familiarity with validation of computer systems and/or GMP environments is essential.- Work as Signal Analyst during signal management activities including extractions of signal detection reports ensuring document filing and archivingEnsure quality and compliance with the legal requirements for pharmacovigilance tasks and responsibilities:1.
Sr. Manager Field Reimbursement - West Integra LifeSciences Holdings Corp.Sr. Manager Field Reimbursement - WestLos Angeles, CA$109,000–$150,000 / yearExperience and strong subject matter expertise in financial systems and management practices of healthcare providers (physicians, medical directors, HCPs) in a variety of settings (hospitals, hospital outpatient clinics, ASC's, ACO's, wound care clinics, and physician offices). Execute regional payer strategies, including expanding and optimizing commercial coverage for priority technologies, engaging payer decision-makers, and aligning access initiatives with enterprise market access objectives to accelerate adoption and revenue growth.
Insurance AR Specialist OneOncology IncInsurance AR SpecialistCARemoteWe 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. OneOncology 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.
Senior Manager, Clinical Documentation Integrity, Clinical Licensure-Risk Assessment Kaiser PermanenteSenior Manager, Clinical Documentation Integrity, Clinical Licensure-Risk AssessmentPasadena, CAOversees clinical documentation reviews by: performing quality assurance reviews of medical/health records and overseeing the scheduling and coverage of medical/health record reviews to promote the accuracy and completeness of clinical documentation; ensuring identified omissions or contradictions in medical records are rectified efficiently; providing mentorship and serving as an expert resource within a market or markets for applying and documenting medical codes and diagnostics-related groups (DRGs) to accurately capture diagnoses; overseeing the review of records to promote the accuracy of identification and documentation of the presence of medical conditions that impact severity of illness (SOI) and risk of mortality (ROM) indicators; and reviewing clinical documentation improvement/integrity (CDI) query data and processes to facilitate accuracy and efficiency in the resolution of open queries. Job Summary: Oversees clinical documentation reviews by performing quality assurance reviews of medical/health records and overseeing the scheduling and coverage of medical/health record reviews to promote the accuracy and completeness of clinical documentation, and providing mentorship and serving as an expert resource within a market or markets for applying and documenting medical codes and diagnostics-related groups to accurately capture diagnoses.
Medi-Cal Billing Specialist Pyramid Consulting, IncMedi-Cal Billing SpecialistPomona, CA$21–$24 / hourBy applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Must have skills: 1-3 years of experience in hospital accounts receivable, medical billing, or healthcare collections .
Staff Dentist (Part-Time, Remote, Nevada License) LIBERTY Dental PlanStaff Dentist (Part-Time, Remote, Nevada License)Tustin, NVRemote$74–$82 / hourYou will review dental claims, prior authorizations, referrals, and treatment requests across Commercial, Marketplace Exchange, Medicare Advantage, and Medicaid populations, helping ensure members receive appropriate, evidence-based care while supporting quality outcomes and regulatory compliance. This fully remote opportunity offers a consistent 20-hour-per-week schedule, allowing experienced dentists to apply their clinical expertise in a collaborative managed care environment while helping improve access to high-quality oral healthcare.
Senior Specialty Physician Coder Interventional ICONMA, LLCSenior Specialty Physician Coder InterventionalFountain Valley, CA$38.65–$41.69 / hourThis role will be responsible for reviewing and accurately coding office, hospital, and surgical procedures for reimbursement and ensuring accurate and compliant medical coding for both inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients. This role will be responsible for reviewing and accurately coding office, hospital, and surgical/procedures for reimbursement and ensuring accurate and compliant medical coding for inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients.
Certified Coder, Acute Hospital ED, Cancer & Edits (Remote) Adventist Health SystemCertified Coder, Acute Hospital ED, Cancer & Edits (Remote)CARemoteJob Summary: Reviews acute hospital outpatient emergency department (ED), medical oncology, adult outpatient rehab including cardiac rehab patient records including charge capture/entry to identify the diagnosis and procedure codes performed during the patient's stay are valid and in accordance with coding conventions and guidelines. Attends meetings for coder education, audit reviews, staff meetings, coder roundtable and other specialty meetings as needed including emergency department charging, cancer, infusions and injections, cardiac rehab and returned for coding.
Specialty Physician Coder Iconma LLCSpecialty Physician CoderFountain Valley, CAAnalyze 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. Experience: 1 years' experience as a specialty coder in one of the following specialties: Cardiology, Gastroenterology, Medical Hematology/Oncology, OBGYN, Pulmonology, General Surgery, or Radiation Oncology.