Specialist (Hospital) - Revenue Cycle Operations - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaSpecialist (Hospital) - Revenue Cycle Operations - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Alhambra, CA$25–$39.69 / 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. Quality of Work Is attentive to detail and accuracy, is committed to excellence, looks for improvements continuously, monitors quality levels, finds root cause of quality problems, owns/acts on quality problems.
CMS Healthcare Content Writer and Regulatory Subject Matter Expert MedTrainer IncCMS Healthcare Content Writer and Regulatory Subject Matter ExpertCAThe ideal candidate will be a CMS subject matter expert, healthcare compliance professional, experienced federal healthcare consultant, or healthcare content writer with strong working knowledge of Medicare, Medicaid, the Children's Health Insurance Program (CHIP), Medicare Advantage, Medicare Part D, and other CMS-administered or CMS-regulated programs relevant to the assigned content. Experience: Three to five years of progressively responsible experience working for or with CMS, a Medicare Administrative Contractor, a state Medicaid or CHIP agency, a Medicare Advantage or Part D organization, a healthcare provider or supplier, or a healthcare consulting or government contracting organization.
Experienced Home Health Medical Biller - Santa Ana Office CbExperienced Home Health Medical Biller - Santa Ana OfficeSanta Ana, CaliforniaQualifications: Prior experience in medical billing (home health experience strongly preferred). Key Responsibilities (include but are not limited to): OASIS tracking and oversight until completion.
Director of Revenue Cycle Continuous Improvement UCLA Health SystemDirector of Revenue Cycle Continuous ImprovementLos Angeles, CA$116,300–$264,600 / yearAs the Director of Revenue Cycle Continuous Improvement, you will oversee a portfolio of cross-functional initiatives focused on reducing preventable denials, addressing revenue leakage, improving clean claim performance, and accelerating the adoption of automation and leading practices. Demonstrated leadership, critical-thinking, problem-solving, and communication skills with the ability to build collaborative teams, establish operational and financial targets, and convey complex revenue cycle information clearly.
Senior Manager Revenue Cycle Program Management Office PMO UCLA Health SystemSenior Manager Revenue Cycle Program Management Office PMOLos Angeles, CA$98,200–$214,600 / yearThis role partners with revenue cycle leaders, Information Technology, and other stakeholders to strengthen project execution, improve financial and operational performance, support sustainable process improvements, and advance initiatives across patient access, coding, revenue integrity, billing, and collections. In this role, you will: Manage a portfolio of revenue cycle projects, including feasibility and impact analysis, project planning, milestone tracking, risk management, prioritization, and delivery within established PMO frameworks.
NewTechnician HIM I AHMC Healthcare IncTechnician HIM ISan Gabriel, CAThe HIM Coding Specialist I job summary includes but is not limited to: Assign and sequence ICD-10-CM, ICD-10-PCS and CPT codes for all specialty patient types which may include outpatient, ambulatory surgery, and emergency room records. Health Information Management Tech I must at all times safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations.
SIU Clinical Healthcare Fraud Investigator III (ATL) The Intersect GroupSIU Clinical Healthcare Fraud Investigator III (ATL)Los Angeles, CARemote$45–$55 / hourThe SIU Clinical Healthcare Fraud Investigator III leads complex, high impact investigations into fraud, waste, and abuse across multiple healthcare service lines. The Intersect Group partners with mission focused healthcare organizations dedicated to improving access, quality, and equity of care for large and diverse member populations.
Director of Revenue Cycle Continuous Improvement University of CaliforniaDirector of Revenue Cycle Continuous ImprovementLos Angeles, CA$116,300–$264,600 / yearAs the Director of Revenue Cycle Continuous Improvement, you will oversee a portfolio of cross-functional initiatives focused on reducing preventable denials, addressing revenue leakage, improving clean claim performance, and accelerating the adoption of automation and leading practices. Demonstrated leadership, critical-thinking, problem-solving, and communication skills with the ability to build collaborative teams, establish operational and financial targets, and convey complex revenue cycle information clearly.
Senior Manager, Revenue Cycle Program Management Office (PMO) University of CaliforniaSenior Manager, Revenue Cycle Program Management Office (PMO)Los Angeles, CA$98,200–$214,600 / yearThis role partners with revenue cycle leaders, Information Technology, and other stakeholders to strengthen project execution, improve financial and operational performance, support sustainable process improvements, and advance initiatives across patient access, coding, revenue integrity, billing, and collections. In this role, you will: Manage a portfolio of revenue cycle projects, including feasibility and impact analysis, project planning, milestone tracking, risk management, prioritization, and delivery within established PMO frameworks.
Coder II - Surgical (Remote) Cedars-Sinai Medical CenterCoder II - Surgical (Remote)Los Angeles, CARemoteAccurately assigns all applicable modifiers for all patients to assure optimal reimbursement and the highest quality data possible Duties of this Coder II include: Performs accurate and timely coding (CPT, ICD-10, HCPCS, modifiers). Experience we are Seeking: Minimum of 3 years of surgical coding experience within a multi-specialty medical group or multi-specialty physician practice (i.e., Orthopedics, Cardiothoracic Surgery, Neurosurgery, General Surgery, Obstetrics/Gynecology, Gastroenterology).
Senior Manager, Claims Adjustments L.A. Care Health PlanSenior Manager, Claims AdjustmentsLos Angeles, CAThe Senior Manager, Claims Adjustments manages all adjustment-related operational workflows, including provider disputes, escalated claim reviews, complex adjustments, and litigation-related claim support. Ensures all provider adjustments meet Department of Managed Health Care (DMHC), Department of Health Care Services (DHCS), Centers for Medicare and Medicaid Services (CMS), and contractual (TAT) requirements.
Surgery Scheduler The Los Angeles Cancer NetworkSurgery SchedulerGlendale, California$21–$28 / hourScheduler provides accurate information so that all departments may view daily and maintains open communication with hospital departments and physician offices regarding schedule changes. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.
Collections Representative – Government Billing SGA Inc.Collections Representative – Government BillingLos Angeles, CA$20–$27 / hourResponsibilities : The Collections Representative – Government Billing is responsible for the accurate and timely billing of inpatient, outpatient, and laboratory claims to government and third-party payers. Software Guidance & Assistance, Inc., (SGA), is searching for a Collections Representative – Government Billing for a Contract assignment with one of our premier Healthcare clients in Los Angeles, CA.
Senior Manager, Clinical Data Analytics Edwards Lifesciences CorpSenior Manager, Clinical Data AnalyticsIrvine, CA$139,000–$196,000 / yearWorking knowledge of cloud-hosted data architectures (AWS preferred) and data lake concepts (ingestion, ETL/ELT, data cataloging) sufficient to partner effectively with engineering teams - not expected to build pipelines personally, but must be able to translate business/safety requirements into technical specs and validate outputs. Identify issues and collaborate with appropriate team members to bring to resolution; determine root cause; recommend and lead the implementation of corrective actions, complex process development and process improvement solutions to optimize strategic imperatives.
Specialty Physician Coder Iconma LLCSpecialty Physician CoderFountain Valley, CAThis role is 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. Analyze and interpret medical information in the medical record and assign and sequence the correct ICD-10-CM, CPT, and/or HCPCS codes to the diagnoses/procedures of office, inpatient, and/or outpatient medical records according to established coding guidelines.
Nurse Practitioner / Physician Assistant, Adult Medicine Tiburcio Vasquez Health Center IncNurse Practitioner / Physician Assistant, Adult MedicineCA$69.39–$87.91 / hourFederal and State Loan Programs: TVHC is designated as both a Medically Underserved Area (MUA) and a Health Professional Shortage Area (HPSA), making employees eligible to apply for the National Health Service Corps (NHSC) and other federal and state loan repayment and forgiveness programs available to qualifying healthcare professionals. Performs health assessments, including a thorough history and physical examination, ordering or performing certain diagnostic tests, medication orders, evaluation of psychosocial and family aspects of the situation sufficient to make a general health assessment, and diagnose the nature of common acute and chronic conditions, and any necessary follow-up care.
Medical Assistant 3 UCSF Medical CenterMedical Assistant 3California, CAUses effective communication skills with patients and staff; demonstrates proper telephone techniques and etiquette; acts as an escort to any patient or family member needing directions; shows sensitivity to differences of culture; demonstrates a positive and supportive manner in which patients / families/ colleagues perceive interactions as positive and supportive. The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care.
Clinical Integrity Manager Cohere Health Technologies LLCClinical Integrity ManagerCARemote$108,000–$125,000 / yearAs a subject matter expert in utilization management, this role actively supports delegated clinical operations, participates in new client implementations, evaluates emerging clinical needs, and ensures seamless integration between clinical operations and technology. By unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.
Healthcare Analyst II Cohere Health Technologies LLCHealthcare Analyst IICARemote$85,000–$92,000 / yearBy unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately. With an enterprise approach that streamlines payer-provider decision-making across the care continuum-including policy, prior authorization, payment accuracy, and more-the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction.
DRG Coder Astrana Health IncDRG CoderOrange, CAIn an Independent Practice Association (IPA) and Management Services Organization (MSO) environment, the Senior 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 Senior 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.