Code Enforcement Attorney JobotCode Enforcement AttorneyOntario, CA$140,000–$220,000 / yearInformation 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 focuses on representing cities, counties, special districts, and public agencies in complex public safety matters and civil and criminal prosecution.
Medical Billing Specialist JobotMedical Billing SpecialistLos Angeles, CA$25–$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.
Travel Case Manager RN - $2,772 per week Prime StaffingTravel Case Manager RN - $2,772 per weekBurbank, CAID: 64364273 Shift: Day 5x8-Hour (08:00 - 16:30) Description: Job Description Start date: ASAP Floating Expectation: No First Time Traveler: Yes but 1st time travelers must be screened Ratios: Days 1:25 Years of experience REQ: 2-year acute medical Care Manager experience performing Care Coordination/Discharge Planning Weekend REQ: typically one full weekend per 4 weeks, subject to dept. Over 20 hours requires PM approval Modules are completed pre-start, and annually Time spent on modules is self-reported, completion is recorded in Workramp transcripts Submittal Details: #Tier3 Travel ComplianceWe must have these three things before your traveler can be reviewed by our clinical team so please submit with this information included:What is their upcoming interview availability?.Please confirm the DOB and full SSN is correct in Connect.
NewTravel Nurse RN - Case Management - $2,900 per week LanceSoftTravel Nurse RN - Case Management - $2,900 per weekLos Angeles, CAModified Time:7/20/2026 12:00:00 AM Account Manager: Kyle Shook Account Manager Email: COVID-19 Vaccine: Not Required Flu Vaccine: Unknown Submittals:High Job Requirements & Qualifications Previous Charge Experience: - Years of Experience: 3 Patient Ratio Experience: Charting System Experience: Required Charting System Name: Any Community Hospital Experience: - LTAC Experience: - Trauma Level I Experience: - Trauma Level II Experience: - Travel Experience Required: - Certifications: BLS, BSN, state licenseSkills: Acute Hospital, Long Term Acute Care/Rehab/Skilled Nursing, Admission Criteria, Care coordination, Discharge Planning, Utilize InterQual Criteria, Utilize Milliman Guidelines, CMS: Centers for Medicare and Medicaid Services, CPT (Current Procedural Terminology) coding and billing, Department of Health, DRG (Diagnosis Related Groups), HEDIS (The Healthcare Effectiveness Data and Information Set) Measures, HIPAA guidelines (Health Insurance Portability and Accountability Act), ICD 10 Coding, NCQA (National Committee for Quality Assurance), OSHA, The Joint Commission/ Core Measure/National Safety Goals, Workers Compensation Unit Details Staffing & Scheduling Scheduling Type: - Patient Ratios Days: 4 Patient Ratios Nights: - Patient Ratios Weekends: - Float Required: - Call Required: - Weekend Coverage: - Number of Weekend Shifts Per Contract: - Pre-Approved Time Off: - Orientation Hours: - Facility & Patient Care Details Patient Age Groups: - Daily Census: - Number of Visits Per Day: - Number of Rooms: - Number of Beds: - Additional Unit Information Interdisciplinary Support: - Patient Diagnoses: - Special Procedures/Unit Details: - Special Equipment: - #Tier4 Travel Compliance RTO: keep RTO under 7 days, if possible, per assignment Locals: accepted, same bill rate Return Staff: All former UCLA contractors/travelers/perm employees interested in rejoining UCLA must be cleared by Talent Management before submitting to an open job. Modules: Modules are non-billable, up to 4 hours, average 1-2 Modules are completed pre-start, and vary by specialty Modules are recorded via Certificate of Completion Submittal Details: #Tier4 Travel ComplianceRTO: keep RTO under 7 days, if possible, per assignmentLocals: accepted, same bill rateReturn Staff: All former UCLA contractors/travelers/perm employees interested in rejoining UCLA must be cleared by Talent Management before submitting to an open job.
Medical Claims Resolution Specialist Kinetic Personnel GroupMedical Claims Resolution SpecialistOrange, CA$25–$31 / hourTemporaryA full time permanent position includes a pay raise, telecommute options, a CalPERS Pension and excellent government benefits including generous holiday, PTO and sick pay days off, year one! Job duties: Addresses provider inquiries, questions, and concerns in all areas including enrollment, claims submission and payment, benefit interpretation, and referrals/authorizations for medical care.
iOS Technical Architect CYNET SYSTEMSiOS Technical ArchitectTorrance, CA$65–$70 / hourTemporaryContractorPart timeAs a nationally and locally certified Minority Business Enterprise (MBE), Cynet Systems is committed to helping organizations build high-performing teams while empowering professionals to grow rewarding careers. We deliver agile, scalable talent solutions across IT, engineering, life sciences, clinical, and professional staffing, powered by a high-performing recruitment engine operating across North America and Asia.
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.
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.
Investigator, Special Investigative Unit Coding (Remote) Molina Healthcare IncInvestigator, Special Investigative Unit Coding (Remote)CARemoteWorking knowledge of local, state and federal laws and regulations pertaining to health insurance, investigations and legal processes (commercial insurance, Medicare, Medicare Advantage, Medicare Part D, Medicaid, Tricare, Pharmacy, etc.). In some states, 5 years of experience working in a fraud, waste and abuse (FWA)/special investigations unit (SIU)/fraud investigations role may be required (dependent on state/contractual requirements).
NewOutpatient Coding Consultant - Remote Datavant LLCOutpatient Coding Consultant - RemoteCARemoteGuided 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.
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 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.
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 / yearEnsure 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. The Manager serves as a subject matter expert in coding regulations and provides leadership in the development and implementation of coding education, audit programs, facilitating educational webinars and seminars, planning and delivering effective presentations, and process improvement initiatives.
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, California$110,240–$181,896 / yearThe Manager serves as a subject matter expert in coding regulations and provides leadership in the development and implementation of coding education, audit programs, facilitating educational webinars and seminars, planning and delivering effective presentations, and process improvement initiatives. The Manager supervises coding auditors, educators, denials management specialists, and Coder Editor Team, and is responsible for planning, organizing, and directing coding audit activities, coding education initiatives, and pre-bill coding-related-edits from billing systems.
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
Coding Compliance Audit & Education Specialist Privia Health Group, IncCoding Compliance Audit & Education SpecialistCA$70,000–$80,000 / yearThe Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers. Technical Requirements (for remote workers only, not applicable for onsite/in office work): In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed.
Coding Auditor & Educator Welbe Health LLCCoding Auditor & EducatorCA$70,304–$89,535.30 / yearAt the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring coding is accurate and properly supported by clinical documentation within the health records, as well as educating our teams on best practices to promote compliance. Oversee audits and participate in provider education programs to ensure compliance with CMS risk adjustments diagnosis coding guidelines.
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.
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.