HEDIS Abstractor Astrana Health, Inc.HEDIS AbstractorSan Francisco, CA$27–$33 / hourThe HEDIS Abstractor collaborates with internal quality teams, providers, and external audit vendors to improve measure performance, maintain compliance, and support successful HEDIS audits. The HEDIS Abstractor supports Quality Care Improvement initiatives by conducting comprehensive medical record reviews and abstraction activities to identify and close HEDIS measure care gaps.
CDS Trainee Prime Healthcare Management IncCDS TraineeOntario, California$26.04–$29.69 / hourFull timeResponsibilities: CDS Trainee is responsible for conducting clinically based concurrent and retrospective reviews of inpatient medical records to evaluate the clinical documentation is reflective of quality-of-care outcomes and reimbursement compliance for acute care services provided. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.
Clinical Documentation Specialist 4 HX - Clinical Doc Integrity - FT Days HYBRID University of California, IrvineClinical Documentation Specialist 4 HX - Clinical Doc Integrity - FT Days HYBRIDIrvine, 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.
RAC Manager Prime Healthcare Management IncRAC ManagerOntario, California$71,760–$94,619.20 / yearFull timeExtensive knowledge of nursing care, clinical measurement tools, and clinical outcomes; ability to establish cooperative working relationship with diverse groups and individuals, the medical staff, and other healthcare disciplines; program and database development a plus. Working with the Supervisor(s), a RAC manager functions as a subject matter expert (SME) for the appeals process and takes an active role in managing the process and coordinating with the RAC team, Corporate Utilization Review and Clinical appeals team.
Clinical Documentation Specialist 4 HX - Clinical Doc Integrity - P/T Days Remote University of California, IrvineClinical Documentation Specialist 4 HX - Clinical Doc Integrity - P/T Days RemoteIrvine, CaliforniaRemotePart 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.
Advanced Practice Provider (App), Nurse Practitioner (Np) Or Physician Assistant (Pa) COPE Health SolutionsAdvanced Practice Provider (App), Nurse Practitioner (Np) Or Physician Assistant (Pa)Los Angeles, CA$150,000–$200,000 / yearComprehensive AWV & Gap Closure: Perform Medicare Annual Wellness Visits in the home, completing detailed cognitive screenings, fall risk assessments, and personalized prevention plans while closing active quality care gaps and appropriately capturing HCC codes as part of documentation. This role executes in-home Annual Wellness Visits (AWVs), manages complex clinical transitions of care (TOC) immediately following hospital discharge, and provides long-term stabilization for high-acuity patients enrolled in Complex Care Management (CCM) and is proficient at HCC coding and medical disease documentation.
Coder II (Outpatient-SDS) San Antonio Regional HospitalCoder II (Outpatient-SDS)Upland, California$28.52–$42.78 / hourFull timeThis position is responsible for reviewing the entire patient record including the electronic record to assign appropriate codes for the following areas: Outpatient: Day patients, cardiac catherterization lab, other interventional radiology and Observation patients and Labor and Deliver Observation. Experience: Two years coding experience in an acute care facility outpatient surgery department, a stand alone ambulatory surgery center, or emergency/urgent care center, using ICD-10-CM, CPT coding, and APC grouper.
Xcelys Medical Claims Examiner (Remote) NTT DATAXcelys Medical Claims Examiner (Remote)Ontario, CARemoteAs part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. Outsourcing is not just a method of gaining a one-time cost advantage, but an effective strategy for gaining and maintaining competitive advantages when executed as part of an overall sourcing strategy.
Sr. Software Development Engineer JiffySr. Software Development EngineerIrvine, CA$195,000–$265,000Reporting directly to an Engineering Manager and working closely with Product, GM's and other cross functional teams, you will lead the charge on delivering end-to-end features across our e-commerce platform from storefront and checkout to internal tools and platform services while running multiple AI-driven work streams in parallel. Orchestrate AI coding agents (Claude Code, Codex, Cursor) across 3–6 concurrent work streams spanning features, refactors, bug fixes, and investigations using worktrees, sub-agents, and background tasks to maximize parallel throughput.
Referral Coordinator (Bilingual English/Spanish) St. Jude Neighborhood Health CentersReferral Coordinator (Bilingual English/Spanish)Orange, CA$23–$25.49 / hourOur health centers use a team-based model of care that includes family medicine, obstetrics, women's health, oral and vision care, preventative and educational health, mental health, patient advocacy, case management, and community health. Obtain authorization for referrals to specialty care and other services from CalOptima, IEHP, Medi-Cal insured patients and facilitate access to care for those without health insurance coverage.
Field Reimbursement Manager - Neurology (Los Angeles, CA) Regeneron PharmaceuticalsField Reimbursement Manager - Neurology (Los Angeles, CA)Los Angeles, CA$165,600–$209,600 / yearIn this role, you will support providers throughout all facets of the reimbursement cycle including coverage, coding, product acquisition, available patient support services and site-of-care decision making to enable sustained patient access in a competitive rare disease environment. This role requires: A bachelor's degree and at least 5 years of experience in the biopharma reimbursement, market access or field-based access roles working in a matrix environment - with at least 2 years direct Reimbursement experience supporting medical benefit therapies (buy & bill preferred).
Primary Care Advanced Practitioner (Cantonese Fluency Required) Florence HealthPrimary Care Advanced Practitioner (Cantonese Fluency Required)Monterey Park, CATitle: Primary Care Advanced Practitioner (Cantonese Fluency Required) Company Overview We are an independent primary care practice dedicated to providing exceptional care to our patients. Role Overview As a Primary Care Advanced Practitioner, you will work collaboratively within a small, close-knit care team.
Patient Care Billing & Authorization Specialist Ultimate Staffing ServicesPatient Care Billing & Authorization SpecialistFullerton, California$26As the Patient Care Billing & Authorization Specialist , you will play a pivotal role in ensuring the seamless operation of our practice, supporting both the financial and administrative aspects of patient care. This role bridges the gap between patients, providers, insurance carriers, and third-party billing partners, helping to create an engaging and efficient office environment.
Vermont Rural Healthcare IT and HIM Leadership Opportunities Rural Staffing ServicesVermont Rural Healthcare IT and HIM Leadership OpportunitiesVermont, VermontRural Staffing Services® partners with rural hospitals, clinics, community health centers, long-term care organizations, and healthcare systems throughout Vermont to identify experienced information technology and health information leaders who understand the unique needs of rural healthcare. These opportunities may include leadership within Critical Access Hospitals, Rural Health Clinics, Federally Qualified Health Centers, community hospitals, long-term care organizations, and integrated rural healthcare systems.
Financial Clearance Specialist III - Prearrival - Full Time 8 Hour Rotating (Non-Exempt) (Non-Union) University of Southern CaliforniaFinancial Clearance Specialist III - Prearrival - Full Time 8 Hour Rotating (Non-Exempt) (Non-Union)Los Angeles, CA$26–$41.28 / 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. As a leading academic medical center, hundreds of clinical trials are currently taking place at Keck Hospital and its affiliated research institutions, giving patients access to novel and promising therapies that are generally not available elsewhere.
Plan Coder (50456) Western Growers AssociationPlan Coder (50456)Irvine, CAThis position will ensure that all new and existing health (medical/dental/pharmacy) insurance plans underwritten by Western Growers Assurance Trust (WGAT) and those of Pinnacle Claims Management, Inc. (PCMI) are in compliance with the respective employers' summary plan descriptions. Do everything possible to help members succeed by being curious and striving to understand what others are trying to achieve, planning, and executing work helpfully and collaboratively.
Implementation Auditor (50487) Western Growers AssociationImplementation Auditor (50487)Irvine, CAUsing close and comprehensive analyses, verify new and existing plans loaded on the Company's claim management system against the appropriate Summary Plan Description to determine the accuracy of present and future claims payments. This position will ensure that all new and existing health (medical/dental) insurance plans underwritten by the Western Growers Assurance Trust (WGAT) and those of Pinnacle, Inc. (PCMI) are in compliance with the respective employers' summary plan descriptions.
Financial Clearance Specialist III - Prearrival - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaFinancial Clearance Specialist III - Prearrival - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Los Angeles, CA$22–$34.18 / 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. Preferred Qualifications: Required Licenses/Certifications: Req 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.
NewStaff Accountant TEEMA GroupStaff AccountantCovina, CARemote$30–$35You will balance core corporate accounting tasks—such as invoice coding, budget support, and expense report auditing—with specialized healthcare financial coordination, including claims verification and government revenue reconciliation. Budgeting Processes: Provide data gathering and analytical support for the annual corporate budgeting process and participate in monthly budget-to-actual variance reviews.
NewClient Service Representative Vicar Operating dba VCAClient Service RepresentativeOntario, CaliforniaAs a CSR, you must be a self-starter with a strong attention to detail, ability to work in fast-paced environment, be able to handle difficult cases and clients, and have outstanding communication skills. Management reserves the right to revise the job description or require that other tasks be performed when the circumstances of the job change (for example, emergencies, change in personnel, workload, or technical development).