After School Kids Coding Instructor Code Sensei Computer Science Code Ninjas - Tracy Mountain HouseAfter School Kids Coding Instructor Code Sensei Computer ScienceTracy, CADeliver Code Ninjas’ curriculum, including block-based coding for younger students and syntax-based coding for older students, such as JavaScript, Microsoft MakeCode, Godot, and C#/Unity. Code Ninjas is the nation’s fastest-growing kids coding center, where kids ages 5-14 learn to code by building games in a fun and non-intimidating way.
CalAIM Medical Billing Specialist FRIENDS OUTSIDECalAIM Medical Billing SpecialistStockton, CAVerify member eligibility with assigned MCPs prior to billing and throughout service enrollment periods Monitor and maintain ECM and Community Supports authorizations, referrals, and service approvals Ensure services billed are authorized, medically appropriate, and documented in accordance with DHCS and MCP requirements Track authorization expiration dates and coordinate reauthorization needs with program staff. Coordinate with care managers, housing support staff, supervisors, and external partners to obtain necessary documentation and service information Communicate with MCP representatives regarding claims, authorizations, billing inquiries, and service requirements Assist staff in resolving documentation deficiencies impacting billing or reimbursement Participate in interdisciplinary meetings as needed to support program operations and billing integrity.
Adult Education Career Technical Education Medical/Business Office Teacher (Monday - Thursday 10:30 am -12:30 pm) 8-10 hours per week Liberty Union High School DistrictAdult Education Career Technical Education Medical/Business Office Teacher (Monday - Thursday 10:30 am -12:30 pm) 8-10 hours per weekBrentwood, CASITE: Liberty Adult Education Center Courses may include: Customer Relations, Business Math, Business English, Medical Terminology, and related Medical Front Office, Medical Law & Ethics, Electronic Health Records, Medical Coding & Billing. • Strong knowledge of subject areas such as customer relations, basic business mathematics, professional writing, medical terminology, and administrative healthcare procedures.
Cardiothoracic Surgeon Legacy Health SystemCardiothoracic SurgeonTurlock, CASuch care is provided in an office, outpatient, or inpatient setting and includes the full and expected mix of patient problems and surgical approaches. To learn more about our employee benefits click here: www.legacyhealth.org/For-Health-Professionals/careers/benefiting-you.
Medical Coder MedHQ, LLCMedical CoderTracy, CARemoteFull timeWe are seeking a meticulous and detail-oriented Medical Coder specializing in professional services, experience coding General and Orthopedic surgery with emphasis on spine and sports medicine. About Us: MedHQ, LLC, is a fast-growing, leading provider of consulting and technology-enabled expert services for outpatient healthcare.
Medical Biller ALLSTAR AMBULANCE LLCMedical BillerModesto, CAThis role is responsible for managing the full revenue cycle for non emergency transport services, ensuring accurate and timely claim submission and reimbursement. Allstar Ambulance is seeking an experienced Medical Biller with a strong background in ambulance/EMS billing.
NewAppeals and Grievances - RN, Consultant (MediCare) Blue Cross and Blue Shield AssociationAppeals and Grievances - RN, Consultant (MediCare)Lodi, CAIn this role, you will: Perform retrospective utilization reviews and first level determination approvals for members using BSC evidenced based guidelines, policies and nationally recognized clinal criteria across lines of business or for a specific line of business such as Medicare and Med-Cal, including dual-eligibility products. In this role you will be leading a team of nurses who will be responsible for performing first level appeal reviews for members utilizing the National Coverage Determination (NCD) guidelines, Local Coverage Determination (LCD) Guidelines, and nationally recognized sources such as MCG, NCCN, and ACOG.
Medical Biller CbMedical BillerModesto, CaliforniaThis role is responsible for managing the full revenue cycle for non emergency transport services, ensuring accurate and timely claim submission and reimbursement. Allstar Ambulance is seeking an experienced Medical Biller with a strong background in ambulance/EMS billing.
Medical Biller MedHQ, LLCMedical BillerTracy, CAFull timeIn this role, you will be responsible for charge entry and processing, patient registration, managing patient aging reports, and handling patient inquiries via phone. About Us: MedHQ, LLC, is a fast-growing, leading provider of consulting and technology-enabled expert services for outpatient healthcare.
Care Progression Physician Advisor, Sutter Memorial Medical Center Sutter HealthCare Progression Physician Advisor, Sutter Memorial Medical CenterModesto, CA$236,641.60–$378,643.20 / yearJOB ACCOUNTABILITIES: Support Central Care Management Operations: Provides PA support and clinical oversight to all programs managed through Care Management Operations: Clinical Denials and Appeals, Recovery Audit Contractor (RAC), Medicare Two Midnight Rule review, Concurrent denials review and processing, Peer to Peer discussion with payers, and Inpatient authorization clinical escalations. The PA will develop expertise on matters regarding physician practice patterns, over- and under-utilization of resources, medical necessity, documentation best practices, level of care progression, denial management and compliance with governmental regulations and conditions of participation and commercial insurance contracts.
OB/GYN Hospitalist – Central Valley, CA | Near Sacramento & Bay Area - 1789550 Necnic GroupOB/GYN Hospitalist – Central Valley, CA | Near Sacramento & Bay Area - 1789550Stockton, CaliforniaDiverse, affordable metro with access to outdoor recreation, dining, and cultural amenities. Join an established OB/GYN hospitalist program with a 2-physician, in-house 24/7 model .
Utilization Management Nurse, Senior Blue Cross and Blue Shield AssociationUtilization Management Nurse, SeniorLodi, CAThe Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical necessity, coding accuracy, treatment plans, discharge planning, and compliance requirements while supporting clinical consistency, process improvement, quality, timeliness, and appropriate escalation of high-risk cases. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
Utilization Management Nurse, Senior- Medicare Concurrent Review Blue Cross and Blue Shield AssociationUtilization Management Nurse, Senior- Medicare Concurrent ReviewLodi, CARequires a current California RN License Requires at least 5 years of prior relevant experience Requires strong communication and computer navigation skills Desires strong teamwork and collaboration skills Requires independent motivation and strong work ethic Requires strong critical thinking skills Hybrid Virtual Work This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need. Your Work In this role, you will: Perform prospective, concurrent and retrospective utilization reviews and first level determination approvals for members using BSC and CMS evidenced based guidelines, policies and nationally recognized clinal criteria for BSC Medicare line of business.
NewMarket Chief Financial Officer- Northern CA Tenet Healthcare CorpMarket Chief Financial Officer- Northern CAModesto, CA$250,000–$350,000 / yearEstablishes realistic and aggressive financial goals, targets, and metrics consistent with home office and facility strategic and operational objectives (e.g., meet upfront collection and cash goals, reduce A/R days year over year, meet 3.0 days in DNFC Gross A/R, meet HIM coding compliance accuracy for all patient types, manage a 24/7 HIM Department, attain HIM coding quality goals). Evidences collaborative leadership to engage managers and physicians in improving short- and long-term results (e.g., department improvement plans, supply inventory management, clinical informatics implementation, labor management and reporting systems).
Medical Biller & Revenue Cycle Manager Celebrations Speech GroupMedical Biller & Revenue Cycle ManagerBrentwood, CaliforniaCelebrations Speech Group is seeking an experienced Medical Biller & Revenue Cycle Manager to support accurate billing, timely claims submission, AR follow-up, credentialing visibility, payer compliance, and revenue cycle reporting across our clinic, home, and school-based services. In this role, you will review and submit claims, monitor accounts receivable, assist with denial resolution, track documentation and timesheet issues that impact billing, support credentialing and payer enrollment tracking, and prepare regular revenue cycle updates for leadership.
Medical Billing Specialist (on-site) Pacific Medical Inc.Medical Billing Specialist (on-site)Tracy, CAFull timeVacation Benefit: At completion of 3-month introductory period, vacation accrual up to an annual max of 40 hours in the first 23 months, at 24 months, accrual up to an annual max of 80 hours with a rollover balance. With the heart of the company dedicated to helping and serving others, we provide our services directly to the patient, medical networks, physician clinics, and offices.
Optics Inspection Analysis Software Developer Lawrence Livermore National LaboratoryOptics Inspection Analysis Software DeveloperLivermore, CA$175,530–$267,060 / yearExperience with one or more of the following: using SQL to interact with Oracle databases, using a modern Git-based software forge such as GitLab, GitHub, or Bitbucket, developing and maintaining CI/CD pipelines for project testing and deployment, or creating and deploying containers with Docker. Shape the architecture, technical strategies and lead the evolution of the analysis software code base, analysis methods, and software engineering practices by anticipating future needs and proactively researching, identifying, and evaluating appropriate libraries, tools, and techniques, and championing their use.
Nurse Practitioner (Per Diem) ComplexCare SolutionsNurse Practitioner (Per Diem)Modesto, California$2,400–$10,000 / yearPer diemAbility to practice autonomously in a remote clinical environment, including independently conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making soundclinical decisions without direct on-site supervision. Pay Range: $2,400.00 - $10,000.00 per month (Potential income) Earnings will vary based on completed assessments, state of residence, and business needs as there is no guarantee of visits or minimum income.
NewMedical Assistant Touro University CaliforniaMedical AssistantStockton, CaliforniaFull timeThey perform patient care services that support the physician/provider’s practice under the clinical supervision of the Physician, Registered Nurse (RN), Nurse Practitioner (NP), Physician Assistant (PA) or other licensed staff. Core Competencies: Accurately document, calculate and safely administer all medications within their scope of practice, after obtaining a healthcare provider’s WRITTEN order.