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Coding Jobs in Marina, CA

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Specialty Physician Coder Iconma

Fountain Valley, CA

$38.53–$41.57 / hour
Quick Apply

This 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.

24 days ago

Senior Forward Deployed Engineer, Servicenow Deloitte

Los Angeles, CA

$155,600–$306,800 / year

Demonstrated use of Claude Code to accelerate delivery, including agentic multi-file workstreams, CLAUDE.md project memory, MCP server integrations, and parallel subagents for concurrent work such as feature development, test generation, and security review. At Deloitte, Forward Deployed Engineers (FDE) don't just build AI solutions, they help clients turn AI ambition into enterprise-scale impact, pairing leading class engineering with pod-based delivery and vertical expertise.

30+ days ago

Business Analyst - REMOTE Molina Healthcare Inc

Remote

Communicates requirement interpretations and changes to health plans/product team and various impacted corporate core functional areas for requirement interpretation alignment and approvals as well as solution traceability through regular meetings and other operational process best practices. Self-organized reporting to ensure health plans/product team and other leadership are aware of work efforts and impact for any prospective or retrospective requirement changes that can impact financials.

30+ days ago

Hospital Inpatient Coder Cedars-Sinai Medical Center

Los Angeles, CA

$43.73–$67.78 / hour

Req ID 20339 Working Title Hospital Inpatient Coder Department CSRC Coding Hospital Inpt Business Entity Cedars-Sinai Medical Center Job Category Patient Financial Services Job Specialty Medical Coding Overtime Status NONEXEMPT Primary Shift Day Shift Duration 8 hour Base Pay $43.73 - $67.78. For this reason, we require that all new employees receive a flu vaccine based on the seasonal availability of flu vaccine (typically during September through April each year) as a condition of employment, and annually thereafter as a condition of continued employment, subject to medical exemption or religious accommodation.

17 days ago

Provider Engagement and Performance Specialist III L.A. Care Health Plan

Los Angeles, CA

This position translates organizational priorities into actionable engagement plans by implementing provider protocols, tracking operational and quality metrics, and facilitating information between provider partners and internal teams to ensure partnership objectives are met and sustained. 5 Positions Available: The Provider Engagement and Performance Specialist III serves as the day‑to‑day steward of a defined portfolio of provider relationships, ensuring a consistent communication cadence, timely issue resolution, and measurable performance improvement across value‑based programs.

3 days ago

Vendor Contract and Performance Specialist III L.A. Care Health Plan

Los Angeles, CA

Taken together, these responsibilities position the Provider Contract & Performance Specialist Level III as a strategic partner and operational steward-driving measurable improvements in provider performance, advancing network optimization, and supporting the organization's mission through effective relationship and contract management. Leads high‑value contracting efforts, negotiates and executes complex agreements across professional, facility, vendor, and ancillary providers while ensuring that contractual terms align with organizational strategy and regulatory expectations.

3 days ago

Los Angeles Health Services Partnership and Network Management Specialist III L.A. Care Health Plan

Los Angeles, CA

Leads high‑value contracting efforts, negotiates and executes complex agreements across professional, facility, vendor, and ancillary providers while ensuring that contractual terms align with organizational strategy and regulatory expectations. Familiarity with medical coding frameworks (ICD-10, CPT) and cross-functional collaboration skills which enables strong representation of contracting and provider relations in organizational initiatives.

3 days ago

Cardiologist, Outpatient Welcome Health

Los Angeles, California

$400,000–$600,000 / year

The role will be primarily based at our Bell clinic, with the opportunity to support additional clinic locations across Los Angeles, Orange, and Riverside Counties as the practice grows. Built on the principles of geriatric medicine and backed by SCAN Group, Welcome Health delivers care that meets patients where they are, including in home, in clinic, and virtual visits.

26 days ago

Utilization Management Policy Initiatives Registered Nurse Macpower Digital Assets Edge Private Limited

Los Angeles, CA

Remote

$102,183–$132,838 / year
Quick Apply

This role ensures that the day to day functions of Utilization Management initiatives comply with regulatory and accreditation requirements such as those stated in contracts, CalAIM Population Health Management (PHM) Policy Guide, National Committee on Quality Assurance (NCQA) Department of Health Care Services (DHCS) All Plan Letters (APLs), and Centers for Medicare and Medicaid Services (CMS) Model of Care (MOC) through sound clinical policy maintenance. Non-negotiable requirements of this position: Direct past experience with Health Care / Medical Policy work specifically within a Managed Care Plans environment; experience with the ongoing development of the Medical Policy review process including clinical and utilization data analysis; Assisted in developing training documents and presentations for new and/or revised Medical Policies to internal stakeholders.

18 days ago

Sr. Director, Provider Network Negotiations (Cypress, Ca-Hybrid) UnitedHealth Group Inc.

Los Alamitos, CA

$134,600–$230,800 / year

Manage the team of contract negotiators for the provider network (physicians, pharmacies, ancillary groups & facilities, etc.) yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management and produces an affordable and predictable product for customers and business partners. Interact and consult with Network Pricing team to evaluate different financial arrangements and to identify and recommend applicable payment methodologies (e.g., FFS; Case Rate; Sub-capitation; Pay for Performance) in order to maximize value for stakeholders.

4 days ago

Sr. Director, Provider Network Negotiations (Cypress, CA-Hybrid) UnitedHealth Group Inc

Buena Park, CA

$134,600–$230,800 / year

3 days ago

Special Investigation Unit Investigative Analyst III L.A. Care Health Plan

Los Angeles, CA

Uses knowledge of healthcare coding conventions, fraud schemes, and general areas of vulnerability, reimbursement methodologies, and relevant laws to find suspicious patterns in claims data, provider enrollment data, and other sources. Care's mission is to provide access to quality health care for Los Angeles Countys vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.

29 days ago

Decision Scientist - Clinical Informatics (Clinical Data Standards) CVS Health Corp

$64,890–$158,620 / year

A&BC leverages advanced analytics, clinical informatics, and hypothesis-driven approaches to transform data into actionable, customer-centric insights that drive growth, improve health outcomes, and expand access to healthcare across all CVS Health businesses. Collaborate with data engineering teams to inform data pipeline development, ensuring clinical data is ingested, transformed, and stored in ways that support downstream analytics needs.

30+ days ago

Clinical Documentation Integrity Specialist UCLA Health System

Los Angeles, CA

Remote

$100,161.36–$218,718 / year

This role involves daily review of high-acuity patient records to identify potential and active payer denials, assess clinical validity, and to support denial prevention, analysis, and appeals across inpatient and outpatient settings; continuously communicating with department staff; educating physicians, residents, and mid-levels; and assisting with appropriate documentation strategies. You will prepare and submit high quality appeal letters supported by clinical evidence, regulatory guidelines, and payor-specific medical necessity criteria, while identifying denial trends and root causes and provide feedback to the CDI and Clinical teams.

30+ days ago

Clinical Documentation Integrity Specialist University of California

Los Angeles, CA

Remote

$100,161.36–$218,718 / year

30+ days ago

AVP, Medicare Risk Adjustment Performance Alignment Healthcare Inc

$198,219–$297,329 / year

The role partners closely with Market Operations, Network Management, Clinical Operations, Finance, Compliance, and Data & Technology teams to ensure enterprise Risk Adjustment goals are achieved while supporting audit readiness, provider performance improvement, and long-term organizational growth. The AVP leads the development and execution of enterprise prospective, concurrent, and retrospective Risk Adjustment strategies and serves as the executive responsible for operational performance across provider engagement, coding operations, chart retrieval, submission, analytics, vendor management, and revenue realization.

30+ days ago

Revenue Assurance Specialist IV - CDM and Epic experience needed Kaiser Permanente

Pasadena, CA

Performs routine review and maintenance of system codes by: performing a regular review (e.g., quarterly, annually) of coding records to ensure codes are updated, compliant, and accurately reflect policy and regulatory changes; conducting pre- and post-implementation assessments of automated and manual charge capture for quality and accuracy; analyzing moderately complex billing issues related to charges/codes and proposing and implementing action plans to resolve charge capture issues; and contributing to the maintenance of all Current Procedural Terminology (CPT)/ Healthcare Common Procedure Coding System (HCPCS) codes, descriptions, revenue codes, Relative Value Units (RVU) information, and generic codes to assist in the understanding of fee schedule implications. Executes monitoring activities and process improvements by: independently performing tasks that support monitoring activities of the region(s) documentation, charge capture, coding, billing, and/or compliance activities; recording findings in accordance with relevant policies/procedures to ensure complete and consistent data integrity, partnering with other departments to resolve moderately complex deficiencies and/or compliance issues identified through monitoring activities; communicating results of monitoring activities to senior team members and/or department leaders; and implementing corrective action plans resulting from monitoring activities.

30+ days ago

Senior Director, Strategic Analytics Tendo Systems Inc

Remote

$2,024–$2,025

This person will combine deep clinical informatics expertise with hands-on Databricks engineering and AI/ML skill to build algorithms that do two things simultaneously: (1) close documentation and coding gaps that affect risk adjustment, mortality index, and quality attribution, and (2) identify gaps and variation in the actual clinical processes of care that drive the metrics used by national hospital ranking and rating programs (e.g., CMS Star Ratings, U.S. News & World Report, Leapfrog, Vizient, Healthgrades, IBM Watson Health/Chartis 100 Top Hospitals). Maintain expert-level, current knowledge of major hospital ranking, rating, and benchmarking methodologies, including but not limited to: CMS Hospital Compare/Star Ratings, CMS Value-Based Purchasing and Hospital-Acquired Condition programs, U.S. News & World Report Best Hospitals methodology, Leapfrog Hospital Safety Grade, Vizient quality and safety benchmarking, Healthgrades, and payer-specific quality programs.

30+ days ago

Supervisor Grievance and Appeals CalOptima

Orange, CA

$84,092–$134,548 / year

Bachelor's degree PLUS 1 year of experience of health care management experience, preferably in a managed care environment in related areas of responsibility of utilization management, quality management, customer service or grievances and appeals required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. We are hoping you will join us as a Supervisor Grievance and Appeals and help shape the future of healthcare where you'll be an integral part of our GA - Provider Disputes team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders.

22 days ago

Coord, Financial Counseling e+CancerCare LLC

$16.30–$25.74 / hour

The Coordinator, Financial Counseling is responsible for supporting patients and providers by ensuring accurate financial clearance, patient education, and identification of financial risk prior to services being rendered. Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue.

8 days ago

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Coding Jobs in Marina, CA

Specialty Physician Coder Iconma

Senior Forward Deployed Engineer, Servicenow Deloitte

Business Analyst - REMOTE Molina Healthcare Inc

Hospital Inpatient Coder Cedars-Sinai Medical Center

Provider Engagement and Performance Specialist III L.A. Care Health Plan

Vendor Contract and Performance Specialist III L.A. Care Health Plan

Los Angeles Health Services Partnership and Network Management Specialist III L.A. Care Health Plan

Cardiologist, Outpatient Welcome Health

Utilization Management Policy Initiatives Registered Nurse Macpower Digital Assets Edge Private Limited

Sr. Director, Provider Network Negotiations (Cypress, Ca-Hybrid) UnitedHealth Group Inc.

Sr. Director, Provider Network Negotiations (Cypress, CA-Hybrid) UnitedHealth Group Inc

Special Investigation Unit Investigative Analyst III L.A. Care Health Plan

Decision Scientist - Clinical Informatics (Clinical Data Standards) CVS Health Corp

Clinical Documentation Integrity Specialist UCLA Health System

Clinical Documentation Integrity Specialist University of California

AVP, Medicare Risk Adjustment Performance Alignment Healthcare Inc

Revenue Assurance Specialist IV - CDM and Epic experience needed Kaiser Permanente

Senior Director, Strategic Analytics Tendo Systems Inc

Supervisor Grievance and Appeals CalOptima

Coord, Financial Counseling e+CancerCare LLC

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