Jr. Quality Improvement Coder Astiva HealthJr. Quality Improvement CoderOrange, CAIn this role, the Junior QI Coder will partner with the Director to collaborate with network providers and IPA's to improve the quality of care through quality improvement activities that will include RAF, HEDIS, CMS Star Ratings and other health plan reporting. Apply official CPT/HCPCS and ICD10 coding guidelines, internal guidelines, and state specific Medicare/Medicaid coding instructions to review and analyze professionally coded services and coding queries.
NewMedical Director - Orthopedic Surgeon - Remote From Anywhere UnitedHealth Group Inc.Medical Director - Orthopedic Surgeon - Remote From AnywhereLos Angeles, CARemote$248,500–$373,000 / yearWe are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.
Medical Director - Orthopedic Surgeon - Remote from anywhere UnitedHealth Group IncMedical Director - Orthopedic Surgeon - Remote from anywhereLos Angeles, CARemote$248,500–$373,000 / yearRequisition number: 2372194 Job category: Medical & Clinical Operations Primary location: Los Angeles, California Additional locations: Jacksonville, Florida | Houston, Texas | Dallas, Texas | Eden Prairie, Minnesota | Chicago, Illinois | Atlanta, Georgia | Tampa, Florida | Phoenix, Arizona | San Diego, California | Fresno, California | San Jose, California | Miami, Florida Date posted: 07/28/2026 Overtime status: Exempt Travel: No. The fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount.
Senior Robotics C++ Engineer - Controls Platform Horizon Surgical Systems IncSenior Robotics C++ Engineer - Controls PlatformLos Angeles, CAIn your role as a Robotics C++ Software Engineer at Horizon Surgical Systems, you will contribute to the architecture and design of a cutting-edge surgical robotics system, implementing and verifying mission-critical software modules. Responsibilities: Software Implementation: Designing, implementing, and maintaining a controls software platform that provides real-time-safe data transfer and observability mechanisms.
Optometric Technician (Pre-Testing and Front Office) Santa Fe Springs OptometryOptometric Technician (Pre-Testing and Front Office)Santa Fe Springs, CAFull timeWork-up patients prior to seeing doctor Includes autorefraction, lensometry, retinal photos (Optos), intraocualar pressure assessment (using iCare), visual acuities, case history, medical history and recording all above tests in patient's electronic medical record (average 10 patients per day). When not working directly with patients, your role will be to assist the front office with answering phones and emails to communicate with our patients, as well as assist with medical billing and processing orders for glasses and contact lenses.
Medical Billing Specialist- Collector Men's Health Foundation USAMedical Billing Specialist- CollectorLos Angeles, CAExtensive experience with Commercial insurance, Medicare, Medi-Cal/Medicaid, Medicare Advantage, Medi-Cal Managed Care, HMO, PPO, and other third-party payers. The Medical Collector / Accounts Receivable Representative is responsible for professional provider-side insurance collections, Accounts Receivable (AR) follow-up, denial resolution, reconsiderations, and appeals.
Medical Billing / Frontdesk Kohan International FoundationMedical Billing / FrontdeskCULVER CITY, CAMedical Biller/Office Administrator (Full-Time, In-Person) We are a non-profit group therapy practice seeking a skilled and dedicated Medical Biller/Office Administrator to join our team immediately! Fluency in Tagalog/Filipino is A MUST to effectively serve our diverse clientele and team but not required.
Sr Financial Analyst (reporting) - Hybrid Cedars-Sinai Medical CenterSr Financial Analyst (reporting) - HybridLos Angeles, CAResponsibilities include, but are not limited to, accessing data through a variety of databases and the creation of accurate, meaningful and relevant reports for diverse audiences; assisting with the administration and implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Reviews, analyzes, and reports on healthcare contracts (e.g., physician agreements, payer contracts) to assess financial performance, revenue generation, and profitability.
NewSr Bill Review Analyst MedRisk LLCSr Bill Review AnalystCAJob Purpose: Under moderate supervision, this position is responsible for analyzing incoming medical bills for fee schedule or usual and customary application as well as PPO interface while meeting contractual client requirements. Strong knowledge of Medical Terminology and CPT / ICD-9 / ICD-10 coding - Knowledge of multi-state fee schedules preferred.
Senior Payment Integrity Program Development Specialist Inland Empire Health PlanSenior Payment Integrity Program Development SpecialistRancho Cucamonga, California$80,059.20–$106,059.20 / yearFull timeReporting to the Manager of Payment Integrity Program Development, the Senior Payment Integrity Program Development Specialist services as a subject matter expert driving the research, analysis, and development of Payment Integrity initiatives that strengthen payment accuracy, reduce overpayments, and ensure regulatory and contractual compliance. This Senior Payment Integrity Program Development Specialist also assesses existing pre and post payment audit programs to enhance fraud, waste, and abuse (FWA) detection, while guiding cost avoidance improvements across Payment Integrity operations.
DRG Clinical Validation Lead Elevance HealthDRG Clinical Validation LeadCosta Mesa, CA$89,520–$161,136 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. How you will make an impact: Conducts pre-certification, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
DRG Coder Astrana Health, Inc.DRG CoderCA, CaliforniaRemote$28–$32 / hourIn an Independent Practice Association (IPA) and Management Services Organization (MSO) environment, the 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 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.
Jr. Quality Improvement Coder Astiva Health, Inc.Jr. Quality Improvement CoderOrange, CAIn this role, the Junior QI Coder will partner with the Director to collaborate with network providers and IPA's to improve the quality of care through quality improvement activities that will include RAF, HEDIS, CMS Star Ratings and other health plan reporting. Apply official CPT/HCPCS and ICD10 coding guidelines, internal guidelines, and state specific Medicare/Medicaid coding instructions to review and analyze professionally coded services and coding queries.
Coder FT Days 8am-4:30pm AHMC HealthcareCoder FT Days 8am-4:30pmMonterey Park, CaliforniaUnder the direction of the Director of Health Information Management, Identifies and codes Newborns, Obstetrics, ER’s and outpatient records for the purpose of reimbursement, research, and compliance with Federal Regulations using the ICD-10-CM/CPT coding classification systems. Queries are formulated well; are clear, concise, and affect efficient assistance to the medical staff member for timely and accurate query response, complete documentation, and final coding.
Coder FT Days 8am 4:30pm AHMC Healthcare IncCoder FT Days 8am 4:30pmMonterey Park, CACurrent coding certification-RHIA, RHIT, or CCS 1-2 years of coding experience in acute hospital setting Knowledge and application of ICD10 classifications, CPT-4 and HCPCS with an accuracy level of 95% Must be able to work in a very challenging environment. JOB SUMMARY: Under the direction of the Director of Health Information Management, Identifies and codes Newborns, Obstetrics, ER's and outpatient records for the purpose of reimbursement, research, and compliance with Federal Regulations using the ICD-10-CM/CPT coding classification systems.
Healthcare Claims Examiner Ultimate Staffing ServicesHealthcare Claims ExaminerEl Monte, California$25–$28 / hourResearch and resolve claim discrepancies, including making payment corrections, recovering overpayments, and reprocessing claims as needed. Evaluate claims for potential fraud, waste, abuse, Workers' Compensation, hospital-acquired conditions, and third-party liability; escalate issues appropriately.
Health Claims Examiner Ultimate Staffing ServicesHealth Claims ExaminerPasadena, California$23–$27 / hourCommunicate professionally with members and providers to address inquiries, follow up on pended claims, and complete necessary corrections or adjustments. Strong working knowledge of medical terminology, billing practices, and coding systems, including CPT, ICD-9/ICD-10, HCPCS, DRG, and revenue codes.
Manager, Revenue Assurance - Revenue Integrity (Medical Coding) Kaiser PermanenteManager, Revenue Assurance - Revenue Integrity (Medical Coding)Pasadena, CAOversees routine review and maintenance of system codes by: monitoring the regular review (e.g., quarterly, annually) of coding records to ensure codes are updated, compliant, and accurately reflect policy and regulatory changes; providing guidance on conducting pre- and post- implementation assessments of automated and manual charge capture for quality and accuracy; reviewing analyses of complex and/or region-wide billing issues related to charges/codes and guiding the resolution of 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. Manages monitoring activities and process improvements by: overseeing the performance of tasks that support monitoring activities of the region(s) documentation, charge capture, coding, billing, and/or compliance activities; providing guidance on analyzing findings from monitoring activities to identify deficiencies and/or compliance issues in billing codes and processes and partnering with other departments to resolve deficiencies and/or compliance issues; driving the development of reports of monitoring activity results to share with department leaders and/or other departments; and ensuring the implementation of corrective action plans resulting from monitoring activities.
Manager, Administrative Operations - Patient Accounting - Full Time 8 Hour Days (Exempt) (Non-Union) University of Southern CaliforniaManager, Administrative Operations - Patient Accounting - Full Time 8 Hour Days (Exempt) (Non-Union)Los Angeles, CA$99,507–$164,559 / yearWhen 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. It will also include oversight and tasks associated with vendor management, more specifically, controlling costs, reducing vendor related risks, facilitates all communications between the PFS Business Office and the vendors and ensures service delivery by creating vendor expectations.
Certified Medical Records Coder-Inpatient (Riverside) County of Riverside, CaliforniaCertified Medical Records Coder-Inpatient (Riverside)Riverside, CA$70,044.85–$104,320.89 / yearAbility to: Utilize the ICD-CM classification system to code medical record entries either by use of coding books or encoder product; abstract pertinent information from medical records; follow oral and written instructions; operate PC with Windows software, coding software and abstract package; effectively communicate technical information to medical and administrative personnel; maintain effective working relationships with others. License/Certificate: Possession of current valid certification as a Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information Administrator (RHIA) or a Registered Health Information Technician (RHIT) issued by American Health Information Management Association, or Certified Professional Coder-Hospital (CPC-H) issued by the American Academy of Professional Coders.