NewCode Enforcement Attorney JobotCode Enforcement AttorneyBeverly Hills, 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.
Supervisor, Coding (Remote) Adventist Health SystemSupervisor, Coding (Remote)CARemoteMonitors and assesses performance of coding staff to assure timely, accurate coding of inpatient discharges, ambulatory surgery encounters, emergency department, clinic encounters, and diagnostic services. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God''s love by inspiring health, wholeness and hope.
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.
West Los Angles | Substitute Teacher, Teacher, Coding Robotics PARENT EDUCATION BRIDGE FOR STUDENT ACHIEVEMENT FOUNDATION LLCWest Los Angles | Substitute Teacher, Teacher, Coding RoboticsCulver City, CAYour goal is to create a welcoming learning environment and provide parents with the tools they need to help their children reach their full potential. We are seeking an energetic and experienced Substitute Teacher to join our team of Parent Education Instructors!
West Los Angles | Substitute Teacher, Teacher, Coding Robotics CbWest Los Angles | Substitute Teacher, Teacher, Coding RoboticsCulver City, CaliforniaInspired by the groundbreaking work of Joyce Epstein, a renowned expert in family engagement, PEBSAF's comprehensive virtual parent workshops provide a wealth of resources and guidance on a wide range of topics, from effective communication strategies to homework support and navigating the school curriculum. Recognizing the profound impact of parental involvement in a child's educational journey, PEBSAF has made it its mission to bridge the gap between home and school, empowering parents with the knowledge and skills they need to actively support their children's learning.
Medical Billing and Coding Compliance Analyst CPSIMedical Billing and Coding Compliance AnalystCAEssential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Conduct audits upon claims as prescribed in the Medical Billing and Coding Compliance audit plan, especially upon changes made to claims by billers employed, contracted, or subcontracted by the Company. Discusses findings with Compliance Consultant and/or Department Leader to identify needs for corrective and preventative action, such as education, development of policies and procedures, changes to settings within the billing software or electronic health record.
Payer Coding Ops Hourly Datavant LLCPayer Coding Ops HourlyCA$25–$26 / 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. 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.
Medical Coding Specialist OneOncology IncMedical Coding SpecialistCARemoteOneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.
Billing and Coding Analyst - Surgical Subspecialty Clinic County of VenturaBilling and Coding Analyst - Surgical Subspecialty ClinicVentura, CA$62,964.97–$88,150.95 / yearKnowledge, Skills, and Abilities: Thorough knowledge of: common surgical specialties such as otolaryngology (ENT), plastic reconstruction, urology and neurology; surgical terminology; operative report structures related to surgery; medical reimbursement programs and complexity of payment systems; Current Procedural Terminology Codes (CPT) codes, International Classification for Diseases (ICD)-10 codes, Health Care Procedure Coding System (HCPCS) codes for payment processing of Medicare and/or Medi-Cal; Medi-Cal Provider Manual for Billing and Policy and Program and Eligibility; the Treatment Authorization Request (TAR) process; authorization requirements and processes of private health plans (such as Blue Cross/Blue Shield and Healthnet) and the Ventura County Health Care Plan. The required knowledge, skills, and abilities can typically be obtained by: Seven (7) years of hands-on working knowledge and experience performing professional medical coding and/or billing duties in a medical system comparable to the Ventura County Medical Center or an outpatient clinic providing high volume surgical specialty services similar to the Ventura County Ambulatory Care clinics.
Coding Supervisor University of CaliforniaCoding SupervisorLos Angeles, CA$65,800–$130,800 / yearAs a condition of employment, the final candidate who accepts an 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; or have filed an appeal of a finding of substantiated misconduct with a previous employer. Under the direction of the Physician Billing Office (PBO) Coding Director, the Coding Department Supervisor oversees the daily operations of a team of certified coding professionals.
Coding Supervisor UCLA Health SystemCoding SupervisorLos Angeles, CA$65,800–$130,800 / yearAs a condition of employment, the final candidate who accepts an 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; or have filed an appeal of a finding of substantiated misconduct with a previous employer. Under the direction of the Physician Billing Office (PBO) Coding Director, the Coding Department Supervisor oversees the daily operations of a team of certified coding professionals.
Head of Risk Adjustment/Coding Operations Oasis Health Partners IncHead of Risk Adjustment/Coding OperationsCA$200,000–$250,000 / yearYou will lead a team of coding professionals and work closely with Central Operations, Quality, Data, Clinical and Market leaders to ensure risk adjustment activities are integrated with enterprise priorities and designed for scalability and sustainability. You have led certified coding organizations, implemented technology-enabled workflows, and partnered across operations, data, clinical, and market teams to improve documentation accuracy, coding performance, and provider engagement.
Remote Physician Pro Fee Coding Specialist-Cardiology/Electrophysiology Community Health Systems IncRemote Physician Pro Fee Coding Specialist-Cardiology/ElectrophysiologyCARemoteEnsures compliance with governmental regulations, third-party payer policies, and corporate coding protocols, following National Correct Coding Initiative (NCCI) edits, Local Coverage Determinations (LCDs), and National Coverage Determinations (NCDs). The Physician Coder plays a key role in revenue cycle accuracy by identifying documentation gaps, ensuring coding integrity, and working collaboratively with internal teams to support physician coding compliance and reimbursement.
Clinical Coding Specialist SmarterDx IncClinical Coding SpecialistCARemote$75,000–$105,000 / yearThis role is fully remote within the US What You'll Do Review and analyze medical records to ensure coding accuracy in a timely fashion Identify opportunities for improvement in coding models Understand and apply coding guidelines to assign appropriate codes to diagnoses and procedures as supported by clinical documentation Participate in ongoing training and professional development to stay current on documentation and coding guidelines Contribute to process improvement efforts to enhance coding practices and support efficient and effective healthcare delivery What You Bring 5+ years of recent experience in performing inpatient coding and/or auditing Strong expertise in ICD-10 classification system Active RHIA, RHIT, and/or CCS credential(s) Experience reviewing complex medical records and applying coding conventions and guidelines accurately Familiarity with DRG and inpatient reimbursement methodologies Strong attention to detail and ability to identify subtle coding inaccuracies Experience with coding audits, QA, or validation workflows Strong written communication for documenting rationale and feedback Nice To Haves Experience working with AI coding tools or CAC (computer-assisted coding) systems Prior experience in auditing or coding quality assurance roles Familiarity with evaluation frameworks, labeling, or annotation workflows Certified Clinical Documentation Specialist (CCDS) or Clinical Documentation Improvement Practitioner (CDIP) credentials Compensation $75k - $105k salary + benefits, 100% US-based remote #LI-Remote #LI-DNP Benefits Medical, Dental & Vision - Comprehensive plans with leading insurance providers, covering 75% of your premiums, depending on the plan. Clinical Coding Specialist (Inpatient) Role As an Inpatient Coding Specialist at SmarterDx, you will be responsible for conducting comprehensive chart reviews and coding validation of AI diagnostic models to support coding improvement.
Client Coding Project Manger CCPM Datavant LLCClient Coding Project Manger CCPMCA$75,000–$90,000 / yearGuided 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. At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services.
Risk Adjustment Documentation & Coding Educator (CRC Required) Privia Health Group, IncRisk Adjustment Documentation & Coding Educator (CRC Required)CA$70,000–$85,000 / 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. Ensure all audited charts meet CMS documentation requirements (e.g., MEAT criteria: Monitor, Evaluate, Assess, Treat) and ensuring data integrity, regulatory compliance, and optimal risk score accuracy through rigorous medical record auditing.
Coding and Compliance Specialist Hybrid Concentra Inc.Coding and Compliance Specialist HybridSanta Clarita, CA$28.81–$33.13 / hourSchedule meetings to present audit findings and be available to meet with clinicians via Zoom as their schedules dictate, accommodating calls outside of normal working hours when the need arises. This function is critical to the overall revenue cycle in supporting charge entry, level of service selection, procedure and diagnosis coding, as well as one on one, and group, education and training to employed and contracted Clinicians.
Coding and Compliance Specialist- Hybrid ConcentraCoding and Compliance Specialist- HybridSanta Clarita, California$28.81–$33.13 / hourSchedule meetings to present audit findings and be available to meet with clinicians via Zoom as their schedules dictate, accommodating calls outside of normal working hours when the need arises. This function is critical to the overall revenue cycle in supporting charge entry, level of service selection, procedure and diagnosis coding, as well as one on one, and group, education and training to employed and contracted Clinicians.
Coding & Compliance Auditor American Oncology Network IncCoding & Compliance AuditorCARemote$20.78–$36.53 / hourAbility to build an engaging culture of quality, performance effectiveness and operational excellence through best practices, strong business and political acumen, collaboration and partnerships, as well as a positive employee, physician and community relations. Core Capabilities: Analysis & Critical Thinking: Critical thinking skills including solid problem solving, analysis, decision-making, planning, time management and organizational skills.
Clinical Coding Manager ReveleerClinical Coding ManagerCA$85,000–$100,000 / yearWith regulatory expertise and transparent, human-in-the-loop AI at its core, Reveleer supports organizations working to advance care quality, strengthen documentation integrity, and sustain the operational readiness needed to navigate audits with confidence. Trusted by 80+ customer organizations nationwide, the platform integrates data, analytics, and intelligent workflow automation into one governed system designed to support traceable documentation across diagnoses, quality measures, and submissions.
Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321Culver City, CAIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.
Coding and Robotics Teacher Wanted CbCoding and Robotics Teacher WantedCulver City, CaliforniaInspired by the groundbreaking work of Joyce Epstein, a renowned expert in family engagement, PEBSAF's comprehensive virtual parent workshops provide a wealth of resources and guidance on a wide range of topics, from effective communication strategies to homework support and navigating the school curriculum. Recognizing the profound impact of parental involvement in a child's educational journey, PEBSAF has made it its mission to bridge the gap between home and school, empowering parents with the knowledge and skills they need to actively support their children's learning.
NewSTEM & Coding Instructor Opportunities Concorde EducationSTEM & Coding Instructor OpportunitiesSimi Valley, Ventura County$50–$100 / hourPreferred qualifications include: • At least 60 college credits, where required by the applicable assignment or site; • Experience with coding, programming, computer science, or related technology subjects; • Experience teaching, tutoring, coaching, mentoring, or leading activities with school-age students; • Strong communication, organization, and classroom facilitation skills; • Availability to provide services for the accepted assignment schedule and communicate schedule issues as soon as reasonably practicable; and. Payment for completed services is generally made by direct deposit on the fifteenth day of the month following the month in which services were completed, unless otherwise stated in the accepted assignment terms or required by applicable law.
Windows Infrastructure-as-Code Systems Engineer The Aerospace CorpWindows Infrastructure-as-Code Systems EngineerEl Segundo, CA$135,200–$220,000 / yearIn addition to the above, the minimum requirements for the Windows environments and Infrastructure-as-Code (IaC) (Site Reliability Engineer Staff IV) include: • A minimum of (7) years of hands-on experience in managing enterprise Windows systems, including Active Directory, Group Policy administration, configuration, troubleshooting, and security hardening to maintain a secure operational environment, is required. Minimum Requirements for the Windows environments and Infrastructure-as-Code (IaC) (Site Reliability Engineer Staff III) include: • Bachelor's of Science in Computer Science, Engineering, or a related field-or equivalent hands-on experience that demonstrates your technical expertise and innovative mindset is required.
Senior Outpatient Coding Auditor & Provider Education Specialist ExlService Holdings IncSenior Outpatient Coding Auditor & Provider Education SpecialistCARemote$90,000–$100,000 / yearThe Senior Outpatient Coding Auditor & Provider Education Specialist serves as a key liaison between EXL's healthcare payer clients and those providers selected into the EXL education program by delivering clear, accurate, and constructive guidance on coding practices. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others.
Coding and Robotics Teacher Instructor CbCoding and Robotics Teacher InstructorCulver City, CaliforniaMaestro(a) de Programación y Robótica Code Kaboom Robotics Academy Resumen del Puesto Code Kaboom Robotics Academy está buscando un(a) Maestro(a) de Programación y Robótica dinámico(a), entusiasta y con experiencia para inspirar a los estudiantes a través del aprendizaje práctico de STEM (Ciencia, Tecnología, Ingeniería y Mat...
Analyst, Legal & Compliance (Code of Ethics) Wilshire Advisors, LLCAnalyst, Legal & Compliance (Code of Ethics)Santa Monica, CA$31–$40 / hourWilshire advises on over $1 trillion in assets for some of the world's largest and most sophisticated institutional investors and is headquartered in the United States with offices worldwide. Responsibilities: Serve as the primary point of contact for all employee compliance matters, ensuring strict adherence to regulatory requirements and Wilshire's Code of Ethics and Compliance Manual.
Medical Billing Specialist I/II - Behavioral Health County of VenturaMedical Billing Specialist I/II - Behavioral HealthOxnard, CA$47,840–$69,546.52 / yearLATERAL TRANSFER OPTION: If presently permanently employed in another "merit" or "civil service" public agency/entity in the same or substantively similar position as is advertised, and if appointed to that position by successful performance in a "merit" or "civil service" style examination, then appointment by "Lateral Transfer" may be possible. Current Procedural Terminology Codes (CPT) codes, International Classification for Diseases (ICD)-10 codes, Health Care Procedure Coding System (HCPCS) codes for payment processing of Medicare and/or Medi-Cal.
Medical Biller Victory Hematology And OncologyMedical BillerSherman Oaks, CaliforniaHas experience in medical billing processes including charge entry, payment posting and claim follow-up and extensive knowledge of Medicare, HMO, local IPAs, and PPO carriers. Victory Hematology and Oncology has a Medical Billing Specialist position available for a well-organized and knowledgeable Medical Billing and Coding Specialist with a Hematology and Oncology practice in Sherman Oaks, California.
Medical Biller VICTORY HEMATOLOGY AND ONCOLOGY INCMedical BillerSherman Oaks, CAHas experience in medical billing processes including charge entry, payment posting and claim follow-up and extensive knowledge of Medicare, HMO, local IPAs, and PPO carriers. Victory Hematology and Oncology has a Medical Billing Specialist position available for a well-organized and knowledgeable Medical Billing and Coding Specialist with a Hematology and Oncology practice in Sherman Oaks, California.
Office Coordinator (Front Office + Billing) Modern Support ServicesOffice Coordinator (Front Office + Billing)Encino, CAThrough the use of compassionate and collaborative care - guided by integrity - we strive to support a meaningful and fulfilling life by nurturing emotional wellbeing, fostering valued relationships, identifying the core self, and promoting lifelong learning. Modern Support Services is a human services agency providing home- and community-based services to adults with Intellectual/Developmental Disabilities (I/DD) for over twenty-six (26) years.
Temporary, Billing Reimbursement Specialist II NeoGenomics IncTemporary, Billing Reimbursement Specialist IICANow that you know what we're looking for in talent, let us tell you why you'd want to work at NeoGenomics: As an employer, we promise to provide you with a purpose driven mission in which you have the opportunity to save lives by improving patient care through the exceptional work you perform. They will work with Third Party insurance bills (HMO, PPO, IPA, TPA Indemnity, Medicare, and Government) responsible for processing independent laboratory claims and Patient Billing.
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorCA$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Billing Specialist Clinicas del Camino Real IncBilling SpecialistVentura, CAMust have knowledge of Current Procedural Terminology (CPT) and International Classification for Diseases (ICD) codes; Medi-cal , Medicare and insurance billing knowledge or experience; insurance claim forms: paper or electronic. The Billing Specialist will be responsible for the completion of all tasks to ensure accurate, compliant and timely billing of patient charges for appropriate reimbursement from all sources, such as patients and all other third party payers.
Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment (Hybrid) University of CaliforniaClinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment (Hybrid)Los Angeles, CA$95,400–$208,300 / yearAs the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders, and risk adjustment teams associated with the health plan. As a condition of employment, the final candidate who accepts an 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; or have filed an appeal of a finding of substantiated misconduct with a previous employer.
NewCertified Coder (Risk Adjustment Experience) - REMOTE Molina Healthcare IncCertified Coder (Risk Adjustment Experience) - REMOTECARemoteMaintains professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks and participating in professional societies related to medical coding in the managed care industry. JOB DESCRIPTION Job SummaryProvides support for medical coding activities, including ensuring that ICD-10 and CPT codes are reported accurately to maintain compliance, and minimize risk and denials.
Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment Hybrid UCLA Health SystemClinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment HybridLos Angeles, CA$95,400–$208,300 / yearAs the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders, and risk adjustment teams associated with the health plan. As a condition of employment, the final candidate who accepts an 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; or have filed an appeal of a finding of substantiated misconduct with a previous employer.
Medical Biller TMJ & Sleep Therapy CentreMedical BillerTHOUSAND OAKS, CAAs a Medical Biller, you will be working closely with patients connecting them with our offsite medical billing company, processing all forms needed for insurance billing purposes, and collecting necessary documentation from patients. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone and on EHR.
Hospital Billing Operator Deloitte Touche Tohmatsu LtdHospital Billing OperatorCA$70,000–$90,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Revenue Cycle Manager The Coos, Lower Umpqua and Siuslaw IndiansRevenue Cycle ManagerCAThe Revenue Cycle Manager oversees daily revenue cycle operations including patient access, coding, billing, PRC integration, accounts receivable management, denial prevention, and reimbursement workflows across medical, dental, behavioral health, pharmacy, and ancillary services. PRINCIPAL ACTIVITIES & RESPONSIBILITIES: Manages day-to-day revenue cycle operations including Patient Registration, Scheduling, Eligibility, Patient Benefits Coordination, Coding, Billing Accounts Receivable, Denials, PRC billing integration, and Payment Posting.
Director, Field Reimbursement HistoSonics IncDirector, Field ReimbursementCARemote5+ years of field reimbursement management experience, including experience with hospital medical device capital equipment, Category III CPT codes, revenue cycle management, physician payment, Medicare and private payer payment models, hospital billing, and coding systems (including chargemaster, payer contracting, and revenue cycle management). In addition to its current liver tumor indication, HistoSonics is pursuing future indications across multiple applications including kidney, pancreas, prostate, neuro, women's health, and other significant underserved human health areas, to realize the broader potential histotripsy across multiple disease states and medical specialties.
SUPERVISOR REVENUE CYCLE AmSurg CorpSUPERVISOR REVENUE CYCLECARemoteIn partnership with physicians and health systems, the organization delivers high-quality care for patients across a diverse spectrum of medical specialties, including gastroenterology, ophthalmology and orthopedics. Bachelors Degree from a four-year College or University or 5+ years' revenue cycle experience as described above in lieu of degree, or equivalent combination of education and revenue cycle experience.
Payment Selections Manager Cohere Health Technologies LLCPayment Selections ManagerCARemote$110,000–$122,000 / yearBacked by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes. By unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.
Remote - Revenue Integrity Analyst Mosaic Life CareRemote - Revenue Integrity AnalystCARemoteThrough continuous process improvement efforts, works to ensure that every legitimate charge for services provided makes it to billing and that proper reimbursement is received for those services; Works with the departments and Technical Services to ensure the flow from the department's charge capture process to billing is error free and all charges from the departments are making it to billing; Responsible for finding root cause reasons and proposing solutions for issues leading to revenue leakage and/or reduced reimbursement; Assists in overseeing Mosaic's charge capture system to promote its accuracy and integrity across revenue-generating departments; Works with Patient Financial Services (PFS) to review items routinely being held by the claim scrubber that are charge/coding related and comes up with recommended resolutions that helps expedite cash flow; Liaison to PFS to review denials that are charge/coding related and with Contracts if payers are not paying as expected based on contract terms due to charge/coding issues; Summarizes hospital or health system-wide charge audit findings to executive staff, board members, Investigates billing errors and impacts to reimbursement potentially caused by inappropriate documentation, coding, medical necessity exceptions or charging and works in collaboration to come up with an action plan to resolve; Coordinates the hospital charge audit and RAC process by entering charge capture data into tracking tools, and analyzes audit findings for improvement opportunities. Reviews billing workflows and works with the appropriate teams to adjust systems/workflows to better catch errors and/or omissions prior to billing to reduce the DNFB; Work and resolve Epic CCI/MUE Edits, Revenue Guardian edits, Missing Charges WQs, Physician Missing Charges Report, Denials, Missing Cost Centers, and Charge Review WQs.
Business Office Manager La Peer Surgery CenterBusiness Office ManagerBeverly Hills, CAFull timeGENERAL SUMMARY OF DUTIES: The Business Office Manager (BOM) assists the Facility Director and Clinical Manager in running the Center in an efficient, cost-effective and patient-centered manner. Be able to communicate effectively with upper management, center staff, physicians and their staffs, patients, their families, marketing, insurance and sales representatives.
Staff Data Engineer StratAcuity Staffing Partners IncStaff Data EngineerCA$80–$90 / hourIn terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Design, build, and maintain scalable data pipelines for structured and semi-structured data to support analytics, machine learning models, and player-facing systems.
Medical Assistant The Coos, Lower Umpqua and Siuslaw IndiansMedical AssistantCAThis role involves assisting physicians and other healthcare professionals with patient examinations, preparing patients for procedures, handling medical records, and performing routine office tasks. Must be able to walk, bend, reach, talk, hear, use hands to handle, feel or operate objects, tools, or controls, and reach with hands and arms.
NewQuality Analyst - Outpatient, Healthcare ExlService Holdings IncQuality Analyst - Outpatient, HealthcareCARemote$85,000–$92,000 / yearEXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others.
NewOutpatient Trainer ExlService Holdings IncOutpatient TrainerCARemote$85,000–$90,000 / yearMinimum 5 years coding experience: Professional or hospital coding with thorough understanding of ICD-10 Coding; HCPCS/CPT coding systems; Medicare Outpatient Prospective Payment System (OPPS), and Ambulatory Payment Classification (APC). EXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates.