Medical Billing Manager - Compliance Expert MercorMedical Billing Manager - Compliance ExpertSan Francisco, CaliforniaRemoteManage claims submission workflows including electronic claim generation, clearinghouse edits, and payer-specific billing requirements. Coordinate with coding, CDI, and collections teams to resolve billing edits and claim rejections.
Senior Manager, Reimbursement Operations & Field Market Access - ION Intuitive Surgical IncSenior Manager, Reimbursement Operations & Field Market Access - IONSunnyvale, CAOn the provider side, this person generates billing guides, fields customer reimbursement questions, develops provider education materials, and supports all field logistics related to coding implementation. Certain information you provide as part of the application will be used for purposes of determining whether Intuitive Surgical will need to (i) obtain an export license from the U.S. Government on your behalf (note: the government's licensing process can take 3 to 6+ months) or (ii) implement a Technology Control Plan ("TCP") (note: typically adds 2 weeks to the hiring process).
Diagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg) Elevance HealthDiagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg)Walnut Creek, CA$86,560–$155,808 / 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. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistSan Francisco, CA$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
AI Engineer Max AIAI EngineerSan Francisco, CaliforniaBuild, experiment, and evaluate AI agents and ML models in the NLP domain to improve the accuracy of medical coding/billing and other aspects of revenue cycle management. Well-versed in using ML/NLP python packages such as tensorflow, pytorch, scikit-learn, transformers (including others for working with huggingface models).
AI Engineer Max AI, Inc.AI EngineerSan Francisco, CA$150,000–$250,000 / yearBuild, experiment, and evaluate AI agents and ML models in the NLP domain to improve the accuracy of medical coding/billing and other aspects of revenue cycle management. Well-versed in using ML/NLP python packages such as tensorflow, pytorch, scikit-learn, transformers (including others for working with huggingface models).
Revenue Integrity Specialist - Healthcare MercorRevenue Integrity Specialist - HealthcareSan Francisco, CaliforniaRemoteOversee charge capture , charge integrity , and revenue integrity functions to ensure accurate and compliant charge submission. Conduct charge audits to identify missed charges, duplicate charges, and charge capture errors across clinical departments.
Charge Capture Expert - Fully Remote MercorCharge Capture Expert - Fully RemoteSan Francisco, CaliforniaRemoteOversee charge capture , charge integrity , and revenue integrity functions to ensure accurate and compliant charge submission. Conduct charge audits to identify missed charges, duplicate charges, and charge capture errors across clinical departments.
Charge Capture Specialist - Fully Remote MercorCharge Capture Specialist - Fully RemoteSan Francisco, CaliforniaRemoteOversee charge capture , charge integrity , and revenue integrity functions to ensure accurate and compliant charge submission. Conduct charge audits to identify missed charges, duplicate charges, and charge capture errors across clinical departments.
Senior Quantitative Scientist, Commercial-Facing Verana Health IncSenior Quantitative Scientist, Commercial-FacingSan Francisco, CARemote$141,441–$212,161 / yearBuilt on the values of continuous learning, cross-functional collaboration, and rigorous scientific research, the Data & Science team strives to improve patient care by innovating at the intersection of real world data, clinical context, and methodology with our partners to ensure all available data is being used to in the most efficient, data-driven way possible. Verana Health, a digital health company that delivers quality drug lifecycle and medical practice insights from an exclusive real-world data network, recently secured a $150 million Series E led by Johnson & Johnson Innovation - JJDC, Inc. (JJDC) and Novo Growth, the growth-stage investment arm of Novo Holdings.
Medical Auditor - Remote YO AI LabsMedical Auditor - RemoteSan Jose, CARemoteWe are seeking experienced Medical Auditors to contribute their specialized expertise to an innovative healthcare AI project. This opportunity is ideal for professionals with strong experience in outpatient professional fee coding, auditing, and academic medical center environments.
Founding AI Engineer Recruiting From ScratchFounding AI EngineerSan Francisco, New YorkRemoteThe team is productionizing systems built on frontier models, developing RAG infrastructure over complex healthcare data, and moving into real-world LLM fine-tuning for medical coding workflows. This is an opportunity to join a small, highly technical team at an early stage and work directly with the founders on AI systems trained and evaluated against real, high-value healthcare datasets.
Product Manager, Enterprise Forward Deployment YoulifyProduct Manager, Enterprise Forward DeploymentPalo Alto, CaliforniaYou'll have real support around you: our in-house medical coders and billers to sanity-check domain questions, our Core Product team to weigh in on anything touching underlying product logic, an engineering team to build against your specs, and leadership support on customer calls, especially early on, as you ramp up toward running more of these independently over time. Write clear, actionable tickets for customer-specific configuration: document and data mapping rules, feature enable/disable requests, and other customer-specific requirements, grounded in a deep understanding of each customer's workflow.
Embedded SDET CO-Op iRhythm Technologies IncEmbedded SDET CO-OpSan Francisco, CAFor more information, see https://www.ftc.gov/business-guidance/blog/2023/01/taking-ploy-out-employment-scams and https://www.ic3.gov/Media/Y2020/PSA200121 . There have been instances where individuals not associated with iRhythm have impersonated iRhythm employees pretending to be involved in the iRhythm recruiting process, or created postings for positions that do not exist.
BILLING SUPERVISOR I North East Medical ServiceBILLING SUPERVISOR IDaly City, CAManages self-pay receivable accounts: monitors payments; assesses rejections by insurance companies; ensures re-billings as necessary; audits and writes off small-balance accounts receivable for self-pay accounts; sends patient accounts to the collection agency and updates accounts on the website. Directs accounts receivable follow-up: researches and resolves outstanding claims on aging reports for medical, mental health, optometry, and ancillary services; responds to payer requests and remittance advices through telephone correspondence, letter responses, appeals, and submission of medical records and additional information promptly and professionally.
Ambulatory Care Administrative Coordinator 3 UCSF Medical CenterAmbulatory Care Administrative Coordinator 3San Francisco, CARequiredAbility to be a leader and a follower, as is appropriate for the situationRequiredBA/BS with a major in a related field and/or two years of experience in administrative analysis or operations research or an equivalent combination of education and experienceRequired2 years' experience with leadership and the development of staff and other staffPreferred3 years prior experience in medical office environment. Engages service providers for the upkeep of the space and equipment coordinating repairs with the facilities manager; serves as a liaison with outside service providers including repair firms, supplies and equipment manufacturers, and custodial services; and addresses ergonomics and safety issues.
Revenue Cycle Management Associate Abby CareRevenue Cycle Management AssociateSan Francisco, CaliforniaWe believe families are the largest untapped caregiving workforce in America, and that technology can help them deliver better care while driving stronger outcomes and greater transparency across the healthcare system. A Medical Biller for Home Health Services is responsible for accurately preparing, submitting, and following up on claims to insurance companies, government payers (e.g., Medicare, Medicaid), and patients.
Radiation Oncology Coder Outpatient Specialty Sutter HealthRadiation Oncology Coder Outpatient SpecialtyBerkeley, CaliforniaTotal compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Job Description : Accurately assigns ICD-10 diagnosis and CPT procedure codes for outpatient specialty services in the hospital or office setting.
Radiation Oncology Coder Outpatient Speciality Sutter HealthRadiation Oncology Coder Outpatient SpecialityBerkeley, CA$47.58–$66.60 / hourTotal compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Accurately assigns ICD-10 diagnosis and CPT procedure codes for outpatient specialty services in the hospital or office setting.
Coder Outpatient Speciality Sutter HealthCoder Outpatient SpecialityBerkeley, CA$47.58–$66.60 / hourTotal compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Job Description: Accurately assigns ICD-10 diagnosis and CPT procedure codes for outpatient specialty services in the hospital or office setting.