NewRDAEF/RDAEF2 Radiant SmilesRDAEF/RDAEF2San Diego, CA$28–$36In this vital role, you will perform advanced dental assisting procedures, support the delivery of comprehensive dental treatments, and ensure smooth clinic operations. Join our dental team as a Registered Dental Assistant in Extended Functions Level 2, where your expertise will directly enhance patient care and clinical efficiency.
Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321San Diego, 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.
NewSTEM & Coding Teaching Opportunities Concorde EducationSTEM & Coding Teaching OpportunitiesImperial Beach, San Diego 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.
Part-time Adjunct Faculty/Developer for Artificial Intelligence Coding and Programming DetailsPart-time Adjunct Faculty/Developer for Artificial Intelligence Coding and ProgrammingSan Diego, CaliforniaDetailed Description: The University of San Diego's Professional and Continuing Education department is seeking an adjunct faculty member with mastery in the application of artificial intelligence for coding and programming for business solutions. Governed by an independent board of trustees since 1972, USD remains committed to a liberal arts education grounded in the Catholic intellectual tradition and the pursuit of truth, goodness and beauty.
Clinical RN III Code Response $45K Hiring Incentive Palomar HealthClinical RN III Code Response $45K Hiring IncentivePoway, California$53.60–$78.08 / hourMinimum Education: As required by certification and/or licensure Preferred Education: Bachelor's Degree in Nursing Minimum Experience: 3 - 5 years Critical Care or 2 years Critical Care AND 2 years Emergency Department Preferred Experience: 5 years Critical Care or 5 years Emergency Department Required Certification: American Heart Association recognized Advanced Cardiac Life Support. Windows computer skills including proficient use of keyboarding, use of mouse or keys for functions such as selecting items, use of drop down menus, scroll bars, opening folders, copying and similar operations required upon employment or within the 1st two weeks of employment to perform the essential functions of the job.
NewCode Compliance Inspector San Diego Transit CorpCode Compliance InspectorSan Diego, CAEnsures compliance with all MTS Ordinances, Penal, Public Utility, Health and Safety and Department of Motor Vehicle (DMV) Codes, as approved by the Board of Directors, for enforcement on all MTS properties, trolleys, buses, stations, bus stops, transit centers and in paratransit vehicles. Code Compliance Inspectors, under the direction of the Manager of Field Operations/Code Compliance Supervisors, perform specialized inspections and enforcement of ordinances, regulations and laws governing the transit system.
Radiology Coding Supervisor - Remote University of CaliforniaRadiology Coding Supervisor - RemoteSan Diego, CARemoteUC San Diego is a student-centered, research-focused, service-oriented public institution recognized as one of the top fifteen research universities worldwide, and a top ten public university. 15 years later, my work improves operational efficiencies, provides valuable programs to the university, and even helps students bring their innovations to life.
Code Enforcement Officer I City Of VistaCode Enforcement Officer IVista, CA$60,362.12–$73,371.48 / yearPositions in this class perform varied routine code compliance functions, involving a narrow area of code enforcement such as inspecting buildings and lots for fire hazards, inspecting businesses for business licenses, monitoring parked automobiles for time limitations, monitoring false burglar alarm reports, performing field inspections of medium and high risk stormwater pollution-generating activities or sites, providing information to the public and issuing citations and/or notices of monies due. Inspects construction sites for contractor and subcontractor licenses and permits; receives and takes action on consumer complaints about work performed by construction contractors; monitors reports of false burglar alarms, communicates with business and residents and computes fees for excessive burglar alarm incidents; performs field inspections and investigations of medium and high-risk stormwater pollution-generating activities or sites.
Code Enforcement Officer I/II/III City of EncinitasCode Enforcement Officer I/II/IIIEncinitas, CA$66,371.76–$111,916.69 / yearTraining and Experience: Position requirements for Code Enforcement Officer I at entry are High School Diploma or General Equivalency Diploma (G.E.D.), plus one year of experience in investigations, enforcement, code interpretation, or a related field, or an equivalent combination of education and experience sufficient to successfully perform the essential duties of the job which are listed above. In addition to the above experience, Level II requirements include: Candidates may be recruited from outside the Encinitas personnel system (open competitive recruitment) at the Code Enforcement Officer II level with the necessary qualifying combination of education and experience that is directly applicable to the work assignment.
Director, Permitting & Code Enforcement (Administrator II) California State UniversityDirector, Permitting & Code Enforcement (Administrator II)San Diego, CA$172,000–$192,000 / yearThis position partners closely with campus leadership, Facilities Services, Project Management, Planning, Design & Construction, Housing, Academic Affairs, Student Affairs + Campus Diversity, and external agencies to help deliver safe, efficient, and innovative campus environments that support SDSU's academic mission and long-term growth. Reporting to the Associate Vice President of Real Estate, & Planning Development and Campus Deputy Building Official, this role leads the University's permitting, inspection, and code enforcement functions in support of SDSU's growing portfolio of capital improvement, infrastructure, and public works projects.
Urgent Care - Partner Veterinarian - San Diego , {State_Code UsvtaUrgent Care - Partner Veterinarian - San Diego , {State_CodeSan Diego, CaliforniaAn exceptional veterinary hospital, with a dedicated team, is seeking an experienced Partner Veterinarian to provide leadership, superior patient and client care, and financial ownership in the hospital. The ideal leader for this hospital is a veterinarian who is prepared to manage a team of doctors and medical staff and successfully oversee the clinical direction of the practice while building equity.
Director, Permitting & Code Enforcement (Administrator II) CSU CareersDirector, Permitting & Code Enforcement (Administrator II)San Diego, CaliforniaThis position partners closely with campus leadership, Facilities Services, Project Management, Planning, Design & Construction, Housing, Academic Affairs, Student Affairs + Campus Diversity, and external agencies to help deliver safe, efficient, and innovative campus environments that support SDSU’s academic mission and long-term growth. Reporting to the Associate Vice President of Real Estate, & Planning Development and Campus Deputy Building Official, this role leads the University’s permitting, inspection, and code enforcement functions in support of SDSU’s growing portfolio of capital improvement, infrastructure, and public works projects.
Medical Biller APEX RECOVERYMedical BillerSAN DIEGO, CAAudit and evaluate clinical documentation and billing records to ensure they are accurate, timely, clinically appropriate, justify medical necessity for Medi-Cal reimbursement, and comply with all State and County documentation and billing requirements. Run reports from the designated electronic health record (EHR) to assist program in complying with County and state documentation and billing requirements, perform data validation, and conduct quality control checks.
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.
Part Time Instructor Pool - Business Office Technology The Grossmont-Cuyamaca Community College DistrictPart Time Instructor Pool - Business Office TechnologySan Diego, CaliforniaAs such, the District is committed to eliminating achievement gaps among different student groups by promoting a culture of appreciation for diversity, equity, inclusivity, and social justice, and continuously examining our processes and practices through an equity lens. It happens every day with our 30,000 students who take the first step in their higher education, become trained for a new career, or learn knowledge that transforms their world perspective.
NewPatient Biller, Specialty Billing - Remote UC San DiegoPatient Biller, Specialty Billing - RemoteSan Diego, CARemote$62,744–$78,008 / yearExperience with specialty billing in one or more of the following areas: Workers' Compensation, Chronic/End-Stage Renal Disease (ESRD) Dialysis, Radiation Oncology, Lifesharing/Organ Acquisition, Embassy/International patient billing, or other hospital subspecialty service lines. These responsibilities include but are not limited to: resolving claim edits and related errors to produce clean and accurate billing, following up on unpaid claims in an effort to determine the root cause/status of the delayed payment and for tracking/trending delay issues.
NewHybrid Hospital Billing & Denials Expert University of California San DiegoHybrid Hospital Billing & Denials ExpertSan Diego, CA$29.27–$36.39 / hourA leading educational institution in San Diego seeks a Hospital Billing, Follow Up & Denials Representative to manage hospital insurance billing and collections. This hybrid position involves direct communication with patients and insurance companies, requiring extensive knowledge of medical billing practices and insurance regulations.
Billing Specialist Vista Community ClinicBilling SpecialistVista, CA$21–$28.72 / hourManage all billing-related aspects for assigned payors, including billing set-up in the NextGen system and processing full-cycle billing to all payers including original billing, collections, denials and re-billing, and account maintenance/ accounts receivable and all Claim edits follow up. For over 50 years, we’ve been a leader in the community clinic movement, growing from a small volunteer-driven effort in Vista to a nationally recognized network of state-of-the-art clinics across San Diego, Orange, Los Angeles, and Riverside counties.
FQHC experience in California Revenue Cycle Manager TrueCareFQHC experience in California Revenue Cycle ManagerSan Marcos, CA$90,776–$136,165 / yearThe Back-End Revenue Cycle Manager is responsible for managing the day-to-day activities of the billing staff to ensure accurate and timely billing of claims, review of denials, adjustments, and write-offs and monitor accounts receivable balances to ensure compliance with TrueCare goals. Implement and maintain systems to audit billing submissions, payment posting, collections, denials, and adjustments including write-offs to ensure accuracy of accounts receivable, timely claims adjudication, and revenue maximization.
Manager, Revenue Integrity&Formulary Strategy Xifin IncManager, Revenue Integrity&Formulary StrategySan Diego, CA$90,000–$137,000 / yearYou will serve as a revenue integrity and compliance subject matter expert (SME), responsible for ensuring XiFin customer formularies, drug lists, and utilization management criteria are designed, implemented, and maintained to support accurate charge capture, compliant billing, and defensible reimbursement. This role applies deep regulatory, coding, and payer policy expertise to mitigate financial and compliance risk, support audit defense and denial management activities, and ensure alignment with organizational revenue integrity strategy and compliance requirements.
Administrative Assistant II- Part Time Escondido Comprehensive Treatment CenterAdministrative Assistant II- Part TimeEscondido, California$25–$27 / hourPart timeFamiliarity with MAT Protocols and Guidelines: The billing specialist should understand how Medication-Assisted Treatment works, including services like opioid substitution therapy (e.g., methadone, buprenorphine) and how these treatments are billed differently from other medical services. The Administrative Support role will perform routine administrative functions such as preparing correspondence and reports, scheduling appointments, organizing and maintaining paper and electronic files, or providing information to patients or visitors.
Customer Service Billing Specialist I Breg IncCustomer Service Billing Specialist ICarlsbad, CA$21–$26 / hourActual pay is based on many factors unique to each candidate, including but not limited to geographical location, work experience, skill set, relevant trainings and certifications, and business needs. You bring expertise in the ability to communicate effectively both written and verbally and are eager to contribute to a team that is committed to delivering exceptional patient outcomes.
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.
NewCompliance Auditor - SRS Sharp HealthCareCompliance Auditor - SRSSan Diego, CA$34.17–$44.09 / yearHoursShift Start Time: VariableShift End Time: VariableAWS Hours Requirement: 8/40 - 8 Hour ShiftAdditional Shift Information: Flex hours are 6:00-9:00 am to 14:30-17:30 pmWeekend Requirements: As NeededOn-Call Required: NoHourly Pay Range (Minimum - Midpoint - Maximum): $34.170 - $44.090 - $49.370The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. Certified Professional Coder (CPC) - AAPC OR Certified Coding Specialist--Physician-based (CCS-P) - The American Health Information Management Association (AHIMA) -REQUIREDOther Qualification RequirementsTwo years of college or five years working experience in a healthcare environment related to auditing of medical records and CMS compliance.
Revenue Cycle Manager Balboa United, LLCRevenue Cycle ManagerSan Diego, CAPart timeThis is an ideal opportunity for an individual experienced in full revenue cycle operations for 10 or more physicians/APPs, has been responsible for the Revenue Cycle Management (RCM) functions, has leadership experience, and enjoys being close to the work: hands-on, coaching supervisors and staff, solving operational problems, and owning results. In general, this position requires the ability to lift up to 35 pounds unassisted; ability to stand for extended periods of time and to perform repetitive stooping, walking, stretching, reaching and some sitting; ability to use full range of body motions required to lift patients, wear a lead apron, and lift and move supplies.
Technical Product Manager Veracyte IncTechnical Product ManagerSan DiegoRemote$148,000–$160,000 / yearOur Veracyte Diagnostics Platform delivers high-performing cancer tests that are fueled by broad genomic and clinical data, deep bioinformatic and AI capabilities, and a powerful evidence-generation engine, which ultimately drives durable reimbursement and guideline inclusion for our tests, along with new insights to support continued innovation and pipeline development. In addition to core product management duties, the Technical Product Manager will collaborate closely with engineering, clinical, and analytics teams todeliver scalable, automation‑driven solutions that enable accurate billing, faster reimbursement, and data‑driven decision‑making.
Part-Time Medical Office Professions Instructor Southwestern CollegePart-Time Medical Office Professions InstructorNational City, CA$72.85–$105.85 / hourIncumbents exhibit an equity-minded focus, responsiveness, and sensitivity to and understanding of the diverse academic, socioeconomic, cultural, gender identity, sexual orientation, and ethnic backgrounds of community college students, and employees, including those with physical or learning disabilities, and successfully foster and support an inclusive educational and employment environment. An applicant who does not possess the minimum educational degree or holds a degree that does not match the exact degree title(s) listed under "Minimum Qualifications," may have their educational preparation reviewed to determine if it is equivalent to the breadth and content of coursework typical of the required degree(s).
Revenue Cycle Manager Balboa Care Nephrology Research Enterprise UnitedRevenue Cycle ManagerSan Diego, CaliforniaThis is an ideal opportunity for an individual experienced in full revenue cycle operations for 10 or more physicians/APPs, has been responsible for the Revenue Cycle Management (RCM) functions, has leadership experience, and enjoys being close to the work: hands-on, coaching supervisors and staff, solving operational problems, and owning results. In general, this position requires the ability to lift up to 35 pounds unassisted; ability to stand for extended periods of time and to perform repetitive stooping, walking, stretching, reaching and some sitting; ability to use full range of body motions required to lift patients, wear a lead apron, and lift and move supplies.
Senior Medical Assistant- Vista CA UnitedHealth Group IncSenior Medical Assistant- Vista CAChula Vista, CAAdministrative Duties Responsible for routine and basic front and back-office duties to include answering phones scheduling and confirming appointments preparing schedules data entry including referral contracts post appointment information prefill document retrieval filing performing data entry and assisting in the examination process of patients under the direction of a physician or other licensed provider. Collaboration and Compliance Partner with Clinical Quality Leadership and other healthcare professionals to ensure compliance with all clinical policies and training programs maintain and enhance quality assurance processes adhere to best practices and clinical guidelines participate in performance improvement initiatives engage in continuous professional development.
Inpatient Coder TalentFish LLCInpatient CoderSan Diego, CARemote$35–$40 / hourAll offers are contingent upon the completion of a background check, which may include but is not limited to, reference checks, education verification, employment verification, drug testing, criminal records checks, and any required certifications or compliance requirements based on the end client's background check policies and applicable laws. The Inpatient Coder will ensure accurate and compliant coding of inpatient records, contributing directly to quality data reporting, reimbursement, and overall patient care documentation integrity.
NewBilling Clerk Specialist Ultimate StaffingBilling Clerk SpecialistSan Diego, CA$21–$29.19 / hourDOEScreenings: 7‑year background check, 10‑panel drug screen w/ alcoholKey ResponsibilitiesCharge Review — Validate charge batches, pre‑coding, and provider‑submitted charges in PM/EHR systems. Denial Management — Analyze EOB/ERA codes, identify denials, and follow up with payers.
Billing & Collections Representative II - PFS - RCSSD Rady Children's HospitalBilling & Collections Representative II - PFS - RCSSDSan Diego, CA$23.10–$31.77 / hourJOB SUMMARY: Under the direction of the Manager Professional Billing & Coding, the Billing & Collections Representative II (BCII) is responsible for the resolution of all outstanding balances from all payors, including but not limited to; Commercial, Medi-Cal and Managed Care professional claims. This incumbent is expected to accurately analyze each denial received by reviewing the patient acct, the remittance codes from Explanation of Benefits (EOB) and Remittance Advice (RA).
Medical Scribe La Maestra Family Clinic IncMedical ScribeNational City, CA$23–$29 / hourTechnical knowledge and skills required to perform the job: Excellent verbal, written and interpersonal communication skills and the demonstrated ability to work with diverse individuals and groups. Collaborate with individual patients, their personal physicians, and when appropriate the patient's family to ensure accessible, comprehensive, compassionate, and culturally competent care.
PACE Medical Coder (Hybrid) San Ysidro Health CenterPACE Medical Coder (Hybrid)San Diego, CAPosition Summary: The PACE Medical Coder will review clinical documentation and diagnostic results as necessary to verify the appropriate assignment of the ICD-10 CM, CPT and HCPCS codes as per Official Guidelines for Coding and Reporting. Almost 50 years later, San Ysidro Health now provides innovative care to over 108,000 patients through a vast and integrated network of 47 program sites across the county.
Coder - SRS - Cardio Thoracic Sharp Health PlanCoder - SRS - Cardio ThoracicSan Diego, CA$30.37–$37.95 / hourThe actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. Demonstrates the ability to request, review and code medical services from reports and notes in order to convert procedural and diagnostic notes into appropriate levels of care following coding rules and regulations.
Director, Revenue Cycle Management Tandem Diabetes Care IncDirector, Revenue Cycle ManagementCA$161,000–$205,000 / yearA track record for successfully defining the appropriate structure, personnel, processes, and measurements to successfully meet the company's billing and collection needs and making the requisite changes as the company's needs change. A DAY IN THE LIFE: The Director, Revenue Cycle Management (RCM) is an integral part of the financial operations' infrastructure, creating and implementing policies and best practices for the billing and reimbursement function and ensuring that billing and collection activities are timely and accurate.
Front Desk Coordinator - Full Time RestorixHealthFront Desk Coordinator - Full TimeEncinitas, CAResponsible for scheduling patients, precertification, insurance verification, charge entry and daily reconciliations, this position will wear many hats. When you join our team, you have the opportunity to develop your career based on your strengths and potential, including the possibility to move functionally, geographically, laterally and vertically.
NewAccounts Receivable Analyst Deloitte Touche Tohmatsu LtdAccounts Receivable AnalystSan Diego, CA$70,000–$90,000 / yearAs an Accounts Receivable Analyst you will deliver Back End Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. 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.
Reimbursement Specialist Veracyte IncReimbursement SpecialistSan Diego, CARemote$24–$33.50 / hourOur Veracyte Diagnostics Platform delivers high-performing cancer tests that are fueled by broad genomic and clinical data, deep bioinformatic and AI capabilities, and a powerful evidence-generation engine, which ultimately drives durable reimbursement and guideline inclusion for our tests, along with new insights to support continued innovation and pipeline development. Your primary role will be to take part in the day-to-day operations of the insurance billing life cycle to facilitate a smooth reimbursement process (i.e., verifying patient insurance coverage and benefits, ensuring timely insurance claim submissions, payment posting, performing A/R Follow-Up, sending appeals et al.).
Reimbursement Specialist PST Time Zone Veracyte IncReimbursement Specialist PST Time ZoneSan Diego, CARemote$25–$31 / hourOur Veracyte Diagnostics Platform delivers high-performing cancer tests that are fueled by broad genomic and clinical data, deep bioinformatic and AI capabilities, and a powerful evidence-generation engine, which ultimately drives durable reimbursement and guideline inclusion for our tests, along with new insights to support continued innovation and pipeline development. Your primary role will be to take part in the day-to-day operations of the insurance billing life cycle to facilitate a smooth reimbursement process (i.e., verifying patient insurance coverage and benefits, ensuring timely insurance claim submissions, payment posting, performing A/R Follow-Up, sending appeals et al.).
Medical Biller - Ophthalmology La Jolla LASIK InstituteMedical Biller - OphthalmologyLa Jolla, CAWith a highly personalized and medically world-class system of patient care, La Jolla LASIK Institute makes dreams come true for people frustrated with the limitations of glasses and contact lenses. If you feel you are an outstanding, professional medical biller and would like to join a dynamic, growing company, please submit your resume, cover letter, and a joke (so we know you read all the way to the bottom and are not just spamming us) through the website.
NewAccounts Receivable Coordinator Deloitte Touche Tohmatsu LtdAccounts Receivable CoordinatorSan Diego, CA$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. The wage range for this role 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.
NewMedical Director/Associate Medical Director (U.S. Remote) Confidential CompanyMedical Director/Associate Medical Director (U.S. Remote)San Diego, CARemoteData Surveillance : Conduct ongoing medical review of coded data, including adverse events, laboratory results, and tumor assessments (using iRECIST or irRC ) to identify safety signals or trends. Lead the medical drafting and review of periodic safety reports, including Development Safety Update Reports (DSUR) , PBRERs, and Suspected Unexpected Serious Adverse Reactions ( SUSARs ).
Clinical Documentation Improvement (CDI) Specialist - Onsite GuidehouseClinical Documentation Improvement (CDI) Specialist - OnsiteEscondido, CaliforniaInitiates compliant physician queries when documentation is confusing, ambiguous, or missing and follows up with MD to seek immediate response to query (utilizing the following AHIMA practice briefs as a guide: “ Managing an Effective Query Process ,” October 2008 and “Guidance for Clinical Documentation Improvement Programs” , May 2010). Reviews daily admissions to assigned unit, perform initial code assignment for a working DRG and complete CDI software data entry for initial and follows up case reviews (or worksheet to include code and DRG assignment) and submit to Program Assistant.
Director of Health Information Management (RHIA) Aurora San DiegoDirector of Health Information Management (RHIA)San Diego, CA$75,000–$85,000As the Director of Health Information Management, for Aurora San Diego, you will be responsible for supervising and coordinating the activities concerning analyzing, compiling, abstracting, transcribing, coding, indexing, and filing patient records. Calculate and send Fall audit, Read back audit, timeliness of Psychiatric Evaluation audit, Pre-Discharge Evaluation of Risk audit, and discharge diagnosis.
Revenue Cycle Manager el cajon cross ESRhealthcare and EXEC STAFF RECRUITERSRevenue Cycle Manager el cajon crossEl Cajon, CaliforniaThe Revenue Cycle Manager will oversee all aspects of the revenue cycle process, including insurance verification, coding, charge entry, claims submission, collections, payment posting, denial management, and regulatory compliance. This is an exciting opportunity for a healthcare revenue cycle professional who thrives in process improvement, operational leadership, and building high-performing teams.
Radiologic Technologist-Fluoro Required - Sharp Memorial Hospital - Night Shift - Full Time Sharp Health PlanRadiologic Technologist-Fluoro Required - Sharp Memorial Hospital - Night Shift - Full TimeSan Diego, CA$42.79–$55.21 / hourEssential Functions Documentation management Verify physicians written order and assures appropriate clinical indication of ordered exams Begin exams in IDXrad Accurately complete exams in IDXrad, filling out appropriate information (contrast, fluoroscopy time, QC, resource, technical modifiers, technologist/student/RN/Radiologist) Provide correct coding of exams, billing modifiers, supplies Depart patient in IDXrad when appropriate Ensure film jacket is properly labeled. Patient and family education Provides pre and post procedure education and reassurance to include but not limited to: What the procedure is, how long it is going to take, physician involved, contrast administration and mode of delivery, positioning, instructions related to procedure, the report, patient satisfaction form, etc Interacts and communicates in a manner to reflect an understanding of the patients age, culture, state of health, level of comprehension Communicates and interacts with the patients family in a way that is perceived positive and supportive while maintaining patient confidentiality.
Sr. Biostatistician Neurocrine Biosciences IncSr. BiostatisticianSan Diego, CA$110,800–$151,000 / yearThe company's diverse portfolio includes FDA-approved treatments for tardive dyskinesia, chorea associated with Huntington's disease, classic congenital adrenal hyperplasia, endometriosis and uterine fibroids, as well as a robust pipeline including multiple compounds in mid- to late-phase clinical development across our core therapeutic areas. Works closely with statistical programmers to ensure that statistical methods are implemented correctly in statistical programs and collaborates with programmers in developing formats and specifications for summary tables, figures, and listings.
NewAppeals and Grievances - RN, Consultant (MediCare) Blue Cross and Blue Shield AssociationAppeals and Grievances - RN, Consultant (MediCare)San Diego, 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.
Clinical Documentation Improvement (CDI) Specialist - Onsite Guidehouse IncClinical Documentation Improvement (CDI) Specialist - OnsiteEscondido, CA$74,000–$124,000 / yearInitiates compliant physician queries when documentation is confusing, ambiguous, or missing and follows up with MD to seek immediate response to query (utilizing the following AHIMA practice briefs as a guide: "Managing an Effective Query Process," October 2008, and "Guidance for Clinical Documentation Improvement Programs," May 2010). Reviews daily admissions to assigned unit, performs initial code assignment for a working DRG, and completes CDI software data entry for initial and follow-up case reviews (or worksheet to include code and DRG assignment) and submits to Program Assistant.