Code Enforcement Attorney JobotCode Enforcement AttorneyIrvine, 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.
Risk Adjustment Coding Specialist II - Orange County Astrana Health, Inc.Risk Adjustment Coding Specialist II - Orange CountyOrange, California$70,000–$85,000 / yearPerform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines. Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements.
Substitute Teacher, Teacher, Coding Teacher, Parent Instructor PARENT EDUCATION BRIDGE FOR STUDENT ACHIEVEMENT FOUNDATION LLCSubstitute Teacher, Teacher, Coding Teacher, Parent InstructorRialto, 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!
ORANGE, CA | Substitute Teacher, Teacher, Coding Robotics PARENT EDUCATION BRIDGE FOR STUDENT ACHIEVEMENT FOUNDATION LLCORANGE, CA | Substitute Teacher, Teacher, Coding RoboticsSANTA ANA, 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!
Risk Adjustment Coding Specialist II - Orange County Astrana Health IncRisk Adjustment Coding Specialist II - Orange CountyOrange, CAIn this role, you will support risk adjustment efforts by conducting high-volume chart reviews to identify coding gaps, trends, and opportunities for improved accuracy for our providers. Additionally, you'll track and report on key performance metrics-such as HCC recapture rates, AWVs, and other KPIs, helping drive provider performance and overall program success.
Risk Adjustment Coding Specialist II - South Bay/LA/OC Astrana Health IncRisk Adjustment Coding Specialist II - South Bay/LA/OCOrange, CAIn this role, you will support risk adjustment efforts by conducting high-volume chart reviews to identify coding gaps, trends, and opportunities for improved accuracy for our providers. Additionally, youll track and report on key performance metrics-such as HCC recapture rates, AWVs, and other KPIs, helping drive provider performance and overall program success.
ORANGE, CA | Substitute Teacher, Teacher, Coding Robotics CbORANGE, CA | Substitute Teacher, Teacher, Coding RoboticsOrange, 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.
Substitute Teacher, Teacher, Coding Teacher, Parent Instructor CbSubstitute Teacher, Teacher, Coding Teacher, Parent InstructorRiverside, 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.
HIGH DESERT, CA | Substitute Teacher, Teacher, Coding Robotics CbHIGH DESERT, CA | Substitute Teacher, Teacher, Coding RoboticsRiverside, 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.
Healthcare Coding Compliance Auditor - RUHS County of Riverside, CaliforniaHealthcare Coding Compliance Auditor - RUHSRiverside, CA$105,597.80–$145,114.92 / yearExperience: Minimum of three years experience in an administrative or staff capacity which must have included at least two years of experience supervising professional and technical staff in two of the following areas: gathering and compiling facts and statistics to evaluate program effectiveness and recommend program revisions; preparing and maintaining a program budget or maintaining and controlling the fiscal record keeping functions and systems in a department, agency, division, unit or company; coordinating and conducting studies of administrative and operational activities including budget preparation and control, equipment usage, staff patterns, work flow and space utilization. How many years of experience do you have in an administrative or staff capacity SUPERVISING professional and technical staff in two of the following areas: gathering and compiling facts and statistics to evaluate program effectiveness and recommend program revisions; preparing and maintaining a program budget or maintaining and controlling the fiscal record keeping functions and systems in a department, agency, division, unit or company; coordinating and conducting studies of administrative and operational activities including budget preparation and control, equipment usage, staff patterns, work flow and space utilization?.
Healthcare Coding Compliance Auditor - RUHS County of RiversideHealthcare Coding Compliance Auditor - RUHSRiverside, CAFull timeExperience: Minimum of three years experience in an administrative or staff capacity which must have included at least two years of experience supervising professional and technical staff in two of the following areas: gathering and compiling facts and statistics to evaluate program effectiveness and recommend program revisions; preparing and maintaining a program budget or maintaining and controlling the fiscal record keeping functions and systems in a department, agency, division, unit or company; coordinating and conducting studies of administrative and operational activities including budget preparation and control, equipment usage, staff patterns, work flow and space utilization. This includes extensive expertise in inpatient and outpatient auditing (MS-DRGs, CC/MCC validation, POA indicators, PSI/HAC implications), managing external audits (RAC, MAC, OIG, UPIC, commercial payers), and strong knowledge of CMS IPPS/OPPS regulations, OIG Work Plan priorities, Medicare Conditions of Participation, Official Coding Guidelines, NCCI edits, and medical necessity rules.
IT Consultant IV, Solutions - SNOMED CT, Clinical Coding, Epic, EHR, Informatics Kaiser PermanenteIT Consultant IV, Solutions - SNOMED CT, Clinical Coding, Epic, EHR, InformaticsCorona, CAEssential Responsibilities: Completes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating and assigning resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks, as appropriate; and recognizing and capitalizing on improvement opportunities. Ability and/or having the capacity to learn -knowledge representation- logic to create, maintain subsets of clinical records to support reporting, business intelligence in the areas of best practice alerts, population and healthcare management, quality measurements, and health information exchanges.
Trainer-Coding & QA Loma Linda University Medical CenterTrainer-Coding & QASan Bernardino, CAKnowledge of a minimum of five of the following categories of coding required: Inpatient Medicare, Inpatient Non-Medicare, Outpatient Radiology including Interventional, Outpatient Satellite/Clinics, Outpatient Diagnostic, Outpatient Surgery, Emergency Department, observation, recurring, Inpatient Surgery. Able to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision.
SPECIALIST II, CLINICAL CODING Pomona Valley Hospital Medical CenterSPECIALIST II, CLINICAL CODINGPomona, CA$39.89–$56.13 / hourPosition Summary:Responsible for the review and evaluation of the medical record in order to assign accurate diagnosis and procedural codes ensuring optimal reimbursement while remaining compliant with all regulatory agencies. As part of our ongoing effort to remain an employer of choice, eligible employees who work qualifying weekend shifts receive a competitive weekend rate.
Associate Project Manager Code -Existing Installation Schindler Holding LtdAssociate Project Manager Code -Existing InstallationIrvine, CA$90,300–$112,900 / yearYou will track and report on key performance indicators such as confirmation of periodic safety inspections, resolution of non-conformances, and adherence to regulatory deadlines, helping deliver safe, reliable, and compliant service to customers. Once sold, coordinate and schedule test dates with third parties (e.g., fire testing), schedule CAT1 inspections with mechanics, and/or arrange repairs while maintaining constant communication with Superintendents and sales reps.
NewG‑Code Lathe Manufacturing Technician (Live Tooling Preferred) Express Employment Professionals - CovinaG‑Code Lathe Manufacturing Technician (Live Tooling Preferred)Covina, CAFrom first article to final piece, you turn engineering intent into reality—writing and editing code, selecting tooling, setting offsets, and executing inspections that keep parts within spec. Through Express Employment Professionals in Covina, you’ll join a shop that counts on you to program, set up, operate, and fine‑tune CNC lathes to meet demanding quality targets.
NewCode Compliance Inspector I/II Flex City of CoronaCode Compliance Inspector I/II FlexCorona, CA$5,258–$7,062Eligible Opt-Out Arrangement: Upon providing reasonable evidence of alternative coverage as required by the Affordable Care Act (ACA)'s Eligible Opt-Out Arrangement rules (below), employees shall be entitled to the following dollars in the first two pay periods each month in taxable cash, in lieu of the amount provided in Section 10.2 above: (a) $300.00 ($600 per month) for Employee + 2 or more dependents. The Medical Allowance shall consist of the following: (1) the Base Contribution Rate, plus (2) an amount equal to the difference between the Base Contribution Rate and the following amounts, as applicable: $978.00 per month for Members electing Employee only coverage; $1,646.00 per month for Members electing Employee plus one dependent coverage; or.
Sleep Apnea Medical Biller Aava InternationalSleep Apnea Medical BillerIrvine, CAZapZzz is a specialized sleep apnea treatment program with a mission of improving patients’ overall health and quality of life by providing advanced, patient-centered solutions for sleep apnea. The Medical Biller will be responsible for accurately preparing, submitting, and managing insurance claims related to sleep apnea treatment and oral appliance therapy.
Sr. Medical Billing & Collections Specialist Leaps & Bounds Pediatric TherapySr. Medical Billing & Collections SpecialistNorco, CAFull timeBilling & Collections Specialist is responsible for ensuring accurate and timely billing, proactive collections, and consistent follow-up on outstanding accounts to support the financial health of the organization. In accordance with Company policy, perform timely and aggressive follow-up on outstanding claims, meticulously resolve denials by correcting errors, gathering necessary documentation, and resubmitting claims efficiently.
Director of Charge Description Master (CDM) & Clinical Auditing - Patient Accounting & Billing Unit County of Riverside, CaliforniaDirector of Charge Description Master (CDM) & Clinical Auditing - Patient Accounting & Billing UnitRiverside, CA$102,746.17–$162,990.68 / yearTier II (Classic Member - Formula 2% @ 60): Applicable to local miscellaneous employees 1) hired after 08/23/2012 through 12/31/2012; 2) Previously employed with another CalPERS contracting public agency or a reciprocal retirement system, with a break in service of less than six months between the separation date with the previous employer and the appointment date with the County of Riverside. Knowledge of: The principles of effective personnel management and supervision; principles and practices involved in patient access or revenue cycle activities, including knowledge of applicable health information systems; laws, rules, regulations, and policies affecting revenue cycle, charge master or patient access functions.
Director of Charge Description Master (CDM) & Clinical Auditing - Patient Accounting & Billing Unit County of RiversideDirector of Charge Description Master (CDM) & Clinical Auditing - Patient Accounting & Billing UnitRiverside, CAFull timeKnowledge of: The principles of effective personnel management and supervision; principles and practices involved in patient access or revenue cycle activities, including knowledge of applicable health information systems; laws, rules, regulations, and policies affecting revenue cycle, charge master or patient access functions. Additionally, the Director will collaborate with RUHS stakeholders to identify charge-related opportunities, evaluate current procedures, and assess internal controls to ensure charge master code compliance, charge accuracy, and improved charge capture.
Revenue Cycle Specialist SilveradoRevenue Cycle SpecialistIrvine, CaliforniaYou thrive in fast-paced environments, enjoy solving complex billing challenges, and bring precision and accountability to every step of the revenue cycle. Join Silverado Home Office, a memory care innovator ranked in the top 10 nationwide by Fortune Magazine Best Workplaces in Aging Services .
Prior Authorization Department One Stop Hospice IncPrior Authorization DepartmentSanta Ana, CAThis role works closely with physicians, clinical staff, insurance companies, and patients to ensure timely approvals and accurate documentation while maintaining compliance with payer guidelines and company policies. The Prior Authorization Specialist is responsible for obtaining insurance authorizations and approvals for medical services, treatments, medications, procedures, and equipment.
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)CA$50,460–$72,644 / yearRequired as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
Senior Medical Assistant- Santa Ana CA UnitedHealth Group IncSenior Medical Assistant- Santa Ana CASanta Ana, 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. Direct individual patient care activities and coordination including interviewing patients measuring vital signs and records information on patients charts drawing and collecting blood samples from patients preparing specimens for laboratory analysis complete lab requisitions and conducting a variety of diagnostic tests.
Insurance Billing Clerk - Finance and Business County of RiversideInsurance Billing Clerk - Finance and BusinessRiverside, CAFull timeprocedures and methods; determine appropriate applications of various billing procedures; perform basic arithmetic computations rapidly and accurately and post the results on accounting records; organize work to meet prescribed deadlines; operate automated keyboard equipment; follow oral and written directions. Under supervision, the incumbent will be responsible for making follow-up calls checking on claim statuses and eligibility, and working on special projects ; performing fiscal clerical work processing and billing fiscal intermediaries for medical services rendered to patients; and to do other work as required.
NewCoordinator-Revenue Integrity Loma Linda University Medical CenterCoordinator-Revenue IntegritySan Bernardino, CAAble to distinguish colors and smells as necessary for patient care; hear sufficiently for general conversation in person and on the telephone; identify and distinguish various sounds associated with the workplace/patient care; see adequately to read computer screens, medical records, and written documents necessary to position; discern temperature variances through touch. Job Summary The Coordinator-Revenue Integrity is responsible for managing multiple billing work queues (WQs) which requires an understanding of not only basic billing processes but also knowledge of research billing requirements, Medicare rules and regulations, Recovery Audit Contractor (RAC) processes, and billable components pertinent to LLUH Client agreements.
DRG Coder Astrana Health, Inc.DRG CoderCA, CaliforniaRemote$33–$38 / hourIn an Independent Practice Association (IPA) and Management Services Organization (MSO) environment, the Senior 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 Senior 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.
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. I understand that I must upload my current valid certification (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) at time of application in order to be considered for an interview.
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.
NewCoder Auditor Prime Healthcare Management IncCoder AuditorOntario, California$28–$43.40 / hourFull timeThe Inpatient Coder Auditor finalizes the coding and abstracting of the medical record upon ensuring the assignment of International Classifications of Diseases, tenth revision (ICD-10/PCS), Current Procedural Terminology (CPT), and Health Care Procedure Coding System (HCPCS), are accurate and supported by the clinical documentation of the respective medial record. Responsibilities: The Inpatient Coder Auditor reviews and analyzes documentation present in the medical record for Inpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the Coders or Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software.
Certified Medical Records Coder-Inpatient (Riverside) County of RiversideCertified Medical Records Coder-Inpatient (Riverside)Riverside, CAFull timeAbility 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.
Sr Fraud, Waste and Abuse Investigator (Investigator Sr) CalOptimaSr Fraud, Waste and Abuse Investigator (Investigator Sr)Orange, CA$72,096–$115,353 / yearWe are hoping you will join us as a Sr Fraud, Waste and Abuse Investigator (Investigator Sr) and help shape the future of healthcare where you'll be an integral part of our OOC - Fraud & Waste team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet.
Sr. Investigator, Fraud, Waste and Abuse CalOptimaSr. Investigator, Fraud, Waste and AbuseOrange, CA$72,096–$115,353 / yearInvestigator, Fraud, Waste and Abuse and help shape the future of healthcare where you'll be an integral part of our OOC - Fraud & Waste team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. Bachelor's degree in health care administration, criminal justice or related field PLUS 5 years of experience in health care-related investigations required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.
Patient Care Coordinator Upperline Health IncPatient Care CoordinatorCAUpperline Health providers coordinate patients' care among a team of physician specialists, nurse practitioners, care navigators, nutritionists, social workers, and pharmacists for integrated treatment that addresses patients' immediate and long-term health needs. The Patient Care Coordinator will be responsible for medical front desk receptionist duties including greeting patients in a friendly manner, and ensuring patients are accurately checked in and prepared for their appointments in a timely manner.
Director II Eye Care Payer Strategy AbbVie IncDirector II Eye Care Payer StrategyIrvine, CAThis individual will effectively orchestrate communication and drive strategic alignment across multiple stakeholders and leadership teams such as the Market Access Leadership Team, multiple Brand Teams, Account Management teams, and across multiple HEOR, MOSL, Medical, Reimbursement Advisor Teams, MABI, Finance, Sales, and Government Affairs/Advocacy teams. Major responsibilities include (but are not limited to): Develop payer positioning and pricing strategies for multiple Eye Care brands with focus on device and medical reimbursement, across all payer channels, and for highly competitive inline and pipeline assets.
NewPharmacy Care Technician - Redlands, CA CVS Health CorpPharmacy Care Technician - Redlands, CARedlands, CAPharmacy Care Technicians assist with inbound phone calls; interact with customers and cross functional team to answer questions, solve problems, provide education, and maintain our company's reputation for high-quality service. In this role, you will assist in accurately reading, interpreting and entering prescriptions into the computer system including calculation of doses and assignment of directions and accepting proper insurance payment in a timely fashion.
Claims Adjudicator Sr Loma Linda University Medical CenterClaims Adjudicator SrRedlands, CAAble to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Knowledge and Skills: Extensive experience in health insurance claims processing, HMO claims or managed care environment is required, in-depth knowledge of medical billing and coding, knowledge of health insurance, HMO and managed care principles.
Patient Care Coordinator Upperline HealthPatient Care CoordinatorOrange City, CaliforniaUpperline Health providers coordinate patients’ care among a team of physician specialists, nurse practitioners, care navigators, nutritionists, social workers, and pharmacists for integrated treatment that addresses patients’ immediate and long-term health needs. The Patient Care Coordinator will be responsible for medical front desk receptionist duties including greeting patients in a friendly manner, and ensuring patients are accurately checked in and prepared for their appointments in a timely manner.
NewAccounting Associate - Accounts Payable (4-month Temporary Assignment) EAST VALLEY COMMUNITY HEALTH CENTER INCAccounting Associate - Accounts Payable (4-month Temporary Assignment)Pomona, CA$24–$26.46 / hourMAJOR POSITION RESPONSIBILITIES AND FUNCTIONS: Receive mail & date stamp all invoices from all sites; compare invoices to receiving documents, packing slips and purchase orders; contact vendor to resolve any discrepancies; in the absence of an approved purchase order, obtain the necessary departmental approval; code the invoice; input the information into the Accounts Payable system; file the invoice until time for payment. Reporting to the Chief Financial Officer (CFO), the Accounting Associate - Accounts Payable will be responsible for duties related to accounts payable, vendor management, payment documentation, purchase card reconciliation, and financial data management.
Bill Review Analyst I CorVel CorpBill Review Analyst IIrvine, CA$16.90–$23.42 / hourPay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. ABOUT CORVEL: CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries.
Patient Navigator HealogicsPatient NavigatorCorona, CaliforniaLearn more about this role here: Healogics is the largest provider of advanced wound care services in the United States, treating more than 300,000 chronic wound patients annually across over 600 sites. All Healogics employees must perform their job responsibilities according to all Healogics policies, Hospital policies, as well as to accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable.
Bill Review Analyst I CorVel Healthcare CorporationBill Review Analyst IIrvine, CA$16.90–$23.42 / hourPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.
Regional Hospital Inpatient Coder Kaiser PermanenteRegional Hospital Inpatient CoderFontana, CAAll work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); Office of Statewide Health Planning and Development (OSHPD); National Correct Coding Initiative (NCCI), and Kaiser Permanente organizational/institutional coding directives. May also be assigned the responsibility for assigning accurate diagnosis and procedure codes to the patients health information record for Outpatient records (Observation Hospital Ambulatory Surgery, Complex Hospital Outpatient Visit - Cardiac Catheterization PCI Lab, Interventional Radiology, Extended Emergency & Emergency Departments, as well as other select records).
NewCoder Auditor Prime Healthcare Services IncCoder AuditorOntario, CA$28–$43.40 / hourThe Inpatient Coder Auditor finalizes the coding and abstracting of the medical record upon ensuring the assignment of International Classifications of Diseases, tenth revision (ICD-10/PCS), Current Procedural Terminology (CPT), and Health Care Procedure Coding System (HCPCS), are accurate and supported by the clinical documentation of the respective medial record. The Inpatient Coder Auditor reviews and analyzes documentation present in the medical record for Inpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the Coders or Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software.
Patient Navigator PRN Healogics IncPatient Navigator PRNCorona, CARequired Education, Experience and Credentials: High School Diploma or General Education Development (GED); Associate's degree preferred Minimum of Two (2) or more years office administration experience, preferably in a medical setting; Prior medical coding experience preferred Preferred Knowledge, Skills and Abilities: Proficient in Microsoft Office (Word, Excel, Outlook) Good customer, interpersonal and communication skills, both orally and in writing Organization and time-management skills Ability to type 60 words per minute (wpm) Basic math skills Attention to details Ability to maintain confidentiality Ability to work in fast paced environment and to work on multiple projects at the same time Ability to work with others and in a team environment Physical Demands: Being in a stationary position for extended periods of time (4 hours or more) Viewing computer screen for extended periods of time (4 hours or more) Keying frequently on a computer for 4 hours or more Reading Communicating Detecting sounds by ear Close, distance and peripheral vision Lifting/moving items up to 75 pounds with equipment assistance Repetitive motions Bending/stooping Writing Work Environment: * Patient care environment The hourly rate for this position generally ranges between $19.69-$24.20 Learn more about this role here: Healogics is the largest provider of advanced wound care services in the United States, treating more than 300,000 chronic wound patients annually across over 600 sites.
Grievance and Appeals Nurse-LVN Alura Workforce SolutionsGrievance and Appeals Nurse-LVNRancho Cucamonga, CAThe Grievance & Appeals Nurse is responsible for working directly with the IPAs, Hospitals, internal departments, and the grievance team to ensure grievance and appeal cases are processed per the Grievance Policy & Procedures and Department of Managed Health Care (DMHC)/ Department of Health Care Services (DHCS)/ Center for Medicare and Medicaid Services (CMS) regulations and NCQA. Ensure clinical oversight of assigned Grievance and Appeals team cases, to include final nurse review of all Non-Quality of Care grievance and appeals cases and thorough investigation of all Quality-of-Care cases to be reviewed by IEHP Medical Director and designated Nurse Reviewer.
Hospitalist - Optum CA - Banning UnitedHealth Group IncHospitalist - Optum CA - BanningRedlands, CA$271,500–$401,500 / yearThe 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. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role.
Software Engineer AlteryxSoftware EngineerIrvine, CaliforniaRole summary : We’re looking for a Software Engineer to help build, own, evolve and maintain networking-heavy software services that power secure connectivity between customer environments and Alteryx Cloud. In addition to base pay and bonus eligibility, this role includes clear forms of additional compensation, such as: A monthly Connectivity Plus stipend of $150 to support remote work-related expenses.
NewAccounting Associate - Accounts Payable (4-month Temporary Assignment) EVCHC WebsiteAccounting Associate - Accounts Payable (4-month Temporary Assignment)Pomona, CaliforniaReceive mail & date stamp all invoices from all sites; compare invoices to receiving documents, packing slips and purchase orders; contact vendor to resolve any discrepancies; in the absence of an approved purchase order, obtain the necessary departmental approval; code the invoice; input the information into the Accounts Payable system; file the invoice until time for payment. Reporting to the Chief Financial Officer (CFO), the Accounting Associate – Accounts Payable will be responsible for duties related to accounts payable, vendor management, payment documentation, purchase card reconciliation, and financial data management.