Senior Clinical Documentation Integrity Specialist Blue Cross and Blue Shield AssociationSenior Clinical Documentation Integrity SpecialistLos Angeles, CAPursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. The Senior Clinical Documentation Integrity Specialist ensures accurate, complete, and compliant clinical documentation that appropriately reflects severity of illness, risk of mortality, and supports correct reimbursement.
Claims Manager, Medicare Advantage Plan University of CaliforniaClaims Manager, Medicare Advantage PlanLos Angeles, CA$95,400–$208,300 / yearThe Claims Manager of the Medicare Advantage Plan will: Implement and maintain efficient and streamlined claims adjudication processes that effectively utilize technology to automate business processes and maximize the accuracy of claims payments. 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 United Surgical Partners InternationalMedical BillerTorrance, CARequirements KNOWLEDGE, SKILLS, QUALIFICATION and EDUCATIONAL AND /OR EXPERIENCE REQUIREMENTS: High school diploma or equivalent. United Surgical Partners International is a publicly traded company that specializes in the development and operation of Ambulatory Surgical Facilities in the U.S. and the UK.
Claims Development Specialist Xifin IncClaims Development SpecialistWestlake Village, CA$20–$24 / hourThe Claims Development Specialist is responsible for specific geographic locations, ensuring accurate conversion of files, demographic posting, charge posting and clean up, and review of all outstanding data is completed daily. Our innovative technologies help diagnostic providers, laboratories, and healthcare systems manage complexity, drive better outcomes, and stay focused on what matters most: patient care.
Field Reimbursement Manager - Kidney (Central California - Los Angeles & San Bernardino) Vertex Pharmaceuticals IncField Reimbursement Manager - Kidney (Central California - Los Angeles & San Bernardino)Los Angeles, CA$136,000–$204,000 / yearKey Duties and Responsibilities: Compliantly establish strong connections with key nephrology office personnel, including members of the care team and administrative staff responsible for prior authorizations and patient access to specialty medications, to support patient access to prescribed medications. At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.
Regional Director of EyeCare EssilorLuxottica SARegional Director of EyeCareLos Angeles, CA$167,076.98–$238,030.83 / yearIf you would like to provide feedback regarding an active job posting, or if you are an individual with a disability who would like to request a reasonable accommodation, please call the EssilorLuxottica SpeakUp Hotline at 844-303-0229 (be sure to provide your name, job id number, and contact information so that we may follow up in a timely manner) or email HRCompliance@luxotticaretail.com. The RDE provides oversight to supporting office staff, who work collaboratively with store management to deliver superior quality of care, patient experience, OD and associate engagement, and business results in all locations.
Medical Biller HEALTH ATLAST WEST LAMedical BillerLos Angeles, CAFull timeManage full-cycle billing: charge entry, claim submission, payment posting, and follow-up. This is an execution-heavy, accountability-driven role—not a passive billing position.
Medical Biller Health Atlast West LaMedical BillerLos Angeles, California$18–$28 / hourCompensation: $18.00 - $28.00 per hour After seeing many patients placed on multiple medications by numerous providers without much coordination, HEALTH ATLAST founders Stephanie and Wayne Higashi, both doctors of chiropractic, found a need to create a multi-disciplinary approach to healing where doctors work together as one to optimize a patient's health. Core Responsibilities Manage full-cycle billing: charge entry, claim submission, payment posting, and follow-up.
Associate Director, Medical Review Lead, MSRM - Remote Agios PharmaceuticalsAssociate Director, Medical Review Lead, MSRM - RemoteLos Angeles, CARemote$185,369–$308,948 / yearThe current base salary range for this position is expected to be between $185,369 and $308,948 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators. This role provides oversight of medical review for Individual Case Safety Reports (ICSRs) across investigational and marketed products, ensuring medical accuracy, regulatory compliance, and high-quality safety data to support pharmacovigilance and risk management activities.
NewSenior Actuary Health Plan Analytics ReveleerSenior Actuary Health Plan AnalyticsCARemote$150,000–$185,000 / yearThis role builds member-level actuarial models that quantify risk adjustment performance, HCC (Hierarchical Condition Category) capture, medical economics, utilization, and population health trends, and translates those models into customer-facing dashboards that inform pricing, forecasting, and program strategy. Reveleer is hiring a senior actuary to lead health plan and risk adjustment analytics for each line of business for Reveleer customers across Medicare Advantage (MA), Medicare Advantage Prescription Drug (MAPD), Affordable Care Act (ACA), Medicaid, and provider value-based contracts.
Director of Actuarial Analytics and Insights ReveleerDirector of Actuarial Analytics and InsightsCARemote$150,000–$185,000 / yearThis role builds member-level actuarial models that quantify risk adjustment performance, HCC (Hierarchical Condition Category) capture, medical economics, utilization, and population health trends, and translates those models into customer-facing dashboards that inform pricing, forecasting, and program strategy. Reveleer is hiring a senior actuary to lead health plan and risk adjustment analytics for each line of business for Reveleer customers across Medicare Advantage (MA), Medicare Advantage Prescription Drug (MAPD), Affordable Care Act (ACA), Medicaid, and provider value-based contracts.
Trauma Registrar Children's Hospital Los AngelesTrauma RegistrarLos Angeles, CaliforniaRemote$55,702.40–$74,256 / yearFull timePurpose Statement/Position Summary: The trauma team provides a complete continuum of pediatric trauma care, combined with an active program of education, research and prevention, in addition to maintaining CHLA’s verification as a Level 1 Peds Trauma Center. Children’s Hospital Los Angeles is consistently ranked among the top 10 children's hospitals in the nation, delivering world-class care through more than 350 specialized programs and services.
Senior Software Engineer, Client Implementations Cohere Health Technologies LLCSenior Software Engineer, Client ImplementationsCARemote$128,000–$145,000 / yearBy 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. You''ll work across the full stack - backend services, event-driven pipelines, and provider-facing web applications - to deliver systems that healthcare practitioners and clinical operations teams depend on daily.
NewDiagnosis Related Group (DRG) Readmission Auditor ExlService Holdings IncDiagnosis Related Group (DRG) Readmission AuditorCARemote$70,000–$110,000 / yearFor positions based in higher-cost zones (e.g., California, New York, New Jersey), actual compensation may exceed the posted range; your recruiter will share specifics during the process. Final offers are based on several factors, including the candidate''s skills and experience, internal pay equity, work location, market conditions for the role, and the specific scope and responsibilities of the position.
Director of Revenue Cycle Continuous Improvement University of CaliforniaDirector of Revenue Cycle Continuous ImprovementLos Angeles, CA$116,300–$264,600 / yearAs the Director of Revenue Cycle Continuous Improvement, you will oversee a portfolio of cross-functional initiatives focused on reducing preventable denials, addressing revenue leakage, improving clean claim performance, and accelerating the adoption of automation and leading practices. Demonstrated leadership, critical-thinking, problem-solving, and communication skills with the ability to build collaborative teams, establish operational and financial targets, and convey complex revenue cycle information clearly.
Billing Supervisor Exempt Hollywood Presbyterian Medical CenterBilling Supervisor ExemptLos Angeles, CAPOSITION SUMMARY: The Supervisor of Hospital Billing is responsible for planning, coordinating, and managing the hospital billing team related to the activities required to ensure effective accounts receivable management, timely billing, timely follow-up while maintaining satisfactory staff productivity levels. HPMC is part of a global healthcare enterprise which owns and operates general hospitals throughout Korea, numerous research centers in the U.S. and Korea including a medical university, and CHAUM (a premier anti-aging life center).
NewMedical Dir, Physician Advisor & UM City of HopeMedical Dir, Physician Advisor & UMDuarte, CAWorking closely with physicians, nursing leadership, case management, revenue cycle, quality, and executive leadership, this role ensures patients receive the appropriate level of care at the appropriate time while promoting efficient patient throughput and exceptional clinical outcomes. This is an exceptional opportunity for a physician who is passionate about improving care delivery, partnering with multidisciplinary teams, and driving strategic initiatives that enhance patient outcomes, optimize resource utilization, and support the financial integrity of a world-class academic healthcare organization.
Medical Reviewer, Physician Assistant Cohere Health Technologies LLCMedical Reviewer, Physician AssistantCARemote$120,000–$135,000 / yearBy 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. Reporting to the Managing Medical Director MSK Spine and Ortho for Cohere Health, and part of the review team that includes non-clinical intake specialists, nurses and physicians, this is a critical role in a Series B company that is rapidly scaling to impact millions of patients.
Key Account Manager - Bone Health - Southern California (San Diego, Hawaii) Amgen IncKey Account Manager - Bone Health - Southern California (San Diego, Hawaii)CAAmgen offers a Total Rewards Plan comprising health and welfare plans for staff and eligible dependents, financial plans with opportunities to save towards retirement or other goals, work/life balance, and career development opportunities including: Comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts. The Account Manager will work internally through the matrix team, and externally with customers to develop strong relationships for Amgen to support sales performance and brand strategies at multiple touch points and levels within complex partner organizations.
Strategic Medical Director, Diagnostic Imaging Cohere Health Technologies LLCStrategic Medical Director, Diagnostic ImagingCARemote$285,000–$305,000 / yearProvide leadership in the creation of comprehensive research packages, investigating specific clinical areas/offerings and strategic partners of interest to strengthen the offering, then execute on cultivating any external partnerships and/or vendor relationships as necessary. Build and expand client relationships by partnering with the Growth and Client Experience teams to uncover client pain points, deliver solutions, assign clients to managers as appropriate, and support upsell opportunities (e.g., Sleep programs).
NewClaims Examiner Career AdvocatesClaims ExaminerLos Angeles, CaliforniaThe Claims Examiner will be responsible for researching and resolving pending claims, reviewing claim denials requiring manual review, and ensuring timely processing in compliance with policies, procedures, and regulatory guidelines. Assist in claims processing and report billing/error trends identified during reviews.
Senior Application Software Engineer Oracle CorpSenior Application Software EngineerCA$89,200–$209,500 / yearYou will contribute to platform services that support healthcare applications, operational workflows, and internal users, helping improve the speed, reliability, and quality of healthcare technology delivery. Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle''s differing products, industries and lines of business.
Provider Services Business Office Pennant ServicesProvider Services Business OfficeLos Angeles, CaliforniaRemoteWe are a collection of independent, locally led healthcare companies united by a shared purpose and the CAPLICO values-Celebration, Accountability, Passion, Love, Intelligence, Customer Second, and Ownership. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US.
Patient Billing Advocate MemorialCare Health SystemPatient Billing AdvocateFountain Valley, CADemonstrates a personal commitment to understanding, meeting and exceeding the needs of fellow employees They are accountable for closing the loop for patient inquiries to our department and reaching out to patients with self-pay balances. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability.
Director of Revenue Cycle Continuous Improvement UCLA Health SystemDirector of Revenue Cycle Continuous ImprovementLos Angeles, CA$116,300–$264,600 / yearAs the Director of Revenue Cycle Continuous Improvement, you will oversee a portfolio of cross-functional initiatives focused on reducing preventable denials, addressing revenue leakage, improving clean claim performance, and accelerating the adoption of automation and leading practices. Demonstrated leadership, critical-thinking, problem-solving, and communication skills with the ability to build collaborative teams, establish operational and financial targets, and convey complex revenue cycle information clearly.
Cancer Registry abstractor IV - 100% Remote University of CaliforniaCancer Registry abstractor IV - 100% RemoteLos Angeles, CARemote$41.70–$55.03 / hourAs 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. Strong oral and written communication skills for the purposes of conveying information to individuals at various organizational levels and the general public and in completing concise documentation.
Utilization Management Nurse, Senior- Medicare Concurrent Review Blue Cross and Blue Shield AssociationUtilization Management Nurse, Senior- Medicare Concurrent ReviewWoodland Hills, CARequires a current California RN License Requires at least 5 years of prior relevant experience Requires strong communication and computer navigation skills Desires strong teamwork and collaboration skills Requires independent motivation and strong work ethic Requires strong critical thinking skills Hybrid Virtual Work This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need. Your Work In this role, you will: Perform prospective, concurrent and retrospective utilization reviews and first level determination approvals for members using BSC and CMS evidenced based guidelines, policies and nationally recognized clinal criteria for BSC Medicare line of business.
HEDIS Abstractor Astrana Health, Inc.HEDIS AbstractorMonterey Park, California$27–$33 / hourThe HEDIS Abstractor supports Quality Care Improvement initiatives by conducting comprehensive medical record reviews and abstraction activities to identify and close HEDIS measure care gaps. The HEDIS Abstractor collaborates with internal quality teams, providers, and external audit vendors to improve measure performance, maintain compliance, and support successful HEDIS audits.
HEDIS Abstractor (LA Region) Astrana Health, Inc.HEDIS Abstractor (LA Region)Monterey Park, CA$27–$33 / hourThe HEDIS Abstractor supports Quality Care Improvement initiatives by conducting comprehensive medical record reviews and abstraction activities to identify and close HEDIS measure care gaps. The HEDIS Abstractor collaborates with internal quality teams, providers, and external audit vendors to improve measure performance, maintain compliance, and support successful HEDIS audits.
HEDIS Abstractor (NorCal Region) Astrana Health, Inc.HEDIS Abstractor (NorCal Region)San Francisco, CA$27–$33 / hourThe HEDIS Abstractor collaborates with internal quality teams, providers, and external audit vendors to improve measure performance, maintain compliance, and support successful HEDIS audits. The HEDIS Abstractor supports Quality Care Improvement initiatives by conducting comprehensive medical record reviews and abstraction activities to identify and close HEDIS measure care gaps.
Utilization Management Nurse, Senior Blue Cross and Blue Shield AssociationUtilization Management Nurse, SeniorLong Beach, CAThe Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical necessity, coding accuracy, treatment plans, discharge planning, and compliance requirements while supporting clinical consistency, process improvement, quality, timeliness, and appropriate escalation of high-risk cases. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)CA$46,988–$112,200 / yearThis position will routinely handle high profile or highly sensitive matters involving cases that are national in scope, as well as, complex cases involving multi-lines of business, multiple subjects, or intricate healthcare fraud schemes. Strong communication skills, both written and oral, are necessary for the development and implementation of professional presentations for internal and external stakeholders regarding healthcare fraud matters and Enterprise approach to FWA.
Clinical Documentation Specialist II - 8 Hour Days **HYBRID** Cedars-Sinai Medical CenterClinical Documentation Specialist II - 8 Hour Days **HYBRID**Beverly Hills, CALicense/Certifications: Registered Nurse, LVN, Occupational Therapist, Physical Therapist, Physician Assistant, foreign MD license or certification in Health Information Management or Medical Coding, such as RHIT, RHIA, CCDS, CDIP OR CPC, required. For this reason, we require that all new employees receive a flu vaccine based on the seasonal availability of flu vaccine (typically during September through March each year) as a condition of employment, and annually thereafter as a condition of continued employment.
Sr. Software Engineer - AI Innovation Team Boeing Employees Credit UnionSr. Software Engineer - AI Innovation TeamCA$141,800–$173,300 / yearWHAT YOU'LL DO: Build AI‑Powered Features: Develop and implement moderate to complex application features and services, including high‑impact components that integrate AI/ML models or AI service APIs. From integrating machine learning models and generative AI services to guiding best practices and architecture decisions, your work will directly influence performance, innovation, and long-term technical direction.
Advanced Practive Provider (App), Nurse Practitioner (Np) Or Physician Assistant (Pa) COPE Health SolutionsAdvanced Practive Provider (App), Nurse Practitioner (Np) Or Physician Assistant (Pa)Los Angeles, CA$150,000–$200,000 / yearComprehensive AWV & Gap Closure: Perform Medicare Annual Wellness Visits in the home, completing detailed cognitive screenings, fall risk assessments, and personalized prevention plans while closing active quality care gaps and appropriately capturing HCC codes as part of documentation. This role executes in-home Annual Wellness Visits (AWVs), manages complex clinical transitions of care (TOC) immediately following hospital discharge, and provides long-term stabilization for high-acuity patients enrolled in Complex Care Management (CCM) and is proficient at HCC coding and medical disease documentation.
NewStaff Software Engineer Circadia Technologies LtdStaff Software EngineerLos Angeles, CA$150,000–$225,000 / yearYour work will directly impact patient care and enhance the efficiency of clinical staff by contributing to a platform that serves 30k+ patients daily through our Circadia Contactless Monitor (IoT devices)-a number expected to scale beyond 100k+ in the next 2 to 3 years. As a Staff Software Engineer, you will play a critical role in designing, developing, and maintaining both backend APIs and frontend applications that support sensitive healthcare platforms.
Field Reimbursement Manager - Neurology (Los Angeles, CA) Regeneron PharmaceuticalsField Reimbursement Manager - Neurology (Los Angeles, CA)Los Angeles, CaliforniaIn this role, you will support providers throughout all facets of the reimbursement cycle including coverage, coding, product acquisition, available patient support services and site-of-care decision making to enable sustained patient access in a competitive rare disease environment. A bachelor’s degree and at least 5 years of experience in the biopharma reimbursement, market access or field-based access roles working in a matrix environment – with at least 2 years direct Reimbursement experience supporting medical benefit therapies (buy & bill preferred).
Clinical Appeals Senior Consultant Craneware, Inc.Clinical Appeals Senior ConsultantCAAs a Clinical Appeals Senior Consultant, you serve as a strategic liaison between clinical and financial stakeholders, ensuring healthcare services are accurately documented, coded, billed, and reimbursed by leading clinical appeals, denial management, and chart audit initiatives. Vacancy NameClinical Appeals Senior Consultant CompanyCraneware Inc SpecialityCustomer Management CategoryPermanent Location Country Office LocationHome based - US Additional Locations Introduction to Craneware.
Senior Manager, Claims Adjustments L.A. Care Health PlanSenior Manager, Claims AdjustmentsLos Angeles, CAThe Senior Manager, Claims Adjustments manages all adjustment-related operational workflows, including provider disputes, escalated claim reviews, complex adjustments, and litigation-related claim support. Ensures all provider adjustments meet Department of Managed Health Care (DMHC), Department of Health Care Services (DHCS), Centers for Medicare and Medicaid Services (CMS), and contractual (TAT) requirements.
Special Bills AR Rep RadNet IncSpecial Bills AR RepLos Angeles, CA$21–$24 / hourWhen you join RadNet as a Revenue Cycle Operations, Special Bills Accounts Receivable, you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators achieve the best clinical outcomes. The Special Bills Accounts Receivable Follow-Up Representative is responsible for creating client invoice billing and following up on open accounts receivable aging in order to secure reimbursement form payer for services rendered.
Financial Clearance Specialist III - PreArrival - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaFinancial Clearance Specialist III - PreArrival - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Los Angeles, CA$25–$39.69 / hourWhen extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations. Preferred Qualifications: Required Licenses/Certifications: Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date.
Financial Clearance Specialist IV - Admitting - Full Time 8 Hour Variable Shift (Non Union) University of Southern CaliforniaFinancial Clearance Specialist IV - Admitting - Full Time 8 Hour Variable Shift (Non Union)Glendale, CA$26–$34 / hourMinimum Experience/Knowledge: Minimum (3) years of experience in a hospital, health plan or Physician office environment with extensive knowledge of contracted and non-contracted payers, division of financial responsibility, including the ability to articulate benefit negotiations as required when adjudicating a letter of agreement with a non-contracted payer. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.
Full-Time STS Clinical Data Abstractor Hourly Non-Exempt Carta Healthcare Inc.Full-Time STS Clinical Data Abstractor Hourly Non-ExemptCARemotePaid Holidays: "Full-time hourly employees receive six paid holidays per year: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving, and Christmas Day, paid at their regular hourly rate. Carta Healthcare is dedicated to building a diverse and inclusive company because we serve health systems across the country; we've seen how our product and impact are strengthened the more we reflect that diversity.
Financial Clearance Specialist III - Prearrival - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaFinancial Clearance Specialist III - Prearrival - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Los Angeles, CA$25–$39.69 / hourWhen extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations. Preferred Qualifications: Required Licenses/Certifications: Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date.
Full-Time Cath PCI Clinical Data Abstractor Hourly Non-Exempt Carta Healthcare Inc.Full-Time Cath PCI Clinical Data Abstractor Hourly Non-ExemptCARemotePaid Holidays: "Full-time hourly employees receive six paid holidays per year: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving, and Christmas Day, paid at their regular hourly rate. Carta Healthcare is dedicated to building a diverse and inclusive company because we serve health systems across the country; we've seen how our product and impact are strengthened the more we reflect that diversity.
Home Health Registered Nurse (RN) - Van Nuys CVHCareHome Health Registered Nurse (RN) - Van NuysVan Nuys, CAPart timeWe provide an entire internal operational support team for our clinicians to handle the tasks of pre-populating the medication reconciliation, tracking down DME orders, getting MD signatures, coding, lab follow-up, etc., truly allowing you to function independently, with the flexibility to make your own schedule and plan patient visits around other commitments if needed. As well as customized care and patient education about disease management, the Home Health RNs provide a variety of specialized services, such as Simple to Complex Wound Therapy, Post-Surgical Care Management, and Ostomy Care Management.
Clinical Data Abstractor - STS / Adult Cardiac - Part Time Carta Healthcare Inc.Clinical Data Abstractor - STS / Adult Cardiac - Part TimeCARemote$28–$32.10 / hourCarta Healthcare is dedicated to building a diverse and inclusive company because we serve health systems across the country; we've seen how our product and impact are strengthened the more we reflect that diversity. In addition, we have found and strongly believe that diverse teams are higher-performing, and we embrace the varied perspectives that our team members share with each other.
Facility Inpatient Surgical and Claims Edit Auditor Cedars-Sinai Medical CenterFacility Inpatient Surgical and Claims Edit AuditorLos Angeles, CARemoteMaintains appropriate open communication with internal and external partners and peer departments such as Coding Operations, Clinical Documentation Integrity (CDI), Payor Revenue Management (PRM), and Compliance Revenue Integrity (CRI). Auditors evaluate compliance with all coding guidelines including but not limited to: Internal Coding policies/procedures/handbook, American Hospital Association (AHA) and American Medical Association (AMA) coding references, local, State, and Federal Coding Guidelines.
Facility Outpatient Surgical and Claims Edit Auditor (Remote) Cedars-Sinai Medical CenterFacility Outpatient Surgical and Claims Edit Auditor (Remote)Los Angeles, CARemoteMaintains appropriate open communication with internal and external partners and peer departments such as Coding Operations, Clinical Documentation Integrity (CDI), Payor Revenue Management (PRM), and Compliance Revenue Integrity (CRI). Auditors evaluate compliance with all coding guidelines including but not limited to: Internal Coding policies/procedures/handbook, American Hospital Association (AHA) and American Medical Association (AMA) coding references, local, State, and Federal Coding Guidelines.
Collections Representative – Government Billing SGA Inc.Collections Representative – Government BillingLos Angeles, CA$20–$27 / hourResponsibilities : The Collections Representative – Government Billing is responsible for the accurate and timely billing of inpatient, outpatient, and laboratory claims to government and third-party payers. Software Guidance & Assistance, Inc., (SGA), is searching for a Collections Representative – Government Billing for a Contract assignment with one of our premier Healthcare clients in Los Angeles, CA.