NewRemote Medical Review Nurse (LVN/LPN)- PST schedule Molina Healthcare IncRemote Medical Review Nurse (LVN/LPN)- PST scheduleCARemoteReevaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of relevant and applicable state and federal regulatory requirements and guidelines, knowledge of Molina policies and procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions in alignment with federal and state regulations and with health plan contracts. Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers.
Office Coordinator (Front Office + Billing) Modern Support ServicesOffice Coordinator (Front Office + Billing)Encino, CAThrough the use of compassionate and collaborative care - guided by integrity - we strive to support a meaningful and fulfilling life by nurturing emotional wellbeing, fostering valued relationships, identifying the core self, and promoting lifelong learning. Modern Support Services is a human services agency providing home- and community-based services to adults with Intellectual/Developmental Disabilities (I/DD) for over twenty-six (26) years.
NewHealth Info Coder II Avispa TechnologyHealth Info Coder IILos Angeles, CA$52.79 / hourA leading medical institution is seeking a Health Info Coder with at least two years of experience in medical coding, billing, and abstracting. Perform transactional reviews in compliance with all regulatory bodies, e.g., Centers for Medicare and Medicaid Services.
Health Info Coder II Avispa Fukuoka Co LtdHealth Info Coder IILos Angeles, CAWorksite: Leading medical institution (Los Angeles, CA 90024 - Hybrid, Must be onsite during the first month for training, then the position will be primarily remote). A leading medical institution is seeking a Health Info Coder with at least two years of experience in medical coding, billing, and abstracting.
FQHC Billing Account Manager Nexus HR ServicesFQHC Billing Account ManagerSanta Fe Springs, CAThe RCM Billing Account Manager is responsible for overseeing all aspects of Revenue Cycle Management (RCM), including billing operations, coding compliance, claims submission, denial management, and reimbursement optimization for FQHC clients. Serve as a trusted advisor on FQHC billing rules, UDS reporting, wraparound payments, PPS/APM reimbursement models, sliding fee schedules, and Medicaid/Medicare billing.
NewRevenue Cycle Analyst Exempt Hollywood PresbyterianRevenue Cycle Analyst ExemptLos Angeles, CA$75,000–$85,000 / yearRevenue Integrity Professional (CRIP).Certified Coding Specialist (CCS).Certified Professional Coder (CPC).Certified Healthcare Financial Professional (CHFP).Required Licensure, Certification, Registration or Designation:Current Los Angeles County Fire Card (or must be obtained within 30 days of employment).Assault Response Competency (ARC) required (within 30 days of hire).Shift Revenue Cycle Analyst ExemptFull Time 80 Hrs, Los Angeles, CA, US30+ days ago Requisition ID: 2732Salary Range: $75,000.00 To $85,000.00 AnnuallyThe Revenue Integrity Analyst is responsible for supporting the hospital's revenue cycle by ensuring accurate charge capture, compliant billing practices, and optimal reimbursement.
Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Exempt) (Non-Union) University of Southern CaliforniaSenior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Exempt) (Non-Union)Alhambra, CaliforniaRemoteThe Senior RI Specialist also coordinates with Keck Medical Center of USC Administration, IS, Compliance, Clinical Informatics and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge, and provides data derived from multiple entities of Keck Medical Center of USC for the management and support of critical decisions and functions related the Chargemaster, CDM Maintenance, and the improvement of charge capture. As a subject matter expert in the area of compliance and pricing of services, the Senior RI Specialist responds to inquiries regarding Chargemaster issues and is responsible for supervising meetings for projects associated with educating and communicating to clinical revenue generating departmental staff regarding the CDM Maintenance process, coding updates, compliance issues, and charge capture improvement.
Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (Exempt) (Non-Union) University of Southern CaliforniaSenior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (Exempt) (Non-Union)Los Angeles, CA$99,507–$164,559 / yearThe Senior RI Specialist also coordinates with Keck Medical Center of USC Administration, IS, Compliance, Clinical Informatics and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge, and provides data derived from multiple entities of Keck Medical Center of USC for the management and support of critical decisions and functions related the Chargemaster, CDM Maintenance, and the improvement of charge capture. As a subject matter expert in the area of compliance and pricing of services, the Senior RI Specialist responds to inquiries regarding Chargemaster issues and is responsible for supervising meetings for projects associated with educating and communicating to clinical revenue generating departmental staff regarding the CDM Maintenance process, coding updates, compliance issues, and charge capture improvement.
Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (Remote) (Exempt) (Non-Union) University of Southern CaliforniaSenior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (Remote) (Exempt) (Non-Union)Alhambra, CARemote$99,507–$130,000 / yearThe Senior RI Specialist also coordinates with Keck Medical Center of USC Administration, IS, Compliance, Clinical Informatics and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge, and provides data derived from multiple entities of Keck Medical Center of USC for the management and support of critical decisions and functions related the Chargemaster, CDM Maintenance, and the improvement of charge capture. As a subject matter expert in the area of compliance and pricing of services, the Senior RI Specialist responds to inquiries regarding Chargemaster issues and is responsible for supervising meetings for projects associated with educating and communicating to clinical revenue generating departmental staff regarding the CDM Maintenance process, coding updates, compliance issues, and charge capture improvement.
Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment (Hybrid) University of CaliforniaClinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment (Hybrid)Los Angeles, CA$95,400–$208,300 / yearAs the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders, and risk adjustment teams associated with the health plan. As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.
Senior Director of Payment Integrity Delta Dental of California Inc.Senior Director of Payment IntegrityCerritos, CAThis leader oversees end-to-end payment integrity capabilities, including pre-payment accuracy, post-payment audit and recovery, clinical and coding review, reimbursement and payment policy, fraud, waste and abuse support, provider billing trend analysis, and payment integrity analytics. Provide end-to-end strategic oversight of Payment integrity programs, including pre-payment prevention, post-payment recovery, clinical review, data mining, coding validation, reimbursement policy, provider education, analytics-driven monitoring, and continuous program optimization.
NewDental Office Manager/ Treatment Coordinator Empower Dental GroupDental Office Manager/ Treatment CoordinatorPasadena, California$80,000–$100,000 / yearPay Range DOE: $80,000-$100,000 Annually + $30,000 + performance bonus program; high performers can earn an additional $30K–$50K per year Required Qualifications High School Diploma or equivalent required. As we scale, we're looking for a creative, resourceful, and driven staff to help us share our story, strengthen our brand, and engage our growing network of patients and team members.
SENIOR APPLICATION DEVELOPER (DATA & ANALYTICS) Los Angeles CountySENIOR APPLICATION DEVELOPER (DATA & ANALYTICS)Los Angeles, CA$99,735.36–$134,407.68 / yearBachelors degree* from an accredited college or university in Computer Science, Information Systems, or Data Science AND three (3) years of enterprise-level, full-time, paid experience, obtained within the last three (3) years, in a data and analytics unit, designing, developing, troubleshooting, and optimizing complex Transact-SQL and PL/SQL (Procedural Language/Structured Query Language) code, including stored procedures, queries, and database performance tuning. Veteran's Credit: Pursuant to the County Charter and County policy, in all open competitive examinations (i.e., examinations open to everyone), the County of Los Angeles will add a credit of 10 percent of the total credits specified for such examination to the final passing score of an honorably discharged veteran, as well as the spouse of a deceased or disabled veteran, who served in the Armed Forces of the United States under specific conditions.
NewCollector, Management Services Organization/Centralized Billing Office - CBO - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaCollector, Management Services Organization/Centralized Billing Office - CBO - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Pasadena, California$26–$41.28 / hourResponsible for ensuring timely filing and guidelines are met; provided quality control checks on paper and electronic claims; process tracers, denial and related correspondence; initiate appeals; compose and submit appeal letters specific challengeable denial issues consistent with the most update American Medical Association Current Procedural Terminology. System Folder Notes / Account Documentation Documents claim bill date, billed amounts, billing address, billing attachments, invoice number, expected payment, contractual amount, received payments, actual transplant date(s), type of transplant, pre and post periods for transplant days, and all pertinent billing data relevant to billing the claim.
NewCertified Professional Coder I AltaMed Health Services CorpCertified Professional Coder ICommerce, CA$27–$33.75 / hourThe Certified Coder I is responsible for reviewing medical documentation and assigning accurate ICD-10-CM, CPT, HCPCS, and applicable modifier codes to support compliant billing, reimbursement, quality reporting, and regulatory requirements. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistLos Angeles, CA$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
NewPayment Processing Specialist Skilled Wound CarePayment Processing SpecialistLos Angeles, CA$21–$26 / hourThe processor handles a variety of payment methods including credit cards, debit cards, checks, and electronic payments, while maintaining the highest level of patient confidentiality. The Medical Billing Payment Processor is responsible for accurately collecting, processing, and reconciling patient payments prior to and at the time of service.
NewCertified Professional Coder I AltaMedCertified Professional Coder ICommerce, CA$27–$33.75 / hourThe Certified Coder I is responsible for reviewing medical documentation and assigning accurate ICD-10-CM, CPT, HCPCS, and applicable modifier codes to support compliant billing, reimbursement, quality reporting, and regulatory requirements. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.
Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment Hybrid UCLA Health SystemClinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment HybridLos Angeles, CA$95,400–$208,300 / yearAs the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders, and risk adjustment teams associated with the health plan. As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)CA$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
NewSenior Consultant - Clinical Documentation Specialist DeloitteSenior Consultant - Clinical Documentation SpecialistLos Angeles, CAFull timeOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Sr. Medical Claims Processor Ultimate Staffing ServicesSr. Medical Claims ProcessorPasadena, California$24–$29 / hourEnsure accuracy of claim details, including patient information, coding (ICD-10, CPT, HCPCS), and billing data prior to submission. Investigate and resolve denied, rejected, or pending claims by working with providers, payers, and internal departments.
Clinical Documentation Specialist City of HopeClinical Documentation SpecialistCACity of Hope's growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. As an essential member of the Coding and Data Quality team, the Clinical Documentation Specialist is responsible for improving the quality, accuracy, and completeness of clinical documentation to accurately reflect patient severity of illness and risk of mortality.
Charge Capture Specialist Career StrategiesCharge Capture SpecialistLos Angeles, CaliforniaWe encourage candidates who meet these qualifications to apply for this exciting opportunity to contribute to our dedicated team in the healthcare field. Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification (preferred).
Revenue Integrity Specialist II Cedars-Sinai Medical CenterRevenue Integrity Specialist IILos Angeles, CAThe Specialist: Performs accurate and timely coding charge posting (CPT, ICD-10, HCPCS, modifiers) Maintains familiarity with such issues as CMS coding regulations, Medicare rules, visits and procedures on the same day, consultation vs. The Revenue Integrity Spec II, of Compliance and Revenue Integrity, is responsible for fact-finding, organization, and presentation of information in a manner that facilitates patient account management, revenue recognition and process improvement efforts.
Medical Biller TMJ & Sleep Therapy CentreMedical BillerTHOUSAND OAKS, CAFull timeAs a Medical Biller, you will be working closely with patients connecting them with our offsite medical billing company, processing all forms needed for insurance billing purposes, and collecting necessary documentation from patients. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone and on EHR.
Revenue Cycle Specialist III (Emergency) Cedars-Sinai Medical CenterRevenue Cycle Specialist III (Emergency)Torrance, CAPrimary duties include: • Develops and maintains excellent working relationships with Cedars-Sinai Clinical Departments, external clients, and patients, performing duties that include identifying, analyzing, resolving, and responding to our client's inquiries, concerns, and issues, and following up on accounts to ensure resolution. Duties include but are not limited to, reviewing and submitting claims to payors, performing account follow-up activities, updating information on patient account, reviewing and processing credits, posting payments, and account reconciliations.
Revenue Cycle Specialist III (Gastroenterology) Cedars-Sinai Medical CenterRevenue Cycle Specialist III (Gastroenterology)Los Angeles, CAPrimary duties include: Develops and maintains excellent working relationships with Cedars-Sinai Clinical Departments, external clients, and patients, performing duties that include identifying, analyzing, resolving, and responding to our client's inquiries, concerns, and issues, and following up on accounts to ensure resolution. The Revenue Cycle Specialist III works under general supervision and following established practices, policies, and guidelines of Revenue Cycle Management supporting Hospital, Professional Fee billing and collections.
Medical Claims Examiner Ultimate Staffing ServicesMedical Claims ExaminerPasadena, California$26–$29 / hourWe are seeking an experienced Medical Claims Examiner to review, analyze, and adjudicate medical claims for accuracy, compliance, and medical necessity. Identify coding discrepancies, overpayments, and potential fraud or abuse.
Director, Field Reimbursement HistoSonics IncDirector, Field ReimbursementCARemote5+ years of field reimbursement management experience, including experience with hospital medical device capital equipment, Category III CPT codes, revenue cycle management, physician payment, Medicare and private payer payment models, hospital billing, and coding systems (including chargemaster, payer contracting, and revenue cycle management). In addition to its current liver tumor indication, HistoSonics is pursuing future indications across multiple applications including kidney, pancreas, prostate, neuro, women's health, and other significant underserved human health areas, to realize the broader potential histotripsy across multiple disease states and medical specialties.
Senior Medical Billing Specialist – Multi-Specialty (PM&R Focus) HEALTH ATLAST WEST LASenior Medical Billing Specialist – Multi-Specialty (PM&R Focus)Los Angeles, CA$20–$28 / hourFull timeWe are hiring a seasoned Medical Billing Specialist with direct, hands-on experience billing PM&R-based services in an outpatient, multi-provider environment. Health Atlast is a high-volume, integrated, multi-disciplinary healthcare organization in West Los Angeles.
Senior Medical Billing Specialist – Multi-Specialty (PM&R Focus) Health Atlast West LaSenior Medical Billing Specialist – Multi-Specialty (PM&R Focus)Los Angeles, California$20–$28 / hourCompensation: $22.00 - $30.00 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. Role Summary (Read Carefully) We are hiring a seasoned Medical Billing Specialist with direct, hands-on experience billing PM&R-based services in an outpatient, multi-provider environment.
Payment Selections Manager Cohere Health Technologies LLCPayment Selections ManagerCARemote$110,000–$122,000 / yearBacked by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes. By unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.
NewRevenue Cycle Specialist III (Emergency) Cedars-SinaiRevenue Cycle Specialist III (Emergency)Torrance, CAPrimary duties include:Develops and maintains excellent working relationships with Cedars-Sinai Clinical Departments, external clients, and patients, performing duties that include identifying, analyzing, resolving, and responding to our client's inquiries, concerns, and issues, and following up on accounts to ensure resolution. Duties include but are not limited to, reviewing and submitting claims to payors, performing account follow-up activities, updating information on patient account, reviewing and processing credits, posting payments, and account reconciliations.
NewAccount Representative - USC Care MSO CBO - Full Time 8 Hour Days (Non-Exempt)(Non-Union) University of Southern CaliforniaAccount Representative - USC Care MSO CBO - Full Time 8 Hour Days (Non-Exempt)(Non-Union)CA$26–$41.28 / 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. The organization encompasses 17 clinical departments, with approximately 1,500 physicians and 2,000 staff delivering care across more than 80 locations from Kern County to Orange County and into Las Vegas.
Revenue Cycle Specialist II (Physician Billing) Cedars-Sinai Medical CenterRevenue Cycle Specialist II (Physician Billing)Los Angeles, CAUnder general supervision and following established practices, policies, and guidelines, provides Commercial and Government billing and collections support to Insurance Follow up and Accounts Receivable, performing duties which may include reviewing and submitting multi-specialty claims to third party payors, performing account follow-up activities, updating patient registration on accounts, etc. Cedars-Sinai was awarded the National Research Corporation's Consumer Choice Award 19 times for providing the highest-quality medical care in Los Angeles.
Medical Records Coordinator Wu PediatricsMedical Records CoordinatorTemple City, CARemoteFull timeWu Pediatrics is a trusted pediatric practice serving the Temple City, CA community with a commitment to providing compassionate, high-quality healthcare for children of all ages. In this essential role, you'll be the backbone of our patient information management, ensuring accurate and timely records that support the exceptional care our young patients deserve.
NewRevenue Integrity Program Manager (Remote) Stanford Health CareRevenue Integrity Program Manager (Remote)CARemote$66.52–$88.14 / hourThrough a combination of data analytics, and process improvement techniques, this role will support the accurate capture of charges, identify meaningful opportunities to improve, and work closely with physician leadership and partnering with Compliance to provide education and training. Performance Review: Provides ongoing reporting of revenue performance to a variety of audiences including Chairs, Faculty, DFA's, Division and Clinic Chiefs, Executive Director, Mid-Revenue Cycle, the Director of Revenue Integrity and others as appropriate.
Charge Capture Specialist Exempt Hollywood Presbyterian Medical CenterCharge Capture Specialist ExemptLos Angeles, CAReviews, analyzes and coordinates charge capture activities, including, but not limited to charge reconciliation, charge posting, evaluation/resolution of billing edits, department outreach and AD HOC reporting. Utilize coding systems (CPT, ICD-10, HCPCS, NRVs/Revenue Codes) to assign appropriate codes for services rendered.
Charge Description Master Specialist - Full time, Day, Remote Providence St. Joseph HealthCharge Description Master Specialist - Full time, Day, RemoteLos Angeles, CAAs a member of the PSJH System Revenue Integrity Chargemaster (RICDM) team, the CDM Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. The CDM Specialist responds to Hospital ministry inquiries regarding Chargemaster issues and is responsible for the training of Hospital ministry staff regarding the CDM Maintenance process, coding updates and charge capture improvement.
Charge Description Master Specialist - Full time, Day, Remote Providence Health & ServicesCharge Description Master Specialist - Full time, Day, RemoteCalifornia, CARequsition ID: 429456 Company: Providence Jobs Job Category: Patient Financial Services Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4001 SS RC CHARGE DECR MSTR Address: WA Renton 1801 Lind Ave SW Work Location: Providence Valley Office Park-Renton Workplace Type: Remote Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. As a member of the PSJH System Revenue Integrity Chargemaster (RICDM) team, the CDM Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided.
Medical Assistant - Women''s Center TriHealth IncMedical Assistant - Women''s CenterCAProvides accurate/complete documentation of clinical calls and patient rooming info as well as order entry, pending prescriptions, noting current pharmacy, and enter edit workflows to result orders. Job Overview: This position provides both direct patient care in a primary care office and works with care delivery providers to identify gaps in care, contacts patients to schedule required care, and provides referral follow up.
Senior Robotics C++ Engineer — Controls Platform Horizon Surgical SystemsSenior Robotics C++ Engineer — Controls PlatformLos Angeles, CaliforniaIn your role as a Robotics C++ Software Engineer at Horizon Surgical Systems, you will contribute to the architecture and design of a cutting-edge surgical robotics system, implementing and verifying mission-critical software modules. Microsurgery in general and Ophthalmology are subfields of surgery for which the surgical outcomes can be significantly improved by robotic systems to allow superior dexterity, precision, accuracy, and visualization beyond the human surgeon’s own capabilities.
CHIEF, REVENUE MANAGEMENT, HEALTH SERVICES/CORRECTIONAL HEALTH Los Angeles CountyCHIEF, REVENUE MANAGEMENT, HEALTH SERVICES/CORRECTIONAL HEALTHLos Angeles, CA$141,907.20–$220,694.40 / yearVeteran's Credit: Pursuant to the County Charter and County policy, in all open competitive examinations (i.e., examinations open to everyone), the County of Los Angeles will add a credit of 10 percent of the total credits specified for such examination to the final passing score of an honorably discharged veteran, as well as the spouse of a deceased or disabled veteran, who served in the Armed Forces of the United States under specific conditions. Option 1: Three years of experience in directing one or more of the following complex health care fiscal operations: budgetary projections or reporting; revenue programs; patient, general, or cost accounting; cost reporting; revenue enhancement strategy development; revenue cycle operations; or other major finance-related areas.
NewRevenue Integrity Specialist II Cedars-SinaiRevenue Integrity Specialist IILos Angeles, CAThis role serves as the single point of contact for all charging work queue issues and charge tickets, performs recurring data compilations from varied sources to inform the management team of work queue trends and late charge analysis, and may coordinate or monitor special projects related to identified late charge and revenue gaps. Cedars‑Sinai has earned recognition for excellence, including 19 National Research Corporation Consumer Choice Awards, an Advisory Board Company Workplace of the Year award, and ranking among U.S. News & World Report's Best Hospitals.
Manager, Revenue Assurance - Revenue Integrity Kaiser PermanenteManager, Revenue Assurance - Revenue IntegrityPasadena, CAOversees routine review and maintenance of system codes by: monitoring the regular review (e.g., quarterly, annually) of coding records to ensure codes are updated, compliant, and accurately reflect policy and regulatory changes; providing guidance on conducting pre- and post- implementation assessments of automated and manual charge capture for quality and accuracy; reviewing analyses of complex and/or region-wide billing issues related to charges/codes and guiding the resolution of charge capture issues; and contributing to the maintenance of all Current Procedural Terminology (CPT)/ Healthcare Common Procedure Coding System (HCPCS) codes, descriptions, revenue codes, Relative Value Units (RVU) information, and generic codes to assist in the understanding of fee schedule implications. Manages monitoring activities and process improvements by: overseeing the performance of tasks that support monitoring activities of the region(s) documentation, charge capture, coding, billing, and/or compliance activities; providing guidance on analyzing findings from monitoring activities to identify deficiencies and/or compliance issues in billing codes and processes and partnering with other departments to resolve deficiencies and/or compliance issues; driving the development of reports of monitoring activity results to share with department leaders and/or other departments; and ensuring the implementation of corrective action plans resulting from monitoring activities.
NewBilling Support Operations Manager (Remote) RulaBilling Support Operations Manager (Remote)Los Angeles, CaliforniaRemoteExpertise in independently mapping processes, defining performance metrics (i.e. CSAT, Average Handle Time, First Touch Resolution, Quality Assurance, Call Abandon Rates, etc.), and building scalable workflows that improve operational efficiency and quality. Proficiency building or using dashboards, independently analyzing metric movement (i.e. Google Sheets/Excel, Looker, PowerBI, Tableau), to identify root causes, and communicating the performance story and recommended actions to senior stakeholders.
Quality Analyst - Outpatient, Healthcare ExlService Holdings IncQuality Analyst - Outpatient, HealthcareCARemote$85,000–$92,000 / yearEXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others.
Business Office Manager La Peer Surgery CenterBusiness Office ManagerBeverly Hills, CAFull timeGENERAL SUMMARY OF DUTIES: The Business Office Manager (BOM) assists the Facility Director and Clinical Manager in running the Center in an efficient, cost-effective and patient-centered manner. Be able to communicate effectively with upper management, center staff, physicians and their staffs, patients, their families, marketing, insurance and sales representatives.
Director, Patient Financial Services Hollywood Presbyterian Medical CenterDirector, Patient Financial ServicesLos Angeles, CADemonstrates the ability to delegate wisely and effectively by understanding the abilities of individuals, specifying outcomes and time frames and providing an appropriate level of independence. Identifies individual capabilities (strength and weakness), provides positive reinforcement and assignments to improve current skills and develop new ones.