Medical Coder (FQHC) Healthcare ISMedical Coder (FQHC)CAWe are seeking an experienced medical coder to join the revenue cycle team at a federally qualified health center (FQHC). Responsibilities: Review clinical documentation from patient medical records and assign appropriate ICD-10, CPT, and HCPCS codes.
Medical Billing Supervisor - Data Entry & Payment Posting California Medical Business ServicesMedical Billing Supervisor - Data Entry & Payment PostingArcadia, CaliforniaOccasional weekend work may be required for special projects Pay Range: $28/hour-$30/hour In this vital role you will be responsible for overseeing the accurate and timely completion of data entry functions, including charge entry and payment posting for all assigned practices. This position supervises departmental staff, monitors daily workflow, ensures receipt and processing of charge and payment files, and supports clean-claim submission through effective front-end controls and issue resolution.
Medical Biller ObjectWin Technology IncMedical BillerCASpecific Skills Needed: Medical Billing, cash application and collection (collection is not calling demanding payment; it''s researching why a claim didn''t get paid and taking steps necessary to correct the info). Utilize a practice EHR system and clearing house to review and submit claims to multiple medical insurance carriers Review open/unpaid claim balances and take required action.
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.
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.
Medical Biller JOSEPH VARDAYO MD INCMedical BillerLONG BEACH, CAFull timeAs a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information.
HCC Coder Northeast Community ClinicsHCC CoderAlhambra, CAThe HCC Coder will collaborate with the Billing Manager and Medical Director in providing expertise in the use and application of current coding classifications including but not limited to ICD-10-CM, CPT, E&M and record documentation to ensure compliance in the collection of outpatient diagnoses and services. Attend weekly meetings and present HCC Risk Adjustment Coding Department feedback, including data analysis, summary details; provide work flows and worksheets as necessary.
NewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistCA$17–$28.46 / hourPerforms claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing. Analyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department.
Manager, Payment Integrity Enablement Inland Empire Health PlanManager, Payment Integrity EnablementRancho Cucamonga, California$104,041.60–$137,841.60 / yearFull timeReporting to the Director of Payment Integrity, the Manager, Payment Integrity Enablement provides strategic and operational leadership over enterprise-wide payment accuracy education, provider billing guidance, and compliance‑aligned intervention programs. Stakeholder Communication & Engagement Strategy : Serve as the operational driver for Payment Integrity Enablement interventions, ensuring programs scale effectively, are audit-ready, and deliver measurable reductions in inaccurate or wasteful spend.
Medical Coder - Remote YO AI LabsMedical Coder - RemoteLos Angeles, CARemoteWe are seeking experienced Medical Coders to contribute their healthcare coding expertise to an innovative project focused on improving next-generation AI systems. In this role, you will review and annotate medical records, evaluate coding accuracy, and provide expert feedback to support the development of high-quality medical datasets.
Collector Surgery PartnersCollectorEncino, CAThis role requires a strong understanding of medical terminology, coding systems, and billing processes to effectively communicate with patients and insurance companies. The ideal candidate will be responsible for managing the collection of outstanding medical accounts, ensuring compliance with regulations, and maintaining accurate records.
Sr. Specialty Physician Coder - Cardiology, CTS, Peds Cardiology & IR MemorialCare Health SystemSr. Specialty Physician Coder - Cardiology, CTS, Peds Cardiology & IRFountain Valley, CA$35.46–$51.46 / hourThis role will be responsible for reviewing and accurately coding office, hospital, and surgical procedures for reimbursement and ensuring accurate and compliant medical coding for both inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients. MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups - consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties.
Sr. Specialty Physician Coder - Cardiology, Cts, Peds Cardiology & IR MemorialCare Health SystemSr. Specialty Physician Coder - Cardiology, Cts, Peds Cardiology & IRFountain Valley, CA$35.46–$51.46 / hourThis role will be responsible for reviewing and accurately coding office, hospital, and surgical procedures for reimbursement and ensuring accurate and compliant medical coding for both inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients. MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups - consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties.
Advisor, Managed Care, Revenue Cycle Management System Administration Cardinal Health IncAdvisor, Managed Care, Revenue Cycle Management System AdministrationCA$80,900–$92,400 / yearManaged Care oversees the interactions that take place between payer and provider(s) to ensure optimal reimbursement including managed care contracting, enrollment, credentialing, and any other activity as it relates to payer interaction. Continuously evaluate revenue cycle system performance and business processes, utilizing analytics and stakeholder feedback to identify opportunities for workflow optimization, operational efficiencies, enhanced data integrity, and improved financial outcomes.
Medical Collections Specialist Marquee StaffingMedical Collections SpecialistNewport Beach, CAWe are seeking an experienced Medical Collections Specialist to process and follow up on physician claims from various payer types (HMO, PPO, Medi-Cal, Medicare, etc.) to ensure timely payment for services rendered. Duties: Review and analyze medical documentation and patient records for accurate and timely billing entry; assign or reassign appropriate medical codes (ICD-10, CPT, HCPC) for diagnoses, procedures, and services rendered.
NewSr. Denials & Appeals Specialist Baylor Miraca Genetics Laboratories LLCSr. Denials & Appeals SpecialistCAAny resumes submitted to Baylor Genetics in the absence of an Agreement executed by Baylor Genetics authorized signatory will be considered the property of Baylor Genetics, and Baylor Genetics will not be obligated to pay any associated recruitment fees. While we occasionally partner with select recruitment agencies for specialized roles, we do not accept unsolicited resumes from recruiters or agencies without a written agreement executed by the authorized signatory for Baylor Genetics ("Agreement").
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.
Insurance Verification Specialist - Biller DME - Remote J & B Medical Supply Co IncInsurance Verification Specialist - Biller DME - RemoteCARemote$17–$19 / hourSetting and completing all aspects of an account for incontinence, diabetes, Insulin pump, CGM, urological, ostomy, wound care, blood pressure monitors, and enteral supplies for J&B Medical members. Required Education and Experience: 2+ years of experience in a Medical Billing role requiring patient insurance verification and account setup.
DME Navigator - Rehab Services University of CaliforniaDME Navigator - Rehab ServicesLos Angeles, CA$31.88–$45.66 / hourWorking closely with patients, providers, therapists, and payors, the DME Navigator supports both new and returning orthotic and prosthetic patients by facilitating registration, scheduling, equipment coordination, and authorization processes. The DME Navigator serves as a key resource for patients requiring durable medical equipment (DME), prosthetic and orthotic services, and lymphedema supplies within Rehabilitation Services.
DME Navigator - Rehab Services UCLA Health SystemDME Navigator - Rehab ServicesLos Angeles, CA$31.88–$45.66 / hourWorking closely with patients, providers, therapists, and payors, the DME Navigator supports both new and returning orthotic and prosthetic patients by facilitating registration, scheduling, equipment coordination, and authorization processes. 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.