Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Elevance Health IncDiagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)Costa Mesa, CA$86,560–$155,808 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
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.
Dental and Ortho Insurance Biller Treatment Coordinator Downey Smile CenterDental and Ortho Insurance Biller Treatment CoordinatorDowney, CAFull timeThe Dental Office Biller manages patient accounts, processes insurance claims, and ensures efficient billing operations within a dental practice. This role requires a detail-oriented individual with a strong understanding of dental billing procedures and a commitment to providing exceptional patient care.
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.
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.
NewMedical Receptionist - Bilingual (English/Spanish) St. Jude Neighborhood Health CentersMedical Receptionist - Bilingual (English/Spanish)Orange, CA$23–$24.51 / hourOur health centers use a team-based model of care that includes family medicine, obstetrics, women's health, oral and vision care, preventative and educational health, mental health, patient advocacy, case management, and community health. Collects required copayments, payments (cash, check, credit card), issues receipts, stamps back of checks and records MRN, makes change, etc., per established procedures.
Diagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg) Elevance HealthDiagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg)Costa Mesa, CA$86,560–$155,808 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
Medical Office Supervisor Argus Medical Management, LLCMedical Office SupervisorNewport Beach, CA$22–$26 / hourFull timeNewport Children's Medical Group provides expert, compassionate pediatric care for children of all ages, from newborns to adolescents, at its locations in Newport Beach, Irvine, Costa Mesa, and Laguna Beach. Job Type: Full-Time, Direct HireHours: Mon-Fri, 8-hour shiftsPay: $22-26 per hourPosition Summary:To ensure all aspects of the medical office are managed effectively to comply with physician/company policies and procedure and state/federal regulations.
Audit and Appeals Recovery Specialist Medicaid/Medicare ICONMA, LLCAudit and Appeals Recovery Specialist Medicaid/MedicareCosta Mesa, CA$25.21–$28.22 / hourAs an essential role and focal point of all government audit activity, the Government Recovery Specialist is responsible for responding to correspondence from Government Agencies related to Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement Organizations (QIO) and other Medicaid, Medi-Cal regulatory auditing body for pre and post payment audits. Experience working on government, Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), and other Medicaid, Medi-Cal and other regulatory audits.
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.
Audit and Appeals Recovery Specialist – Medicaid/Medicare IconmaAudit and Appeals Recovery Specialist – Medicaid/MedicareCosta Mesa, CA$25.21–$28.22 / hourAs an essential role and focal point of all government audit activity, the Government Recovery Specialist is responsible for responding to correspondence from Government Agencies related to Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement Organizations (QIO) and other Medicaid, Medi-Cal regulatory auditing body for pre and post payment audits. Experience working on government, Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), and other Medicaid, Medi-Cal and other regulatory audits.
Medical Assistant II - Arcadia Multispecialty Clinic B2 - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaMedical Assistant II - Arcadia Multispecialty Clinic B2 - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Arcadia, CA$22–$34.18 / hourAs a Medical Assistant II, the incumbent will provide support to medical care providers in an outpatient/clinic setting such as, but not limited to, room patients, set up equipment and instruments, assist providers with performing, exams and procedures, cleans and stocks exam rooms, and provides proper documentation in electronic patient chart. In addition, the Medical Assistant II will provide administrative and front office support including greeting patients, performing patient check-in/out processes, collecting patient payments, performing insurance verification, scheduling procedures, patient follow-up appointments and/or ancillary testing, obtaining records/authorizations, and creating encounter(s) in patient registration system(s).
Medical Assistant II - Newport Beach Multispecialty Clinic - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaMedical Assistant II - Newport Beach Multispecialty Clinic - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Newport Beach, CA$22–$34.18 / hourAs a Medical Assistant II, the incumbent will provide support to medical care providers in an outpatient/clinic setting such as, but not limited to, room patients, set up equipment and instruments, assist providers with performing, exams and procedures, cleans and stocks exam rooms, and provides proper documentation in electronic patient chart. In addition, the Medical Assistant II will provide administrative and front office support including greeting patients, performing patient check-in/out processes, collecting patient payments, performing insurance verification, scheduling procedures, patient follow-up appointments and/or ancillary testing, obtaining records/authorizations, and creating encounter(s) in patient registration system(s).
Medical Assistant II - Glendale Gyn Onc - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaMedical Assistant II - Glendale Gyn Onc - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Glendale, CA$22–$34.18 / hourAs a Medical Assistant II, the incumbent will provide support to medical care providers in an outpatient/clinic setting such as, but not limited to, room patients, set up equipment and instruments, assist providers with performing, exams and procedures, cleans and stocks exam rooms, and provides proper documentation in electronic patient chart. In addition, the Medical Assistant II will provide administrative and front office support including greeting patients, performing patient check-in/out processes, collecting patient payments, performing insurance verification, scheduling procedures, patient follow-up appointments and/or ancillary testing, obtaining records/authorizations, and creating encounter(s) in patient registration system(s).
Medical Assistant II - Sleep Disorder Cl - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaMedical Assistant II - Sleep Disorder Cl - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Glendale, CA$22–$34.18 / hourAs a Medical Assistant II, the incumbent will provide support to medical care providers in an outpatient/clinic setting such as, but not limited to, room patients, set up equipment and instruments, assist providers with performing, exams and procedures, cleans and stocks exam rooms, and provides proper documentation in electronic patient chart. In addition, the Medical Assistant II will provide administrative and front office support including greeting patients, performing patient check-in/out processes, collecting patient payments, performing insurance verification, scheduling procedures, patient follow-up appointments and/or ancillary testing, obtaining records/authorizations, and creating encounter(s) in patient registration system(s).
Medical Assistant II - Pmob Orthopaedic Clinic - Full Time 8 Hour Days (Non-Exempt) (Non-Union)-Targeted Start Date May 12, 2025 University of Southern CaliforniaMedical Assistant II - Pmob Orthopaedic Clinic - Full Time 8 Hour Days (Non-Exempt) (Non-Union)-Targeted Start Date May 12, 2025Pasadena, CA$22–$34.18 / hourAs a Medical Assistant II, the incumbent will provide support to medical care providers in an outpatient/clinic setting such as, but not limited to, room patients, set up equipment and instruments, assist providers with performing, exams and procedures, cleans and stocks exam rooms, and provides proper documentation in electronic patient chart. In addition, the Medical Assistant II will provide administrative and front office support including greeting patients, performing patient check-in/out processes, collecting patient payments, performing insurance verification, scheduling procedures, patient follow-up appointments and/or ancillary testing, obtaining records/authorizations, and creating encounter(s) in patient registration system(s).
Medical Assistant II - PMOB Orthopaedic Clinic - Full Time 8 Hour Days (Non-Exempt) (Non-Union)-Targeted Start Date May 12, 2025 University of Southern CaliforniaMedical Assistant II - PMOB Orthopaedic Clinic - Full Time 8 Hour Days (Non-Exempt) (Non-Union)-Targeted Start Date May 12, 2025Los Angeles, California$22–$34.18 / hourAs a Medical Assistant II, the incumbent will provide support to medical care providers in an outpatient/clinic setting such as, but not limited to, room patients, set up equipment and instruments, assist providers with performing, exams and procedures, cleans and stocks exam rooms, and provides proper documentation in electronic patient chart. In addition, the Medical Assistant II will provide administrative and front office support including greeting patients, performing patient check-in/out processes, collecting patient payments, performing insurance verification, scheduling procedures, patient follow-up appointments and/or ancillary testing, obtaining records/authorizations, and creating encounter(s) in patient registration system(s).
Medical Assistant II - Manh Bch-BCO Ortho Cl - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaMedical Assistant II - Manh Bch-BCO Ortho Cl - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Los Angeles, CA$22–$34.18 / hourAs a Medical Assistant II, the incumbent will provide support to medical care providers in an outpatient/clinic setting such as, but not limited to, room patients, set up equipment and instruments, assist providers with performing, exams and procedures, cleans and stocks exam rooms, and provides proper documentation in electronic patient chart. In addition, the Medical Assistant II will provide administrative and front office support including greeting patients, performing patient check-in/out processes, collecting patient payments, performing insurance verification, scheduling procedures, patient follow-up appointments and/or ancillary testing, obtaining records/authorizations, and creating encounter(s) in patient registration system(s).
Medical Assistant II - Torrance-BCO Ortho Clinic - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaMedical Assistant II - Torrance-BCO Ortho Clinic - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Los Angeles, CA$22–$34.18 / hourAs a Medical Assistant II, the incumbent will provide support to medical care providers in an outpatient/clinic setting such as, but not limited to, room patients, set up equipment and instruments, assist providers with performing, exams and procedures, cleans and stocks exam rooms, and provides proper documentation in electronic patient chart. In addition, the Medical Assistant II will provide administrative and front office support including greeting patients, performing patient check-in/out processes, collecting patient payments, performing insurance verification, scheduling procedures, patient follow-up appointments and/or ancillary testing, obtaining records/authorizations, and creating encounter(s) in patient registration system(s).
Medical Assistant II - Ambulatory Float Pool - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaMedical Assistant II - Ambulatory Float Pool - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Los Angeles, CA$22.88–$35.55 / hourAs a Medical Assistant II, the incumbent will provide support to medical care providers in an outpatient/clinic setting such as, but not limited to, room patients, set up equipment and instruments, assist providers with performing, exams and procedures, cleans and stocks exam rooms, and provides proper documentation in electronic patient chart. In addition, the Medical Assistant II will provide administrative and front office support including greeting patients, performing patient check-in/out processes, collecting patient payments, performing insurance verification, scheduling procedures, patient follow-up appointments and/or ancillary testing, obtaining records/authorizations, and creating encounter(s) in patient registration system(s).