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Jobs

Risk Adjustment Coding Specialist II Astrana Health, Inc.

Risk Adjustment Coding Specialist II
CA, California
  • $70,000–$85,000 / year

Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines. Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements.

23 days ago

HIM Coding Manager Auditing And Education - HIM Financial - Full Time 8 Hour Days (Exempt) (Non-Union) University of Southern California

HIM Coding Manager Auditing And Education - HIM Financial - Full Time 8 Hour Days (Exempt) (Non-Union)
Los Angeles, CA
  • $110,240–$181,896 / year

Ensure effective use of coding and electronic health record systems including: Cerner/PowerChart and Coding mPage Solventum/3M 360 Encompass (CAC/CRS) Solventum/3M HDM, HRM, and ARMS Soarian Financials and CHC Assurance PFS systems • Promote effective use of system tools to support coding accuracy, audit activities, and denial prevention. The Manager serves as a subject matter expert in coding regulations and provides leadership in the development and implementation of coding education, audit programs, facilitating educational webinars and seminars, planning and delivering effective presentations, and process improvement initiatives.

30+ days ago

HIM Coding Manager Auditing and Education - HIM Financial - Full Time 8 Hour Days (Exempt) (Non-Union) University of Southern California

HIM Coding Manager Auditing and Education - HIM Financial - Full Time 8 Hour Days (Exempt) (Non-Union)
Los Angeles, California
  • $110,240–$181,896 / year

The Manager serves as a subject matter expert in coding regulations and provides leadership in the development and implementation of coding education, audit programs, facilitating educational webinars and seminars, planning and delivering effective presentations, and process improvement initiatives. The Manager supervises coding auditors, educators, denials management specialists, and Coder Editor Team, and is responsible for planning, organizing, and directing coding audit activities, coding education initiatives, and pre-bill coding-related-edits from billing systems.

30+ days ago

Medical Director - Interventional Psychiatry Mindpath Health

Medical Director - Interventional Psychiatry
Redondo, California

Partnering closely with clinical and operational leadership, the Medical Director ensures the delivery of high-quality, evidence-based care, supports improved patient outcomes and access, expands referral networks, optimizes program performance and chair utilization, and drives growth initiatives across the organization. The Medical Director of Interventional Psychiatry (IP) is responsible for advancing Mindpath Health's Transcranial Magnetic Stimulation (TMS) and Esketamine (Spravato) programs through clinical leadership, operational partnership, clinician engagement, and strategic program development.

30+ days ago

Medical Receptionist Revel Staffing

Medical Receptionist
Inglewood, California

A busy healthcare clinic is seeking a professional and detail-oriented Medical Receptionist to support front desk operations, patient registration, insurance verification, payment collection, and overall patient flow. This role is ideal for someone with strong customer service skills, basic computer proficiency, and the ability to work in a fast-paced medical office environment.

30+ days ago

Litigation Case Manager L.A. Injury Attorneys

Litigation Case Manager
Burbank, CA
  • Full time

The core responsibilities of this position include coordinating medical treatment for clients involved in litigation, maintaining comprehensive and accurate medical record databases for each client, and collaborating with the litigation department to regularly update opposing counsel with new information. The role is essential in preparing case files for negotiation, mediation, or trial, ensuring the handling attorney has all necessary documentation.

30+ days ago

Claim Operations Specialist Travelers

Claim Operations Specialist
Diamond Bar, California

CLAIM OPERATIONAL SERVICE AND PARTNERSHIPS: Partners with claim professionals in multiple departments to assist with the timely resolution of claims, which may include: Properly documents claim files, including notes and diaries, Requests reports and records, and reviews medical bills, mail and wage statements. Designed as an entry point into the claims organization, this role gives individuals direct exposure to how claims are managed across multiple lines of business, including Auto, Property, General Liability, Construction, and Workers' Compensation.

29 days ago

Engineering Change Specialist SitOnIt

Engineering Change Specialist
Cypress, CA
  • $65,040–$97,561 / year

Position Summary: The Engineering Change Specialist owns and administers the end-to-end Engineering Change Management (ECM) process, ensuring that product changes are accurately defined, reviewed, approved, implemented, and closed across Engineering, Operations, Supply Chain, Quality, and Manufacturing. This role serves as the central authority for product configuration and change governance, maintaining data integrity across the PDM, ERP and other systems while minimizing production disruption, financial risk, and downstream rework.

30+ days ago

Specialist (Hospital) - Revenue Cycle Operations - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern California

Specialist (Hospital) - Revenue Cycle Operations - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Alhambra, CA
  • $25–$39.69 / hour

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. Quality of Work Is attentive to detail and accuracy, is committed to excellence, looks for improvements continuously, monitors quality levels, finds root cause of quality problems, owns/acts on quality problems.

30+ days ago

Senior Claims & Participant Services Specialist Ultimate Staffing Services

Senior Claims & Participant Services Specialist
Burbank, California
  • $55,000–$65,000 / hour

This highly visible role serves as a key point of contact for health plan participants, providers, hospitals, and physicians while also supporting process improvement initiatives across claims operations. This position offers the opportunity to make a meaningful impact by improving participant experiences, resolving complex claims issues, and contributing to operational excellence.

25 days ago

Medical Claims Examiner Ultimate Staffing Services

Medical Claims Examiner
Pasadena, California
  • $26–$29 / hour

We 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.

30+ days ago
New

Provider Educator Foreign Medical Graduate Herself Health (US)

Provider Educator Foreign Medical Graduate
CA
Remote

About the Provider Educator Role: The Provider Educator provides analysis, reporting, education, training, and ongoing support to treating clinicians and care teams to promote accurate and complete documentation of patient conditions. Develop and update presentations, quick-reference sheets, case studies, and other educational resources, ensuring content is clinically accurate, current, appropriately sourced, and aligned with applicable guidance.

2 days ago

Clinical Informatics Specialist IV UCLA Health

Clinical Informatics Specialist IV
Los Angeles, CA
  • $109,900–$243,900 / year

You will design, develop, and optimize modern analytics capabilities that leverage enterprise data platforms, automation frameworks, large language models (LLMs), retrieval-augmented generation (RAG), and enterprise technologies such as Salesforce to create meaningful operational efficiencies and actionable insights. This is an exciting opportunity for a technically skilled and strategically minded professional who enjoys solving complex problems, driving innovation, and delivering high-impact solutions that enhance healthcare delivery and business operations.

8 days ago

Administrative Legal Assistant DK Law's Open Roles

Administrative Legal Assistant
Costa Mesa, California

The ideal candidate will assist with settlement negotiations, maintain organized and complete case files, track important deadlines, obtain necessary documentation, and provide clients with timely updates throughout the process. This role is ideal for a proactive, detail-oriented legal professional who understands the pre-litigation process and is comfortable communicating regularly with clients, insurance adjusters, opposing counsel, medical providers, and other parties involved in a claim.

7 days ago

Sr Medicare Medicaid Biller Collector Prime Healthcare Management Inc

Sr Medicare Medicaid Biller Collector
Inglewood, California
  • $25.70–$38 / hour
  • Full time

This includes maintaining the deficiency lists used to obtain missing documents from internal or external entities, resolving claim rejections, packaging claims, including global billing with attachments of professional fee claims, performing proactive follow up with payers and other entities and securing payment of accounts. Responsibilities: The Senior Medicare-Medicaid Biller/Collector is responsible for both billing and collections, gathering and securing all information needed for billing, follow up, and payment of accounts in accordance with the specific payer guidelines, policies, procedures, and compliance regulations for Medicare-Medicaid.

30+ days ago

Director, Patient Financial Services (Pfs) - Healthcare CBO Guidehouse

Director, Patient Financial Services (Pfs) - Healthcare CBO
El Segundo, CA
  • $130,000–$216,000 / year

What You Will Do: The Patient Financial Services Director (Hospital Revenue Cycle) is responsible for the overall management of the Hospital Client PFS department operations, including patient accounting, credit and collections, denial management, and other related key revenue cycle activities. The Director will define and achieve departmental objectives, manage billing and follow-up of patient accounts, compliance with third party payer regulations, and work with company resources to assure ongoing improvements to key revenue cycle indicators.

30+ days ago

Director, Patient Financial Services (PFS) - Healthcare CBO Guidehouse

Director, Patient Financial Services (PFS) - Healthcare CBO
El Segundo, California
  • $130,000–$216,000 / year

The Patient Financial Services Director (Hospital Revenue Cycle) is responsible for the overall management of the Hospital Client PFS department operations, including patient accounting, credit and collections, denial management, and other related key revenue cycle activities. The Director will define and achieve departmental objectives, manage billing and follow-up of patient accounts, compliance with third party payer regulations, and work with company resources to assure ongoing improvements to key revenue cycle indicators.

30+ days ago

Negotiator WPP Media

Negotiator
Los Angeles, California
  • $45,000–$90,000 / year

With exceptional talent, trusted data and intelligence, and world-class partnerships – all united by our pioneering agentic marketing platform, WPP Open – we help clients navigate change, capture opportunity, and deliver transformational growth. . Working under moderate direction and supervision, the Negotiator, Audio Focus is an audio specialist who works collaboratively with planning groups and clients and is responsible for the negotiation, execution, and stewardship of all audio for assigned clients.

12 days ago
United Surgical Partners International logo

Medical Biller United Surgical Partners International

Medical Biller
Torrance, CA

Requirements 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.

30+ days ago

Construction Fund Control Specialist Genesis Capital

Construction Fund Control Specialist
Sherman Oaks, California
  • $31.25–$43.27 / hour

Genesis Capital (the “Company”) is one of the largest business purpose lenders in the country, focused on providing commercial real estate financing solutions to real estate developers who buy, renovate, and sell single-family and/or multi-family residential real estate. Maintain and keep track of all baseline inspections, re-inspections, and funding inspections to ensure they are done accurately, and once completed, forwarded to the appropriate department.

30+ days ago
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