Wound Care Nurse - RN - Per Diem/Prn (On Call Based) Project RestorixWound Care Nurse - RN - Per Diem/Prn (On Call Based)Los Angeles, CAWhat You'll Do: Provide patient care based on scientific principles/nursing theory and evidence-based practiceRecognize change in the patient's condition and intervene appropriatelyPrioritize nursing actions including reflecting patient needs, acuity, and desired outcomesImplement physician orders accurately within appropriate time framesEducate and counsel patients and their families on wound care processes and issues. Qualifications: Associate degree in nursing, Bachelor of Science in Nursing required for Magnet HospitalsValid Registered Nursing license requiredValid CPR certification from the American Heart Association requiredPrior experience working with wound care patients (Will train)Prior experience with billing and coding preferred.
Claims Edit Coder Cedars-Sinai Medical CenterClaims Edit CoderLos Angeles, CAWhat you will be doing in this role: The Claims Edit Coder (Coder II) operated under the general direction of an audit supervisor and involves responsibilities across various work units, as well as duties specific to the reporting team. Communicates with physicians, providers, and external departments regarding documentation clarity, specificity, ensure the completeness of documentation required for code assignment within area(s) of assignment or specialty.
Specialist (Hospital) - Revenue Cycle Operations - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaSpecialist (Hospital) - Revenue Cycle Operations - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Alhambra, 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. 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.
CCSB Eligibility Specialist I (50509) Western GrowersCCSB Eligibility Specialist I (50509)Irvine, CAUnder the direction of the Director, Operations, the Child Care Providers United (CCPU) Eligibility Specialist I is responsible for performing enrollment and billing functions necessary to maintain Child Care Providers United accounts on the CCPU Portal and Healthcare Common Procedure Coding System (HCPS) as assigned. Assist in reviewing and processing all manual and/or Electronic Data Interchange (EDI) enrollment transactions (adds, changes, terminations) in HCPS as received from CCPU, providers, or internal sources in accordance with Participation Agreements, Employer Policy Statements, Eligibility Guidelines and Summary Plan Descriptions.
Medi-Cal Billing Specialist Pyramid, IncMedi-Cal Billing SpecialistPomona, CA$21–$24 / hourFull timeBy applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Must have skills: 1-3 years of experience in hospital accounts receivable, medical billing, or healthcare collections .
NewHospital Inpatient Coder Cedars-Sinai Medical CenterHospital Inpatient CoderCAThe Facility Inpatient Coder identifies the principal diagnosis, comorbidities/complications, present on admission indicators, and determines sequencing of codes to calculate the most appropriate DRG representing the patient stay. Additionally, the incumbents maintain knowledge of appropriate capture of codes for statistical purposes such as Social Determinants of Health (SDOH), Hierarchical Conditions (HCC), and severity impacting conditions.
SIU Clinical Healthcare Fraud Investigator III (ATL) The Intersect GroupSIU Clinical Healthcare Fraud Investigator III (ATL)Los Angeles, CARemote$45–$55 / hourThe SIU Clinical Healthcare Fraud Investigator III leads complex, high impact investigations into fraud, waste, and abuse across multiple healthcare service lines. The Intersect Group partners with mission focused healthcare organizations dedicated to improving access, quality, and equity of care for large and diverse member populations.
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.
Senior Manager, Revenue Cycle Program Management Office (PMO) University of CaliforniaSenior Manager, Revenue Cycle Program Management Office (PMO)Los Angeles, CA$98,200–$214,600 / yearThis role partners with revenue cycle leaders, Information Technology, and other stakeholders to strengthen project execution, improve financial and operational performance, support sustainable process improvements, and advance initiatives across patient access, coding, revenue integrity, billing, and collections. In this role, you will: Manage a portfolio of revenue cycle projects, including feasibility and impact analysis, project planning, milestone tracking, risk management, prioritization, and delivery within established PMO frameworks.
Coder II - Surgical (Remote) Cedars-Sinai Medical CenterCoder II - Surgical (Remote)Los Angeles, CARemoteAccurately assigns all applicable modifiers for all patients to assure optimal reimbursement and the highest quality data possible Duties of this Coder II include: Performs accurate and timely coding (CPT, ICD-10, HCPCS, modifiers). Experience we are Seeking: Minimum of 3 years of surgical coding experience within a multi-specialty medical group or multi-specialty physician practice (i.e., Orthopedics, Cardiothoracic Surgery, Neurosurgery, General Surgery, Obstetrics/Gynecology, Gastroenterology).
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.
Senior Manager Revenue Cycle Program Management Office PMO UCLA Health SystemSenior Manager Revenue Cycle Program Management Office PMOLos Angeles, CA$98,200–$214,600 / yearThis role partners with revenue cycle leaders, Information Technology, and other stakeholders to strengthen project execution, improve financial and operational performance, support sustainable process improvements, and advance initiatives across patient access, coding, revenue integrity, billing, and collections. In this role, you will: Manage a portfolio of revenue cycle projects, including feasibility and impact analysis, project planning, milestone tracking, risk management, prioritization, and delivery within established PMO frameworks.
Dental Billing Manager Children's Dental FunZoneDental Billing ManagerWest Covina, CA$25–$40 / hourRequirements •* 3+ years of dental billing experience, including 1+ years in a supervisory or management capacity•* Experience in a multi-location or DSO/MSO dental environment•* Knowledge of Medicaid/Denti-cal, dental insurance processes, CDT codes, and claims/appeals workflows•* Experience with billing/reporting tools such as Excel or practice analytics dashboards•* Experience with dental practice management software Dentrix Ascend•* Excellent organizational and analytical skills, with the ability to manage billing operations •* Strong leadership and communication skills; experience training and developing a team•* High attention to detail and a commitment to accuracy and compliance. Children's Dental FunZone is a growing pediatric dental group with locations across Southern California, dedicated to providing a fun, welcoming, and clinically excellent dental experience for kids and families.
Client Account Manager - Physician Billing California Medical Business ServicesClient Account Manager - Physician BillingArcadia, CaliforniaThe Client Account Manager is expected to understand each assigned client’s business, financial performance, workflows, payer mix, and operational priorities in order to proactively identify risks, opportunities, and areas for improvement. This position is responsible for maintaining strong client relationships, monitoring revenue cycle performance, identifying and resolving operational issues, coordinating internal follow-up, and ensuring clients receive timely, accurate, and professional support.
Senior Specialty Physician Coder - Interventional Iconma LLCSenior Specialty Physician Coder - InterventionalFountain Valley, CAThis 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. This role will be responsible for reviewing and accurately coding office, hospital, and surgical/procedures for reimbursement and ensuring accurate and compliant medical coding for inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients.
Experienced Home Health Medical Biller - Santa Ana Office CbExperienced Home Health Medical Biller - Santa Ana OfficeSanta Ana, CaliforniaQualifications: Prior experience in medical billing (home health experience strongly preferred). Key Responsibilities (include but are not limited to): OASIS tracking and oversight until completion.
Surgery Scheduler The Los Angeles Cancer NetworkSurgery SchedulerGlendale, California$21–$28 / hourScheduler provides accurate information so that all departments may view daily and maintains open communication with hospital departments and physician offices regarding schedule changes. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.
Plan Coder (50456) Western Growers AssociationPlan Coder (50456)Irvine, CAThis position will ensure that all new and existing health (medical/dental/pharmacy) insurance plans underwritten by Western Growers Assurance Trust (WGAT) and those of Pinnacle Claims Management, Inc. (PCMI) are in compliance with the respective employers' summary plan descriptions. Do everything possible to help members succeed by being curious and striving to understand what others are trying to achieve, planning, and executing work helpfully and collaboratively.
Implementation Auditor (50487) Western Growers AssociationImplementation Auditor (50487)Irvine, CAUsing close and comprehensive analyses, verify new and existing plans loaded on the Company's claim management system against the appropriate Summary Plan Description to determine the accuracy of present and future claims payments. This position will ensure that all new and existing health (medical/dental) insurance plans underwritten by the Western Growers Assurance Trust (WGAT) and those of Pinnacle, Inc. (PCMI) are in compliance with the respective employers' summary plan descriptions.
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.