38 jobs found in California

Astrana Health is seeking a Risk Adjustment Coding Specialist to support Medicare Advantage, ACA, and Commercial coding initiatives. The role reports to the Sr. Manager - Risk Adjustment and requires frequent travel to provider sites. Strong collaboration with physicians and staff is essential to ensure CMS guidelines are followed. Responsibilities include reviewing records for HCC coding, conducting audits, training staff, and providing process improvements. #J-18808-Ljbffr

Prime Healthcare, an award-winning health system based in Ontario, California, seeks a Senior Managed Care Biller/Collector to handle billing and collections across multiple payer types. You will gather information, follow payer guidelines, and attach documentation to professional fee claims to secure timely payments. You will use your knowledge of Medicaid/Medicare billing rules, contract interpretation, and hospital billing requirements to minimize denials and ensure accurate account closure. #J-18808-Ljbffr

Health Advocates, LLC is seeking a Medical Biller I for the main office in Chatsworth, CA. The role involves achieving billing standards, timely resolution of accounts receivable, and billing various claim types, requiring at least 2 years of billing experience and knowledge of several billing processes. The job offers a pay rate between $21.00 – $27.25 per hour, health care benefits, and a full-time schedule. Ideal candidates should be able to work independently and possess solid medical billing knowledge. #J-18808-Ljbffr

Employment Development Department (EDD) in California seeks a Lead Technical Coder to supervise a small team and oversee NAICS coding and ARS activities in the QCEW program. The position, based in Sacramento, offers a hybrid telework option and a standard 8:00 a.m.–5:00 p.m. schedule with Monday–Friday workweek. The role includes training staff on federal rules and maintaining coding procedures for journey-level coders. #J-18808-Ljbffr

Health Advocates Health Advocates is seeking a Medical Biller I for our main office in Chatsworth, CA. Job Summary The Biller is responsible for achieving billing standards as defined by the established billing timeliness policy. The Biller is also responsible for the timely resolution of outstanding accounts receivable due from all available sources of reimbursement according to established policies and procedures. Job duties include bed billing according to established policies and procedures within time frames; responsible for billing Hospital, Physician, Outpatient, Medi‑Cal, Managed Care, HMO/PPO and out‑of‑state Medicaid claims; follow up on Outpatient Medi‑Cal, Managed Care, HMO/PPO and out‑of‑state Medicaid claims; verify insurance payment accuracy and assign payment posting code; and perform miscellaneous related duties, as required. Qualifications High School diploma or GED equivalent required; medical billing and coding or related certificate helpful. Minimum of 2...

State of California, Patton State Hospital, Nutrition Services seeks a Food Service Supervisor I to supervise staff, direct meal service, and maintain hygiene and safety in food service areas. The role reports within the hospital’s Nutrition Services under supervision of the Food Service Supervisor II. Responsibilities include staff instruction, workflow management, and adherence to therapeutic diet protocols, with opportunities to lead in-service training and data reporting. #J-18808-Ljbffr

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do. Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity. At SCAN, we believe...

Job Title: Associate Director, Medical Affairs Essential Duties and Job Functions: Serve as a content manager and product expert; key contributor and knowledge expert for HIV treatment and prevention Independently manage projects analyzing novel/emerging data to incorporate into medical content trainings Work with the Global MA HIV treatment and prevention team to review/update HIV treatment slide decks and local/global response documents Create US-focused medical training documents to support field Medical Scientists Collaborate with Medical Scientists, Medical Information, Clinical Research, and Clinical Pharmacology to support medical inquiry responses and conference slide development Provide medical and scientific input on the US Promotional Review Committee as needed Attend medical conferences to gather relevant information and support conference deck/training activities Collaborate with Senior Director to develop US Plan of Action and ensure alignment of team activities...

San Bernardino County through the Auditor-Controller/Treasurer/Tax Collector (ATC) invites applications for the Supervising Accountant/Auditors role. The position performs advanced cost accounting and conducts complex integrated audits across departments, recommending priorities and schedules. The ideal candidate has a bachelor's in accounting/finance, at least two years of professional-level accounting including supervisory exposure, and an active CPA license or substantial governmental #J-18808-Ljbffr

Wipro Limited is seeking a detail-oriented specialist to review medical records for Medicare appeals, focusing on NCD/LCD denials, duplicates, and MUE denials. The role involves comparing findings to CMS guidelines and determining if conditions of coverage exist. If not met, provide uphold justifications and maintain thorough documentation. Domestic, 1 FTE, 300 cases per week with FACETS as primary workload and COSMOS as secondary. #J-18808-Ljbffr

Our client is a leading healthcare provider in the San Fernando Valley, dedicated to excellence, compassion, and improving community health. We’re seeking a FacilityBiller who is detail-oriented, organized, and passionate about ensuring accurate billing and account management. Position Overview The Facility Biller is responsible for managing assigned accounts from a billing perspective, maintaining accuracy, compliance, and excellent customer service. This role supports the hospital’s revenue cycle by ensuring timely billing, account resolution, and professional communication with patients, payers, and internal departments. Key Responsibilities Manage and monitor assigned hospital accounts, including high-dollar claims (over $10K). Ensure payments and adjustments are accurately posted and reconciled. Research and resolve billing disputes or questions promptly. Maintain accurate documentation and update procedure manuals as required. Utilize UB-04, CPT, and ICD-10 coding...

Certified Medical Coding Auditor (CPC or CCS-P) Join to apply for the Certified Medical Coding Auditor (CPC or CCS-P) role at Accelerated Urgent Care Certified Medical Coding Auditor (CPC or CCS-P) 2 weeks ago Be among the first 25 applicants Join to apply for the Certified Medical Coding Auditor (CPC or CCS-P) role at Accelerated Urgent Care About Us Simply put, our purpose at Accelerated Urgent Care is to get you quality care when you need it. We aim to foster a supportive environment where our team members can develop their careers. To promote this goal, we’ve built a diverse and driven team of employees who are all eager to learn from one another and reach Accelerated Urgent Care’s mission of delivering exceptional healthcare to the patients and communities that we are privileged to serve. We are ... a fast-growing company that doubles in size year after year since 2012! Recognized as Kern County’s Top Urgent Care center 6 years in a row! Dedicated to our employees’ career...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The 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. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

RELI Group in Windsor Mill, MD is seeking an experienced Medical Coder to support Risk Adjustment and Medicare Part C audits. You will code inpatient, outpatient, and physician office records according to ICD-9-CM/ICD-10-CM guidelines, while maintaining high accuracy and productivity. The role requires a minimum of 1 year of coding experience, active credentials (CPC/CCS/RHIA/RHIT), and proficiency with Microsoft Office. CRC certification is a plus. #J-18808-Ljbffr

WE ARE SEEKING CANDIDATES WITH 2 YEARS OF INPATIENT AND OUTPATIENT CASES IN AN ACUTE CARE SETTING Position Summary Responsible for the review and evaluation of the medical record in order to assign accurate diagnosis and procedural codes ensuring optimal reimbursement while remaining compliant with all regulatory agencies. Also, responsible for abstracting specific data elements for internal operations and reporting to regulatory agencies. Meets or exceeds qualityand quantity requirements at all times. May perform other duties as assigned. Required Qualifications High school diploma or equivalent.CCS, RHIT or RHIA credential. At least two (2) years of coding inpatient and/or outpatient cases in an acute care setting. Preferred Qualifications Associate or Bachelor's Degree in Health Information Management.Five (5) years of coding inpatient and outpatient cases in an acute care setting. Salary range: $39.89 - $56.13 Salary will be commensurate with experience. As part of our ongoing...

County of Orange seeks a Medical Billing Coder (Staff Specialist) to review records for principal and secondary diagnoses and procedures under CPT/ICD-10 guidelines. You'll validate billings to ensure accuracy for Medicare, Medi-Cal, and third parties, and train clinical staff on coding issues. Under minimal supervision, you may supervise staff and focus on adapting to changing billing regulations in a public sector environment. Clinical collaboration is essential. #J-18808-Ljbffr

iRhythm Technologies, Inc. is seeking a Production Supervisor to oversee day-to-day manufacturing operations in Orange County. You will ensure safe, on-time production that meets quality standards and regulatory requirements while guiding a collaborative team. The role emphasizes coaching, GMP training, and strong cross-functional collaboration with Manufacturing Engineering, Quality, and Supply Chain to deliver high-quality medical devices that improve patients’ lives. #J-18808-Ljbffr

Wipro Limited (NYSE: WIT, BSE: 507685, NSE: WIPRO) is a leading technology services and consulting company focused on building innovative solutions that address clients’ most complex digital transformation needs. Leveraging our holistic portfolio of capabilities in consulting, design, engineering, and operations, we help clients realize their boldest ambitions and build future-ready, sustainable businesses. With over 230,000 employees and business partners across 65 countries, we deliver on the promise of helping our customers, colleagues, and communities thrive in an ever-changing world. For additional information, visit us at www.wipro.com. Job Description Function Asks: We are seeking dedicated and detail-oriented specialists who possess a coding certificate and have a strong understanding of records review. They will be responsible for handling appeals for Medicare members, specifically working on NCD/LCD denials, Duplicate denials, and MUE denials. The role involves...

Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation’s leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team! Responsibilities The Inpatient Coder Auditor reviews and analyzes documentation present in the medical record for Inpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the Coders or Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software. The Inpatient Coder Auditor finalizes the coding and abstracting of the medical record upon ensuring the assignment of International...

Sonova Group in the United States is seeking a Production Supervisor to oversee production assemblers and test technician personnel within the manufacturing operation. This onsite role executes material and production plans, supports schedules, ensures quality and compliance, and leads teams to achieve safety, productivity, WIP, yield, and service goals. You will manage daily personnel schedules, escalate issues, drive continuous improvement with Kaizen, A3, and 5 Whys, and partner with #J-18808-Ljbffr