11 jobs found in Fremont

Senior Risk Adjustment Coder The Senior Risk Adjustment Coder will perform code audits and abstraction in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to Medicare Advantage Risk Adjustment. What you will do: Risk Adjustment Review May perform prospective and concurrent Clinical Documentation Improvement (CDI) workflows as well as retrospective auditing Reviewing medical records to ensure accurate HCC coding and identify opportunities for recapture and suspect diagnoses. Evaluating medical records to verify that M.E.A.T criteria support the submitted diagnosis codes. Inquire with clinicians the recommended HCC diagnosis for chart addendum. Collaborating with other departments to address coding updates and support risk...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Provides guidance and leadership to coding and billing management in the implementation and administration of effective systems, processes, and procedures. Performs annual performance reviews and quality assurance reviews to assess comprehension of training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting...

Ardelyx in Fremont, California is seeking an Associate Director of Medical Communications to support strategic medical communication initiatives. This role involves translating complex scientific data into compelling communications and supporting key medical congress activities. The ideal candidate will have a relevant advanced degree and 6-8 years of Medical Affairs experience, with a focus on scientific communication and project management skills. A comprehensive benefits package includes a competitive salary, health plans, equity incentives, and generous parental leave. #J-18808-Ljbffr

Ardelyx is seeking an Associate Director, Publications to lead publication plans, congress activities, and field medical materials. You will collaborate with authors, medical affairs, and agencies to deliver high-quality abstracts, posters, and manuscripts while ensuring timely, compliant outputs. The role requires a PhD/MD/PharmD with 5+ years in scientific publications, strong knowledge of ICMJE/GPP, and proven project leadership. #J-18808-Ljbffr

Ardelyx is a commercial-stage biopharmaceutical company focused on redefining treatment approaches for patients with significant unmet medical needs. By combining scientific innovation with a collaborative, purpose-driven culture, we strive to create meaningful impact for patients. Team Ardelyx is united by a shared mission and guided by our core values: Passionate, Fearless, Dedicated, and Inclusive. We foster an inclusive environment where employees are respected, supported, and empowered to make an impact - both within our company and in the lives of patients we serve. Position Summary The Associate Director, Medical Communications is responsible for supporting the development and execution of strategic, integrated medical communication initiatives across marketed products and pipeline indications. This role plays a key part in translating complex scientific data into clear, compelling, and audience-appropriate communications that support Medical Affairs objectives and...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position will pay between $29 .75 and $ 3 2 . 7 0 / hr based on experience Specialized Coders Wanted -$3,000 Sign On Bonus Awaits We are seeking candidates with experience in Cardiology, Vascular or Thoracic Surgery specialties. The Specialized Coder is a certified coder with expert knowledge in physician coding for Cardiology, Cardiovascular Thoracic Surgery or Vascular Surgery . This position is responsible for reviewing physician charges to accurately code encounters, correct coding edits, and assist with research for denied claims. The Specialized Coder's role also includes tracking, trending coding issues, mentoring/training other coders, and supporting provider education. Job Responsibilities: Code claims directly from the medical record/operative report according to coding...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $24.65 - $27.10/hr based on experience We are seeking candidates with experience in at least one of the following; Cardiology, Ortho, Podiatry, Radiology Oncology, OBGYN, Gynecology Oncology, Behavioral Health, RHC, Urology, Nephrology, Vascular, Neurosurgery and General Surgery. The Forensic Coder is a certified coder with expert knowledge in front and back end coding. This position is responsible for root cause analysis of trending front and/or back end identified coding opportunities; internal and external coding/documentation education; supporting and at times leading coding opportunity improvement projects. This position will also perform and/or assist with special coding projects as determined by leadership. Job Responsibilities: Complete root cause analysis of...

SAN FRANCISCO, CA Position: Vendor Compliance Auditor $800 / Paid weekly Job Summary This role is responsible for auditing the quality of incoming loads, ensuring compliance with established standards, and identifying any deviations. Supervisory Responsibilities None Essential Functions Observe the quality of loads on arrival Review loads for violations Identify and document root causes through tablet procedures Communicate violations by gathering up to 30 photographs using multiple angles if necessary Validate information prior to reporting violations #J-18808-Ljbffr

Coder Our office is in need of a well‑experienced coder who knows how to read, look and identify modifiers on diagnosis or ICD‑9 codes and CPT‑4 codes procedures used by providers and insurance companies. Both diagnosis and procedure codes are used on HCFA‑1500 Form to bill claims for health care providers. Duties and responsibilities Review and check claims (claim or superbill) for errors on diagnosis and procedure codes, identifying modifiers on ICD‑9 and CPT‑4 codes used by providers and insurers. Gather data, information and updates and inform health‑care providers of changes to diagnosis or procedure codes. Check codes to avoid down‑coding and maximize reimbursement. Speak on the phone with life‑insurance applicants to obtain health and applicant information. Data entry, monitor online orders, take orders from agents and schedule paramedical services. Schedule and make appointments for pre‑set paramedical examinations, confirm bar code, track case‑work sheets and review...

ONELIFE EXAM is seeking a well‑experienced coder who can read and identify modifiers on diagnosis or ICD‑9 codes and CPT‑4 procedures used by providers and insurers. You will review claims, gather updates, and inform health‑care providers of code changes. Role includes data entry, scheduling paramedical services, coordinating with phlebotomists, and ensuring accurate coding to maximize reimbursement. Full‑time, on‑site work in a health‑care environment. #J-18808-Ljbffr

Summary: The Creative Audio team is seeking a Creative Coder for the Tech & Prototypes department. This role collaborates closely with Engineering and Product Design to define sound functionality and deliver advanced audio systems. It involves developing advanced audio solutions, optimizing performance, refining tools, and solving complex technical challenges. As a key contributor and leader to Meta's day-to-day sound design, the Creative Coder provides creative and technical insights to drive immersive and agentic audio experiences, offering a long runway for creativity, innovation, and empowerment to push the boundaries of sound technology and make a meaningful impact. Required Skills: Creative Coder Responsibilities: Identity potential large scale opportunities within Meta and partner with design and engineering teams to deliver state of the art audio functionality, tooling and pipeline solutions Provide audio engineering leadership to cross-functional...