31 jobs found in Irvine

UC Irvine Health seeks a qualified Coder II to perform abstracting and coding of outpatient visits at UCI Medical Center. You will use ICD-9-CM and CPT with 3M encoder and SMS/Invision, and prepare production reports. Reporting to the Assistant Director of HIM for Operations, you will support PI projects and other duties to meet operational needs while maintaining coding accuracy and timeliness. #J-18808-Ljbffr

Job Description Job Description Established Medical Billing Company Seeking Experienced Professional We are a fast-paced, well-established medical billing company seeking an experienced Medical Biller / Data Entry Specialist to join our team. The ideal candidate already understands CPT and ICD-10 coding and is comfortable working independently in a high-volume production environment. We are looking for someone seeking long-term stability and growth within a professional billing team. Key Responsibilities Accurately enter CPT and ICD-10 procedure codes into billing software Manage high-volume data entry with precision and consistency Maintain compliance with medical coding guidelines and payer requirements Review and monitor coded entries for accuracy and completeness as part of routine workflow Collaborate with team members to identify discrepancies and improve overall billing accuracy Required Qualifications Minimum 2 years of recent medical billing and coding...

UCI Health in Orange, CA is seeking a Coder II to perform coding for all outpatient visits, including ED, ambulatory surgery and clinics. You will code with ICD-9-CM and CPT using the 3M encoder and SMS/Invision, and compile production reports as needed. The role requires AHIMA-certified coding training and at least two years of acute hospital coding experience, with strong English communication and knowledge of anatomy, physiology and medical terminology. #J-18808-Ljbffr

Job Description Summary Position reports to the Supervisor Benefit Distribution & Installation and performs in-depth pharmacy and medical plan coding of new and existing business accounts. This 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. Job Description Summary Position reports to the Supervisor Benefit Distribution & Installation and performs in-depth pharmacy and medical plan coding of new and existing business accounts. This 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. Duties And Responsibilities Plan...

Job Description Job Description Overview Avanath is proud to be named one of the top property management companies to provide affordable housing for the workforce.  Cultivating the American Dream is the purpose that binds the Avanath team. At Avanath, every day is an opportunity to make a difference in someone's life. Whether it is helping residents call one of our communities' home, providing excellence in customer service, or championing our workforce, we are committed to creating an unforgettable experience as a great place to live, work, and be.  The Role: We are seeking a meticulous, detail-oriented Compliance Auditor to join our Compliance Team. The Compliance Auditor, specializing in hard-file review, will play a crucial role in ensuring our files comply with all relevant laws, Affordable Care Act regulations, and internal policies. This role involves carefully examining resident files, documentation, and records to identify non-compliance issues and recommend...

UCI Health is seeking a Coder II to perform abstracting and coding for outpatient visits at UCI Medical Center, using ICD-9-CM and CPT with 3M encoder and SMS/Invision systems. The role includes producing regular production reports and supporting PI projects across the HIM department. The successful candidate will have an AHIMA-approved coding certificate, at least two years of acute hospital coding experience, and strong English communication skills, with CCS/CCS-P/CPC/CPC-H credentials #J-18808-Ljbffr

UCI Health seeks a Coding II professional to abstract and code outpatient visits, including ED, ambulatory surgery and clinic encounters, using ICD-9-CM and CPT. You will work with the 3M encoder and SMS/Invision, generate regular production reports, and participate in PI projects to support quality and efficiency. Ideal candidates hold a 12-month AHIMA coding certificate, possess CCS/CCS-P/CPC/CPC-H credentials, and have at least two years of hospital coding experience with strong English #J-18808-Ljbffr

UCI Health is seeking an Outpatient Coding Auditor who reports to the Outpatient Coding Manager. You will conduct rigorous departmental and interdepartmental coding audits to ensure compliance with Federal and State regulations and identify discrepancies in acute care outpatient services. You will review records, discuss findings with physicians and staff, provide feedback and education, help develop policies, and stay current with CPT, HCPCS, ICD-10-CM and outpatient regulations. #J-18808-Ljbffr

Medical Claims SpecialistWe are seeking a dedicated and detail-oriented Medical Claims Specialist to join our team. The ideal candidate will be responsible for managing the claim follow-up process to ensure accuracy, efficiency, and compliance with healthcare regulations. You will work closely with patients, insurance companies, and internal teams to resolve discrepancies and ensure timely payment of services.Key Responsibilities:Accurately review and respond to payment rejections and denials to ensure claims are processed correctly.Develop and submit customized appeals to insurance companies to avoid denials and ensure maximum reimbursement.Manage and fulfill requests for medical records from payers in a timely and accurate manner.Collaborate with patients or customers, third-party institutions, and other team members to identify and resolve billing inconsistencies and errorsAccurately post payments received from payers and patients to appropriate claims in the billing...

Embla Medical is seeking a Compliance Specialist to assist the Director of Compliance in managing the Americas compliance program across Embla Medical’s business units. This role includes auditing, reporting, training coordination and ensuring adherence to state and federal regulations related to medical devices and the company code of conduct. The position requires building a culture of ethical conduct, handling confidential information with discretion, and collaborating with business leaders #J-18808-Ljbffr

Coder II Who We Are UCI Health is one of California's largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a 1,461-bed health system that includes UCI Health - Orange, UCI Health - Irvine, four Community Network hospitals and a growing network of ambulatory care centers across Orange and Los Angeles counties. As Orange County's only academic health systems, UCI Health is home to the only National Cancer Institute-designated comprehensive cancer center based in the county, the region's only American College of Surgeons-verified Level I adult and Level II pediatric trauma center, American College of Emergency Physicians Gold Level 1 Geriatric Emergency Department and a nationally recognized regional burn center verified by the American Burn Association. Powered by UC Irvine, UCI Health serves 5.6 million people across Orange County, western Riverside County and southeast Los...

Job TitleCoder IIJob DescriptionUCI Health is one of California's largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a 1,461-bed health system that includes UCI Health - Orange, UCI Health - Irvine, four Community Network hospitals and a growing network of ambulatory care centers across Orange and Los Angeles counties. As Orange County's only academic health systems, UCI Health is home to the only National Cancer Institute-designated comprehensive cancer center based in the county, the region's only American College of Surgeons-verified Level I adult and Level II pediatric trauma center, American College of Emergency Physicians Gold Level 1 Geriatric Emergency Department and a nationally recognized regional burn center verified by the American Burn Association. Powered by UC Irvine, UCI Health serves 5.6 million people across Orange County, western Riverside County and southeast...

Medical Claims Specialist We are seeking a dedicated and detail-oriented Medical Claims Specialist to join our team. The ideal candidate will be responsible for managing the claim follow-up process to ensure accuracy, efficiency, and compliance with healthcare regulations. You will work closely with patients, insurance companies, and internal teams to resolve discrepancies and ensure timely payment of services. Key Responsibilities: Accurately review and respond to payment rejections and denials to ensure claims are processed correctly. Develop and submit customized appeals to insurance companies to avoid denials and ensure maximum reimbursement. Manage and fulfill requests for medical records from payers in a timely and accurate manner. Collaborate with patients or customers, third-party institutions, and other team members to identify and resolve billing inconsistencies and errors Accurately post payments received from payers and patients to appropriate claims in...

Who We Are UCI Health is one of California's largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a 1,461-bed health system that includes UCI Health - Orange, UCI Health - Irvine, four Community Network hospitals and a growing network of ambulatory care centers across Orange and Los Angeles counties. As Orange County's only academic health systems, UCI Health is home to the only National Cancer Institute-designated comprehensive cancer center based in the county, the region's only American College of Surgeons-verified Level I adult and Level II pediatric trauma center, American College of Emergency Physicians Gold Level 1 Geriatric Emergency Department and a nationally recognized regional burn center verified by the American Burn Association. Powered by UC Irvine, UCI Health serves 5.6 million people across Orange County, western Riverside County and southeast Los Angeles...

Your Role on the Team Position Summary: The Specialty ROCC Coder III performs abstracting and coding using ICD‑10 CM and CPT on all IR/Vascular or Radiation Oncology accounts at UCI Medical Center. Incumbent will be responsible for hospital and professional coding on certain encounters, using the 3M encoder and the Epic system for coding and data entry. The coder will communicate with physicians to obtain or clarify diagnoses and procedures via the query process. Additional duties include preparing daily, weekly and monthly production reports, participating in departmental PI projects, and performing related duties as assigned to meet operational needs. What It Takes to be Successful Required Qualifications Successful completion of a twelve‑month AHIMA approved coding certificate program Skill, knowledge and ability essential to the successful performance of the job duties Ability to effectively assign codes Demonstrated customer service skills appropriate to the job Minimum...

REQUIRED SKILLS* Type minimum of 50 words per minute * * Excellent letter writing skills* Proficiency in MS Excel * Detail-oriented, good follow-through* Proficiency in MS Word * Windows environment skills helpful* Knowledge of CPT and ICD10 coding * Medical terminology helpful* Detail and critical thinking skills POSTING CHARGE: Enter charges received from doctor's office on a daily basis. This includes entering patients into computer system with demographic and insurance information, as necessary. Responsible for entering charges in as accurate a manner as possible, which means coordinating with the doctor's office to obtain any missing information (i.e., insurance cards, authorizations, op reports, etc.)

UCI Health is seeking a Specialty ROCC Coder III to perform abstracting and coding on IR/Vascular and Radiation Oncology accounts using ICD-10-CM and CPT. The role requires a minimum of two years in acute hospital coding and AHIMA-approved certificate, with strong communication skills. You will interact with physicians for query clarification, generate production reports, and support departmental PI projects to improve coding accuracy and compliance within UCI Health. #J-18808-Ljbffr

Benefits Competitive salary Paid time off Training & development About ZapZzz ZapZzz is a specialized sleep apnea treatment program with a mission of improving patients’ overall health and quality of life by providing advanced, patient‑centered solutions for sleep apnea. We are committed to excellence in care, professionalism, and compliance while ensuring patients have access to the treatment they need. We are seeking a dedicated and detail‑oriented Medical Biller with experience in sleep apnea billing. The ideal candidate will bring both technical expertise and a proactive approach to managing insurance claims, billing processes, and revenue cycle operations. Position Summary The Medical Biller will be responsible for accurately preparing, submitting, and managing insurance claims related to sleep apnea treatment and oral appliance therapy. This role requires a thorough understanding of insurance verification, billing codes, compliance guidelines, and patient account...

Benefits: Competitive salary Paid time off Training & development About ZapZzz: ZapZzz is a specialized sleep apnea treatment program with a mission of improving patients’ overall health and quality of life by providing advanced, patient-centered solutions for sleep apnea. We are committed to excellence in care, professionalism, and compliance while ensuring patients have access to the treatment they need. We are seeking a dedicated and detail-oriented Medical Biller with experience in sleep apnea billing. The ideal candidate will bring both technical expertise and a proactive approach to managing insurance claims, billing processes, and revenue cycle operations. Position Summary: The Medical Biller will be responsible for accurately preparing, submitting, and managing insurance claims related to sleep apnea treatment and oral appliance therapy. This role requires a thorough understanding of insurance verification, billing codes, compliance guidelines, and patient...

The University of California, Irvine is seeking a Specialty ROCC Coder III. This role involves abstracting and coding for IR/Vascular or Radiation Oncology accounts, requiring coding expertise with ICD-10 and CPT systems. Candidates must possess an AHIMA approved coding certificate and have at least two years of coding experience in an acute hospital setting. Benefits include medical insurance, retirement plans, and other perks. UCI is committed to diversity and providing equal employment opportunities. #J-18808-Ljbffr