117 jobs found in Los Angeles

A healthcare organization based in Los Angeles seeks a Coding Auditor to conduct comprehensive reviews of medical documentation and billing processes. You will manage AI-generated coding recommendations for compliance and revenue integrity, ensuring accurate assignment of coding standards. Collaboration with team members and dedication to the organization's mission are crucial. Ideal candidates should have strong skills in ICD-10 and CPT coding. A comprehensive benefits package is offered alongside this role. #J-18808-Ljbffr

Immediate need for a talented Hospital medical Coder-ICD-10/CPT - (CA, OR, WA,HI) . This is a 06 months contract opportunity with long-term potential and is located in CA, OR, WA,HI ( Remote ). Please review the job description below and contact me ASAP if you are interested. Job ID: 26-01371 Pay Range: $30 - $33/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Review outpatient medical records and accurately assign ICD-10-CM and CPT codes Apply coding guidelines, edits, and compliance standards Communicate with physicians to clarify diagnoses, procedures, and sequencing Follow all CMS, AHA Coding Clinic, and organizational coding guidelines Key Requirements and Technology Experience: 2 years of hospital coding experience within the last 5 years At least 1 year of full-time certified coding experience Strong understanding of E/M coding Ability to...

Payment Integrity Nurse Coder RN III The Payment Integrity Nurse Coder RN III is responsible for investigating, reviewing, and providing clinical and/or coding expertise in the application of medical and reimbursement policies within the claim adjudication process through medical record review for Payment Integrity and Utilization Management projects. The position serves as a subject matter expert (SME), performing medical records reviews to include quality audits as well as validation of accuracy and completeness of all coding elements. The position is also responsible for guidance related to Payment Integrity initiatives to include concept and cost avoidance development. This position trains and mentors Payment Integrity Nurse Coder, RN staff. Acts as a Subject Matter Expert, serves as a resource and mentor for other staff. Duties: Performs Quality Audits to include validation of accuracy and completeness of ICD, Rev Code, CPT, HCPCs, APR, DRG, POA, and all relevant...

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. Researches and analyzes data needs for reimbursement. Analyzes medical records and identifies documentation deficiencies. Serves as resource and subject matter expert to other coding staff. Reviews and verifies documentation supports diagnoses, procedures and treatment results. Identifies diagnostic and procedural information. Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes. Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines. Follows coding conventions. Serves as coding consultant to care providers. Identifies discrepancies, potential quality of care, and billing issues. Researches, analyzes, recommends, and facilitates plan of action...

An automotive company located in Los Angeles seeks an experienced warranty auditor to ensure dealer compliance with policies and regulations. The role involves performing audits, providing training, and monitoring warranty handling. Ideal candidates should have 5+ years of automotive experience and a relevant degree along with strong interpersonal and analytical skills. Benefits include a competitive salary, vacation, and health coverage. #J-18808-Ljbffr

Medical Biller (Temp?to?Hire) - Los Angeles, CA - $20-$25/hr. About the Role We're partnering with a confidential healthcare provider to hire a detail?driven Medical Biller in Los Angeles. In this temp?to?hire role, you'll manage full?cycle billing- claims creation, coding review (CPT/ICD?10), charge entry, EOB reconciliation, denials and appeals, and payer follow?up -to help the revenue cycle run smoothly. Key Responsibilities Prepare and submit clean claims to private and government payers (EDI & paper) Verify insurance eligibility and benefits; resolve authorization issues Post payments, reconcile remittances (EOB/ERA), research short?pays and recoups Work denials and resubmissions within SLAs; document actions in the PM/RCM system Collaborate with front office and coding to reduce rework and days in A/R Track metrics (first?pass yield, DSO, net collection rate) and surface trends What You'll Bring 1-2+ years in medical...

Job Description Align yourself with an organization that has a reputation for excellence! Cedars Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Workplace of the Year. This annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. Join us, and discover why U.S. News & World Report has named us one of America's Best Hospitals! What you will be doing in this role: Working under the general direction of a coding supervisor, the Facility Inpatient Coder is responsible for the assignment of ICD-10-CM and ICD-10-PCS codes by reviewing all appropriate documentation in accordance with standard coding guidelines. Correctly identifies the principal diagnosis, comorbidities/complications, present on admission indicators, and determines sequencing of codes to calculate the...

This is a remote based position. Applicants can be located nationwide Back Medical Coder #2621 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who has Profee Outpatient Coding experience. We need someone who is responsible for assignment of accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. Tell us about your experience with Profee Outpatient Coding. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you...

Our vision aims to empower our clients by actively leveraging our broad range of services. With our global presence, we have career opportunities all across the world which can lead to a unique, exciting and fulfilling career path. Pick your path today! To see what career opportunities we have available, explore below to find your next career! Please be aware of employment scams where hackers pose as legitimate companies and recruiters to obtain personal information from job seekers. Please be vigilant and verify the authenticity of any job offers or communications. We will never request sensitive information such as Social Security numbers or bank details during the initial stages of the recruitment process. If you suspect fraudulent activity, contact us directly through our official channels. Stay safe and protect your personal information. ***This position is contingent upon contract award and will be located onsite in either the southeast, southwest, or central United States....

Description The Departments of Obstetrics & Gynecology, Surgery, and Urology at UCLA seek to hire a Controls and Compliance Auditor. The Controls and Compliance Auditor is an important member of the departmental administrative team, reporting to the Director of Business Analytics & Quality Improvement. In this role you will be the subject-matter expert on UCLA's Distributed Administrative Computing Security System (DACSS) and associated systems. You will also provide oversight and support in the daily operations of internal controls for a variety of accounting cycles including financial reporting, travel and entertainment, and revenue. Pay Range: $78,500.00 - $163,600.00 annually. Please note, the department's target salary for this role is $80,000.00 Qualifications Required: At least 2 years-experience in accounting operations or administrative analysis. Strong analytical skills and the ability to synthesize complex and diverse information....

Job Description Job Description Description: Functions and responsibilities of the role: Answer telephones with pleasant greeting Computerize tasks such as exam forms and patient charts Obtain insurance authorizations and verify eligibility Filing Appointment scheduling and confirming Prepare insurance billing Email recall notices/cards Replenish office supplies Report areas to improve and innovations Report insurance updates Maintain inventory control Provide coverage and perform duties at Reception desk, when needed Requirements: Level of education needs to be specified High school graduate required College or vocational courses preferred Previous experience, certifications and technical skills should be outlined Microsoft Office

Job Description Job Description Position Purpose: The Certified Medical Coder plays a crucial role in the Billing Department by ensuring precise and compliant coding of medical services. Under the guidance of the Billing Department Supervisor, the Coder will assign appropriate diagnosis and procedural codes for services provided by JWCH physicians, adhering to industry standards and legal requirements. This position involves validating and auditing coding practices to guarantee accuracy in billing, supporting optimal reimbursement, and maintaining adherence to regulatory guidelines. Duties and Responsibilities: Serve as the primary liaison between providers and the Billing Department, effectively communicating to clarify diagnoses, procedures, coding, and documentation requirements. Recommend appropriate ICD-10-CM, CDT diagnosis codes, CPT codes, and HCPCS codes. Regularly review diagnosis and procedure coding within NextGen to ensure optimal billing accuracy....

Inpatient Coding Specialist In accordance with current federal coding compliance regulations and guidelines, use current ICD-10-CM/PCS, CPT-4, and HCPCS code sets/systems to accurately abstract, code, and electronically record into the 3M Coding & Reimburse System (3M-CRS) & the coding abstracting system (3M-ClinTrac), all diagnoses, surgical procedures, and other significant invasive and non-invasive procedures documented by any physician in any inpatient medical records (i.e. Medicare, non-Medicare, and all complex cases). Meet the productivity and accuracy/quality standards. Initiates appropriate clinical documentation querying CDI Specialists in order to acquire or clarify necessary medical record documentation needed to facilitate accurate and complete coding & abstracting. Understands PFS coding/billing processes & systems such as PBAR and nThrive/MedAssets/XClaim in a manner to assure claims drop timely with appropriate codes. Perform other coding...

Job Description Job Description Mission Statement: The Mission of JWCH Institute is to improve the health status and well-being of under-served segments of the population of Los Angeles area through the direct provision or coordination of health care, health education, services, and research. Position Purpose: The Medical Biller is responsible for reviewing patient encounters, ensuring billing accuracy, and processing claims for various payer sources. This position plays a critical role in maximizing revenue by adhering to payer guidelines, investigating discrepancies, and ensuring timely payment processing. The Medical Biller will also work closely with the Billing Supervisor to provide updates on billing discrepancies, manage rebills, adjustments, write-offs, and ensure payment posting is up to date. Principal Responsibilities: Review all patient encounters for discrepancies in a timely manner to prevent submission errors to insurance providers. Monitor and update...

Job Description Job Description Los Palos Post-Acute Care Center, located in San Pedro, CA, is looking to hire an experienced Medicare Biller / Collector with a strong background in billing/collections in a skilled nursing environment. This position will help to support 3 nursing facilities in a centralized billing environment. The Medicare Biller / Collector will be responsible for the coordination of collecting money from Medicare and the Medicare part A and part B coinsurance. They will support the function of Medicare and Medicare coinsurance collections to give it more focus and establish efficient methods of collecting. What You Will Do: Responsible to bill Medicare, Managed Care, Medical, Co-Insurance, and various share of costs. Setup new admissions medical records system to bill accurately Review billing documentation to ensure completeness, including accuracy of Medicare claims Manage submission of claims to Medicare and Medicare coinsurance to...

Job Description Job Description Medical Billing Specialist (CPC) at Zócalo Health Remote, California residents only (Full Time) Compensation: $28- $32 per hour About Us Zócalo Health is the first tech-driven provider built specifically for Latinos, by Latinos. We are developing a new approach to care that is designed around our very own shared and lived experiences and brings care to our gente . Founded in 2021 on the idea that our communities deserve more than just safety nets, we are backed by leading healthcare and social impact investors in the country to bring our vision to life. Our mission is to improve the lives of our communities—communities that have dealt with generations of poor experiences. These experiences include waiting hours in waiting rooms, spending mere minutes with doctors who don't speak their language, and depending on their youngest kids to help them navigate our complex healthcare system. At Zócalo Health, we meet our members where they...

DATALAND Inc. is seeking both a Senior and Junior Creative Coder to their team in Los Angeles. They are looking for visionary programmers who are passionate about interactive and immersive AV installations, eager to push the boundaries of art, data, and technology. Their ideal candidates bring hands-on experience in environments such as vvvv, Unity3D, Unreal, TouchDesigner, or similar platforms. Prior vvvv expertise is highly valued, but not required — in-depth training will be provided during onboarding. #J-18808-Ljbffr

# **We value your privacy**Certified Professional Coder page is loaded## Certified Professional Coderremote type: In Personlocations: Commerce, CA 90040time type: Full timeposted on: Posted Todayjob requisition id: JR7642**Grow Healthy**If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day.**Job Overview**Assigned codes to patient symptoms, diagnosis, operations, and treatments to process reimbursements; knowledge and...

DescriptionThe Medical Coder 3 (inpatient and ambulatory surgery) abstracts clinical information from a variety of medical records charts and documents and assigns appropriate ICD-10 - CM/PCS and CPT codes to patient records according to established procedures.Works with coding databases and confirms DRG assignments.Familiar with standard concepts practices and procedures within a particular field.Relies on instructions and pre-established guidelines to perform the functions of the job.This position relies on guidelines and some experience and judgment to complete job and works under general supervision.ResponsibilitiesCoding/Abstracting Assists the Business Office and external agencies in clarification of coding regarding reimbursement issues.Handles all requests in a timely fashion.Quality/Performance Corresponds with other areas of the HIM department to ensure the necessary components are available for accurate coding and the highest quality of the patients medical...

JOB DESCRIPTION Position: Medical Biller / Accounts Receivable (AR) Specialist Pay Range: $27.00-$30.00 PER HR Reporting To: Reimbursement Manager Work Type: On-Site POSITION SUMMARY: The Medical Biller / AR Specialist Must have strong revenue cycle experience, including hands on work with CalAIM (Medi Cal managed care). The Medical Biller/ AR Specialist will own end to end billing, follow ups, denials management, and AR resolution to drive clean claims and steady cash flow. REQUIRED QUALIFICATIONS: High school diploma or GED preferred. 3+ years of medical billing/AR follow up experience in a healthcare setting. Proven proficiency with Medi Cal managed care and commercial payers' claim workflows. Track record resolving denials, submitting appeals, and obtaining/correcting authorizations. Proficiency with EMR/EHR and billing systems; strong Excel skills (filters, sorting, lookups). Exceptional attention to detail, organization, and written...