14 jobs found in Orange

Astrana Health, Inc. is seeking a Risk Adjustment Coding Specialist II for Orange County. This role focuses on chart reviews to identify coding gaps and drive accuracy for Medicare Advantage, ACA, and commercial plans. You will educate providers, track KPIs like HCC recapture and AWVs, and work up to 75% travel to provider offices in Orange County. AAPC/AHIMA certification and 3+ years of risk adjustment experience are preferred. #J-18808-Ljbffr

Beltone New England in Orange, CT is looking for a Front Desk Associate to join our vibrant team. This full-time role offers a positive work environment and requires someone who is dependable and possesses strong organizational skills. The ideal candidate will schedule patient appointments, maintain files, verify insurance eligibility, and provide exceptional customer service. Benefits include health insurance, a retirement plan, and paid time off. #J-18808-Ljbffr

Job Description Job Description Medical Billing & Revenue Integrity Specialist Orange Park, Florida Position Overview Arthritis & Osteoporosis Treatment Center is seeking an experienced Medical Billing & Revenue Integrity Specialist to join our growing independent rheumatology practice. This is an advanced revenue cycle role for an experienced medical biller who enjoys identifying billing issues, improving processes, ensuring compliance, and strengthening the financial integrity of the practice. In addition to hands-on billing responsibilities, this individual will audit revenue cycle activity, monitor aging claims, investigate reimbursement discrepancies, reconcile financial activity, develop meaningful reports, and support operational improvements across the practice. This individual will serve as a key resource for billing quality, revenue integrity, compliance, reporting, and workflow improvement, transforming financial and operational data...

Job Description Job Description Operations & Compliance Auditor Healthcare is increasingly unaffordable for many Americans. For those who can afford it, they are in a health insurance system that has become more confusing, restrictive, and lower value with each passing year. Here at WeShare our mission is to bring better healthcare to America at a better price. We offer consumers a member-to-member health sharing program that is much more cost effective than standard health insurance while providing access to over 1.2 million physicians across the country. Come join us on this important journey to create the next generation of healthcare! WeShare is a rapidly growing faith-based nonprofit that strives to do good while delivering great and affordable healthcare. The company is led by senior executives with an extensive background in both for-profit and not-for-profit enterprises. If you have a bias for action, enjoy challenges, and love creating impact in a massive...

Description About Us Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members. SUMMARY The Junior Quality Improvement Coder is responsible for providing director support to all departmental QI initiatives. In this role, the Junior QI Coder will partner with the Director to collaborate with network providers and IPA’s to improve the quality of care through quality improvement activities that will include RAF, HEDIS, CMS Star Ratings and other health plan reporting. ESSENTIAL DUTIES AND RESPONSIBILITIES Analyze data from contracted IPA network providers that allows for proper review of data to evaluate HEDIS and Risk...

Astrana Health Management is seeking a Senior DRG Coder to review inpatient medical records and assign diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS. The role is critical to ensuring coding accuracy and compliance within hospital reimbursement frameworks. Candidates should possess an associate’s degree, at least five years of inpatient coding experience, and relevant certifications. The position offers a competitive hourly wage and requires remote work capabilities with occasional in-person meetings. #J-18808-Ljbffr

Astrana Health, Inc. is seeking a Senior DRG Coder to ensure coding accuracy and compliance. You will review inpatient medical records, assign appropriate codes, and collaborate with various teams for accurate reimbursement. This role requires at least 5 years of inpatient coding experience with a strong background in ICD-10-CM and ICD-10-PCS methodologies. The position is remote but requires occasional in-person meetings. #J-18808-Ljbffr

Overview Become a part of our caring community and help us put health first. The IPA Consultative Coding Professional provides medical coding expertise and consultative support to Independent Practice Association (IPA) affiliates nationwide, including MSO‑contracted independent providers. As the primary coding and documentation resource for assigned providers, you will support accuracy, compliance, and performance in risk adjustment and value‑based care initiatives. You will analyze trends, triage, and answer questions in real‑time, research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. As an IPA Consultative Coding Professional, you will be assigned a panel of up to 30 providers within a defined market or region. You will deliver ongoing education, support coding workflows, and ensure agreement on organizational documentation and coding standards, while collaborating with STARS leaders and champions to identify STARS gaps...

United Surgical Partners International is hiring a Business Office Coordinator in Orange City, Florida. The role involves assisting the Business Office Manager with daily operations and supervising the registration and medical records teams. The ideal candidate should have supervisory experience in a medical environment and strong knowledge of medical terminology. We offer comprehensive benefits, including medical, dental, vision coverage, and 401(k) retirement planning. #J-18808-Ljbffr

Astrana Health Management is seeking a Risk Adjustment Coding Specialist II to support the Orange County market. Candidates should have 3-5 years of risk adjustment coding experience and be able to travel up to 75% for the role. You will review provider documentation, conduct education sessions, and ensure compliance with coding regulations. AAPC or AHIMA certification is required. The role offers a competitive salary range of $70,000 - $85,000 per year. #J-18808-Ljbffr

Astrana Health is seeking a motivated Risk Adjustment Coding Specialist to join their team in Orange, California. This role involves reviewing diagnostic data, providing training to provider staff, and coordinating with physicians on documentation procedures. Candidates must possess a coding certification and have 3-5 years of related experience. The position offers a hybrid work schedule requiring up to 75% travel and presents a compensation of $70,000 to $85,000 annually, depending on experience and location. #J-18808-Ljbffr

Alignment Health USA, LLC is seeking a remote Risk Adjustment Compliance Auditor to support audits and compliance for CMS data submissions. You will review medical records, identify coding accuracy issues, and collaborate with Risk Adjustment leadership in a fully remote environment. Strong coding credentials and CMS knowledge are required for success. The role focuses on audit readiness, corrective action, and education for internal and provider-facing stakeholders, with a Pacific Time aligned #J-18808-Ljbffr

Astiva Health in Orange, CA is seeking a Junior Quality Improvement Coder to support department initiatives. You will collaborate with providers and internal teams to improve care quality through HEDIS, RAF, and CMS Star ratings. Responsibilities include data reviews, coding accuracy, and education of practices on CMS guidelines. The role emphasizes HIPAA compliance, confidentiality, and timely documentation. #J-18808-Ljbffr

Job Title Radiation Oncology Coder Job Description Responsibilities Reports to: Manager, Coding The radiation oncology coder will be responsible to abstract orders, charges and related diagnoses from radiation oncology records to ensure services billed are consistent with the record documentation The coder will ensure compliance with all the clinical billing and coding regulations and will work with the faculty and staff to ensure accurate documentation of billable services The coder will determine and input appropriate ICD-10 CM and other codes for all radiation therapy procedures and analyze and validate that all charges are interfaced with the appropriate ICD10 and CPT codes The coder will be become efficient with the record and verify system ARIA where they will review the department daily charges for accuracy prior to interface from ARIA to EPIC Is always compassionate and empathetic for both patients and team members; makes eye contact, smiles and or...