22 jobs found in Orange

DRG Coder The DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS to determine the appropriate Diagnosis-Related Group (DRG) assignment. This role ensures coding accuracy, reimbursement integrity, and compliance with federal and state regulations, payer guidelines, and internal policies. In an Independent Practice Association (IPA) and Management Services Organization (MSO) environment, the DRG Coder partners with utilization management, care management, finance, and provider network teams to support accurate payment, risk adjustment, quality reporting, and medical expense analysis.

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Operations & Compliance Auditor Full Time Professional Orange Office, Orange, CA, US 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...

Dermatology & Mohs Center is seeking a Medical Biller and Referral and Authorizations candidate to join our team. You will work with clients on billing, processing forms for insurance billing, and collecting patient documents. The role involves heavy phone work, accuracy, and collaboration with physicians' offices. The ideal candidate has attention to detail, customer service skills, and experience with medical billing. #J-18808-Ljbffr

Benefits: 401(k) 401(k) matching Company parties Dental insurance Health insurance Paid time off Training & development Vision insurance Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Medical Biller and Referral and Authorizations candidate to join our team! As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from patients. You will also assist other Medical Billers with follow-up inquiries to patients, communicate with physicians' office and accurately record patient information. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone. Responsibilities Assist patients with processing insurance claims through both private insurance and Medicare Note and process all...

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 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, 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

Astrana Health is seeking a Risk Adjustment Coding Specialist to support Orange County operations. You will conduct high-volume chart reviews to identify coding gaps, then translate findings into education for providers and practice leaders, driving HCC recapture and KPI improvements. olla You will travel to provider offices up to 75% and collaborate with IPA teams, offering auditing and education to ensure CMS, Medicare and payer guidelines are met while staying current on ICD-10/HCC updates. #J-18808-Ljbffr

Job TitleRadiation Oncology CoderJob DescriptionResponsibilitiesReports to: Manager, CodingThe 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 documentationThe 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 servicesThe 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 codesThe 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 EPICIs always compassionate and empathetic for both patients and team members; makes eye contact, smiles and or greets every individual using the...

DRG CoderThe DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS to determine the appropriate Diagnosis-Related Group (DRG) assignment. This role ensures coding accuracy, reimbursement integrity, and compliance with federal and state regulations, payer guidelines, and internal policies. In an Independent Practice Association (IPA) and Management Services Organization (MSO) environment, the DRG Coder partners with utilization management, care management, finance, and provider network teams to support accurate payment, risk adjustment, quality reporting, and medical expense analysis.

Junior Quality Improvement Coder 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. 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 Include The Following: Analyze data from contracted IPA network providers that allows for proper review of data to evaluate...

DaMar Staffing is seeking a Radiation Oncology Coder to abstract orders, charges, and diagnoses from oncology records for accurate billing. The role emphasizes coding accuracy, regulatory compliance, and collaboration with physicians and staff. The ideal candidate will have 2–3 years of radiation oncology coding experience, with credentials such as ROCC or CPC/CCS, and proficiency in ARIA and EPIC systems. This on-site position in California requires strong communication and detail orientation. #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 Description The DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS to determine the appropriate Diagnosis-Related Group (DRG) assignment.  This role ensures coding accuracy, reimbursement integrity, and compliance with federal and state regulations, payer guidelines, and internal policies. In an Independent Practice Association (IPA) and Management Services Organization (MSO) environment, the DRG Coder partners with utilization management, care management, finance, and provider network teams to support accurate payment, risk adjustment, quality reporting, and medical expense analysis. What You'll Do Review inpatient hospital records and assign accurate diagnosis and procedure codes Determine the appropriate MS-DRG or APR-DRG assignment based on coding and clinical documentation Conduct coding validation and auditing to ensure compliance with...

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

Providence St. Joseph Hospital Orange in Orange, CA is seeking a Supervisor Nursing - Medical Surgical for a full-time, day shift. The Clinical Coordinator will oversee nursing care on a designated unit and coordinate departmental activities to ensure high-quality patient care. Under the Department Manager, you will use the nursing process and collaborate with the team to deliver safe, cost-effective services. #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...

Astiva Health, Inc., located in Orange, CA is seeking a Junior Quality Improvement Coder to support departmental QI initiatives and collaborate with network providers and IPA's to improve the quality of care through RAF, HEDIS, CMS Star Ratings and related health plan reporting. The role involves analyzing data from contracted IPA providers to review HEDIS and RAF, conducting internal reviews of documentation and billing, identifying coding risks, and preparing summary reports. #J-18808-Ljbffr

Providence St. Joseph Hospital in Orange, CA, is hiring a Supervisor Nursing - Medical Surgical for a full-time Day shift. The role involves supervising nursing care on the unit, coordinating patient care, and maintaining Magnet-level excellence. The position requires a Bachelor's in Nursing, CA RN license, BLS, and 2 years of acute hospital experience. Master’s in Nursing and leadership experience are preferred. #J-18808-Ljbffr

Description Supervisor Nursing - Medical Surgical at Providence St. Joseph Hospital Orange in Orange, CA. This position is Full Time and will work 08-hour, Day shifts. St. Joseph Hospital is four-time designated for Magnet status, the highest recognition for nursing excellence. Since 2007, St. Joseph Hospital has been recognized as a Magnet hospital—a prestigious designation from the American Nurses Credentialing Center (ANCC), which recognizes organizations that provide the highest-quality care. Join Providence St. Joseph Hospital - Orange, recognized as one of the best regional hospitals in 14 types of care by U.S. News & World Report. We are a proud recipient of the 2025 Women’s Choice Award in multiple categories of women’s care such as Bariatrics, Cancer Care, Comprehensive Breast Centers, Emergency Care, Heart Care, Minimally Invasive Surgery, Obstetrics, Patient Experience, Patient Safety, Stroke Care, Women's Services and Best Mammogram Imaging Center. Under the...