4 jobs found in Redlands

A leading healthcare provider in California is seeking a Coder 1 for Risk Adjustment. This role involves reviewing clinical documentation for accuracy in support of Hierarchical Condition Category diagnoses and communicating with providers to ensure quality documentation. The ideal candidate requires a Bachelor's degree, certification as a Risk Adjustment Coder, and at least two years of clinical experience. Strong skills in medical terminology and effective communication are essential for success in this position. #J-18808-Ljbffr

Benefits: 401(k) 401(k) matching Bonus based on performance Competitive salary Health insurance Opportunity for advancement Paid time off Training & development Vision insurance Performance Physical Therapy is looking for a Medical Biller Specialist to join our strong team Benefits: Medical, Dental, Vision. Retirement. Paid Holidays, Vacations Negotiable salary commensurate with experience Our ideal candidate is motivated and able to work independently and as a team with high level of productivity. Responsibilities: • Oversight of insurance management (including verification, authorization) and billing for all payer types including Medicare, managed care, workers’ comp, commercial, government, etc. • Billing duties include claim scrubbing, claim submission and proactively following up with payers in securing payment of accounts and resolving claim rejections through account closure • Create, verify and maintain confidentiality of client records •...

Job Description Job Description Benefits: 401(k) 401(k) matching Bonus based on performance Competitive salary Health insurance Opportunity for advancement Paid time off Training & development Vision insurance Performance Physical Therapy is looking for a Medical Biller Specialist to join our strong team Benefits: Medical, Dental, Vision. Retirement. Paid Holidays, Vacations Negotiable salary commensurate with experience Our ideal candidate is motivated and able to work independently and as a team with high level of productivity. Responsibilities: Oversight of insurance management (including verification, authorization) and billing for all payer types including Medicare, managed care, workers comp, commercial, government, etc. Billing duties include claim scrubbing, claim submission and proactively following up with payers in securing payment of accounts and resolving claim rejections through account closure Create, verify and maintain confidentiality of...

Job Description Department: UHC: Managed Care-LLUHC/41077 Job Summary: The Coder 1 - Risk Adjustment is responsible for concurrent, prospective, and retrospective clinical documentation review as it pertains to Risk Adjustment Data Validation (RADV) timelines, with an emphasis on completeness and accuracy of provider documentation related to severity of illness and supporting clinical care plan(s) for the validation of Hierarchical Condition Category (HCC) diagnoses. Initiates communication, verbal and written, with providers to facilitate clarification of need for greater specificity, clinical support, and/or completeness of the progress notes. Provides compliant education related to documentation integrity, completeness, and consistency. Keeps providers up to date on CMS, ICD-10-CM, AHA Coding, health plan etc. guidelines as it pertains to Risk Adjustment for the purpose of, documentation trends and opportunities for improvement related to documentation integrity....