42 jobs found

. Remote Coding Auditor - Risk Adjustment Are you a risk adjustment coder that is wanting to expand into an auditing role?Do you have 3 years or more of risk adjustment coding experience? Perks: Flexible, full time schedule Stable and ongoing consulting position $30-40 an hour! Equipment provided World-class training and technology Job Description The Risk Adjustment Coding Auditor will be responsible for conducting documentation reviews to assess the accuracy, completeness, and highest ICD-10 specificity related to risk adjustment and HCC coding guidelines, and assist educating in medical necessity coverage of diagnostic studies.Responsible for performing quality review audits of medical records coded by Risk Adjustment coding team to ensure the ICD-10 codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance...

Accountemps - JobID: 00291-9504171364-usen [ Accountemps' industry expertise will help you find positions well-matched to your unique skill set and requirements. Above all, we want to help you find a job that makes you happy and allows you to thrive while ensuring you top pay, great benefits and free ongoing training courses...Land This Job Today >>

Join Our Team at Skin and Cancer Institute! Are you passionate about dermatology and skin health? Do you thrive in a dynamic, patient-focused environment? Skin and Cancer Institute is looking for dedicated professionals to join our team! Why Join Us? At Skin and Cancer Institute, we are committed to excellence in dermatology, skin cancer treatment, and cosmetic procedures. We offer a supportive and collaborative work culture where your skills and dedication make a real impact. What You’ll Do: The Medical Coding Auditor is responsible for reviewing medical records to ensure accurate coding and compliance with regulatory requirements. This role ensures continuous quality improvement in coding practices while maintaining compliance with healthcare laws and organizational policies. The Medical Coding Auditor partners with practices, providers, and other departmental leaders to provide education regarding medical coding and documentation as required by current CMS regulations. The...

. Remote Coding Auditor - Risk AdjustmentAre you a risk adjustment coder that is wanting to expand into an auditing role?Do you have 3 years or more of risk adjustment coding experience? Perks: Flexible, full time schedule Stable and ongoing consulting position $30-40 an hour! Equipment provided World-class training and technology Job Description The Risk Adjustment Coding Auditor will be responsible for conducting documentation reviews to assess the accuracy, completeness, and highest ICD-10 specificity related to risk adjustment and HCC coding guidelines, and assist educating in medical necessity coverage of diagnostic studies.Responsible for performing quality review audits of medical records coded by Risk Adjustment coding team to ensure the ICD-10 codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal...

Job Description Job Description   Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Medical Biller 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 clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, 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 clients with processing insurance claims through both private insurance and Medicaid/Medicare Note and process all necessary forms from the insurance Assist patients in navigating the billing and...

Job Description Job Description Primary Purpose of the Position: The Revenue Cycle Medical Coder II is responsible for assigning diagnosis, procedural, and modifier(s) codes for medical billing purposes which includes verification of charge capture. Position also performs a wide variety of duties, which may include coding accuracy and completeness prior to tickets being processed for billing, insurance filing, and revenue reporting. Monitors daily flow of charge tickets to ensure claim accuracy. This is not a Remote position as you will be expected to come into the Los Angeles Office. Essential Duties of the Position May Include The Following: • Reviews charge tickets, identifies and corrects errors, prepares tickets for review, including proper CPT and ICD-10 codes and proper linkage between the two. • Abstracts all surgical and designated diagnostic procedures and assigns appropriate procedure codes and modifiers using the International Classification of Diseases (ICD-10)...

Accountemps - JobID: 00291-9504176453-usen [ Accountemps' industry expertise will help you find positions well-matched to your unique skill set and requirements. Above all, we want to help you find a job that makes you happy and allows you to thrive while ensuring you top pay, great benefits and free ongoing training courses...Land This Job Today >>

At Lilly, we unite caring with discovery to make life better for people around the world. We are a global healthcare leader headquartered in Indianapolis, Indiana. Our employees around the world work to discover and bring life-changing medicines to those who need them, improve the understanding and management of disease, and give back to our communities through philanthropy and volunteerism. We give our best effort to our work, and we put people first. We're looking for people who are determined to make life better for people around the world. Organization Overview: At Lilly, we serve an extraordinary purpose. We make a difference for people around the global by discovering, developing and delivering medicines that help them live longer, healthier, more active lives. Not only do we deliver breakthrough medications, but you also can count on us to develop creative solutions to support communities through philanthropy and volunteerism. Responsibilities : Health care...

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 Salary: 72-79,000k DOE Make an Impact Behind the Scenes of Healthcare. At Accurate Courier Services, we dont just move packages, we move time-critical medical materials that directly impact patient care. As a Supervisor, you wont just manage routes; youll lead a team of frontline professionals, ensuring labs, hospitals, and pharmacies get what they need, when they need it most. This role is ideal for someone who thrives in a fast-moving, hands-on environment and is ready to take the next step into leadership. Youll work closely with drivers, dispatchers, and healthcare clients to deliver operational excellence every day. What Youll Do Lead a local team of employee medical couriers performing scheduled routes and urgent on-demand pickups. Hire, onboard, and train new drivers with clarity and consistency. Support the field team, answering real-time questions and resolving service issues on the fly. Audit routes and schedules to...

Job Description Job Description CHA Hollywood Presbyterian (CHA HPMC) is a nationally recognized acute care facility that has been caring for the Hollywood community and Los Angeles Areas since 1924. Join our Global Network and be a CHA Global Ambassador CHA HPMC is also a part of the world-renown CHA Health System (CHS). CHS has CHA University which consists of 14 education institutions including medical school, nursing school and pharmacy. CHA global network operates 81 hospitals and specialty clinics, 30 research and 31 bio/pharmaceutical/healthcare companies with 14,000 employees in seven countries. Our New Facility is seeking for Top Talents The best women’s hospital in Los Angeles is looking for current RN candidates to staff Operating Room, Emergency Department, Labor & Delivery and Mother-Baby care units to be housed in our expanding new patient tower facility scheduled to open next year. Come be a part of this dedicated and...

At Lilly, we unite caring with discovery to make life better for people around the world. We are a global healthcare leader headquartered in Indianapolis, Indiana. Our employees around the world work to discover and bring life-changing medicines to those who need them, improve the understanding and management of disease, and give back to our communities through philanthropy and volunteerism. We give our best effort to our work, and we put people first. We're looking for people who are determined to make life better for people around the world. Medical Science Liaison, Oncology (Gastrointestinal, Genitourinary, & Thoracic Focus) - Southern California * Responsibilities: Scientific Experts (SEs) have special needs for in-depth and cutting-edge information, because these health care professionals design and implement novel research and educate colleagues and students. The Medical Science Liaison (MSL) program is specifically designed to meet these needs through a field-based...

AR/ Medical Billing Specialist needed for Healthcare Nonprofit in North Hollywood This Jobot Consulting Job is hosted by: James Moon Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume. Salary: $22 - $26 per hour A bit about us: Nonprofit healthcare organization dedicated to transforming lives through comprehensive behavioral health and wellness services Why join us? This is a contract-to-hire position with the potential for full-time employment based on performance. Strong medical benefits and 401k Job Details Job Details: Are you a seasoned professional in the Accounting and Finance industry with a knack for AR and Medical Billing? Do you have a passion for transforming numbers into actionable insights and strategies? If so, we have the perfect opportunity for you. We are seeking a Consulting AR/Medical Billing Specialist to join our dynamic team. This is a unique opportunity to apply your skills in accounts receivable, invoicing,...

At Lilly, we unite caring with discovery to make life better for people around the world. We are a global healthcare leader headquartered in Indianapolis, Indiana. Our employees around the world work to discover and bring life-changing medicines to those who need them, improve the understanding and management of disease, and give back to our communities through philanthropy and volunteerism. We give our best effort to our work, and we put people first. We’re looking for people who are determined to make life better for people around the world. Associate Director, Medical Science Liaison Purpose: Scientific and Clinical Experts (SEs/CEs) are individuals who are noted for their expertise in a therapeutic area and as a result have special needs for in-depth and cutting-edge scientific information, because they treat patients, design and implement novel research, and educate colleagues and students. The Medical Science Liaison (MSL) program is specifically designed to meet these needs...

Title: Financial Compliance Auditor III Location: Western United States (Hybrid) Employment Type: Contract Compensation Pay Range:$50.53-$55.53/Hrs Description •Conduct financial solvency reviews for various healthcare entities. •Monitor ongoing financial solvency compliance across multiple business lines. •Collaborate with team members for timely issue identification and resolution. •Lead audits in accordance with accepted standards and guidelines. •Facilitate communication and resolution of financial solvency issues with stakeholders. •Support special projects and process improvements. •Mentor junior staff and provide training as needed. Key Responsibilities •Plan and execute financial solvency reviews and audits. •Ensure compliance with regulatory and contractual requirements. •Design and implement corrective action plans and monitoring tools. •Communicate issues and findings concisely and timely. •Serve as a subject matter expert and support cross-training...

Job Description With nearly three decades of continuous growth and no signs of slowing down, Hansen & Adkins Auto Transport, Inc. ("H&A") is dedicated to providing high-quality, cost-effective vehicle transportation and related services; with a strong commitment to safety, customer success, innovation, and reliability. Founded in 1994 by industry veterans Steve Hansen and Louie Adkins, the Company has grown from just 3 haulers to over 1,000 haulers, earning numerous industry awards along the way. H&A is currently serving 16 major auto manufacturers nationwide and in Canada. Here at Hansen & Adkins Auto Transport we appreciate our employees, and we offer a great and comprehensive benefit package with competitive wages: 401K Retirement Plan, with a company match of 25% of employee's contribution Company Paid Medical Insurance Company Paid Dental Insurance Vision Insurance available Company Paid Life Insurance Company paid vacation/sick time FSA EAP Program Overview:...

Description UCLA West Valley Medical Center is seeking a dedicated and compassionate Speech Pathology Supervisor to join our team. In this key leadership role, you will oversee the day-to-day operations of our Speech Pathology services, directly supervise clinical staff, and ensure the delivery of high-quality patient care. You will manage departmental workflow, establish procedures to enhance team performance, and provide direct evaluation and treatment to patients with a variety of diagnoses. This role also involves working closely with clinic managers to improve operational processes and flexing between clinic locations as needed to support both administrative and patient care needs. If you're a motivated speech language pathologist with a passion for leadership and clinical excellence, we invite you to apply and make a meaningful impact at UCLA Health. Salary Range: $102,500.00-$227,700 Annually

Description Under the general direction of the Manager, this position codes diagnosis and procedures for assigned cases. In performing the coding requirements this position is required to utilize knowledge of UCLA, AHA - Coding Clinic, and AMA - CPT Assistant guidelines, medical terminology, anatomy and physiology, pathological basis of disease, documented treatment, and procedures. Assigns ICD-10-CM, ICD-10-PCS, and CPT-4/HCPCS codes for patient receiving services at UCLA Healthcare. Correctly assigns DRG and all applicable APCs for all patients to assure accurate reimbursement and the highest quality data possible. Abstracts all coded data in a timely and accurate manner into the abstracting system. Has a working knowledge of all State and National reporting requirements. Provides information on coding question trends, and issues that affect the coder-physician communication process and follow up on queries to physicians to address coding deficiencies. Reconciles discrepancies...

Description Under the general direction of the Manager, this position codes diagnosis and procedures for assigned cases. In performing the coding requirements this position is required to utilize knowledge of UCLA, AHA - Coding Clinic, and AMA - CPT Assistant guidelines, medical terminology, anatomy and physiology, pathological basis of disease, documented treatment, and procedures. Assigns ICD-10-CM, ICD-10-PCS, and CPT-4/HCPCS codes for patient receiving services at UCLA Healthcare. Correctly assigns DRG and all applicable APCs for all patients to assure accurate reimbursement and the highest quality data possible. Abstracts all coded data in a timely and accurate manner into the abstracting system. Has a working knowledge of all State and National reporting requirements. Provides information on coding question trends, and issues that affect the coder-physician communication process and follow up on queries to physicians to address coding deficiencies. Reconciles discrepancies...

An employer is looking for a hospital collector in the Los Angeles, CA area. This person will be responsible for the reimbursement of claims from various insurance companies. Must have strong knowledge of managed care contracts and have knowledge of current regulatory requirements to ensure prompt and accurate reimbursement. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and...

LHH seeks a Certified Medical Coder who will be focusing on medical and behavioral coding. This is an ONSITE position Monday - Friday Responsibilities Ensure codes are assigned correctly and sequenced appropriately per government and insurance regulations Reviewing claims and configuration to ensure compliance with coding guidelines and best practices Reviewing patient charts, claims, and policies as needed to verify, correct and ensure accuracy of billable services Training and support to via claims team members and practitioners related to appropriate billing procedures and coding requirements Recommending and implementing strategic protocols for coding review and code modifications Collaborating with cross functional teams such as Compliance and Contracting Stay up to date on coding requirements and best practices, including to attend external trainings and meetings to proactively develop and implement forward thinking best practices...

Description As an Inpatient Coding Auditor with a specialization in DRG payment reviews, you will conduct thorough audits of inpatient coding to ensure compliance with Federal and State regulations. Reporting to the Director of Medical Coding, your role will involve evaluating coding accuracy for inpatient services and providing coding expertise to various hospital departments. Additional responsibilities include: Conducting quality and DRG payment reviews for inpatient services to ensure accurate coding and reimbursement Identifying documentation discrepancies, coding errors, and charge capture issues Providing feedback and training to inpatient coding staff on best practices Staying updated with changes in inpatient coding and billing regulations Developing and refining inpatient coding policies with the Coding Management Team Representing the Medical Coding Department in cross-functional meetings for coding expertise Supporting departmental policies and...

Ajilon - JobID: 37FCB2F7-46CC-47B4-A8A1-0BA8EA01A095 [Medical Office Assistant] As a Medical Coder at Ajilon, you'll: Review medical records to assign accurate codes for diagnoses and procedures; Ensure that all codes are compliant with the current coding guidelines and regulations; Verify and ensure the accuracy of patient information, such as medical histories and insurance information; Work closely with the billing department to ensure timely and accurate claim submissions and posting charges; Collaborate with physicians and other healthcare professionals to clarify medical information as needed; Attend onsite monthly meetings...Hiring Immediately >>

Job Description Job Description Benefits: 401(k) 401(k) matching Competitive salary Dental insurance Health insurance Opportunity for advancement We are seeking a motivated, punctual, and outgoing Orthodontic Dental Biller and Coder to join our team! In this role, you will be responsible for customer focused, compassionate, and dedicated to facilitating solutions to patients dental health needs. The Orthodontic Dental Billing Specialist will work in a growing practice with a great team that makes coming to work engaging and supportive. We offer training to those who are looking for a career with growth potential and the opportunity to fulfill our mission to provide quality affordable dental care to our patients. In working with new & existing team members with an open heart & mind; additional responsibilities including the below: SPECIFIC DUTIES Accurately prepare and submit insurance claims, including working with state-sponsored insurance programs...