145 jobs found in Downey, CA

Job Description The RN Medical Practice Supervisor assists the Manager or Director with supervision of department operations and staff to maximize office efficiency and workflow; performs various procedures associated with routine patient encounters; works closely with department leadership and other members of the office team to trouble-shoot and resolve problems; maintains positive relationships with patients, practitioners, management and staff. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency...

Job Description Job Description , remote Position: Remote Medical Coder Company Overview: JM Services and Consulting, LLC is a leading healthcare consulting firm that provides revenue cycle management services to healthcare providers across the United States. We specialize in coding, billing, and compliance services for medical practices of all sizes. Our team of experienced professionals is dedicated to helping our clients maximize their revenue and ensure compliance with all industry regulations. Job Description: We are seeking a skilled and detail-oriented Remote Medical Coder to join our team. The ideal candidate will have a strong understanding of medical coding guidelines and regulations, as well as experience with various coding systems such as ICD-10, CPT, and HCPCS. This is a full-time, remote position that offers a competitive salary and benefits package. Key Responsibilities: - Review and analyze medical records to accurately assign codes for diagnoses,...

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 patient information in the...

Position Purpose: Under the direct supervision of the Director of Quality Assurance, the Licensed Nurse is responsible for supporting the compliance functions of the Quality Assurance and Performance Improvement department of JWCH. The responsibilities include: Maintaining defined review schedule for JWCH agency by (1) doing preparatory work for the audit including developing a scope of work, (2) reviewing the documentation, (3) preparing reports, (4) doing any necessary follow-up reviews and (5) ensuring that appropriate collected data are securely kept and maintained. Serve as a resource to clients in answering compliance questions from Internal Audit and Audit Advisory Services and assisting as necessary in their audit process. Essential Duties and Responsibilities : Conduct Compliance Reviews Complete compliance reviews within established parameters and initiate and carry out all assigned reviews according to defined departmental policies and processes....

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. Collaborate with clinicians on the...

Shift: 1st Shift 2am start 2nd Shift 10am start 3rd Shift 6pm start Compensation: $720 paid Weekly Vendor Compliance Auditor JOB SUMMARY: This role is responsible for auditing the quality of incoming loads, ensuring compliance with established standards, and identifying any deviations. SUPERVISORY RESPONSIBILITIES: None ESSENTIAL FUNCTIONS: Responsibilities: Observe the quality of loads on arrival Review loads for violations Identify and document root causes through tablet procedures Communicate violations by gathering up to 30 photographs using multiple angles if necessary Validate information prior to reporting violations #CB Capstone Logistics, LLC is part of The Transportation and Logistics industry which has been designated a "Critical Infrastructure Segment". As a "critical infrastructure industry" worker in the Transportation and Logistics industry, associates are considered exempt from local restrictions such as curfews, shelter-in-place orders, and other mobility...

RN Medical Practice Supervisor Family Medicine Residency PIH Health is seeking a dedicated and skilled RN Medical Practice Supervisor to join our Family Medicine Residency team at the PIH Health Washington Medical Office Building (WASH). This full-time, regular/at-will position is an integral part of our healthcare network that serves the Los Angeles County, Orange County, and San Gabriel Valley region. As an RN Medical Practice Supervisor, you will play a pivotal role in supervising department operations and staff to ensure office efficiency and optimal workflow. You will perform various procedures associated with routine patient encounters and work closely with department leadership to troubleshoot and resolve issues. Your role is crucial in maintaining positive relationships with patients, practitioners, management, and staff. PIH Health is a nonprofit, fully integrated network that includes hospitals, outpatient medical office buildings, a multispecialty medical group, and...

Overview JOB SUMMARY : Under the direction of the Director of Health Information Management, Identifies and codes Newborns, Obstetrics, ER's and outpatient records for the purpose of reimbursement, research, and compliance with Federal Regulations using the ICD-10-CM/CPT coding classification systems. EDUCATION, EXPERIENCE, TRAINING Current coding certification-RHIA, RHIT, or CCS 1-2 years of coding experience in acute hospital setting Knowledge and application of ICD10 classifications, CPT-4 and HCPCS with an accuracy level of 95% Must be able to work in a very challenging environment. Exceptional written and verbal communication skills Excellent computer skills, including Microsoft Office, EHRs, Encoders Analytical/critical thinking and problem solving Knowledge of information privacy laws and high ethical standards

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

Description In this role, you shape and support respiratory therapy education across UCLA Health, guiding orientation, competencies, and ongoing development. You're a trusted clinical resource and preceptor, stay connected to patient care, and work closely with teams and partners to strengthen practice and patient outcomes. The Respiratory Therapy Clinical Educator's responsibilities include but are not limited to: Leading and overseeing departmental education programs, including orientation, competency validation, certifications, in-services, and continuing education Serving as a clinical educator, resource, and preceptor for respiratory therapists and clinical specialists Providing direct patient care as needed, including assessment, intervention, patient and family education, and clinical documentation Supporting quality assurance and performance improvement initiatives, including staff chart audits and KPI monitoring Developing, maintaining, and updating...

Benefits: Free parking 401(k) Bonus based on performance Dental insurance Health insurance Paid time off 401(k) matching Vision insurance MEDICAL LIEN NEGOTIATOR SUPERVISOR FOR PERSONAL INJURY LAW FIRM - (Beverly Hills, CA) A busy, well-respected, personal injury law firm in Beverly Hills seeks a hands on, full-time experienced and well-mannered Medical Lien Negotiator Supervisor to join our growing Personal Injury Law Firm. Experience in a personal injury law firm is mandatory. Key Responsibilities: Supervise, train, and mentor a team of lien negotiators handling a high volume of personal injury cases. Develop and enforce procedures for efficient lien resolution and settlement disbursement. Review and approve negotiated liens and settlement breakdowns to ensure accuracy and compliance. Negotiate complex liens with health care providers, hospitals, insurance carriers, and government entities (e.g., Medicare, Medi-Cal). Collaborate closely with...

Compliance Auditor, MAPD Support compliance excellence at UCLA Health by joining our team as a Compliance Auditor, MAPD, focused on Medicare Advantage (Part C) and Prescription Drug (Part D) programs. In this vital role, you will conduct Risk Adjustment Data Validation (RADV) audits, compliance risk-based audits, support external audit coordination, and ensure alignment with CMS and DMHC regulations across the organization. Reporting to the Compliance Manager, MAPD Audit, you will contribute to the organization's audit work plan, assess operational risk areas, and prepare audit findings that help guide regulatory readiness and operational improvement. This position calls for a strong foundation in CMS guidelines, managed care compliance, and effective collaboration with both internal teams and external partners. In this role, you will: Conduct compliance audits related to operational functions, vendor performance, data validation, RADV, Triennial Review, pre-delegation...

Overview Bright Vision Technologies is a forward-thinking software development company dedicated to building innovative solutions that help businesses automate and optimize their operations. We leverage cutting-edge technologies to create scalable, secure, and user-friendly applications. We are looking for a skilled Financial Compliance Auditor III, Finance to join our dynamic team and contribute to our mission of transforming business processes through technology. This is a fantastic opportunity to join an established and well-respected organization offering tremendous career growth potential. Position: Financial Compliance Auditor III, Finance Location: Los Angeles, CA 90017 Duration: Contract Job Summary The Specialty Health Plans Auditor III, Finance is responsible for all aspects of planning, execution, reporting and corrective action plans monitoring of financial solvency for specialty health plans and vendors. This includes medical, vision, dental,...

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...

Medical Biller We are seeking an experienced and diligent Medical Biller who wants to make a difference in our community. We want to hear from you if you thrive in a fast-paced, caring, and compassionate environment! The Mission of South-Central Family Health Center is to improve the quality of life for the diverse community of inner-city Los Angeles by providing affordable and comprehensive health care and education in a welcoming and multi-cultural environment. To lead the way in health care in South Los Angeles, as the premier provider and employer of choice offering comprehensive, high quality, affordable, efficient and culturally responsive services. Under the supervision of the Revenue Cycle/Billing Administrator, the Medical Biller I will be responsible for the processing and responding to all patient-related billing and the submission of bills for reimbursement from various programs (i.e. Medi-Cal, CPSP, EAPC, etc.). The ideal candidate will have to perform some of...

Description: Job Title: Quality / Compliance Auditor Pay Rate: Starting at $30 / hr (DOE) Location: Los Angeles, CA Area Code: 213, 310, 323, 424, 747, and 818 ZIP Code: 90032 Start Date: Right Away Keywords: #QualityAuditor #GMPJobs #ManufacturingJobs Benefits Medical / Health Benefits with multiple plan options, Flexible Spending Accounts, Dental and Vision 401k On the job training / cross-training Life Insurance, disability insurance, and voluntary life insurance for family members available. Accident and critical illness insurance optional. Scheduled performance reviews Referral program Job Description Performing routine GMP audits as well as specialty and technical audits in relation to current products and prospective in?license agreements, providing compliance guidance and support throughout the Quality organization, training delivery, and leading multi?departmental teams and initiatives. Responsibilities Prepare and execute internal...

A leading nonprofit treatment provider in California is seeking a Billing Specialist to ensure accurate and timely billing for services. Responsibilities include preparing and submitting claims, resolving denials, and maintaining compliance with regulations. The ideal candidate will have at least three years of hands-on medical billing experience, knowledge of medical coding, and be proficient in EHR systems. This is a full-time position that offers competitive pay and benefits. #J-18808-Ljbffr

This is a remote-based position. Applicants can be located nationwide. About You Are you an experienced coder with a background in Profee Outpatient Coding? We are seeking a highly motivated individual responsible for the precise assignment of Evaluation and Management (E&M) ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes from both paper and electronic medical records. Share your Profee Outpatient Coding experience with us. Are you a collaborative team player who excels as a self-starter? What sets you apart as a professional who enhances a company’s reputation? Bring your problem-solving skills to manage multiple projects effectively. We are looking for someone exceptional—what makes you unique? If you are dedicated, value teamwork, and uphold integrity and professionalism, we are excited to meet you! About The Position Thoroughly review medical documentation to assign principal and secondary diagnoses and procedures utilizing your understanding of...

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 times for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company’s Workplace of the Year. Discover why U.S. News & World Report has named us one of America’s Best Hospitals! What will you be doing in this role? In this remote role, under the general direction of the Coding Supervisor, (using knowledge of CSMC and Official Coding guidelines, medical terminology, anatomy and physiology, and pathological basis of disease, documented treatment and procedures performed at CSMC and Cedars-Sinai Affiliates and their locations) assigns ICD-10-CM and CPT codes for patients receiving services at CSMC. Accurately assigns all applicable modifiers for all patients to assure optimal reimbursement and the highest quality data possible Duties of this Coder II...

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...

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

A leading healthcare institution in Los Angeles seeks a Compliance Auditor to ensure Medicare Advantage program compliance. Responsibilities include conducting audits, maintaining documentation, and preparing professional reports. Ideal candidates will have a Bachelor's degree in a related field, 5 years of experience in managed care, and strong analytical skills. This role offers a salary range of $86,400-$184,800 annually, along with opportunities for collaboration and contribution to regulatory excellence. #J-18808-Ljbffr

Job Description Job Description Benefits: Employee discounts Training & development Wellness resources Role Overview Own the end-to-end medical billing lifecycle for a multi-specialty healthcare clinic. Drive clean claims, fast reimbursements, and zero leakage. This is an execution-heavy, accountability-driven rolenot a passive billing position. Core Responsibilities Manage full-cycle billing: charge entry, claim submission, payment posting, and follow-up. Bill and reconcile across multiple payor types: Commercial insurance Medicare Personal injury (PI) Workers compensation Cash-based services Ensure accurate CPT, ICD-10, and modifier usage across: Medical Chiropractic Physical therapy Acupuncture Massage therapy Aggressively work A/R: Identify denials, underpayments, and delays. Execute timely appeals and corrections. Maintain compliance with: Medicare rules State and federal billing regulations Payor-specific policies Communicate clearly...

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 patient's 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 Ensure all billing codes...