188 jobs found in Riverside, CA

Multispecialty Surgery Coder II The Multispecialty Surgery Coder II will code for multispecialty surgery physicians primarily single path coding. Multi-specialty surgical coding experience, any trauma, urology, ENT, plastics, gen surg, OB/GYN, cardiovascular, interventional radiology, etc. Ability to extract data and apply appropriate ICD-10 diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding managerthe coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM official guidelines for coding and reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The coder scope may involve reviewing coding related denials from payers and recommending the appropriate action to resolve...

Patient Support Medical Claims Processing Representative Remote Role Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product's value to payers, physicians, and patients. A significant part of our business is providing patient support programs on the behalf of our customers. With the right experience, you can help provide support to patients in need of available therapies. IQVIA has the world's largest Commercial Sales & Medical Solutions (CSMS) organization dedicated to the launch and marketing of pharmaceutical and medical products. With a focus on providing talent for patient support, field/inside sales, medical device support, clinical support, and medical...

Job Description Job Description Benefits: Competitive salary Paid time off Training & development About ZapZzz: ZapZzz is a specialized sleep apnea treatment program with a mission of improving patients overall health and quality of life by providing advanced, patient-centered solutions for sleep apnea. We are committed to excellence in care, professionalism, and compliance while ensuring patients have access to the treatment they need. We are seeking a dedicated and detail-oriented Medical Biller with experience in sleep apnea billing. The ideal candidate will bring both technical expertise and a proactive approach to managing insurance claims, billing processes, and revenue cycle operations. Position Summary: The Medical Biller will be responsible for accurately preparing, submitting, and managing insurance claims related to sleep apnea treatment and oral appliance therapy. This role requires a thorough understanding of insurance verification, billing...

Job Description Job Description job Overview We’re looking for a skilled and detail-driven Medical Biller to join our healthcare team. This position plays a key role in ensuring accurate billing, proper reimbursement, and compliance with all medical coding and regulatory guidelines. The ideal candidate will be proficient in billing processes, coding standards, and collections, and will work closely with providers, patients, and insurance companies to keep billing operations running smoothly. Responsibilities Review patient accounts to confirm billing accuracy Apply DRG, CPT, ICD-9, and ICD-10 codes appropriately for all billed services Prepare and submit insurance claims; follow up on unpaid or denied claims Handle medical collections, including outreach to patients regarding outstanding balances Maintain precise and up-to-date records within EMR/EHR systems Work with office staff to resolve billing issues or discrepancies Stay current on medical...

APPLY / RESPOND TO LEARN MORE!!! TOP CLIENT SEEKING TOP TALENT!!! MATT DESIDERIO (RECRUITING MANAGER) AT JOBOT (matt.desiderio@jobot.com) This Jobot Job is hosted by: Matt Desiderio Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $90,000 - $140,000 per year A bit about us: APPLY / RESPOND TO LEARN MORE!!! TOP CLIENT SEEKING TOP TALENT!!! MATT DESIDERIO (RECRUITING MANAGER) AT JOBOT (matt.desiderio@jobot.com) Why join us? APPLY / RESPOND TO LEARN MORE ABOUT MY CLIENT! TOTAL OFFERINGS INCLUDE: *Competitive Salary *Medical / Dental / Vision *Bonus Options *Retirement Planning *PTO / Holidays *Top Culture *Growth Opportunity Job Details Job Details: Our company is seeking a dedicated and experienced Civil Engineer to join our dynamic team. The ideal candidate will be responsible for designing, developing, and overseeing our civil engineering projects. This is a permanent position that requires a skilled...

Certified Medical Coder We are looking for an experienced and detail-oriented Certified Medical Coder with strong expertise in Primary Care and Pro Fee coding. The ideal candidate will accurately assign and sequence diagnostic and procedural codes based on clinical documentation to ensure proper billing, reimbursement, and regulatory compliance. This role involves collaboration with providers, clinical staff, and internal teams to maintain the highest standards of coding accuracy and data integrity. Key Responsibilities: Review clinical documentation to assign and sequence ICD-10, CPT, and HCPCS codes for various patient types (Hospital, Clinic, Ancillary, and Physician Pro Fee). Analyze facility and provider records to ensure accurate APC and Evaluation & Management (E/M) coding. Abstract clinical data and validate documentation adequacy to support diagnoses, procedures, and discharge dispositions. Serve as a resource for providers and client staff regarding...

Certified Medical Records Coder Position The County of Riverside - Riverside University Health System- Medical Records Department is seeking to fill a Certified Medical Records Coder position. The incumbents will be responsible for performing advanced coding and abstracting of outpatient medical record entries according to the most current edition of International Classification of Diseases Clinical Modification System (ICD-CM) and Current Procedural Terminology (CPT); performs other related duties as required. The Certified Medical Records Coder - Outpatient classification performs coding and abstracting of a high volume of patient records in the Medical Records Department and reports to an appropriate supervisory or manager level position. Candidates with acute hospital experience are encouraged to apply. Applicants will be tested as part of the hiring process. Work Schedule: 5/40, M-F, Day Shift (rotating holidays required) This position requires new hires to work in the...

Job Description Job Description HIM / Coding Supervisor The HIM/Coding Supervisor is responsible for overseeing the technical and administrative operations of the Health Information Management (HIM) Unit, ensuring compliance with federal, state, and accrediting agency regulations governing medical records management. This role provides leadership to clerical and credentialed technical staff, manages workflow, and ensures the accuracy, integrity, and confidentiality of all patient health information.   Key Responsibilities Interpret and apply federal, state, and accrediting agency regulations related to medical records management, privacy, and security. Plan, assign, and supervise daily chartroom and technical operations within the HIM Unit. Oversee critical HIM functions including: Release of information Chart assembly and analysis Inpatient and outpatient disease coding Transcription Birth and death certificate processing Disability claim processing...

We are hiring an Inpatient Coder for one of our clients in Colton, CA. Job Description: The client is in need of one (1) inpatient coder. Credentials: Must possess and maintain one (1) of the following: Registered Health Information Administrator (RHIA) issued by the American Health Information Management Association (AHIMA). Registered Health Information Technician (RHIT) issued by the American Health Information Management Association (AHIMA). Certified Coding Specialist (CCS) issued by the American Health Information Management Association (AHIMA). Certified Professional Coder (CPC) issued by the American Academy of Professional Coders (AAPC). -AND- Experience: OPTION 1: Two (2) years of experience (within the past five (5) years) coding inpatient stays in a Level I or II Trauma Center utilizing ICD-10 (International Coding of Diseases) and CPT (Current Procedural Terminology) coding classifications. Indicate the level on supplemental...

Job Summary: Leads the development of applicable policies and procedures for audit and process improvement projects. Identifies an appropriate plan for correcting deviations from expected quality control results. Promotes the use of strategies to ensure that tests are performed properly and results are verified before being shared. Monitors the management of specimens to ensure they are collected and processed according to established time and quality standards. Removes obstacles that prevent adherence to all requirements related to the recruitment, processing, testing, storage, and distribution of materials and samples. Researches, reports, and responds to technical and/or non-technical deficiencies in regulatory/accreditation inspection processes. Implements new testing methodologies, processes, and technology that have the potential to improve service, quality and/or efficiency. Leads the development and implementation of technical and/or non-technical training materials while...

Job Summary: Under supervision, is primarily responsible for assigning accurate diagnosis and procedure codes to the patients health information record for Inpatient and Newborn records. May also be assigned the responsibility for assigning accurate diagnosis and procedure codes to the patients health information record for Outpatient records (Observation Hospital Ambulatory Surgery, Complex Hospital Outpatient Visit - Cardiac Catheterization PCI Lab, Interventional Radiology, Extended Emergency & Emergency Departments, as well as other select records). This responsibility requires that the new coder be on-site for up to one calendar year and will require appropriate code assignment for physician-documented patient diagnoses, conditions and procedures; utilizing various coding classification schemes including ICD-10CM, ICD-10PCS, and HCPCS/CPT.All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding...

An established industry player is seeking a detail-oriented Coder 2-HIM to join their dynamic team. This role involves performing ICD and CPT coding, ensuring compliance with coding guidelines, and maintaining the quality of medical data. The ideal candidate will have a strong background in health information management and coding, with a minimum of two years of experience, preferably in surgery coding. Join a mission-driven organization that values compassion and integrity, and contribute to the impactful work of healthcare data management. #J-18808-Ljbffr

Job Summary The Coder 3-HIM performs International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding and abstracts data the legal medical record for facilities, licensed under LLUMC and contracted other LLUH facilities. Assigns diagnosis and procedure codes in compliance with the American Hospital Association Official Coding Guidelines. Ensures the quality and accuracy of coding and abstracted information are in compliance with federal and state regulations, government and contract payers, and grant funding. Quality of data collected impacts the facility in multiple ways, including finance, legal, research, teaching, quality assurance, etc. Coder 3-HIM performs coding in all areas including, Inpatient, Outpatient, Emergency, Interventional Radiology etc. Performs secondary coding reviews as needed. Works with students and coding interns as requested. Performs other duties as needed. Education and Experience Completion of Coding Certificate program or...

A leading university healthcare institution in California seeks a Coder 1-HIM to perform ICD and CPT coding, ensuring accuracy and compliance with coding guidelines. The role requires a coding certificate or associate's degree in health information management, with a preference for candidates having coding experience in an acute care setting. Key skills include detail orientation, effective communication, and familiarity with medical terminology. #J-18808-Ljbffr

Job Summary The Compliance Auditor-Physician monitors and audits established mechanisms and controls to ensure compliance with regulations. Audits the activities of various departments for compliance with plans, policies and procedures prescribed by management. Prepares and submits reports on the results of audits, recommending improvements in policies and procedures. Cooperates with outside auditors in any undertaking that may expedite their work. Performs other duties as needed. Conducts full range of physician-based audits/projects and develops partnerships with internal and external customers. Education and Experience Bachelor's Degree required. Master's Degree preferred. Minimum three years of experience in auditing within healthcare, compliance, regulatory oversight agency, quality management, quality assurance or business analysis. Knowledge and Skills Experience with Physician-based audits/projects required. Able to read; write legibly; speak in English with...

A healthcare university in California is seeking a Coder 2-HIM to perform ICD and CPT coding for legal medical records. The candidate must ensure the quality and accuracy of coding in compliance with federal and state regulations. This role requires a Coding Certificate or Associate's Degree in Health Information Management along with three years of coding experience, preferably in Inpatient and Outpatient Surgery coding. Certification as CCS, RHIA, or RHIT is mandatory. #J-18808-Ljbffr

Shared Services: Compliance- (Full-Time, Day Shift) Job Summary The Compliance Auditor-Physician monitors and audits established mechanisms and controls to ensure compliance with regulations. Audits the activities of various departments for compliance with plans, policies and procedures prescribed by management. Prepares and submits reports on the results of audits, recommending improvements in policies and procedures. Cooperates with outside auditors in any undertaking that may expedite their work. Performs other duties as needed. Conducts full range of physician-based audits/projects and develops partnerships with internal and external customers. Performs other duties as needed. Education and Experience Bachelor's Degree required. Master's Degree preferred. Minimum three years of experience in auditing within healthcare, compliance, regulatory oversight agency, quality management, quality assurance or business analysis. Knowledge and Skills Experience with...

Recruitment Incentive Bonus: may be eligible for a $3,000 recruitment incentive bonus based on eligibility requirements. Job Summary: The Coder 2-HIM performs ICD and CPT coding and abstracts data from legal medical records for facilities licensed under LLUMC and contracted LLUH facilities. Assigns diagnosis and procedure codes in compliance with the American Hospital Association Official Coding Guidelines. Ensures the quality and accuracy of coding and abstracted information, complying with federal and state regulations, government and contract payers, and grant funding. The quality of data impacts various aspects of the facility, including finance, legal, research, teaching, and quality assurance. The Coder 2-HIM must perform Inpatient and/or Outpatient Surgery coding and may work with students and interns as needed. Performs other duties as assigned. Education and Experience: High School Diploma or GED required. Completion of a Coding Certificate program or an Associate's...

Job Summary: The Coder 1-HIM performs International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding and abstracts data from the legal medical record for facilities, licensed under LLUMC and contracted other LLUH facilities. Assigns diagnosis and procedure codes in compliance with the American Hospital Association Official Coding Guidelines. Ensures the quality and accuracy of coding and abstract information are in compliance with federal and state regulations, government and contract payers, and grant funding. Quality of data collected impacts the facility in multiple ways, including finance, legal, research, teaching, quality assurance, etc. The Coder 1-HIM must be able to perform coding in Outpatient and/or Emergency area. Works with students and coding interns as requested. Performs other duties as needed. Education and Experience: Completion of Coding Certificate program or Associate's Degree in Health Information Management required. Minimum...

Our Vision Our vision aims to empower our clients by actively leveraging our broad range of services. With our global presence, we offer career opportunities worldwide, leading to a unique, exciting, and fulfilling career path. Explore the available opportunities below and find your next career! Please be aware of employment scams where hackers pose as legitimate companies and recruiters to obtain personal information from job seekers. Verify the authenticity of any job offers or communications. We will never request sensitive information such as Social Security numbers or bank details during the initial stages of recruitment. If you suspect fraudulent activity, contact us through our official channels. Stay safe and protect your personal information. Position Details Note: This position is contingent upon contract award and will be located onsite in the southeast, southwest, or central United States. Travel may be required. Duties and Responsibilities Perform complex...

Our vision aims to empower our clients by actively leveraging our broad range of services. With our global presence, we have career opportunities all across the world which can lead to a unique, exciting and fulfilling career path. Pick your path today! To see what career opportunities we have available, explore below to find your next career! Please be aware of employment scams where hackers pose as legitimate companies and recruiters to obtain personal information from job seekers. Please be vigilant and verify the authenticity of any job offers or communications. We will never request sensitive information such as Social Security numbers or bank details during the initial stages of the recruitment process. If you suspect fraudulent activity, contact us directly through our official channels. Stay safe and protect your personal information. ***This position is contingent upon contract award and will be located onsite in either the southeast, southwest, or central United States....

Shared Services: Compliance- (Full-Time, Day Shift) - Job Summary: The Compliance Auditor-Physician monitors and audits established mechanisms and controls to ensure compliance with regulations. Audits the activities of various departments for compliance with plans, policies and procedures prescribed by management. Prepares and submits reports on the results of audits, recommending improvements in policies and procedures. Cooperates with outside auditors in any undertaking that may expedite their work. Performs other duties as needed. Conducts full range of physician-based audits/projects and develops partnerships with internal and external customers. Performs other duties as needed. Education and Experience: Bachelor's Degree required. Master's Degree preferred. Minimum three years of experience in auditing within healthcare, compliance, regulatory oversight agency, quality management, quality assurance or business analysis. Knowledge and Skills: Experience with...

A healthcare institution in California is seeking a Coder 1 Risk Adjustment. This role involves reviewing clinical documentation to ensure compliance with Risk Adjustment Data Validation timelines and facilitating communication with providers. The ideal candidate will have a Bachelor's degree in Health Information Management or an equivalent experience. Key skills include understanding clinical coding and the ability to communicate effectively. This position requires certification as a Risk Adjustment Coder. #J-18808-Ljbffr