586 ca jobs found

Coder III Coder III is responsible conducting clinically based concurrent and retrospective reviews of inpatient medical records. This review is to evaluate that the clinical documentation is reflective of quality of care outcomes and reimbursement compliance for acute care services provided. The CDS will work closely with the medical staff to facilitate appropriate clinical documentation of patient care. T...

Position Summary We are seeking an experienced Medical Biller with a background in Skilled Nursing Facility (SNF) billing. Candidates must have prior experience in an SNF setting and be proficient in billing Cal Optima, Medi-Cal, and HMO insurances. Essential Duties and Responsibilities Process and submit claims for Skilled Nursing Facility services Manage billing for Cal Optima, Medi-Cal, Medicare, and HMO plans Follow up on claims to ensure timely reimbursement Resolve billing discrepancies and denials Verify patient insurance eligibility and benefits Maintain compliance with industry regulations and payer guidelines Work closely with facility staff and insurance providers to ensure accurate billing Knowledge, Skills, and Abilities Proficiency in billing Cal Optima, Medi-Cal, Medicare, and HMOs Strong knowledge of SNF-specific billing codes and reimbursement processes Familiarity with electronic billing software Strong attention to detail and...

Title: Medical Billing Specialist Location: Novato, CA 94945 Duration: 13 weeks Shift: Tuesday-Friday 8:30am-4:30pm (.75 FTE) Guaranteed Hours: 32 Hourly Pay: $15.00/hr on W2 Job Profile Summary The Billing Specialist is responsible for the coordination of full-scope for each assigned specialty. In conjunction with Practice Leaders ensures accurate charge capture and management of the reconciliation process. Daily review and working of revenue cycle work queues is essential. Communicates with coding vendors regarding surgical procedures. Trains support staff on appropriate billing procedures. Works with Revenue Cycle and Operation Directors on overall status of outstanding billing for these specialties. Ability to read, understand, and follow oral and written instruction with attention to detail required. Understanding of insurance payors, prior authorizations and eligibility requirements. Minimum 3 years' experience in medical billing. Experience and...

Job Title Job Description We are a federal contractor or subcontractor. The law requires us to provide equal employment opportunity to qualified people with disabilities. We have a goal of having at least 7% of our workers as people with disabilities. The law says we must measure our progress towards this goal. To do this, we must ask applicants and employees if they have a disability or have ever had one. People can become disabled, so we need to ask this question at least every five years. Completing this form is voluntary, and we hope that you will choose to do so. Your answer is confidential. No one who makes hiring decisions will see it. Your decision to complete the form and your answer will not harm you in any way. If you want to learn more about the law or this form, visit the U.S. Department of Labor's Office of Federal Contract Compliance Programs (OFCCP) website. A disability is a condition that substantially limits one or more of your "major life activities." If...

Job Description: Job Profile Summary The Billing Specialist is responsible for the coordination of full-scope for each assigned specialty. In conjunction with Practice Leaders ensures accurate charge capture and management of the reconciliation process. Daily review and working of revenue cycle work queues is essential. Communicates with coding vendor regarding surgical procedures. Trains support staff on appropriate billing procedures. Works with Revenue Cycle and Operation Directors on overall status of outstanding billing for these specialties. • Ability to read, understand, and follow oral and written instruction with attention to detail required. • Understanding of insurance payors, prior authorizations and eligibility requirements. • Minimum 3 years' experience in medical billing. • Experience and current knowledge of ICD10CM, CPT, and HCPCS coding methods. Coding experience a plus. Position Urgency: Normal Shifts: Tuesday-Friday 8:30am-4:30pm (.75 FTE)...

Details Client Name Novato Job Type Travel Offering Non-Clinical Profession Non-Clinical Specialty Billing Coordinator Job ID 17339019 Job Title CA - Medical Billing Specialist Weekly Pay $722.79 Shift Details Shift 5 Day Shifts X 8 Hrs Scheduled Hours 40 Job Order Details Start Date 10/30/2025 End Date 01/29/2026 Duration 13 Week(s) Client Details Address 75 Rowland Way Suite 100 City Novato State CA Zip Code 94945

OP Ancillary/Physician Coder, Remote (Must be based in CA) - (Job Number: MEM006643) Pay: Competitive Location: Fountain Valley, California Employment Type: Other Job Description Essential Job Outcomes & Functions Reviews the medical record of all outpatient, ancillary and recurring hospital encounters to determine the principal diagnosis and procedure and all appropriate secondary diagnoses and procedures. Using the International Classification of Diseases (ICD-9/10) and the Current Procedural Terminology (CPT) coding classification systems, assigns codes to all diagnoses and procedures following applicable coding principles and department guidelines; enters into the Epic Hospital Billing system for transmittal to billing system. Abstracts and codes all required clinical and demographic data for OSHPD (Office of Statewide Health Planning and Development), Quality Management, and Medical Staff; enters information into the Epic Hospital Billing system. Assigns ICD-9/I-10...

Environmental Compliance Auditor job at AECOM. Sacramento, CA. Work with Us. Change the World. At AECOM, we’re delivering a better world. Whether improving your commute, keeping the lights on, providing access to clean water, or transforming skylines, our work helps people and communities thrive. We are the world’s trusted infrastructure consulting firm, partnering with clients to solve the world’s most complex challenges and build legacies for future generations. There has never been a better time to be at AECOM. With accelerating infrastructure investment worldwide, our services are in great demand. We invite you to bring your bold ideas and big dreams and become part of a global team of over 50,000 planners, designers, engineers, scientists, digital innovators, program and construction managers and other professionals delivering projects that create a positive and tangible impact around the world. We’re one global team driven by our common purpose to deliver a better world....

Senior Specialty Physician Coder – Interventional Radiology – 100% Remote (California) We’re looking for an experienced Epic Charge Submission professional with strong expertise in Interventional Radiology (IR) and Radiology coding. Key Requirements: Must have Profee (outpatient) coding experience IR expertise required (not just exposure) CIRCC certification – REQUIRED CPC, CCS, or equivalent coding certification required Solid knowledge of ICD-10, CPT, and HCPCS Experience with Epic charge submission in a hospital or physician office setting Sample IR Procedures: Y-90 Microsphere Therapy, CNS occlusion/embolization, Cerebral thrombectomy, Cervicocerebral angiography/interventions, Non-CNS embolizations, Peripheral angiography/interventions What You’ll Do: Review and analyze specialty coding for accurate charge processing Collaborate with Coding Compliance Manager on coding trends and corrective actions Education: High school diploma or GED (required) Specialty coding...

Overview We are recruiting for an exciting leadership opportunity as a Medical Reception Supervisor (MRS) at one of our new state of the art clinics. Under the direction of the Health Center Manager, individual will direct, supervise, and coordinate staff and day-to-day operations for assigned center to provide outstanding customer service, quality and cost effective care. The MRS can expected to manage the daily operations of the front office/receptionist area of the health center. Responds to issues as appropriate (i.e., scheduling errors, patient flow bottlenecks, patient concerns, employee relations issues, etc.) and forwards information to appropriate supervisor and to Health Center Manager as needed for formal follow-up. Consistently conducts operations and decision-making base on using UHC policies and procedures. Approaches work in a consistent and timely manner and as directed by the Health Center Manager. Responsibilities Works closely with the Health Center...

Job Description Job Description PrideStaff currently has an amazing Direct Hire opportunity!  PRIMARY RESPONSIBILITIES:  • Conduct routine and targeted internal audits of clinical, billing, financial, administrative, and operational processes. • Monitor compliance with federal, state, and Tribal healthcare laws and regulations (e.g., HIPAA, CMS, IHS, HRSA, OSHA, Title 25). • Identify potential areas of vulnerability and risk; develop corrective action plans in coordination with department managers. Work closely with the Health Center Manager to implement and refine internal audit plans and schedules. • Maintain detailed records of all audits, findings, follow-up activities, and compliance reports. • Prepare and present clear, concise audit findings and compliance summaries to leadership  • Support compliance with education and training efforts across departments. • Assist with the investigation of complaints or reports of potential compliance violations. • Stay...

Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don't just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it's a calling that drives us forward every day. Job Overview Assigned codes to patient symptoms, diagnosis, operations, and treatments to process reimbursements, knowledge and expertise in reviewing and adjudicating coding services, procedures, and diagnoses on medical claims. Completes accuracy and timely entry of ICD-9-CM, HCPCS procedure codes, and CPT codes into the NextGen system. Minimum...

Overview HealthPRO Pediatrics is committed to fostering an inclusive and supportive learning environment where every student has the opportunity to reach their full potential. We are seeking a dedicated Occupational Therapist to join our team and support children in achieving greater independence and success through meaningful, goal-oriented therapy. Licensed Occupational Therapist – Madera, CA Full-Time, Year-Round, W2 Position Annual Salary: $93,000–$97,000, based on experience Enjoy a generous PTO plan and a comprehensive benefits package including Medical, Dental, and Vision coverage. Work in a Medical Therapy Unit (MTU) setting dedicated to helping children reach their fullest potential. Case Load : 6-7 cases per day Why Choose HealthPro Pediatrics? Meaningful Impact: Play a pivotal role in the lives of children and their families by helping them overcome challenges and achieve milestones in speech, physical, occupational,...

INSPIRING HEALTHY LIVES through community At Natividad, our dedication to the people of Monterey County is at the heart of everything we do—from the health care services we provide to the specialized programs we promote. This commitment to our community spans more than 135 years and has touched countless lives. It has also earned us a Joint Commission ranking in the top percentile of hospitals nationwide. If you believe in inspiring healthy lives by focusing on community-based care, consider joining Natividad today. HEALTH INFORMATION MANAGEMENT CODER - INPATIENT Natividad is currently seeking to fill one permanent full-time Health Information Management Coder II/Certified Health Information Management Coder - Inpatient position in the Health Information Management Department. Under general supervision, the successful candidate will review, interpret, code and abstract medical records information according to standard classification systems; identify diagnostic categories based on...

Job Description Job Description Remote Medical Biller & Coder (Entry-Level & Experienced) Company: Rooted Talent Solutions Location: Remote (Work From Home) Job Type: Independent Contractor (1099) Schedule: Flexible ???? About the Role Rooted Talent Solutions is actively seeking remote medical billers and coders to join our healthcare support team. This is a remote, independent contractor opportunity involving medical claim processing, coding, and administrative support for healthcare providers. We’re hiring both experienced professionals and motivated individuals looking to enter the field. If you’re detail-oriented, organized, and eager to work from home, this could be the right opportunity for you. ???? Responsibilities Process and submit medical claims accurately and on time Assign appropriate ICD-10, CPT, and HCPCS codes Review documentation for coding compliance Follow up on denied or unpaid claims as needed Communicate with providers,...

Job Description Job Description We are a busy speciality medical clinic looking for an experienced Front Office Supervisor to join our team. The candidate must have previous experience with supervising/management, must be familiar with insurance verification and running front office. This is a full time position with an immediate opening. We offer a competitive benefits package including: Medical, Dental, Sick, Vacation, Life Insurance, 401k plan with matching, flexible scheduling, free parking and employee discounts. QUALIFICATIONS: Previous Supervisor/Management Experience Professional Excellent Communication Skills (written and verbal) Punctual and Reliable Multitasking Skills Easy going demeanor Highly Organized Front office experience Knowledge of CPT Codes Medical Terminology Excellent Customer Service Skills Work well under pressure Friendly and approachable JOB DESCRIPTION (include, but not limited to): Front Office Insurance Verification...

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...

Job Description JOB DESCRIPTION Job Summary Establish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws and regulations, which will protect the Business from liability of fraudulent or abusive practices. Ensures that the Business understands and complies with applicable laws and regulations pertaining to the Health Care environment. Ensures the Business' accountability for compliance by overseeing, follow-up and resolution of investigations. KNOWLEDGE/SKILLS/ABILITIES Performs on-going compliance audits utilizing as necessary, state evaluation tools relating to audit/monitoring activities. Identifies and defines audit scope and criteria, reviews and analyzes evidence, and documents audit finds, including making recommendations for improvement and correction where identified. Provides comprehensive advice to assigned department regarding compliance risks with respect to Federal and State regulations...

Medical Biller Opportunity We are seeking a skilled Medical Biller to join our client's healthcare team. The ideal candidate will be responsible for accurately and efficiently processing medical claims and invoices, ensuring timely reimbursement from insurance companies and patients. The Medical Biller will work closely with healthcare providers, insurance companies, and patients to resolve billing discrepancies and ensure compliance with regulatory requirements. Job Responsibilities: Claims Processing: Prepare and submit accurate medical claims to insurance companies, Medicare, and Medicaid for reimbursement. Billing: Generate and send invoices to patients for services rendered, following up on outstanding balances and resolving billing discrepancies. Insurance Verification: Verify patients' insurance coverage and eligibility, ensuring all necessary authorizations and referrals are obtained before services being rendered. Coding: Assign appropriate medical codes...

Coder Lead The Coder Lead will code all patient types as needed; inpatient, same-day surgery, ancillary, ambulatory and provider based clinics. This individual will mentor, train and assist with cross training coding staff, includes newly hired coding staff. Must be familiar with reviewing documentation to assign appropriate CPT/HCPCS and ICD-10-CM-PCS diagnosis codes and procedures for hospital and physician (professional) services for Inpatient and Outpatient records based on knowledge of coding systems, including ICD-10 and CPT. Your Everyday General Duties Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs. Codes complex outpatient or inpatient utilizing encoder software, Computers Assisted Coding (CAC), and reference, in the assignment of ICD-10-CM/PCS, CPT/HCPCS codes, MS-DRG, APR-DRG, POA, SOI, ROM assignments, APC assignment and all required modifiers....

Established in 1987, Pacific Medical, Inc. is a distributor of durable medical equipment; specializing in orthopedic rehabilitation, arthroscopic surgery, sports medicine, prosthetics, and orthotics. With the heart of the company dedicated to helping and serving others, we provide our services directly to the patient, medical networks, physician clinics, and offices.  We are dedicated to the advancement of patient care through excellent service and product technology. We have an immediate onsite opportunity to join our growing company. We are currently seeking 4 full-time (M-F 8:00 am-5:00 pm) Medical Billing Specialists for our Tracy office.    Job Responsibilities: • Verify medical eligibility; benefit coverage and authorization requirements online or phone. • Obtain authorization if required by plan via fax, email, or online. • Process files within predesignated deadlines. • Contact patients to obtain information to process insurance claims or bill patients...