102 other jobs found in Los Angeles, CA

Job Description Job Description 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...

Job Description Job Description 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....

Join Datavant, the leader in health data exchange, and contribute to a mission where every healthcare decision is driven by accurate data.Our extensive platform connects the healthcare ecosystem, providing secure and accessible data that enhances health decisions.We are proud to work with top life sciences companies, government entities, and healthcare providers.As a part of our high-performing, values-focused team, you will help tackle complex healthcare challenges with innovative, technology-driven solutions.At Datavant, we value diverse experiences and backgrounds, and we're seeking experienced and credentialed outpatient coders like you! This fully remote position offers a flexible schedule, allowing you to make a difference in healthcare from the comfort of your own home.Role Overview:Review medical records to accurately code diagnoses and procedures.Sequence codes based on medical record documentation.Assign appropriate discharge dispositions.Abstract and input coded data for...

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...

Medical Biller I The Medical Biller I is a full-time position responsible for the coding and billing of Medical, Dental, Optometry, Behavioral Health, OB-GYN, and Podiatry claims. This position reports to the Billing Manager, in some cases, the focus may be on either coding or billing but must be cross trained in both. Benefits Free Medical, Dental & Vision 13 Paid Holidays + PTO 403 (B) retirement match Life Insurance, EAP Tuition Reimbursement Flexible Spending Account Continued workforce development & training Succession plans & growth within Qualifications Education and Experience Three (3) years of experience with revenue cycle operations management with excellent presentation and writing skills. Advanced skills in analysis and MS Office suite. eClinical Works experience is preferred. High School diploma or GED required. Billing Certification required. Demonstrated knowledge of all Insurance companies, HMO's, PPO's...

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...

Patient Services Manager Morrison Healthcare is a leading national food and nutrition services company exclusively dedicated to serving more than 600 hospitals and healthcare systems. Morrison's hospital kitchens, restaurants, and cafs feature socially responsible practices and exceptional guest experiences. The company's comprehensive Mindful Choices wellness and sustainability platform includes the latest in healthful eating and an understanding of behavioral change in food consumption. Morrison's alignment with Partnership for a Healthier America's (PHA) Hospital Healthy Food Initiative positively impacts up to 41 million patients and 500 million hospital meals annually. Morrison has been named one of Modern Healthcare's "Top 100 Best Places to Work in Healthcare" for the past five years, and Training Magazine's Top 125 organizations for the past six consecutive years. The company is a division of Compass Group and has more than 1,200 registered dietitians, 300 executive...

Job Description Job Description Non-Profit agency is looking for a  Medical Billing / Coding Specialist SUMMARY: The Medical Billing Coding Analyst will conduct medical billing and coding reconciliation with agency electronic health record systems and applications, data monitoring and analysis connected to medical billing/coding productivity reports, and planning and dissemination of specific projects and/or contracts. The Medical Billing Coding Analyst will assist in project liaison and operations and other administrative functions of the agency as assigned. Personnel must be able to interpret the agency's mission and purpose in the community. DUTIES AND RESPONSIBILITIES: Conduct medical billing and coding in concert with the agency’s electronic health record system called Exym. Coordinate medical billing and coding with other agency internal and external billing applications. Open medical case records on electronic health record system. Follow-up with...

Job Description Job Description South Los Angeles based FQHC looking for onsite Certified HCC coder . *This is not a remote position Conduct the necessary audits of medical record to verify the physicians have appropriately documented the diagnoses then code these diagnoses in ICD-10 for Medicare Risk Adjustments/Medicare Advantage. Evaluate medical information (Outpatient/Inpatient) documentation from a clinical standpoint for evidence of the possibility of additional medical conditions that may not have been documented in the past, and ensure accurate coding of the encounter data and recommend processes for accurate coding practices. This process involves a very strong understanding of medical coding. Ascertain that medical record documentations have accurate diagnoses and conditions to assure not to up-code, fraudulently or misrepresent the patient condition and ensure compliance to prepare for random CMS medical records audit HEDIS coding and record collection...

Full-Time/Part-Time Part-Time Shift Days Pay Rate $24-25hr About the Organization Our focus on medical recruitment and staffing, experience, and unique sourcing model allows for a unique pool of candidates otherwise not available. Apply today for immediate opportunities in the health care industry. EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. Description HALO Staffing Group - Immediate Interviews - Top Clinics- Great Pay We have a great opportunity to join a specialty group as a Bilingual Spanish Medical Assistant Supervisor to assist and help manage the office staff. Will assist the practice manager and providers, ensure the facilitating flow of the front lobby and front desk area. Direct hire position! Pay...

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...

Payment Integrity Nurse Coder RN III The Payment Integrity Nurse Coder RN III is responsible for investigating, reviewing, and providing clinical and/or coding expertise/judgement in the application of medical and reimbursement policies within the claim adjudication process through medical record review for Payment Integrity and Utilization Management projects. The position serves as a subject matter expert (SME), performing medical records reviews to include quality audits as well as validation of accuracy and completeness of all coding elements. The position is also responsible for guidance related to Payment Integrity initiatives to include concept and cost avoidance development. This position trains and mentors Payment Integrity Nurse Coder, RN staff. Acts as a Subject Matter Expert, serves as a resource and mentor for other staff. Performs Quality Audits to include validation of accuracy and completeness of ICD, Rev Code, CPT, HCPCs, APR, DRG, POA, and all relevant coding...

divh2Job Summary/h2pHow would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of whats possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in peoples lives./ppWork Shift Day (United States of America)/ph2Core Responsibilities and Essential Functions/h2ulliAccurately and completely assigns appropriate ICD-10-CM diagnostic and CPT-4/HCPCS procedural codes to the greatest specificity, assigning the most accurate DRG/APC, when appropriate and in accordance with Official Guidelines for Coding and Reporting and Facility Coding Guidelines, as applicable/liliAccurately and completely abstracts all required patient demographic data into the EMR/liliAccurately...

Medical Biller (Temp?to?Hire) - Los Angeles, CA - $20-$25/hr. About the Role We're partnering with a confidential healthcare provider to hire a detail?driven Medical Biller in Los Angeles. In this temp?to?hire role, you'll manage full?cycle billing- claims creation, coding review (CPT/ICD?10), charge entry, EOB reconciliation, denials and appeals, and payer follow?up -to help the revenue cycle run smoothly. Key Responsibilities Prepare and submit clean claims to private and government payers (EDI & paper) Verify insurance eligibility and benefits; resolve authorization issues Post payments, reconcile remittances (EOB/ERA), research short?pays and recoups Work denials and resubmissions within SLAs; document actions in the PM/RCM system Collaborate with front office and coding to reduce rework and days in A/R Track metrics (first?pass yield, DSO, net collection rate) and surface trends What You'll Bring 1-2+ years in medical...

DescriptionThe Medical Coder 3 (inpatient and ambulatory surgery) abstracts clinical information from a variety of medical records charts and documents and assigns appropriate ICD-10 - CM/PCS and CPT codes to patient records according to established procedures.Works with coding databases and confirms DRG assignments.Familiar with standard concepts practices and procedures within a particular field.Relies on instructions and pre-established guidelines to perform the functions of the job.This position relies on guidelines and some experience and judgment to complete job and works under general supervision.ResponsibilitiesCoding/Abstracting Assists the Business Office and external agencies in clarification of coding regarding reimbursement issues.Handles all requests in a timely fashion.Quality/Performance Corresponds with other areas of the HIM department to ensure the necessary components are available for accurate coding and the highest quality of the patients medical...

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...

Conduct the necessary audits of medical record to verify the physicians have appropriately documented the diagnoses then code these diagnoses in ICD-10 for Medicare Risk Adjustments/Medicare Advantage. Evaluate medical information (Outpatient/Inpatient) documentation from a clinical standpoint for evidence of the possibility of additional medical conditions that may not have been documented in the past, and ensure accurate coding of the encounter data and recommend processes for accurate coding practices. This process involves a very strong understanding of medical coding. Essential Duties and Responsibilities: • Ascertain that medical record documentations have accurate diagnoses and conditions to assure not to up-code, fraudulently or misrepresent the patient condition and ensure compliance to prepare for random CMS medical records audit • HEDIS coding and record collection • Report Coding discrepancies patterns identified within the chart review process to the Coding...

WHO WE ARE AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation! Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees? If so, AIDS Healthcare Foundation is the place for you! Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them. AHF’s core values are: Patient-Centered Value Employees Respect for Diversity Nimble Fight for What’s Right Please review our Advocacy page for the latest news on how AHF is Fighting for...

At Insmed, every moment and every patient counts - and so does every person who joins in. As a global biopharmaceutical company dedicated to transforming the lives of patients with serious and rare diseases, you'll be part of a community that prioritizes the human experience, celebrates curiosity, and values every person's contributions to meaningful progress. That commitment has earned us recognition as Science magazine's No. 1 Top Employer for five consecutive years, certification as a Great Place to Work® in the U.S., and a place on The Sunday Times Best Places to Work list in the UK. For patients, for each other, and for the future of science, we're in. Are you? About the Role: We're looking for an Associate Director, Medical Science Liaison on the US Medical Affairs team to help us expand what's possible for patients with serious diseases. Reporting to the National Sr Director, US Field Medical you'll develop and maintain professional relationships with external...

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...

Job Description Bring your whole self to exceptional care. Cedars-Sinai was tied for #1 in California in U.S. News & World Report's "Best Hospitals 2024-25" rankings, and it's all thanks to our team of 14,000+ remarkable employees! What you will be doing in this role: The Claims Edit Coder (Coder II) operated under the general direction of an audit supervisor and involves responsibilities across various work units, as well as duties specific to the reporting team. In this role, the Coder II reviews ICD-10-CM diagnosis coding and Current Procedural Terminology (CPT) procedure code for claim edit fall outs. The position entails conducting modifier review and assignment, handling complex coding edits that necessitate research and resolution, and validating key data elements like the billing physician and date of service. You are expected to abstract coded data accurately and promptly into the applicable system using relevant applications such as EPIC (CS-Link), EPIC HB...

DRG Coding Auditor Principal _Virtual: _ _ ​_ This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group...

WHO WE ARE AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation! Does the idea of doing something that really makes a difference in people's lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees? If so, AIDS Healthcare Foundation is the place for you! Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them. AHF's core values are: Patient-Centered Value Employees Respect for Diversity Nimble Fight for What's Right Please review our Advocacy page for the latest news on how AHF is Fighting for What's Right!...

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 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company’s Workplace of the Year. We provide an outstanding benefit package that includes healthcare, paid time off and a 403(b). Join us! Discover why U.S. News & World Report has named us one of America’s Best Hospitals. What Will I be Doing in this Role? Under the general direction of the HID Audit Supervisor, the role operates as a Coding Auditor and shall:  Monitor coding compliance through prebill and retrospective reviews or audits of ICD and/or CPT codes assigned by coding staff. Monitor coding compliance by performing focused audits on high-risk areas identified by the Office of Inspector General (OIG) and the Centers of Medicare and Medicaid Services (CMS)....