133 other jobs found in Santa Monica, CA

Description Under general supervision appropriately assigns DRGs, APCs, ICD-10 and CPT to all patient account types according to AHA and UHDDS guidelines. This is a credentialed coder/abstractor position responsible for coding levels up to and including Inpatient - All types of cases, Outpatient Clinical, Emergency Room, Same Day Surgery, and Observation. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: National Certification from American Academy of Professional Coders upon hire or, National Certified Coding Associate - American Health Information Management Association upon hire or,...

Manager/Associate Director, Medical Writing - Regulatory Syneos Health is a leading fully integrated biopharmaceutical solutions organization built to accelerate customer success. We translate unique clinical, medical affairs and commercial insights into outcomes to address modern market realities. Our Clinical Development model brings the customer and the patient to the center of everything that we do. We are continuously looking for ways to simplify and streamline our work to not only make Syneos Health easier to work with, but to make us easier to work for. Whether you join us in a Functional Service Provider partnership or a Full-Service environment, you'll collaborate with passionate problem solvers, innovating as a team to help our customers achieve their goals. We are agile and driven to accelerate the delivery of therapies, because we are passionate to change lives. Discover what our 29,000 employees, across 110 countries already know: WORK HERE MATTERS...

We're here for one reason and one reason only - to cure cancer. Every moment is dedicated to developing treatments and every action moves us one step closer to our goal. We've made incredible scientific breakthroughs and our pioneering personalized CAR T-cell therapies have changed the paradigm. But we're not finished yet. Join Kite, as we make even bigger advances in cancer therapies, and help shape where our business and medical science goes next. We believe every employee deserves a great leader. People Leaders are the cornerstone to the employee experience at Gilead and Kite. As a people leader now or in the future, you are the key driver in evolving our culture and creating an environment where every employee feels included, developed and empowered to fulfil their aspirations. Join Kite and help create more tomorrows. Job Description At Gilead our pursuit of a healthier world for all people has yielded a cure for hepatitis C, revolutionary improvements in HIV...

A leading healthcare organization in Santa Monica is seeking a Medical Coder to join their team, focusing on inpatient and outpatient coding per AHA guidelines. Candidates must possess national certification and a year's experience in acute care coding. The role offers a hybrid work environment and competitive wages with a comprehensive benefits package. Ideal for detail-oriented professionals passionate about healthcare administration. #J-18808-Ljbffr

A leading healthcare organization in Santa Monica is seeking a credentialed coder/abstractor responsible for assigning DRGs, APCs, ICD-10, and CPT codes to various patient account types. The role requires relevant certifications and at least one year of acute care hospital coding experience. The organization offers a comprehensive benefits package alongside a hybrid work model that supports the caregiver's professional development and well-being. #J-18808-Ljbffr

Under general supervision appropriately assigns DRGs, APCs, ICD-10 and CPT to all patient account types according to AHA and UHDDS guidelines. This is a credentialed coder/abstractor position responsible for coding levels up to and including Inpatient – All types of cases, Outpatient Clinical, Emergency Room, Same Day Surgery, and Observation. Providence caregivers are not simply valued – they’re invaluable. Join our team atProvidence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications National Certification from American Academy of Professional Coders upon hire or, National Certified Coding Associate - American Health Information Management Associationupon hire or, National Certified Coding Specialist - American Health Information Management Association upon...

A leading healthcare provider in Santa Monica is looking for a credentialed coder responsible for coding patient accounts across various settings, including inpatient and outpatient cases. Candidates must hold specific national certifications and have acute care coding experience. Join a team committed to patient-focused care and enjoy comprehensive benefits designed to support you professionally and personally. #J-18808-Ljbffr

Overview Under general supervision appropriately assigns DRGs, APCs, ICD-10 and CPT to all patient account types according to AHA and UHDDS guidelines. This is a credentialed coder/abstractor position responsible for coding levels up to and including Inpatient – All types of cases, Outpatient Clinical, Emergency Room, Same Day Surgery, and Observation. Why Join Providence Providence caregivers are not simply valued – they’re invaluable. Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. About Providence At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support...

Inpatient Facility Coder - Future Opportunities (Talent Pool) Remote GeBBS Healthcare Solutions, an industry leader in Health Information Management (HIM) and Revenue Cycle Management (RCM) solutions, is building a talent pool of highly motivated Inpatient Facility Coders for future, upcoming opportunities . This posting is to connect with experienced coding professionals who have a passion for excellence and collaboration and would like to be considered as new projects and roles become available. These future roles are anticipated to be full and part-time, remote W-2 positions with flexible schedules. In upcoming opportunities, coders may be responsible for medical coding for one of our facility clients, including reviewing charts, assigning appropriate diagnosis and procedure codes, and ensuring high-quality standards are consistently met. The Inpatient Coder typically assigns diagnostic and procedural codes to patient charts using ICD-10-CM, ICD-10-PCS, or other...

Join GeBBS Healthcare Solutions as an Inpatient Facility Coder (P) , a remote W-2 position with flexible work schedules. This role is responsible for medical coding for one of our facility clients, including reviewing charts, coding appropriate charges, and ensuring high-quality standards are achieved. Responsibilities: Assign diagnostic and procedural codes to patient charts using ICD-10-CM, ICD-10-PCS, or other designated coding classification systems. Abstract required clinical information and adhere to coding rules and regulations. Requirements: RHIA, RHIT, CCS certification through AHIMA required. Minimum 3 years of inpatient coding experience in a facility setting. Maintain standard industry productivity rates for Inpatient coding (3 charts/hour). Demonstrated ability to maintain high-quality standards of 95% or greater. Proficient in utilizing technology (computer, VPN, MS Office, coding software) to perform responsibilities. Strong verbal and written communication skills....

Overview GeBBS Healthcare Solutions, an industry leader in Health Information Management (HIM) and Revenue Cycle Management (RCM) solutions, is seeking highly motivated individuals with a passion for excellence & collaboration, for careers in the healthcare industry. We are looking for a full-time Inpatient Facility Coder . This is a remote W-2 position with flexible work schedules. This position will be responsible for medical coding for one of facility clients. Coder will be responsible for reviewing charts, coding appropriate charges and ensuring high quality standards are achieved. Responsibilities The Inpatient Coder is responsible for assigning diagnostic and procedural codes to patient charts using ICD-10-CM, ICD-10-PCS or any other designated coding classification system in accordance with coding rules and regulations. The coder will abstract required clinical information. This position requires a thorough knowledge of medical terminology, disease processes,...

Medical Biller The Medical Biller is expected to perform all areas of initial billing, secondary billing, and payer audit follow-up for government and non-government claims. Must work with other departments to facilitate the meeting of both departmental and facility goals and objectives. Demonstrates an ability to find solutions to problems and keeps management informed of patterns regarding billing edits, compliance issues, payments and or other issues with specific payers. Has an extensive knowledge of billing requirements mandated by payers and/or governmental regulations. This position will perform any and all related job duties as assigned. This position is a hybrid schedule working two days in the El Segundo office and three days from home. Essential Job Functions Hospital Billing Emphasis Correcting and billing electronic and hardcopy claims Submits adjusted claims Provides follow-up billing Prepares billing reconciliation Duties and Responsibilities Performs...

Description Venice Family Clinic is a leader in providing comprehensive, high-quality primary healthcare to people in need with compassion, dignity, and respect. In November 2021, Venice Family Clinic merged with South Bay Family Health Care, uniting more than a century of experience helping patients regardless of their income, insurance or immigration status. The organization now has more than 500 staff who serve 45,000 people from the Santa Monica Mountains through the South Bay. We have 17 locations, plus two mobile clinics, and an extensive street medicine program for individuals experiencing homelessness. Read more about us at venicefamilyclinic.org Under the direction of the Revenue Cycle Director, this position: Codes, diagnoses, and procedures for a multi-specialty group. In performing the coding requirements, this position is required to utilize knowledge of AHA-Coding Clinic and AMA - CPT Assistant guidelines, medical terminology, anatomy and physiology, and...

FACILITY MEDICAL BILLER MG Billing is a boutique billing and insurance services company, looking to add a medical biller to their Billing Administration Team in behavioral health facility department. The position involves working closely with both owners/doctors of facilities/practice groups, their related staff, and insurance representatives ranging from provider service reps to managers/directors of departments/regions- in order to ensure both the highest level of customer service for clients and maximum reimbursements for services rendered. An MG biller must be detailed oriented, strong in follow up calling, and possess a passion for creative problem solving. Job responsibilities include: Weekly billing of services rendered by provider (averaging 100-200 claims- varies per account) Daily collections- obtaining status through insurance representatives (and online resources), maintaining schedule of each policy reimbursement to ensure uniform and highest paying...

JOB DESCRIPTION Position: Medical Biller / Accounts Receivable (AR) Specialist Pay Range: $27.00-$30.00 PER HR Reporting To: Reimbursement Manager Work Type: On-Site POSITION SUMMARY: The Medical Biller / AR Specialist Must have strong revenue cycle experience, including hands on work with CalAIM (Medi Cal managed care). The Medical Biller/ AR Specialist will own end to end billing, follow ups, denials management, and AR resolution to drive clean claims and steady cash flow. REQUIRED QUALIFICATIONS: High school diploma or GED preferred. 3+ years of medical billing/AR follow up experience in a healthcare setting. Proven proficiency with Medi Cal managed care and commercial payers' claim workflows. Track record resolving denials, submitting appeals, and obtaining/correcting authorizations. Proficiency with EMR/EHR and billing systems; strong Excel skills (filters, sorting, lookups). Exceptional attention to detail, organization, and written...

A bit about us: We provide comprehensive and individualized cancer care through participation in clinical research, offering innovative treatments, and promoting early detection through screenings. As a partner of OneOncology, we enhance its ability to deliver high-value care by focusing on personalized treatment plans, engaging with the latest advancements, and delivering care with deliberation and compassion. Why join us? a comprehensive benefits package including medical, dental, vision, and retirement plans. Employees also receive competitive pay, paid time off for work-life balance, and can find fulfillment in a mission-driven role focused on community care Job Details Office Supervisor (Medical Assistant) Location: Van Nuys, CA Schedule: Monday-Friday, 8:00 AM-5:00 PM (no weekends) Type: Contract-to-Hire About the Role A prominent oncology network has a Riverside clinic that is seeking a polished, patient-first Non-Clinical Medical Assistant/Office...

Overview Major Responsibilities: Ensure where stipulated by law, all Currency Transaction Reports (CTR) are entered into Casino Management, and all folders and accompanying documents are processed for review and e-file transmission via the BSA E-Filing System. Maintain a log of all BSA e-file submissions. Make sure all submissions are correctly transmitted and received by the FinCEN, confirm all submissions are being processed, and are error-free. Monitor all electronic communication from FinCEN. Ensure all issues are being researched and corrected accordingly (i.e., social security number doesn't match the name, or any other errors and/or advisories). Review all MTL logs for any suspicious activity. Review all NIL logs for any suspicious activity. Review all analytics for any suspicious activity. Review daily security logs for any suspicious activity reported on logs. Obtain daily surveillance logs and review for any suspicious activity. Prepare Suspicious...

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...

Billing Specialist - Leading TX Center for over 40 years This Jobot Job is hosted by: Jamal Elkhateib Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $23 - $28 per hour A bit about us: We are a long-standing nonprofit treatment provider with over five decades of service in the recovery community. For over 40 years, weve helped more than 50,000 individuals overcome health challenges through compassionate, evidence-based care. With 300+ residential beds and a dedicated team of 150+ staff, interns, and volunteers, we offer comprehensive services that promote long-term sobriety and personal growth. Why join us? Medical Dental Vision 401K Growth Options Job Details The billing specialist ensures accurate and timely billing for services provided. This role is responsible for preparing, reviewing, and submitting claims, resolving denied or unpaid claims, and maintaining compliance with local, state, and federal...

Medical Coding Specialist Codes and abstracts documents such as patient charts and pathology reports utilizing diagnostic codes. Enters data into computer system(s). Essential Duties: Abstracts and assigns accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic). Reviews and edits previously submitted charges as needed due to identified billing errors and/or insurance requirement changes. Provides completed patient data to billing staff or designated personnel. Answers incoming calls from billers, front desk staff and clinical staff as needed assisting in what may be necessary to satisfactory resolution of the issues. Reviews and resolves insurance denials by examining the provider documentation. Consults with medical providers to clarify missing or inadequate record information and...

Medical Coder 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 Compliance Auditor In accordance with current federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review of previously coded accounts to ensure appropriate CPT, ICD-10-CM, and HCPCS assignments and accuracy and completeness of all ICD-10-CM, CPT, and HCPCS codes assigned by professional revenue coders and providers. All assigned codes must be supported by professional documentation contained within the medical record and must be in compliance with federal coding compliance regulations, Official Coding Guidelines, AHA Coding Clinic, and CPT Assistant. The Coding Compliance Auditor will also provide detailed reports, Excel spreadsheets, coding audit summary analysis, and data analytics Re: coding accuracy rates, compliance rates, denial analytics, etc. Recommend education topics based on audit findings and assist in the continuing education of professional coders and providers. Understands coding/billing computer systems...

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...

Senior Outpatient Coder Come lead with us at Corporate. At Houston Methodist, the Senior Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to day surgery and observation encounters based on documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt Qualifications Education : Associate’s or higher degree in a Commission on Accreditation for Health Informatics and Information Management accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree Experience : Three years of relevant outpatient coding experience or successful completion of the Houston Methodist Senior Outpatient Coder Transition Program Licenses and Certifications (Required) : Must have one of the following: RHIT – Certified Health Information Technician (AHIMA) RHIA – Registered...