Search Results: 8,293 vacancies

 ...Nurse Reviewer I Location: Within 50 miles of a pulse point Shift : Monday - Friday from 9:30 am - 6:00 pm CST or PST The...  ...Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding, and managed health care including HMO, PO and POS plans... 
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Elevance Health

Costa Mesa, CA
4 days ago
 ...compliance with local, state, and federal regulatory authorities for HCC coding and audit programs. Manage provider educator team to ensure...  ...teams/PCPs/IPAs/MSOs. * Create compliance policies and review patient records in accordance with compliance policies and coding... 
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Clever Care Health Plan

Huntington Beach, CA
3 days ago
JOB SUMMARY: Manages the Warranty Review Center's daily activities, including all warranty claim authorization and statistical activities. PRINCIPAL DUTIES & RESPONSIBILITIES: # Manages day-to-day operations of the Warranty Review Center. Supervises staff, including... 
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Isuzu Motors Limited

Anaheim, CA
3 days ago
 ...providing appraisal services to First Foundation Banks’ lending community. Engages appraisals from the pre-selected vendor list and reviews commercial appraisals with responsibility for the assignment workflow. Assigns environmental report tasks to the outsourced vendors... 
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FIRST FOUNDATION BANK

Irvine, CA
4 days ago
 ...50.00 per hour Onsite: Austin, TX or Newport Beach, CA Series 7 and 24 in order to be considered Experienced Marketing Compliance Reviewer Marketing Compliance Reviewer: The Marketing Compliance Reviewer will join the compliance team within the Legal and Compliance Department... 
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KORE1 Technologies

Newport Beach, CA
4 days ago
 ...Compliance Consultant to play a crucial role in supporting the Code of Ethics compliance program, focusing on employee personal trading...  ...5pm Key responsibilities of the Compliance Consultant include: Reviewing employee personal trades for potential conflicts with firm... 
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Ultimate Staffing

Newport Beach, CA
4 days ago
 ...accurate and up to date.- Preparing bills and invoices, and documenting amounts due for medical procedures and services.- Collecting and reviewing referrals and pre-authorizations.- Examining patient bills for accuracy and requesting any missing information.- Investigating and... 
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ResourceMFG

Placentia, CA
4 days ago
 ...more information, visit Follow Allergan Aesthetics on LinkedIn. Job Description Position Summary The Director of Skincare Medical Review leads and executes the development and implementation of the global medical operations strategy (Pharmacovigilance, Medical Information... 
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AbbVie

Irvine, CA
3 days ago
 ...qualifications under (a) through (d): a. Valid California Community College instructor credential, appropriate to the subject, per Education Code 87355 (issued prior to July 1, 1990); b. Bachelor's degree and two years of professional experience. c. Associate degree and... 
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Coast Community College District

Costa Mesa, CA
2 days ago
 ...general supervision interprets and enforces the City's municipal code and other related codes, rules and regulations, of a simple...  ...in the Planning and Building Agency. The deadline for the first review of applications is 11:59 PM on Wednesday , January 24, 2024. Applicants... 
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City of Santa Ana, CA

Santa Ana, CA
3 days ago
 ...Manager, Business Operations - Connectivity Service (Job Code: BK0706) DETAILS: Work with business teams, developers, architects...  ...business opportunities and technologies recommendations. Review current pricing structure against the existing and forecasted usage... 
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Hyundai Autoever America

Fountain Valley, CA
2 days ago
 ...re Looking For: Someone with tenacity, passion, discipline and grit to join our team as an Associate Medical Billing and Insurance Coding Instructor at our campus. To Do What: In this position, you will be responsible for the delivery of quality educational instruction... 
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International Education Corporation

Garden Grove, CA
1 day ago
 ...billing guidelines and fee schedules Knowledge of CPT/ICD/HCPS coding Knowledge of UBO4/DWC-9/DWC-10 and CMS 1500 form types...  ...skills Company Description A growing Workers' Compensation Bill Review company based out of Orange, CA Company Description A growing... 
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Comprehensive Cost Solutions, Inc.

Orange, CA
3 days ago
 ...provider partners, to successfully, monitor and implement HCC coding strategies. Audit all RAPS submissions to ensure accuracy in the...  ...Adjustment Healthcare Programs including CMSHCC Models, Clinician Chart Reviews, and Encounter Documentation. Suggest customizations of... 
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Alignment Healthcare USA, LLC

Orange, CA
20 hours agonew
 ...the lives of young people and their families each and every day. Empowering Lives. Restoring Families .®   The Utilization Review Specialist is responsible for managing an active caseload of clients at the following Levels of Care: Detox, Residential, Partial Hospitalization... 
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Newport Healthcare

Irvine, CA
2 days ago
Asst. Protocol Review And Monitoring Coordinator - Hybrid Job ID 67988 Location Remote-Campus Full/Part Time Full Time Favorite Job Required Qualifications Job Opening ID: 67988 Reports To: Protocol Review Manager Working Title: ASST. PROTOCOL REVIEW AND MONITORING COORDINATOR... 
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University of California

Irvine, CA
1 day ago
Job Description Eurofins Environmental Testing Southwest is searching for a Data Review Analyst I in Tustin, California. Reviews analytical data, generated by laboratory’s finished experiments, for quality, contract compliance, and complete, appropriate documentation... 
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Eurofins USA Environment Testing

Tustin, CA
4 days ago
 ...Interested in a career in the Medical Billing & Coding field? My Medical Career can help! START TRAINING FOR YOUR NEW MEDICAL CAREER TODAY! Graduate employment services may be available once training is complete. This posting is for Career Training Services, provided... 
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My Medical Billing Career

Yorba Linda, CA
2 days ago

$25 per hour

 ...00 referral bonus  Position Overview: As a Utilization Review Representative, you will be a key member of the Utilization Review...  ...preferred. ~ Demonstrates understanding of billing revenue codes CPT/HCPCS, diagnosis codes/lCD-10 ~ Self-motivated with strong... 
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Full time
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Medusind

Tustin, CA
more than 2 months ago
 ...Job Description Job Description SUMMARY The Correspondence Reviewer is responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment. Daily duties will include but are not limited to processing daily incoming insurance correspondence... 
Relocation bonus

KPC GLOBAL MEDICAL CENTERS INC.

Anaheim, CA
25 days ago