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- A health benefits management organization is seeking an experienced claims auditor to manage pharmacy and medical plan coding. This remote position demands analytical skills and experience in claims auditing. Ideal candidates should possess a BS/BA degree and two years...SuggestedRemote work
Pinnacle Claims Management
Irvine, CA5 hours agonew - ...tracking, and student progress. Maintain and ensure data accuracy within the Blackbaud Student Information System . Manage course coding, credit allocation, grading structures, and transcript formatting. Generate and distribute official documents such as...SuggestedWork at office
Novel Prep
Irvine, CA9 days ago - ...consensus, failure handling) Experience building highly reliable, fault-tolerant services Strong debugging, performance tuning, and code review skills Proficiency in Java, Go, C++, Rust, or Python Preferred Qualifications Experience with enterprise storage...SuggestedTemporary workImmediate startRemote workFlexible hoursShift work
Western Digital
Irvine, CA9 days ago $43.51 - $67.23 per hour
...The Coder (Hospital Billing) reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM and ICD-10-PCS codes to support diagnoses, procedures, and treatment results. Codes are used for billing, internal and external reporting, research, and...SuggestedFull timeLocal areaRemote workShift workHoag Health System
Costa Mesa, CA2 days ago- ...ensure services billed are consistent with the record documentation. The coder will ensure compliance with all the clinical billing and coding regulations and will work with the faculty and staff to ensure accurate documentation of billable services. The coder will...SuggestedFlexible hours
BizTek People
Orange, CA12 days ago $54.2k - $81.1k
...A leading healthcare solutions provider seeks a Coding Specialist to oversee HCC coding strategies and ensure compliance with quality standards. Candidates should have 3-5 years of coding experience in healthcare, certification as a medical coder, and familiarity with...SuggestedRemote workAlura Workforce Solutions
Fountain Valley, CA5 hours agonew$46.67k - $65.67k
...firm supporting agriculture seeks a Claims Auditor for remote work, ensuring compliance with health benefits plans. The role involves coding new business, verifying plans, and maintaining efficiency in processes. Candidates should have a BS/BA degree and at least two...SuggestedRemote workWestern Growers
Irvine, CA5 hours agonew- ...Coding Manager The Coding Manager has overall responsibility for assigned hospitals for the management of the Coding Department which includes recruiting, hiring, training, mentoring and performance management of Coding Staff and the ED Charges Capturing Staff (MIC...Suggested
Staffing the Universe
Santa Ana, CA1 day ago - ...candidates will have a high school diploma and at least 2 years of experience with medical claims, along with strong knowledge of coding principles and payer guidelines. Proficiency with EMR/EHR systems and excellent communication skills are essential for success in this...SuggestedRemote work
Currance
Irvine, CA5 hours agonew - ...manage invoices and contractor progress billings to include a thorough review of contract requirements, backup and lien releases for coding and routing via Yardi workflow for approvals. They will participate in meetings with General Contractor and Consultants to aid...SuggestedContract workFor contractorsWork at office
Goodman
Irvine, CA9 hours ago - ...based in California. Key skills: Strong experience in FPGA design Signal Processing and processing algorithms, DSP RTL Coding and Simulation If you are an FPGA Engineer looking to take a progressive step in your career, then please apply today to learn...Suggested3 days per week
Edison Smart®
Irvine, CA6 hours agonew $68 - $72 per hour
...stay reviews Knowledge of healthcare regulations and standards: CMS, HIPAA, NCQA, HEDIS, OSHA, Joint Commission ICD-10, CPT coding, DRG classification Apidel Technologies Job ID #API1017. About Apidel Technologies At Apidel Technologies LLC , we...SuggestedHourly payContract workTemporary workLocal areaShift workApidel Technologies
East Irvine, CA1 day ago$120k - $168k
...in accordance with Company policy Coordinate the processing of invoices for payment, including 2-way and 3-way matching, account coding, data entry and required approvals within accounting system Process weekly payment batch (ad hoc payments as needed) Manage...SuggestedWeekly payWork at officeTarsanet
Irvine, CA3 days ago$151.2k - $204.6k
...QUALIFICATIONS - Experience with distributed systems at scale - Experience with any combination of the following: threat modeling, secure coding, identity management and authentication, software development, cryptography, system administration and network security -...SuggestedFull timeLocal areaFlexible hoursDay shiftAmazon.com Services LLC
Irvine, CA2 days ago$35 - $37 per hour
...Specialist will be responsible for the accurate and timely processing of invoices and vendor payments, ensuring proper approvals, account coding, trust transactions, reconciliations, and resolution of payment inquiries while supporting month-end and year-end close activities....SuggestedFull timeWork at officeLocal areaMonday to FridayKahana Feld
Irvine, CA3 days ago- ...insurance eligibility verification. Review/update demographics and patient information for accuracy. working knowledge of appropriate coding systems; cpt, icd-9 and hcpcs, coverage; lcd/ncd and reimbursement associated with such codes. processing, validation of payer...Flexible hours
PreludeDx
Laguna Hills, CA19 days ago - ...accurate claim submission, denial resolution, and AR follow-up. This role handles complex buy-and-bill infusion billing, including J-codes, S-codes, NDC crosswalks, biologics, and time-based infusion services. Additionally, the specialist manages provider...
Clinivoy LLC
Irvine, CA6 days ago - ...product performance or operational reliability. Contribute to the development of technical documentation, architecture designs, and code reviews to support the lifecycle of firmware projects. Utilize AI-assisted coding tools to enhance firmware coding efficiency and...Temporary workImmediate startRemote workFlexible hoursShift work
Western Digital
Irvine, CA10 days ago $145k - $185k
...systems. Responsible for identifying and fixing bugs prior to software release. Write clean, maintainable, and well-documented code. Implement software features of high quality and on schedule. Collaborate seamlessly with cross-functional teams, including...Local areaWorldwideTP-Link Systems Inc.
Irvine, CA8 days ago$185k - $235k
...components. Responsible for identifying and fixing bugs prior to software release. Write clean, maintainable, and well-documented code. Implement software features of high quality and on schedule. Collaborate seamlessly with cross-functional teams, including...Local areaWorldwideTP-Link Systems Inc.
Irvine, CA6 days ago- ...multi-entity/location environment. familiarity with netsuite, quickbooks, and/or concur preferred solid understanding of expense coding, accruals, prepaids, and fixed assets. experience managing both po and non-po bills. ability to work both independently or in...Permanent employmentFull timeWork at officeShift work
K1 Speed
Irvine, CA9 hours ago $23 per hour
...attendance and minimize no-shows. Contribute to non-testing research activities, including miscellaneous research projects, data coding, confidentiality document processing, lab and facilities maintenance, and testing of tools and technology. What's Needed?...Weekly payContract workTemporary workFlexible hoursExperis/Manpower Group
Irvine, CA9 hours ago- ...reading the complete description. Key Responsibilities Oversee the full-cycle AP process: invoice intake, 3-way matching, coding, approvals, and payment processing Ensure timely and accurate processing of high-volume invoices Manage weekly check runs...
Brothers Desserts
Santa Ana, CA4 days ago $20.8 - $26 per hour
...limited to, inputting and retrieving information from the computer, confirmation of guest information and room rate, selection of rooms, coding electronic keys, promoting marketing programs, providing a welcome packet and ensuring guest knows location of room and/or has a...Hourly payFull timeWork at officeLocal areaShift workNight shiftWeekend workAfternoon shiftWeekday workHilton US
Irvine, CA9 days ago- ...strategic vision and advances professional practice. Oversees email workflows, design, and updates; implements knowledge of email coding and best practices; measures the performance for all email marketing campaigns. QUALIFICATIONS EDUCATION / EXPERIENCE Bachelor's Degree...Contract workTemporary workWork at officeLocal areaImmediate startRemote work
Alliant Insurance Services
Irvine, CA5 hours agonew $23 - $28 per hour
...benefit s vs. in-network benefits, as well as coinsurance, co-pays, and deductibles), in addition to general billing practices. Coding/Billing Certificate from an accredited institute or school preferred. Physical Services Heavy UB92 Experience CMS1500 Experience...Hourly payCentury Group
Irvine, CA1 day ago$3,000 per week
...and denials Knowledge of medical necessity, continued stay, and retrospective reviews Familiarity with CMS, DRG, CPT, ICD-10 coding, and regulatory standards Experience with Epic charting and documentation Strong SBAR communication skills License : Active...Temporary workLocal areaShift workApidel Technologies
Irvine, CA1 day ago$2,927 per week
...reviews, retrospective review, medical necessity determinations, and UR appeals and denials required Knowledge of ICD-10 and CPT coding, DRG, CMS regulations, HIPAA, HEDIS measures, NCQA standards, OSHA, and Joint Commission/Core Measures/National Safety Goals...Shift workDay shiftAmerican Traveler
Irvine, CA1 day ago$3,011 per week
...InterQual Criteria; UR Utilize Milliman Guidelines; CMS: Centers for Medicare and Medicaid Services; CPT (Current Procedural Terminology) coding and billing; Department of Health; DRG (Diagnosis Related Groups); HEDIS (The Healthcare Effectiveness Data and Information Set)...Weekly payLong term contractPermanent employmentTemporary workWork at officeShift workWeekend workLanceSoft
East Irvine, CA3 days ago- Education LevelMIBC CertificationCategoryEducation## DescriptionBecome an Education Leader and join our team of dedicated Professionals.North-West College is part of a stable and growing system of eleven campuses in California and Nevada which is a leader in Medical Career...Temporary workWork at office
