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- ...Description Summary We are seeking an experienced medical coder with a strong background in Hierarchical Condition Category (... ...with CMS guidelines. This role will directly support our risk adjustment reporting and ensure coding accuracy for audit readiness. The...RiskTemporary workWork at office
Florence Health
Hacienda Heights, CA6 days ago - ...to assist with identifying gaps in submissions, ensuring correct data quality issues and areas of coding improvements for CMS Risk Adjustment and Quality Incentive programs. The SCA is responsible to continuously educate physician and staff on correct and acceptable HCC...RiskWork at office
$58.53k - $87.8k
CMS HCC Coder (Finance) Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those... ...accuracy and quality of the data submitted to CMS. 4. Works with Risk Adjustment Management on any Data Validation and /or RADV coding audit to...RiskLocal area$80k
...communication and client management skills ~ Ability to assess risk and maximize settlement values. What to expect: Review... ...plans for each case and negotiate directly with insurance adjusters on behalf of clients for the highest settlements possible. Work...RiskRemote workElite Sourcing
Costa Mesa, CAa month ago$175k - $249k
...business needs and ensure contractual terms support organizational goals. Provide legal advice regarding contract interpretation, risk allocation, indemnification, insurance, warranties, and data security. Support the development and maintenance of contract...RiskContract workLocal areaJobot
Ontario, CA21 days ago- ...cost-effectiveness, quality, and on-time delivery. Sourcing Risk Management : Proactively identify, assess, and mitigate potential... ...vision, peripheral vision, depth perception and ability to adjust focus Manual dexterity required using hands to finger; handle...RiskWork experience placementWork at officeLocal areaShift work
Boot Barn
Irvine, CA19 hours agonew $45k - $60k
...claims process, providing guidance and facilitating communication between clients and claims adjusters. - Monitor and follow up on claims to ensure timely resolution. Risk Management: - Identify potential risks and provide risk management advice to clients. -...RiskWork experience placementWork at officeMonday to FridayHumina Resource
Cypress, CA21 hours ago- ...Commercial GL Claim Adjuster Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North... ...vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the...RiskTemporary work
$97.5k - $117k
...and quality to define project plans, track milestones, and manage risks. Duties and Responsibilities: Lead project planning for... ...Develop comprehensive project documentation; proactively adjust schedules as needed Lead risk identification efforts; execute...RiskSafran Passenger Innovations
Brea, CA7 days ago$54.31 - $71.64 per hour
...Cancer Institute-designated comprehensive cancer center , high-risk perinatal/neonatal program and American College of Surgeons-... ...visit Responsibilities: Position Summary: The Lead Outpatient Coder codes and abstracts data elements from patient records according...RiskFull timeMonday to Friday$110k - $125k
Join to apply for the Senior Claim Adjuster role at Davies North America Department: Claims Administration & Adjusting Location: Santa Ana... ...part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance...RiskTemporary workWork experience placement$103.5k - $133.9k
...Provide technical support for cost control (specifically with the risk and opportunity log). Assist with specific sections of the... ...vision, peripheral vision, depth perception, and the ability to adjust focus. Employee views computer monitor frequently. The employee...RiskContract workFor contractorsApprenticeshipInternshipWork at officeWeekend workThe Boldt Company
Whittier, CA2 days ago$110k - $140k
...Risk Manager, The Rinks The Rinks aims to provide a great experience for employees and guests alike! Join the team and become part... ...Participate in claims management reviews with insurance adjusters, defense counsel, and insurance brokers Ensure compliance with...RiskContract workWork experience placement$45.33 - $59.81 per hour
...Cancer Institute-designated comprehensive cancer center , high-risk perinatal/neonatal program and American College of Surgeons-... ...Health, visit Responsibilities: Position Summary: The Outpatient Coder II assigns and sequences ICD-10, CPT, and HCPCS codes through...RiskFull timeMonday to Friday- ...are of sufficient quality to support diagnosis. \n ~ Repeat or adjust scans as necessary to improve image quality or ensure... ...patients. \n ~ Ensure proper patient positioning to prevent any risk of injury or discomfort during the scan, especially for vulnerable...RiskZero hours contractShift work
Magnet Medical
Pomona, CA16 days ago $172.36k - $258.55k
...and innovation alongside the Alignment Health community. Job Responsibilities Cross‑functional collaboration: Work closely with Risk Adjustment Operations, Finance, DTS, Compliance, and other departments to ensure accurate data for financial risk modeling. Data...Risk- ...ensuring patient comfort and safety during the procedure. \n ~ Adjust imaging equipment settings to obtain clear, accurate, and high-... ...alleviating concerns and ensuring they understand the process, risks, and benefits. \n ~ Verify patient identity and medical history...RiskZero hours contractWork at officeImmediate startShift work
Magnet Medical
Orange, CA1 day ago $91.19k - $155.27k
Claims Manager, Insurance & Risk Management Build your career while building NYC schools! The New York City School Construction Authority... ..., Insurance & Risk Management, COO, broker and third-party adjusters (TPA), and carriers on use of panel counsel. Data Analytics &...RiskFor contractorsWork at office$46.67k - $65.67k
...established processes and suggest possible solutions to save time, reduce risk, and/or reduce expenses. Create and document a minimum of one... ...at Pinnacle Claims Management by 2x Get notified about new Coder jobs in Irvine, CA. #J-18808-Ljbffr Pinnacle Claims ManagementRiskFull timeWork at officeRemote work- ...and quality assurance procedures. Minimizes our exposure to risk on project. Provide safety and quality control management... ...distance vision, peripheral vision, depth perception and ability to adjust focus. Company Benefits Package In addition to offering a...RiskContract workLocal areaRelocation package
Griffith Company
Brea, CA29 days ago - ...(e.g. staffing agencies, blue-collar labor providers) for legal risks and ensure contract compliance. * Design and maintain compliant... ...and state-level legislation on worker misclassification) and adjust policies accordingly. General Legal Support * Draft, review...RiskContract workFor contractorsFlexible hours
$172.36k - $258.55k
...responsible for managing and overseeing the development of RADV risk exposure models extrapolation impact analysis and audit... ...functional collaboration : Working closely with other departments (Risk Adjustment Operations Finance DTS Compliance etc.) to ensure accurate data...RiskFull time$48.04 - $63.41 per hour
...Cancer Institute-designated comprehensive cancer center , high-risk perinatal/neonatal program and American College of Surgeons-... ...Responsibilities: Position Summary: Reporting to the Manager of Coding, the Coder III performs abstracting and coding, using ICD-10-CM and PCS, on...RiskFull timeMonday to Friday$86k - $172k
Yamaha has an excellent opportunity for a Risk Manager II to join our Financial Services team in Cypress, CA . The Risk Manager II... ...risk initiatives like scorecard development, strategy design and adjustments. Perform quantitative analysis and monitor company's credit,...RiskHourly payTemporary workWork experience placementLocal area- ...Relations and self‑insurance plans. Recommend and implement program adjustments and third‑party administrator (TPA) procedures to ensure... ...and Excess Insurance Audits. Qualifications Bachelor’s degree in risk management, public or business administration or closely related...RiskWork at office
$80k - $105k
...Description and Requirements General Description: The Personal Risk Specialist is an outside sales position focused on serving the unique insurance needs of affluent/high net worth clients. In addition to cross-selling, as a primary focus for business development...RiskTemporary workWork at officeLocal areaFlexible hoursAfternoon shiftUSI Holdings Corporation
Irvine, CA3 days ago- Overview: The Asset Manager for Construction Risk Management (“CRM”) position is an opportunity to work with an established, dynamic... ...Compliance Department to estimate tax credit delivery and any adjustments to capital contributions. Complete monthly internal status reporting...RiskWork experience placementWork at officeLocal areaRemote workHome office
- PURPOSE To support the Risk Management department in the timely and accurate handling of workplace injury claims by maintaining organized... ...-to-work plans. Support communication with third-party claims adjusters and internal teams. Ensure all information is handled...RiskPermanent employmentWork at officeShift workNight shift
$75k - $105k
...pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.+ Prepares... ...for this or other roles.****Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskContract workTemporary workPart timeWork at officeLocal areaImmediate startFlexible hours2 days per week3 days per week$2,500 - $2,700 per week
...Manage and monitor therapeutic drug levels and clinical dosing adjustments. Support interdisciplinary teams with medication therapy management... .... Experience in: Anticoagulants, Antibiotics, and High-Risk Medications Pharmacokinetic, Renal, and Geriatric Dosing...RiskLocal areaShift workNight shiftPride Health
Whittier, CA9 days ago
