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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 Report Coding discrep

Job Description Job Description We have a great client that is looking for a Medical Coder II!! This is a remote contract opportunity with potential to convert to direct. Schedule is flexible within PST hours (8 hours between 6a-6p). Position Overview: This role is responsible for following established procedures for the review, classification, and abstraction of clinical data from patients’ medical records regarding diseases, treatment given, and operative procedures for assignment of diagnostic and procedural codes and modifiers. This role abstracts and codes relevant data elements for a certain type of professional fee service area (i.e., Evaluation & Management, major and minor surgical procedure, radiologic service, pathologic service, ancillary service, radiation oncology, and/or infusion charges) for multi-specialty physicians. Minimum Requirements: 3+ years of experience with surgical coding and multi-specialty. Surgical coding is a must-have. Experience with EPIC required. CPC

Job Description Job Description POSITION SUMMARY The Risk Adjustment Coder- Admin is responsible for Risk Adjustment HCC coding management and training both internally and externally to ensure that physicians, office staff and health plan representatives are working together effectively to achieve goals. Reports to Director of IPA Administration. RESPONSIBILITIES-DUTIES Review medical record information to identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC) Audit provider documentation of CPT, ICD-9 and ICD-10 codes to ensure adherence with coding and CMS Risk Adjustment guidelines Evaluate HCC auditing processes and provide analyses and recommendations to improve overall provider documentation and coding Responsible for ongoing provider education on HCC Support and participate in process and quality improvement initiatives Meet productivity and quality standards Review Comprehensive Annual We

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. This annual award recognizes hospitals and health systems nationwide that have high levels of employee engagement. We provide an outstanding benefit package that includes healthcare and a 403(b), along with competitive compensation. 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 iden

Job Description Job Description Director of Case Management needed to support hospital system in Los Angeles, CA to support Quality Management Program. 5+ years acute care quality management and supervisory experience. 5 Company Description Continuum Medical Staffing is a boutique national staffing firm with a big purpose. Our mission and passion is to cultivate talent in the healthcare field and connect exceptional talent with meaningful and rewarding employment opportunities. We help our elite candidates achieve their career goals through personal attention and ongoing support by taking a consultative approach delivering innovative solutions that meet your individual needs. Our clients trust us to develop long-term relationships and continually send them highly qualified talent who exceed their expectations. Continuum Medical Staffing employs and places healthcare professionals such as Senior Leader Management, Physicians, Physician Assistants, Nurses, Nurse Practitioners, Therapists

Job Description Job Description Job Title: CPC Medical Coder Auditor Candidates Must Reside in California. The Medical Coder Auditor plays a crucial role in ensuring the accuracy and compliance of medical coding practices. This position involves reviewing medical records, coding data, and billing information to verify coding accuracy and adherence to coding guidelines and regulations. Key Responsibilities: Auditing and Review: Review medical records and coding data to ensure accurate coding assignment. Identify and analyze coding errors, discrepancies, and inconsistencies. Validate code assignments against documentation and coding guidelines (ICD-10, CPT, HCPCS, Modifiers). Perform audits on an ongoing basis Compliance and Regulatory Adherence: Stay up-to-date on coding updates, changes, and regulatory requirements. Identify and report potential compliance issues or areas of concern. Serve as a resource for coding staff, answering questions and providing guidance. Ensure compliance wit

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 Report Coding discrep

Job Description Job Description Job Title: Medical Coder (Emphasis on Superbills) Location: Mission Viejo, CA Schedule: Full-time, 40 hours per week, 8-hour shift Job Summary: We is seeking a detail-oriented and experienced Medical Coder with a strong emphasis on superbills. In this role, you will be responsible for coding diagnoses, procedures, and services on superbills, ensuring accurate and timely documentation for proper reimbursement. The ideal candidate will be proficient in ICD-10, CPT, and HCPCS coding systems and have hands-on experience in processing and reviewing superbills. This position requires accuracy, strong communication skills, and a thorough understanding of medical terminology and healthcare regulations. Key Responsibilities: Review and process superbills to assign appropriate ICD-10, CPT, and HCPCS codes for diagnoses, procedures, and services rendered. Ensure accuracy and completeness of superbills, preparing them for claim submission and reimbursement. Communic