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Coding Empleos en Fullerton ca

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Coding • fullerton ca

Última actualización: hace 2 días

Remote Risk-adjustment / HCC coding leader - AI Trainer ($110-$110 per hour)

MercorCerritos, California, US
Teletrabajo
A tiempo completo

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Risk Adjustment and HCC Coding leaders to evaluate AI tools des... Mostrar más

Revenue Recovery Analyst

Anaheim AdminAnaheim, US
A tiempo completo

Planned Parenthood of Orange and San Bernardino Counties has a full-time opportunity for a Revenue Recovery Analyst in Anaheim, CA.The Revenue Recovery Analyst identifies, collects, and determines ... Mostrar más

Medical Billing and Coding - Entry Level Training Program

Dreambound Inc.Hawaiian Gardens, California, US
A tiempo completo

Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Mostrar más

Medical Authorization Assistant- Long Term Care

Sunshine Enterprise USAOrange, CA, United States
A tiempo completo

Medical Authorization Assistant.Sunshine Enterprise USA is retained by our valued client to search and recruit for the following executive opening:.Company Overview: Our client, a leading healthcar... Mostrar más

Sr. Java and.NET Developer

SmartIPlaceSanta Ana, CA, United States
A tiempo completo
Quick Apply

Hi,</div> <div style="text-align:start; text-indent:0px; -webkit-text-stroke-width:0px"> <p><font face="arial, sans-serif">Please find the job details be... Mostrar más

Senior Accounts Payable Specialist

Champions Group HoldingsBrea, CA, United States
32,00 US$ por hora
A tiempo completo

Senior Accounts Payable Specialist.Position Overview: The Accounts Payable Specialist is responsible for managing the full cycle of vendor invoice processing and reconciliation to ensure timely and... Mostrar más

Remote Coding Manager / HIM Coding Leader - AI Trainer ($80-$80 per hour)

MercorOrange, California, US
80,00 US$ por hora
Teletrabajo
A tiempo completo

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Coding Managers and HIM Coding leaders to evaluate AI-powered c... Mostrar más

Senior Systems Engineer

Disney ExperiencesAnaheim, California, United States
A tiempo completo

At Disney Experiences Technology, our team creates world-class immersive digital experiences for the Company’s premier vacation brands including Disney’s Parks & Resorts worldwide, Disney Cruise Li... Mostrar más

Revenue Recovery Analyst

Planned Parenthood Of Orange And San Bernardino CountiesAnaheim, CA, United States
A tiempo completo

Planned Parenthood of Orange and San Bernardino Counties has a full-time opportunity for a Revenue Recovery Analyst in Anaheim, CA.The Revenue Recovery Analyst identifies, collects, and determines ... Mostrar más

Dental Auditor

West Coast Dental Administrative Services LLCCerritos, CA, United States
A tiempo completo

The Dental Auditor ensures clinical quality, regulatory compliance.This role conducts clinical audits and reviews, identifies risks and trends, and partners with internal teams and providers to dri... Mostrar más

Medical Billing Manager

CIBDOrange, CA, US
85.000,00 US$ anual
A tiempo completo

The Center for Inherited Blood Disorders (CIBD) is a passionate non-profit organization dedicated to delivering high-quality, comprehensive, and family-centered care that significantly enhances the... Mostrar más

Substitute Teacher, Teacher, Coding Teacher, Parent Instructor

PARENT EDUCATION BRIDGE FOR STUDENT ACHIEVEMENT FOUNDATION LLCFullerton, CA, US
40,00 US$ por hora
A tiempo completo

We are seeking an energetic and experienced.As an Instructor, you will teach classes using the curriculum provided by our organization.Your goal is to create a welcoming learning environment and pr... Mostrar más

Revenue Cycle Manager (Dental Group)

Gold Coast DentalLa Habra, CA, United States
A tiempo completo

Are you a detail-driven leader with a passion for optimizing financial performance in healthcare? Join our growing dental group as a Revenue Cycle Manager and play a key role in driving operational... Mostrar más

Dental Billing Supervisor

Children's Happy Teeth & Happy BracesLa Mirada, California, United States
A tiempo completo

Location: Torrance or La Mirada | Full-Time.Children's Happy Teeth & Happy Braces is a growing pediatric dental and orthodontic organization committed to delivering exceptional care a... Mostrar más

CLINICAL DOCUMENTATION MANAGER

Registry Ally, Inc.Orange, CA, United States
Indefinido

Clinical Documentation Manager.Job Details On Site Clinical Documentation Manager for a large healthcare system in Orange, CA Full Time Permanent Position Highly Competitive Salary Excellent Benefi... Mostrar más

Sr. Java and.NET Developer

SOMERSET STAFFINGSanta Ana, CA, United States
A tiempo completo
Quick Apply

Knowledge, Skills, Abilities</p><p>? Strong knowledge of enterprise software development principles, object-oriented</p><p>design, and design patterns.Years experience)</... Mostrar más

Sr. Java and.NET Developer

Blue Ribbon Global TechnologiesSanta Ana, CA, United States
A tiempo completo
Quick Apply

Knowledge, Skills, Abilities</p><p>? Strong knowledge of enterprise software development principles, object-oriented</p><p>design, and design patterns.Years experience)</... Mostrar más

Risk Adjustment Coding Specialist II - Orange County

Astrana Health, Inc.Orange, California, US
70.000,00 US$ anual
A tiempo completo
Quick Apply

We are currently seeking a highly motivated Risk Adjustment Coding Specialist to support our Orange County market.In this role, you will support risk adjustment efforts by conducting high-volume ch... Mostrar más

Claims Examiner - Workers Compensation

Cynet SystemsBrea, CA, United States
A tiempo completo

Strong verbal and written communication skills.Ability to communicate effectively with stakeholders.Analyzes and processes complex or technically difficult workers' compensation claims by investiga... Mostrar más

Remote Risk-adjustment / HCC coding leader - AI Trainer ($110-$110 per hour)

Remote Risk-adjustment / HCC coding leader - AI Trainer ($110-$110 per hour)

MercorCerritos, California, US
Hace 22 días
Tipo de contrato
  • A tiempo completo
  • Teletrabajo
Descripción del trabajo
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems. We are seeking experienced Risk Adjustment and HCC Coding leaders to evaluate AI tools designed to improve risk score accuracy and coding completeness in Medicare Advantage, Medicaid managed care, and ACA markets. Your expertise in hierarchical condition category (HCC) methodology, RADV audit preparation, and risk adjustment coding will directly shape AI systems that enhance documentation capture and risk score integrity. **Responsibilities** - Lead risk adjustment and HCC coding operations across Medicare Advantage, Medicaid, and/or ACA risk adjustment programs. - Evaluate AI-generated HCC coding assignments and risk adjustment recommendations for clinical accuracy and regulatory compliance. - Review medical records to ensure complete and accurate capture of HCC-eligible conditions supported by clinical documentation. - Conduct and oversee retrospective and prospective chart reviews for risk score optimisation. - Manage RADV (Risk Adjustment Data Validation) audit preparation and response processes. - Monitor risk adjustment KPIs including HCC capture rates, risk score accuracy, and chart retrieval rates. - Collaborate with clinical, coding, and compliance teams to improve documentation and coding for risk adjustment purposes. - Ensure compliance with CMS risk adjustment guidelines (RAPS, EDGE submissions) and Official Coding Guidelines. - Annotate AI outputs and provide structured coding feedback to support AI training datasets. **Requirements** - 5+ years of experience in risk adjustment coding, HCC coding, or Medicare Advantage coding operations, with at least 2 years in a leadership role. - Deep expertise in CMS-HCC, RxHCC, and/or ACA HHS-HCC risk adjustment methodologies. - Strong knowledge of ICD-10-CM coding guidelines as applied to HCC risk adjustment. - Experience with RADV audit preparation and CMS compliance requirements. - Familiarity with RAPS and EDGE submission processes. - Exceptional written and verbal English communication skills. - High attention to detail with the ability to identify coding inaccuracies and documentation gaps in AI-generated outputs. **Preferred Qualifications** - CRC (Certified Risk Coder), CCS, CPC, or RHIA credential. - Experience with risk adjustment analytics platforms and chart retrieval systems. - Background in health plan, Medicare Advantage organisation, or value-based care setting. - Familiarity with AI-assisted HCC coding tools and comfort evaluating AI-generated risk adjustment content. - Experience presenting risk adjustment performance to actuarial or executive teams. **Why Join?** - Contribute to the development of frontier AI systems in healthcare. - Collaborate with a world-class AI research organisation. - Gain exposure to cutting-edge AI workflows in risk adjustment and value-based care. - Opportunity to work on high-impact projects shaping the future of healthcare AI.