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Coding Jobs in Downey, CA

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Coding • downey ca

Last updated: 3 days ago

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

MercorCerritos, California, US
Remote
Full-time

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... Show more

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

MercorSouth Gate, California, US
$80.00 hourly
Remote
Full-time

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... Show more

Coding and Robotics Teacher Wanted

PARENT EDUCATION BRIDGE FOR STUDENT ACHIEVEMENT FOUNDATION LLCSouth El Monte, CA, US
$40.00 hourly
Full-time

Code Kaboom Robotics Academy is seeking an energetic, engaging, and experienced Coding & Robotics Teacher to inspire students through hands-on STEM learning.The ideal candidate will have experi... Show more

Front Office Representative II

PIH HealthWhittier, CA, US
Full-time

The Front Office Representative II works with the Office Manager and/or Assistant Supervisor to maximize front office efficiency and perform various procedures associated with routine patient encou... Show more

Dental and Ortho Insurance Biller Treatment Coordinator

Downey Smile CenterDowney, CA, US
$25.00 hourly
Full-time

The Dental Office Biller manages patient accounts, processes insurance claims, and ensures efficient billing operations within a dental practice.This role requires a detail-oriented individual with... Show more

Property Manager - Multi-Family Housing

Positive InvestmentsWhittier, CA, USA
$24.00 hourly
Full-time
Quick Apply

The OpportunityAre you a seasoned property management professional with a track record of driving operational excellence and financial success? Positive Investments, Inc.Property Manager-IV to take... Show more

Project Controls Specialist - Cost

PM2CMMonterey Park, CA, US
$90,000.00–$95,000.00 yearly
Full-time
Quick Apply

Monitor the overall integrity of the project budget and forecast in accordance with approved standard operating procedures.Provide quality assurance to College functional staff regarding all financ... Show more

Assistant Instructor - Lynwood, CA

codeCampusLynwood, CA, US
$17.27 hourly
Full-time
Quick Apply

Job Description Are you a budding educator looking for opportunities to teach kids and earn extra income?.Do you live, work, or go to school in or around the Lynwood area?.Are you interested in lea... Show more

Business Office Manager

TruCare CommunityBellflower, CA, United States
$20.00 hourly
Full-time

Trucare Community is an assisted living company with 7 facilities currently looking for an experienced Business Office Manager to join our Assisted Living Team.We are currently offering Full-Time, ... Show more

Senior Project Leader

InnovarSouth Gate, CA, United States
Full-time

Project Leader is responsible for leading and driving high impact, cross-functional projects through all phases of the project life cycle.This individual will be responsible for all of the project ... Show more

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

MercorDowney, California, US
$80.00 hourly
Remote
Full-time

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... Show more

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

MercorMonterey Park, California, US
$80.00 hourly
Remote
Full-time

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... Show more

Medical Billing and Coding - Entry Level Training Program

Dreambound Inc.Commerce, California, US
Full-time

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 ... Show more

Medical Records Assistant

California Post-Acute CareLynwood, CA
Full-time

We are looking for a reliable, organized, and detail oriented Medical Records Assistant.They will direct, establish, and plan the overall policies and goals for our medical records department in su... Show more

Director, Patient Safety & Clinical Risk Management

Veracity SolutionsDowney, CA, United States
Full-time

Director, Patient Safety & Clinical Risk Management.Onsite due to rounding at acute hospital Downey, CA.In addition to the responsibilities listed below, this position is also responsible for overs... Show more

Risk Adjustment Coding Specialist II

Astrana Health, Inc.Monterey Park, California, US
$75,000.00 yearly
Full-time
Quick Apply

We are currently seeking a highly motivated Risk Adjustment Coding Specialist.This role will report to the Supervisor - Risk Adjustment and enable us to continue to scale in the healthcare industry... Show more

Remote Clinical Documentation Integrity (CDI) Leader - AI Trainer ($84-$84 per hour)

MercorMontebello, California, US
$84.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Clinical Documentation Integrity (CDI) managers and leaders to ... Show more

University Endowed Chair - Software Engineering, School of Science, Technology and Health

Biola UniversityLa Mirada, CA, United States
Full-time

University Endowed Chair- Software Engineering, School of Science, Technology and Health.The role of the Endowed Chair is to serve as a thought leader of the Mathematics and Computer Science Depart... Show more

RCM Dental Billing Manager

Children's Happy Teeth & Happy BracesLa Mirada, California, United States
Full-time

Location: La Mirada | Full-Time.Children's Happy Teeth & Happy Braces is a growing pediatric dental and orthodontic organization committed to delivering exceptional care and creating posit... Show more

Project Controls Specialist - Cost

PM2CM, Inc.Monterey Park, CA, United States
Full-time

Monitor the overall integrity of the project budget and forecast in accordance with approved standard operating procedures.Provide quality assurance to College functional staff regarding all financ... Show more

People also ask
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
30+ days ago
Job type
  • Full-time
  • Remote
Job description
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.