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Coding Jobs in Ontario, CA

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Coding • ontario ca

Last updated: 13 hours ago

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

MercorOntario, 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

Claims Adjuster - Workers Compensation

MindlanceOntario, CA, United States
Full-time

Claims Adjuster - Workers Compensation.PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involvi... Show more

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

MercorOntario, 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

Xcelys Medical Claims Examiner-REMOTE

NTT DATAOntario, CA, United States
Temporary

Xcelys Medical Claims Examiner.At NTT DATA, we know that with the right people on board, anything is possible.The quality, integrity, and commitment of our employees have been key factors in our co... Show more

Claims Examiner - Workers Compensation - Remote / Telecommute

Cynet SystemsRancho Cucamonga, CA, United States
$45.00 hourly
Full-time

Credit security clearance, confirmed via a background credit check, is required for this position.Analyzes and processes complex or technically difficult workers' compensation claims by investigati... Show more

Medical Assistant Front and Back Office

ERASTO GUTIERREZ MD INCPOMONA, CA, US
$21.00 hourly
Full-time

ERASTO GUTIERREZ MD INC is looking for a motivated and compassionate Medical Assistant to join our team in Pomona, CA! This is an exciting opportunity to play a vital role in patient care by suppor... Show more

 • New!

CC&B IT Lead

EsselPomona, CA, US
$140,000.00–$160,000.00 yearly
Full-time
Quick Apply

CC&B IT Lead - Join our team at Essel!.As the CC&B IT Lead, you will be responsible for managing and supporting the Customer Care and Billing (CC&B) system.This system plays a critical ... Show more

Optometrist - Part Time

PARK AVENUE OPTOMETRY INCpomona, CA, US
Part-time

Part-Time Optometrist Opportunity.Are you looking for an opportunity to provide meaningful care in a welcoming, patient-centered practice? At Park Avenue Optometry, we believe in delivering.Why You... Show more

Vice President of Health Plan Operations and Claims

Prime HealthcareOntario, CA, United States
$150,000.00 yearly
Full-time +1

Vice President Of Health Plan Operations And Claims.Prime Healthcare is an award-winning health system headquartered in Ontario, California.Prime Healthcare operates 54 hospitals and has more than ... Show more

Accounts Receivable

Orbit Infusion SolutionsRancho Cucamonga, CA, US
$22.00 hourly
Part-time

Accounts Receivable Clerk (Part-Time).Part-Time | Potential for Growth.Specialty Infusion / Specialty Pharmacy.About Orbit Infusion Solutions.Orbit Infusion Solutions is a patient-centered infusion... Show more

Assistant Manager/STEM Coordinator

Code NinjasChino Hills, CA, United States
$18.00 hourly
Full-time

Assistant Manager/STEM Coordinator.Code Ninjas is the nation's fastest-growing kids coding franchise.In our center, kids ages 5-14 learn to code in a fun, non-intimidating way by playing and build... Show more

Accounts Payable Clerk

Nexgrill Industries IncChino, CA, US
Full-time
Quick Apply

We are seeking an Accounts Payable Clerk to support full-cycle AP processing, including invoice entry, 3-way matching, GL coding, and payment processing.This role also manages vendor inquiries, cre... Show more

Remote Revenue-cycle analytics / decision-support / RCM reporting leader - AI Trainer ($100-$100

MercorChino Hills, 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 Revenue Cycle Analytics and Decision-Support leaders — includin... Show more

Claims Examiner - Workers Compensation

eTeamOntario, CA, United States
Full-time

Claims Examiner - Workers Compensation.Experience: Minimum 3 years of experience is needed.Public entity and County of Los Angeles experience is a plus.Primary Purpose: To analyze complex or techni... Show more

General Manager TownePlace Suites Ontario Airport

WS ManagementRancho Cucamonga, CA, USA
$80,000.00 yearly
Full-time
Quick Apply

At the heart of our company is a culture that prioritizes both our employees and our guests.We recognize that our employees are our greatest asset, and we strive to create an environment where they... Show more

Medical Billing and Coding - Entry Level Training Program

Dreambound Inc.Chino, California, United States
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

Project Controls Specialist - Cost Engineer

PM2CMPomona, CA, US
$100,000.00–$110,000.00 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

SAP EAM Test Consultant (Utility Domain)

ITL USAPomona, CA, US
$80.00 hourly
Full-time

Overview The Infosys SURE (Services, Utilities, Resources, Energy) unit is dedicated to empowering businesses within the services, utilities, energy, and resources sectors through strategic digital... Show more

Nurse Supervisor

WEST CENTRAL SERVICES INCClaremont, US
Full-time

Behavioral health nursing is not background work.It is the connective tissue of care the place where medication management meets human complexity, where clinical judgment and compassionate presence... Show more

Hotel - Director of Sales - Ontario Selected Hilton Hotel

GreensOntario, CA, United States
Full-time

We are currently looking for a highly motivated, determined, well-spoken, and experienced hotel Director of Sales with a minimum of 3 years of hotel industry experience who understands the meaning ... Show more

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

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

MercorOntario, California, US
23 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.