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Coding Jobs in Pomona, CA

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Coding • pomona ca

Last updated: less than 1 hour ago

Claims Examiner - Workers Compensation

Cynet SystemsOntario, CA, United States
$47.00 hourly
Full-time

Bachelor's degree from an accredited college or university preferred.Professional certification as applicable to line of business preferred.Analyzes and processes complex or technically difficult w... Show more

Project Controls Specialist - Cost Engineer

PM2CM, Inc.Pomona, 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

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

MercorGlendora, 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

Compliance Program Audit Manager - Full Time Exempt - Days - QVH (On-Site)

Emanate HealthCovina, CA, US
$45.75 hourly
Full-time

Current Emanate Health Employees - Please log into your Workday account to apply.Everyone at Emanate Health plays a vital role in the care we deliver.No matter what department you belong to, the wo... Show more

Sr. Software Developer III:24-01985 (No C2C)

Akraya IncSan Dimas, California, United States
$90.00 hourly
Temporary
Quick Apply

Primary Skills: Java, Springboot,Jenkins, Cloud,.Location: San Diego, CA (Hybrid).Apply Domain Driven Design principles to architect and align backend services with the Intuit ecosystem.Develop and... 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

Medical Billing and Coding - Entry Level Training Program

Dreambound Inc.Claremont, 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

Remote Medical Revenue Manager - AI Trainer ($88-$88 per hour)

MercorDiamond Bar, 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 Charge Capture, Charge Integrity, and Revenue Integrity profess... 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

Staff Accountant

ZenlayerDiamond Bar, CA, United States
Full-time

We are seeking a highly motivated and detail-oriented Staff Accountant to join our growing Finance team.This role offers broad exposure across accounting operations, including Accounts Payable, Acc... Show more

2nd Shift Line Operator

Ventura FoodsOntario, CA, US
Full-time

Posting Start Date & Time:.Posting Expiration Date & Time: .Rate depends on progression, $31.To safely transfer quality product at a high rate of speed from the facility mixing and distribu... Show more

 • New!

Medical Billing Manager

Polaris Pharmacy ServicesCovina, CA, United States
Full-time +1

Hybrid Polaris Specialty Pharmacy LLC - Covina, CA 91724.Salary/year Position Type Full Time Category Accounting.At Polaris Pharmacy Services, we're more than a pharmacy we're a dedicated partner... Show more

 • New!

CPC - Orthopedics outpatient coder - Full Time - Days - 8hr

Emanate HealthEH Badillo St., Covina
$32.00 hourly
Full-time

Current Emanate Health Employees - Please log into your Workday account to apply.Everyone at Emanate Health plays a vital role in the care we deliver.No matter what department you belong to, the wo... Show more

Coder II - Full Time - Days - 8hr QVH

Emanate HealthCovina, CA, US
$33.95 hourly
Full-time

Current Emanate Health Employees - Please log into your Workday account to apply.Everyone at Emanate Health plays a vital role in the care we deliver.No matter what department you belong to, the wo... Show more

Assistant Center Director

Code NinjasDiamond Bar, CA, United States
$22.00 hourly
Full-time

Code Ninjas is the nation's fastest-growing kids coding franchise.In our center, kids ages 7-14 learn to code in a fun, non-intimidating way by playing and building video games they love.Kids have... 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

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

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

People also ask
Claims Examiner - Workers Compensation

Claims Examiner - Workers Compensation

Cynet SystemsOntario, CA, United States
30+ days ago
Salary
$47.00 hourly
Job type
  • Full-time
Job description

Job Title

Pay Range: $47hr - $52hr

Requirement/Must Have

  • 5+ years of claims management experience or equivalent combination of education and experience required.
  • Bachelor's degree from an accredited college or university preferred.
  • Professional certification as applicable to line of business preferred.

Responsibilities

  • Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
  • Negotiates settlement of claims within designated authority.
  • Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
  • Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles claims within designated authority level.
  • Prepares necessary state filings within statutory limits.
  • Manages the litigation process; ensures timely and cost effective claims resolution.
  • Coordinates vendor referrals for additional investigation and/or litigation management.
  • Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims.
  • Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
  • Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.
  • Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.
  • Ensures claim files are properly documented and claims coding is correct.
  • Refers cases as appropriate to supervisor and management.
  • Performs other duties as assigned.
  • Supports the organization's quality program(s).
  • Travels as required.

Skills

  • Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
  • Excellent oral and written communication, including presentation skills.
  • PC literate, including Microsoft Office products.
  • Analytical and interpretive skills.
  • Strong organizational skills.
  • Good interpersonal skills.
  • Excellent negotiation skills.
  • Ability to work in a team environment.
  • Ability to meet or exceed Service Expectations.