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Coding Jobs in Rancho Cucamonga, CA

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Coding • rancho cucamonga ca

Last updated: 10 hours ago

Healthcare Compliance Specialist

alura workforce solutionsRancho Cucamonga, CA, United States
Temporary

Special Investigations Unit Specialist.Position Type: Temporary Schedule: Hybrid; M-F, 8:00 am - 5:00 pm; Mon & Fri - WFH, Tue-Thur - Onsite Assignment Length: Approximately 6-Months, possibly long... Show more

RAC Manager

prime healthcareOntario, CA, United States
$71,760.00–$94,619.20 yearly
Full-time +1

Corporate Team Member Opportunity.Prime Healthcare is an award-winning health system headquartered in Ontario, California.Prime Healthcare operates 54 hospitals and has more than 360 outpatient loc... Show more

Medical Billing and Coding - Entry Level Training Program

dreambound Rancho Cucamonga, 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

 • Promoted

SPECIALIST II, CLINICAL CODING

pomona valley hospital medical centerPOMONA, California, United States, 91767
$39.89–$56.13 hourly
Full-time

SPECIALIST II, CLINICAL CODING.WE ARE SEEKING CANDIDATES WITH 2 YEARS OF INPATIENT AND OUTPATIENT CASES IN AN ACUTE CARE SETTING.THIS IS A FULLY REMOTE POSITION FOR CALIFORNIA RESIDENTS ONLY.Respon... Show more

Remote Resident Medical Specialist (MD/DO)

turingRancho Cucamonga, California
Remote
Full-time
Quick Apply

Based in San Francisco, California, Turing is the world’s leading research accelerator for frontier AI labs and a trusted partner for global enterprises deploying advanced AI systems.Turing s... Show more

2nd Shift Line Operator

ventura foodsOntario, CA, US
Full-time

To safely transfer quality product at a high rate of speed from the facility mixing and distribution system to customers preferred packaging.Operate filling and packaging equipment and generally ov... Show more

Claims Examiner - Workers Compensation - Remote / Telecommute

cynet systemsOntario, CA, United States
$50.00 hourly
Full-time

Workers Compensation Claims Analyst.The primary purpose of this role is to analyze complex or technically difficult workers compensation claims to determine benefits due.The candidate will work wit... Show more

Senior Software Engineer

cut dryCalifornia, California, US
Full-time

Cut+Dry is a fast-growing FoodTech startup searching for flexible go-getters who welcome the challenge of meeting the needs of a rapidly expanding business.Our company is revolutionizing the $300B ... Show more

Real Estate Services Administrator

aa2 itOntario, CA, United States
$30.00 hourly
Full-time

Real Estate Services Administrator.Pay Rate: $30/HR on W2 Hours: M-F 8am - 5pm - In-Person Location: 3991 Grand Ave, Ste B, Chino, CA, 91710 Assignment Duration: 4 months Potential to convert to FT... Show more

Marketing Automation Specialist

job tracksRancho Cucamonga, CA, United States
Full-time

Marketing Automation Specialist.The Marketing Automation Specialist role executes the organization's automated marketing program to enhance the overall image of our Credit Union, achieve organizati... Show more

Manager, Payment Integrity Enablement

inland empire health planRancho Cucamonga, CA, United States
$104,041.60 yearly
Full-time

Manager, Payment Integrity Enablement.Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authent... Show more

Temporary Special Investigations Unit Specialist

lancesoftRancho Cucamonga, CA, US
$27.34 hourly
Full-time
Quick Apply

Title: Temporary Special Investigations Unit Specialist.Duration: Up to 6 Month Assignment.Work location: Rancho Cucamonga, CA 91730.This position is on a hybrid work schedule.Mon & Fri - remot... Show more

Claims Examiner - Workers Compensation

synecticsOntario, CA, United States
Full-time

Seeking a Claims Examiner to analyze complex or technically difficult workers' compensation claims to determine benefits due.Analyze complex or technically difficult workers' compensation claims to... Show more

Claims Examiner - Workers Compensation

iconmaRancho Cucamonga, CA, United States
Full-time

Claims Examiner - Workers Compensation.Our Client, a Business Solutions company, is looking for a Claims Examiner - Workers Compensation for their Rancho Cucamonga, CA/ Remote within CA location.To... Show more

Claims Examiner - Workers Compensation

mindlanceRancho Cucamonga, CA, United States
Full-time

Claims Examiner - Workers Compensation.Reason: Other Department: Rancho Cucamonga Job Category: Claims Services Job Title: Claims Examiner - Workers Compensation Duties: Manager's note: Work locati... Show more

Claims Examiner - Workers Compensation

e teamOntario, CA, United States
Full-time

Claims Examiner - Workers Compensation.Location: Ontario, CA REMOTE Duration: 3 Months.To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work wi... Show more

Senior Audit Associate (Private)

lhhRancho Cucamonga, CA, United States
$90,000.00–$110,000.00 yearly
Permanent

Senior Audit Associate Private Company.Location: Rancho Cucamonga, CA.Schedule: Hybrid 3 days onsite.Open to seeing property accountants or audit associates.We are seeking a Senior Audit Associat... Show more

 • New!

Medical Clinic Site Manager

chaparral medical groupRancho Cucamonga, CA, United States
$66,650.00–$75,358.00 yearly
Full-time

Experience and/or Education: High school diploma or general education degree (GED) required, some college preferred.Minimum of five (5) years medical group office experience including insurance bil... 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

Temporary Special Investigations Unit Specialist

lance softRancho Cucamonga, CA, United States
$27.34 hourly
Full-time

Temporary Special Investigations Unit Specialist.Duration: Up to 6 Month Assignment Pay Rate: $27.W2 Work location: Rancho Cucamonga, CA 91730 This position is on a hybrid work schedule.Mon & Fri -... Show more

People also ask
Healthcare Compliance Specialist

Healthcare Compliance Specialist

alura workforce solutionsRancho Cucamonga, CA, United States
6 days ago
Job type
  • Temporary
Job description

Special Investigations Unit Specialist

Position Type: Temporary Schedule: Hybrid; M-F, 8:00 am - 5:00 pm; Mon & Fri - WFH, Tue-Thur - Onsite Assignment Length: Approximately 6-Months, possibly longer.

The Special Investigations Unit (SIU) Specialist is responsible for the intake, initial assessment and coordination of Fraud, Waste, and Abuse (FWA) referrals within the SIU. This role plays a critical part in the early stages of case management, including the documentation, initial analysis, and prioritization of FWA issues according to risk and potential impact. The Specialist organizes, analyzes, and reports referral data, and utilizes the Plan's case management application and FWA analytics tools to support the SIU in proactive FWA detection.

Key Responsibilities:

  • Oversee the intake process for all FWA referrals, conduct preliminary assessments, and determine the urgency and potential impact of each referral to prioritize further actions.
  • Triage, manage, and track referrals using the case management and FWA analytics application, ensuring case data integrity throughout the intake process. Utilize advanced Microsoft Excel tools (e.g., pivot tables, Power Query, conditional formatting, formulas, macros) to organize and analyze referral data, generate reports, and support trend identification.
  • Conduct preliminary investigations by gathering necessary data, conducting initial analyses, and preparing reports for SIU Investigators. Escalate high-risk or complex issues to appropriate SIU staff or management.
  • Collaborate with Compliance Analysts and Investigators to support case triaging and handoff through the FWA analytics and detection application.
  • Maintain accurate and comprehensive records of all FWA referrals in SIU's case management system for audit and legal purposes.
  • Identify and recommend improvements in intake processes to enhance the efficiency and effectiveness of the SIU.
  • Create and maintain standard work specific to workflows and procedures relevant to the role.
  • Keep abreast with Federal and State regulatory requirements and respond timely to resolve issues.
  • Perform any other duties as required to ensure Health Plan operations and department business needs are successful.

Requirements:

  • Minimum of three (3) years of experience in a healthcare environment
  • Experience preferably in managed care
  • Strong preference for experience in fraud investigations or compliance
  • High School diploma or GED required
  • Associate degree or bachelor's degree from an accredited institution preferred
  • Accredited Healthcare Fraud Investigator (AHFI), Certified Professional Coder (CPC), or similar certification related to healthcare fraud, coding, and billing is preferred

Key Qualifications:

  • Knowledge of managed care industry operations, practices, and standards and compliance program practices and elements preferred
  • Demonstrated proficiency in Microsoft Office products (Word, Excel, PowerPoint, Outlook, etc.) per proficiency testing.
  • Intermediate to advanced proficiency in Microsoft Excel is required
  • Experience with Healthcare Fraud Shield (HCFS) or similar case management platforms is highly desirable
  • Excellent interpersonal skills. Effective communication skills; verbal and written.
  • Strong analytical skills
  • Proven ability to work independently and as part of a team in a high-stakes environment
  • Ability to manage multiple cases and projects with competing deadlines
  • Excellent interpersonal and communication skills, capable of working effectively across various departments and with external partners
  • Detail-oriented
  • Strong commitment to integrity and ethical decision-making