Medical coder jobs in Compton, CA

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. The Hierarchical Condition Categories (HCC) Coding Analyst will effectively interface with provider partners, to successfully, monitor and implement HCC coding strategies. Audit all RAPS submissions to ensure accuracy in the data provided to Centers for Medicare and Medicaid Services (CMS). Provide coding expertise as well as administrative oversight to ensure successful integration of AHC's HCC initiatives. GENERAL DUTIES/RESPONSIBILITIES 1. Monitors coding & abstracting quality by conducting &/or coordinating ongoing audits to ensure coding quality & performance improvement standards are maintained, achieved & improved. 2. Develops, implements, evaluates & improves IPA's educational tools for their respective providers in order to accurately capture acute and chronic conditions. 3. Tracks & reports progress of the audits performed on the coding vendors in order to assure the coding accuracy and quality of the data submitted to CMS. 4. Works with Risk Adjustment Management on any Data Validation and /or RADV coding audit to ensure completeness and coding accuracy of all submissions to CMS. 5. Maintains a comprehensive tracking and management tool for assigned IPA's within Alignments Healthcare provider network. 6. Tracks all Risk Adjustment activities for assigned medical groups and ensure that all tasks are completed in a timely manner. Correlate activities, processes, and HCC results/ metrics to evaluate outcomes. 7. Ensures compliance with all applicable federal, state &local regulations, as well as with institutional/organizational standards, practices, policies & procedures. 8. Supports the Risk Adjustment Management Team in scheduling/training activities. Maintain records of training. 9. Suggests new Physician Group Risk Adjustment coding initiatives. Participate in SCITs/ Education meetings as needed 10. Coordinates Risk Adjustment audit activities as it relates to the assigned groups. Assist with CMS Data Validation activities, including suggested record selections, tracking and submission, in conjunction with Risk Adjustment Healthcare Management 11. Educates and updates: a. Regularly updates all Risk Adjustment materials for clinical and official guideline changes. b. Updates all education materials based on CMS-HCC Model and ICD-9/ ICD-10 annual changes c. Suggests, updates, and enhances clinical educational materials to assist in training physicians and clinical staff on Risk Adjustment Healthcare Programs including CMS-HCC Models, Clinician Chart Reviews, and Encounter Documentation. d. Suggests customizations of Risk Adjustment education for various audiences, Support Staff, PCPs, Specialists, Employees vs. contracted and Central Departments e. Stays current of industry coding, compliance, and HCC issues. f. Maintain professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; and participating in professional societies. 12. Contributes to team effort by accomplishing related results as needed. 13. Other duties as assigned to meet the organization's needs. Job Requirements: Experience: • Required: Minimum 3+ years of coding in a medical group or health plan setting required; Professional Coding experience required. Minimum 1 year experience with strategic planning in risk mitigation. •Work Hours: Pacific Standard Time • Preferred: Previous experience and use of Epic, Allscripts, EZCap a plus Education: • Required: High School Diploma or GED. Training: • Preferred: Certified Coder training courses Specialized Skills: • Required: Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others. Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors; Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics correctly Reasoning Skills: Ability to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution. Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment. Report Analysis Skills: Comprehend and analyze statistical reports. • Preferred: Proficient user in MS office suite, MS access a plus Licensure: • Required: Certified Coder required, HCC/Risk Adjustment experience, Experience with Athena EHR • Preferred: CCS, CCS-P, CPC, Certified Auditor a plus. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Essential Physical Functions: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1 While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. 2 The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. Pay Range: $58,531.00 - $87,797.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc. Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation. *DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at ******************************* If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health's talent acquisition team, please email ******************.

Creative Audio is a centralized team that touches every product Meta produces, making our team integral to the company. We collaborate with product and creative teams across Meta to design audio for video, post-production audio, final mixing and mastering, audio field recording, sound effects, and large scale content projects across a wide range of software and hardware, including but not limited to your phone, glasses, VR headsets a mix of Augmented Reality/Mixed Reality across these devices. We're a team of over 60 audio experts who design the experiences that connect people through the power of sound.The Creative Audio team is seeking a Creative Coder for the Tech & Prototypes department. This role collaborates closely with Engineering and Product Design to define sound functionality and deliver advanced audio features. It involves developing advanced audio solutions, optimizing performance, refining tools, leveraging machine learning and generative AI, and solving complex technical challenges at the intersection of audio and artificial intelligence. As a key contributor to Meta's day-to-day sound design, the Creative Coder provides creative and technical insights to drive innovative, immersive audio experiences offering a long runway for creativity, innovation, and empowerment to push the boundaries of sound technology and make a meaningful impact. **Required Skills:** Creative Audio - Creative Coder Responsibilities: 1. Collaborate with design and engineering teams to deliver cutting-edge audio functionality, tooling, and pipeline solutions 2. Provide technical audio leadership, empowering sound designers, composers, and creators, while elevating audio quality across all Meta products and platforms 3. Apply creativity and product thinking to develop innovative, audio-focused prototypes and experiences that enhance user experience and drive team and company success 4. Build functional prototypes from early concepts at various levels of fidelity, utilizing a range of design tools and programming languages, and implement them across multiple platforms 5. Translate emerging technical domains and knowledge into actionable ideas and explorations 6. Clearly articulate prototype design decisions to internal stakeholders and offer constructive feedback to partners 7. Collaborate closely with a global team to create unique sonic experiences and drive projects to completion 8. Prepare and test for implementation accuracy, working with internal and external teams to resolve bugs and optimize audio within products 9. Leverage code as a design medium to bridge the gap between product goals and engineering implementation, as well as unlock features for external developers 10. Establish pipelines & best practices for leveraging ML / AI models in prototypes 11. Work closely with PMs, engineers, researchers, sound designers to lead the creation and execution of engaging audio-driven user experiences **Minimum Qualifications:** Minimum Qualifications: 12. 6+ years implementing and coding sonic experiences for products in mobile, hardware, and/or non-traditional immersive environments 13. 5+ years development experience with Python, C#, Kotlin, JavaScript, or C++ 14. Experience with object-oriented programming and design 15. Experience with game engine audio implementation and middleware (e.g., Wwise, FMOD Studio, Unreal MetaSounds) 16. Understanding of DSP and audio signal processing 17. Hands-on experience integrating machine learning models (TensorFlow, PyTorch, ONNX) into production pipelines for tasks such as inference, data processing, and generative workflows 18. Experience debugging code across various development environments 19. Experience managing collaboration tools and version control systems (e.g., GitHub, Perforce) 20. Experience prioritizing tasks and adapting quickly to changes in scope 21. Time-management and organizational skills to meet delivery specifications and deadlines 22. BA/BS in Audio or Music Technology, Computer Science, Transmedia, or equivalent work experience 23. Technical skills and a track record of leading cross-functional teams, bridging design and engineering to create impactful audio experiences **Preferred Qualifications:** Preferred Qualifications: 24. Audio Implementation experience and/or design for shipping AR and VR experiences using platforms such as Unity, Unreal Engine, Spark, React, Snap, and MARS 25. Experience with large language models (LLMs), prompt engineering, and retrieval-augmented generation (RAG) methodologies 26. Understanding of Spatial Audio, DSP, and experience implementing immersive sound experiences 27. Experience with generative sound or music creation, speech synthesis, and natural language processing (NLP) 28. Experience with WebAudio, Tone.js, and OpenAL for interactive audio applications 29. Knowledge of acoustics, equipment set ups and calibration experience with hardware and electronic prototypes and configuration **Public Compensation:** $153,000/year to $212,000/year + bonus + equity + benefits **Industry:** Internet **Equal Opportunity:** Meta is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender, gender identity, gender expression, transgender status, sexual stereotypes, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law. Meta participates in the E-Verify program in certain locations, as required by law. Please note that Meta may leverage artificial intelligence and machine learning technologies in connection with applications for employment. Meta is committed to providing reasonable accommodations for candidates with disabilities in our recruiting process. If you need any assistance or accommodations due to a disability, please let us know at accommodations-ext@fb.com.

Bring your whole self to exceptional care. Cedars-Sinai was tied for #1 in California in U.S. News & World Report's "Best Hospitals 2024-25" rankings, and it's all thanks to our team of 14,000+ remarkable employees! **What you will be doing in this role:** The Claims Edit Coder (Coder II) operated under the general direction of an audit supervisor and involves responsibilities across various work units, as well as duties specific to the reporting team. In this role, the Coder II reviews ICD-10-CM diagnosis coding and Current Procedural Terminology (CPT) procedure code for claim edit fall outs. The position entails conducting modifier review and assignment, handling complex coding edits that necessitate research and resolution, and validating key data elements like the billing physician and date of service. You are expected to abstract coded data accurately and promptly into the applicable system using relevant applications such as EPIC (CS-Link), EPIC HB and PB modules, Solventum 360Encompass, Solventum Standalone Encoder, and Select Coder. This role demands proficiency in these systems to ensure the integrity and efficiency of coding operations. Duties include: + Review medical documentation and health information within various electronic medical or health systems. + Assign applicable codes such as clinical modification (ICD-10-CM), current procedural terminology (CPT), evaluation and management (E&M), and healthcare common procedure coding system (HCPCS) while adhering to productivity and quality standards for the area(s) of assignment or specialty (Facility or Professional). + Focus on specialties including, but not limited to: Professional Multispecialty E&M, Facility Emergency Room (non-Single Path), and Outpatient Visits (Facility or Professional). + Resolve complex edits and alerts with consistent accuracy using current guidelines for the area(s) of assignment or specialty. + Handle edits such as: Simple Visit, Local and National Coverage Determination, and other Related Edits. + Communicates with physicians, providers, and external departments regarding documentation clarity, specificity, ensure the completeness of documentation required for code assignment within area(s) of assignment or specialty. + Expanding skills in procedural coding such as CPT or PCS. **Qualifications** **Requirements:** + Certified Coding Specialist (CCS), Certified Procedural Coder (CPC), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) required upon hire. + High school diploma or GED required. + Minimum of 2 years of experience working doing code assignment in a healthcare setting. + Ability to produce quality work product within the established standards per hour. **Why work here?** Beyond outstanding employee benefits including health, paid vacation, and a 403(b) we take pride in hiring the best, most passionate employees. Our accomplished staff reflects the culturally and ethnically diverse community we serve. They are proof of our commitment to creating a dynamic, inclusive environment that fuels innovation. **Req ID** : 13346 **Working Title** : Claims Edit Coder **Department** : CSRC Coding Audit **Business Entity** : Cedars-Sinai Medical Center **Job Category** : Patient Financial Services **Job Specialty** : Medical Coding **Overtime Status** : NONEXEMPT **Primary Shift** : Day **Shift Duration** : 8 hour **Base Pay** : $31.98 - $49.57 Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.

Job DescriptionDescriptionWe are currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will report to a Sr. Manager - Risk Adjustment and enable us to continue to scale in the healthcare industry. *Requires travel to provider sites in surrounding areas Our Values: Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team What You'll Do Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum, as appropriate for all IPAs managed by the company Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC) Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines Interacts with physicians regarding coding, billing, documentation policies, procedures, and conflicting/ambiguous or non-specific documentation Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements. Provides recommendations to management related to process improvements, root-cause analysis, and/or barrier resolution applicable to Risk Adjustment initiatives. Trains, mentors and supports new employees during the orientation process. Functions as a resource to existing staff for projects and daily work. Provides peer to peer guidance through informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist or lead projects and/or higher work volume than Risk Adjustment Coding Specialist I Qualifications Must possess and maintain AAPC or AHIMA certification - Certified Risk Adjustment Coder (CRC) & Certified Coding Specialist (CCS-P), CCS, CPC 3-5+ years of experience in risk adjustment coding and/or billing experience required Reliable transportation/Valid Driver's License/Must be able to travel up to 75% of work time, if applicable. PC skills and experience using Microsoft applications such as Word, Excel, and Outlook Excellent presentation, verbal and written communication skills, and ability to collaborate Must possess the ability to educate and train provider office staff members Proficiency with healthcare coding software and Electronic Health Records (EHR) systems. You're great for this role if: Strong billing knowledge and/or Certified Professional Biller (CPB) through APPC Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage Strong PowerPoint and public speaking experience Strong experience with Excel - pivot tables, VLOOKUP, etc. Ability to work independently and collaborate in a team setting Experience with Monday.com Experience collaborating with, educating, and presenting to provider teams in a face-to-face setting Environmental Job Requirements and Working Conditions The total pay range for this role is $75,000 - $85,000 per year. This salary range represents our national target range for this role. This role follows a hybrid work structure where the expectation is to work on the field and at home on a weekly basis. This position requires up to 75% travel to provider offices in the surrounding areas in Central Georgia. The work hours are Monday through Friday, standard business hours. Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at ************************************ to request an accommodation.

**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 work you do at Emanate Health affects lives. When you join Emanate Health, you become part of a team that works together to strengthen our communities and grow as individuals. On Glassdoor's list of "Best Places to Work" in 2021, Emanate Health was named the #1 ranked health care system in the United States, and the #19 ranked company in the country. **J** **ob Summary** Responsible for the oversight of HCC Program and STAR measures coding related functions. The coding specialist will work with the IPA Director, Health Plan, and MSO personnel on HCC and STAR measures related tasks. Responsible to ensure the IPA risk adjustment factor maintains or exceeds 1.0 and achieves or improves upon 4.0 STAR rating. The coding specialist is responsible for education to external physician offices and works closely with physicians and billers to ensure the appropriate ICD10 and CPT codes submitted for Medicare and Covered CA lines of business. Coding specialist will be responsible to review medical records and claims data to ensure external physicians are documenting correctly and submitting the correct ICD-10/CPT codes. Responsible for summaries and presenting information in a professional and effective manner. Assigns diagnostic/procedural codes to in- patient and outpatient medical records. Ensures that all accounts are coded accurately and timely. Follows-up on un-coded accounts. Researches and helps resolve problem accounts. **Job Requirements** **a.Minimum Education Requirement :** Associate degree preferred; college degree preferred with coursework in Medical Terminology, Anatomy & Physiology and Computer experience. **b.Minimum Experience Requirement :** Must have at least one year of experience in Medicare HCC program within IPA, HMO, or clinic setting. Two to five years of coding experience using ICD-9, ICD-10 and CPT coding systems. Excellent customer service skills required. **c.Minimum License Requirement :** CMC, CCS, CPC, or COC required. Delivering world-class health care one patient at a time. Pay Range: $33.00 - $48.87 We are more than just a health system. At Emanate Health, we are a catalyst for change and a beacon for healthier lives. When you come to any one of our locations (***************************************** , you'll be treated like family. And as part of our family, you can rest easy knowing we'll do whatever it takes to benefit your health and wellness. **Our mission** Emanate Health exists to help people keep well in body, mind and spirit by providing quality health care services in a safe, compassionate environment. **Our vision** We are an integral partner in elevating our communities' health. **Our values** Patients and their families are the reason we are here. We want them to experience excellence in all we do through the quality of our services, our teamwork, and our commitment to a caring, safe and compassionate environment. **Respect.** We affirm the rights, dignity, individuality and worth of each person we serve and of each other. **Excellence.** We maintain an unrelenting drive for excellence, quality and safety, and strive to continually improve all that we do. **Compassion.** We care for each person and each team member as part of our family. **Integrity.** We believe in fairness and honesty and are guided by our code of ethics. **Stewardship.** We wisely care for the human, physical and financial resources entrusted to us. Emanate Health is an Equal Opportunity Employer and does not unlawfully discriminate in employment. No question on this application is used for the purpose of limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Equal access to employment, services, and programs is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify the Human Resources Department by calling ************.

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 work you do at Emanate Health affects lives. When you join Emanate Health, you become part of a team that works together to strengthen our communities and grow as individuals. On Glassdoor's list of "Best Places to Work" in 2021, Emanate Health was named the #1 ranked health care system in the United States, and the #19 ranked company in the country. Job Summary Assigns and sequence diagnostic/procedural codes to emergency department and out-patient medical records for billing, reimbursement and data retrieval by following established coding guidelines. Reviews documentation for accurate abstracting of clinical data to meet regulatory and compliance requirements. Job Requirements Minimum Education Requirement: High School Diploma or equivalent work experience required; college degree preferred with coursework in Medical Terminology/Anatomy and Physiology. Computer experience required. Minimum Experience Requirement: One year coding experience using ICD-10 CM/PCS and CPT required. Knowledge of computerized encoder program. Excellent customer service skills required. Minimum License Requirement: CCA or CCS required. Delivering world-class health care one patient at a time. Pay Range: $30.18 - $43.16

Temporary (3-4 month project with the possibility to become Permanent) Accurate Coding: Assign E/M, modifiers, and ICD-10 codes from documentation ensuring proper medical necessity and preventing unbundling. Charge Review WQ's: this entails reviewing the providers submitted coding in EPIC against the documentation and working any EPIC edits and then recommending coding changes back to the departments to make the corrections. Claim Edit WQ's: this entails reviewing the providers submitted coding in EPIC against the documentation and working Clearing House rejections/edits and then recommending coding changes back to the departments to make the corrections. Follow-Up WQ's: this entails reviewing the providers submitted coding in EPIC against post bill denials/edits and then recommending coding changes back to the departments to make the corrections. Keep assigned EPIC WQ's within Maintain 95% quality CPH Expectation = 8 submissions per hour Requirements Current CPC or equivalent through the AAPC or AHIMA required CEMC preferred, but not required Must have at least three years of active E/M coding experience for multiple specialties. This experience must include coding POS 11, 21, 22, coding of in-office procedures across multiple specialties and must be able to code all types of E/M visits (ED, CC, home health, prolonged services, etc.) Must have at least three years of active surgery coding experience Experience with Medicaid of California guidelines strongly preferred Must have recent experience in EPIC in Follow-Up WQ's (denials) and in either: Charge Review WQ (coding) Claim Edit WQ (edits) Must have multi-specialty EM and procedure/Sx coding experience in ALL of the following specialties (this doesn't apply to each person, but the position as a whole): Primary Care Pediatrics Colorectal Gynecology (non-delivery OB) Urology Must have EM and procedure/Sx experience in at least 5 of the specialties below: Cardiology Cardiothoracic Endocrinology Gastro Internal Medicine Nephrology Neurology Orthopedics Physical Therapy Psychiatry Rheumatology Spine Vascular

JOB SUMMARY: Under the direction of the Director of Health Information Management, Identifies and codes Newborns, Obstetrics, ER's and outpatient records for the purpose of reimbursement, research, and compliance with Federal Regulations using the ICD-10-CM/CPT coding classification systems. EDUCATION, EXPERIENCE, TRAINING Current coding certification-RHIA, RHIT, or CCS 1-2 years of coding experience in acute hospital setting Knowledge and application of ICD10 classifications, CPT-4 and HCPCS with an accuracy level of 95% Must be able to work in a very challenging environment. Exceptional written and verbal communication skills Excellent computer skills, including Microsoft Office, EHRs, Encoders Analytical/critical thinking and problem solving Knowledge of information privacy laws and high ethical standards

Job Summary Coder III The Coder III is responsible for analyzing medical records for completion by Medical Staff, clinical or ancillary department; performing coding and abstracting functions; efficiently navigate the electronic medical record to find patient information required for coding; and accurately abstract medical records for quality assessment screens. Licensure and Certification: * CCS required * RHIT or RHIA strongly preferred Education: * Associate Degree in Health Information Technology or Information Technology or equivalent is minimum requirement * Medical Terminology * Anatomy and Physiology * AHIMA approved coding program or equivalent with documentation of successful completion. Experience: * Acute hospital experience in an acute care hospital, with three years of inpatient and outpatient coding experience utilizing automated encoder. Knowledge and Skills: * Extensive knowledge of ICD-9-CM and CPT * Understanding of UHDDS * Computerized medical records coding and abstracting experience - at least one year. * Experience analyzing and manipulating data from medical records coding and abstracts. Knowledge of APCs, E&M coding, Modifier usage. * Ability to utilize encoder at advanced level * Ability to utilize computer to maintain current status of coding process * Ability to code advanced level inpatient, outpatient and Emergency Department records Physical Demands - Clerical/Administrative Non-Patient Care: * Frequent sitting and standing/walking with frequent position change. * Continuous use of bilateral upper extremities in fine motor activities requiring fingering, grasping, and forward reaching between waist and chest level. * Occasional/intermittent reaching at or above shoulder level. * Occasional/intermittent bending, squatting, kneeling, pushing/pulling, twisting, and climbing. * Occasional/intermittent lifting and carrying objects/equipment weighing up to 25 pounds. * Continuous use of near vision, hearing and verbal communication skills in handling telephone calls, interacting with customers and co-workers and performing job duties. Key for Physical Demands Continuous 66 to 100% of the time Frequent 33 to 65% of the time Occasional 0 to 32% of the time

Job DescriptionAI Coder Our client is a leading force in advancing safer, smarter AI technology. Their work has been featured in Forbes, The New York Times, and other major outlets for pioneering high-quality, human-verified data that powers today's top AI systems. They've built a global community of expert contributors and have already paid out more than $500 million to professionals worldwide who help train, test, and improve next-generation AI models. Why Join This Team? Earn up to $32/hr, paid weekly. Payments via PayPal or AirTM. No contracts, no 9-to-5. You control your schedule. Most experts work 5-10 hours/week, with the option to work up to 40 hours from home. Join a global community of experts contributing to advanced AI tools. Free access to the Model Playground to interact with leading LLMs. Requirements Bachelor's degree or higher in Computer Science from a selective institution. Proficiency in Python, Java, JavaScript, or C++. Ability to explain complex programming concepts fluently in Spanish and English. Strong Spanish and English grammar, punctuation, and technical writing skills. Preferred: 1+ years of experience as a Software Engineer, Back End Developer, or Full Stack Developer. What You'll Do Teach AI to interpret and solve complex programming problems. Create and answer computer-science questions to train AI models. Review, analyze, and rank AI-generated code for accuracy and efficiency. Provide clear and constructive feedback to improve AI responses. Apply now to help train the next generation of programming-capable AI models!

Brault is a practice management, billing and coding company exclusively serving acute care independent physician practices. Due to recent growth and expansion, we are seeking a strong and skilled coding professional with pro-fee and/or facility coding experience for Emergency Medicine, Hospitalist, and Urgent Care, to provide accurate coding to our physician and healthcare system clients. Requirements Qualifications: Certified Professional coder (AAPC or AHIMA) 5 years' experience required 5-7 years in Professional Fee or Facility Coding Cerner and Epic (preferred) Emergency Medicine experience (preferred) Meet quality and production requirements Salary Description $22 - $27

Under supervision, is primarily responsible for assigning accurate diagnosis and procedure codes to the patients health information record for Inpatient and Newborn records. May also be assigned the responsibility for assigning accurate diagnosis and procedure codes to the patients health information record for Outpatient records (Observation Hospital Ambulatory Surgery, Complex Hospital Outpatient Visit - Cardiac Catheterization PCI Lab, Interventional Radiology, Extended Emergency & Emergency Departments, as well as other select records). This responsibility requires that the new coder be on-site for up to one calendar year and will require appropriate code assignment for physician-documented patient diagnoses, conditions and procedures; utilizing various coding classification schemes including ICD-10CM, ICD-10PCS, and HCPCS/CPT.All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); Office of Statewide Health Planning and Development (OSHPD); National Correct Coding Initiative (NCCI), and Kaiser Permanente organizational/institutional coding directives.Ability to communicate with physicians in order to obtain clarification for diagnoses/procedures. Ability to understand the clinical content of the health record and abstract the data in the patient health information record data as well as perform other duties as assigned. Essential Responsibilities: + Upholds and maintains Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and all applicable state, federal and local laws. Reviews patient health information record to: identify and assign appropriate codes for diagnoses, procedures, and other services rendered, while also validating any Computer Assisted Code (CAC) assignments. Spends a minimum of 75% of work time assigning codes to Inpatient records. + Appropriately sequences codes for diagnoses, procedures and other services as needed for proper MS- DRG, APR-DRG and APC assignment, utilizing the applicable coding conventions. Prevents errors, and if necessary, reviews OSHPD error correction reports within the scope of the assigned abstracting and coding function and makes corrections. Ensures that all abstracted and/or coded data are consistent with federal and state regulations (JCAH, Title 22), OSHPD reporting guidelines and organizational policy as it relates to the corporate compliance policy for accurate and complete coding. + Interacts with physicians through established query process in order to clarify documentation supporting accurate patient diagnostic and procedure coding. Abstracts patient information into the computerized systems, in a manner ensuring the accuracy and integrity of the data. + Ensures timely coded record availability according to regulatory guidelines, by meeting established coding and abstracting productivity standards. Ensures quality standards by meeting the established 95% coding accuracy and 98% completeness quality standards. Maintains and complies with HIPAA policies and procedures for privacy and confidentiality of all patient records. Attends and participates in selected national, regional and coding educational sessions. Works collaboratively with others on coding questions and issues. Demonstrates knowledge of system security, by complying with KP Electronic Assets Usage Policy. Maintains courteous and cooperative relations when interacting with others. Performs other duties as assigned. Basic Qualifications: Experience + Minimum six (6) consecutive years of hospital licensed space certified coding experience required. Education + N/A License, Certification, Registration + Certified Coding Specialist Additional Requirements: + Demonstrated competence with personal computers, networks, and Microsoft Office. Must obtain a passing score of 80% or higher on the KPSC Inpatient Coding Skills Assessment. Preferred Qualifications: + Minimum six (6) consecutive years of hospital licensed space experience as a Certified Hospital Coder. + May also possess Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), and AAPC Certified Outpatient/Professional Coder Certifications. COMPANY: KAISER TITLE: Regional Hospital Inpatient Coder - Fontana - FT - ONSITE LOCATION: Fontana, California REQNUMBER: 1387179 External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.

The Certified Medical Coder plays a crucial role in the Billing Department by ensuring precise and compliant coding of medical services. Under the guidance of the Billing Department Supervisor, the Coder will assign appropriate diagnosis and procedural codes for services provided by JWCH physicians, adhering to industry standards and legal requirements. This position involves validating and auditing coding practices to guarantee accuracy in billing, supporting optimal reimbursement, and maintaining adherence to regulatory guidelines. Duties and Responsibilities: Serve as the primary liaison between providers and the Billing Department, effectively communicating to clarify diagnoses, procedures, coding, and documentation requirements. Recommend appropriate ICD-10-CM, CDT diagnosis codes, CPT codes, and HCPCS codes. Regularly review diagnosis and procedure coding within NextGen to ensure optimal billing accuracy. Collaborate with clinicians on the correct use of ICD-10 codes to enhance HEDIS, HCC, and other performance incentives submitted through claims data. Work with the Quality Insurance Team to ensure coding supports Meaningful Use and other clinical incentive payments. Provide compliance and coding training to new providers during onboarding and orientation. Ensure all codes are current and active. Code based on documentation in the medical record. Report missing or incomplete documentation. Evaluate and ensure that all codes are submitted to third-party payers and IPA. Act as a resource for insurance resolutions and coding questions. Follow coding guidelines and legal requirements to ensure compliance with federal and state regulations. Support the Billing Supervisor in improving current medical billing practices. Conduct monthly coding audits and maintain up-to-date outcome reports. Perform other duties as assigned. Qualifications: High School diploma or GED. Medical Coding Certificate; RHIT or CPC certification from AAPC or AHIMA; meet state licensure requirements. Maintain coding certification and attend in-service training as required. Two years of medical coding experience. Understanding of medical terminology, anatomy, and physiology. Ability to work independently or as part of a team. Strong computer skills in data entry, coding, and knowledge of Electronic Medical Record software; proficiency in Microsoft Office Suite. Exceptional attention to detail. Ability to multitask, prioritize, and manage time efficiently. Excellent verbal and written communication skills. Preferred: Bachelor's degree in a related field. *All JWCH, Wesley Health Centers workforce are recommended to be fully vaccinated and boosted against COVID-19. Employee Benefits: At JWCH Institute, Inc., we believe in taking care of those who take care of others. If you work 30+ hours per week, you'll enjoy competitive pay and a robust benefits package that includes: Medical, Dental, Vision Monthly employer-sponsored allowance for assistance with health premiums. Funded Health Savings Account (up to deductible) to assist with carrier-approved medical expenses. Paid time off (vacation, sick leave) and 13 paid holidays. 401(k) Safe Harbor Profit Sharing plan. Mileage reimbursement. Short- and long-term disability plans (LTD/STD). Life insurance policy & AD&D, and more! Become part of a team where your work matters. Apply today and help us change lives, one patient/client at a time. JWCH Institute, Inc + Wesley Health Centers is an Equal Opportunity and Fair Chance Employer.

In accordance with current federal & state coding compliance regulations and guidelines, the HIM Coding Denials Management Specialist" analyze, investigate, mitigate, and resolve all coding-related 'claims denials' and 'claims rejections,' specific to ICD-10-CM, ICD-10-PCS, CPT/HCPCS, DRGs, APCs, and Modifiers-from Medicare, Medi-Cal, MAC, RAC, and commercial insurance companies -when there is refusal or rejection to honor Keck Medicine of USC request for payment for both IP & OP healthcare services provided to covered patients. Manages the denial management process for coding-related denials, triage denied claims to distinguish coding-related denials versus clinical-related denials, evaluating claims deemed inappropriately paid by the payer/external auditors, and determining the need for appeal. Performs all 1st and 2nd level coding-related denial appeals. All tasks & duties to be perform in compliance with federal & state coding laws, rules, regulations, Official Coding Guidelines, AHA Coding Clinic, AMA CPT Assistance, NCCI, NCD, LCDs, etc. Analyze, investigate, and resolve coding-related pre-bill edits from the Patient Financial Services (PFS) Dept. Researches, responds, and documents findings, correspondence, and notes regarding coding-related 'claims denials' and 'claims rejections' on patient accounts in both the Coding & Billing systems. Responsible for reviewing reports/work queues to identify and to correct the root cause for claim rejections and denials which might prevent or delay payment of a particular claim or group of claims. Prepares appeals and rebuttals letters/packages in responses to payer's reason for coding-related 'claims denials' and 'claims rejections'-including documentation and an argument and follow up with the PFS about possible reimbursement. Identifies, analyzes, and researches frequent root causes of denials and develops corrective action plans for resolution of denials. Develop reporting tools that effectively measure and monitor processes throughout the denials management process in order to support process improvement. Initiates appropriate CDI query engagements with Coders & CDI Specialists in order to acquire or clarify the necessary clinical documentation needed to facilitate accurate and complete coding, abstracting, and DRG assignments. Participate in responses to inquiries regarding coding and clinical documentation from Coders, CDI Specialists, and all other internal & external customers. Performs other HIM Coding Department duties as assigned by the HIM leadership team. Excellent written and oral communication skills are required, as well as effective human relations and leadership skills for building and maintaining a working relationship with all levels of staff, physicians, and other contacts. Must possess the ability to: interact professionally and ethically with third parties including stakeholders, co-workers, and management; handle multiple tasks simultaneously. Provide clear, concise oral and written directives/communications; quickly assess situations and respond appropriately; handle special requests in a sensitive, professional manner. Demonstrates the ability to perform in-depth clinical & regulatory research Re: NCD, LCD, NCCI, Official Coding Guidelines, AHA Coding Clinic, CPT Assistant, etc. Ability to problem solve, prioritize and organize, follow directives with accuracy and precision. In addition, this position will provide guidance and training to other HIM Coding Denials Management Specialist, and will assist with escalated issues. Essential Duties: * CODING AUDITING • Performs monthly internal coding audits to evaluate accuracy of coding staff to ensure a 95% coding accuracy rate. • Develops monitoring/education plans for coding staff who do not meet the 95% accuracy rate. • Recognizes education needs of staff based on monthly reviews and conducts related in-services, as needed. • Ability to act as a resource to coding and hospital staff on coding issues and questions. • Ability to achieve a 95% accuracy rate as determined by an annual external review of coding. * ABSTRACTING AUDITING • Performs monthly internal abstracting audits to evaluate accuracy of coding staff to ensure a 95% abstracting accuracy rate. • Develops monitoring/education plans for coding staff who do not meet the 95% accuracy rate. • Recognizes education needs of staff based on monthly reviews and conducts related in-services, as needed. • Ability to act as a resource to coding staff on difficult coding issues. * UNDER GENERAL SUPERVISION, RESPONSIBLE FOR • Provide guidance and training to other HIM Coding Denials Management Specialists. • Performs all 1st and 2nd level coding-related denial appeals. • Inpatient coding of all diagnostic and procedural information from the medical records using ICD-10-CM, ICD-10-PCS, and CPT/HCPCS, and Modifier classification systems and abstracting patient information as established and required by official coding laws, regulations, rules, guidelines, and conventions. • Reviews the entire medical record; accurately classify and sequence diagnoses and procedures; ensure the capture of all documented conditions that coexist at the time of the encounter/visit, all medical necessity diagnoses, complications, co-morbidities, historical condition or family history that has an impact on current care or influences treatment, and all external causes of morbidity. • Enter patient information into inpatient and outpatient medical record databases (ClinTrac/HDM). Ensures accuracy and integrity of medical record abstracted UB-04 & OSHPD data elements prior to billing interface and claims submission. • Works cooperatively with HIM Coding Support and/or Clinical Documentation Improvement Specialist in obtaining documentation to complete medical records and ensure optimal and accurate assignment of diagnosis & procedure codes. • Assists in the correction of regulatory reports, such as OSHPD, as requested. • Attendance, punctuality, and professionalism in all HIM Coding and work related activities. • Consistently assumes responsibility and displays reliability for completion of tasks, duties, communications and actions. Completes tasks accurately, legibly, and in a timely fashion. • Performs other duties as requested/assigned by Director, Manager, Supervisor, or designee. * CODING & ABSTRACTING ACCURACY • Ability to achieve a minimum of 95% coding accuracy rate as determined by any internal or external review of coding and/or department quality review(s). • Ability to achieve a minimum of 95% abstracting accuracy rate of UB-04 and OSHPD data elements as determined by any internal or external review of coding and/or department quality review(s). • Assist in ensuring that all medical records contain information necessary for optimal and accurate coding and abstracting. • Recognizes education needs of based on monthly reviews and conducts self-improvement activities. • Ability to act as a resource to coding and hospital staff on coding issues and questions. * CODING OPTIMIZATION • Ability to improve MS-DRG assignments related to the documentation & coding of PDx, SecDx, CC/MCC, PPx, and SecPx in accordance with official coding laws, regulations, rules, guidelines, and conventions. • Ability to improve APR-DRG, SOI, and ROM assignments related to the documentation & coding of PDx, SecDx, CC/MCC, PPx, and SecPx in accordance with official coding laws, regulations, rules, guidelines, and conventions. • Ability to improve APC/HCC assignments based on medical necessity documentation & coding of PDx, SecDx, and CPT/HCPCS in accordance with official coding laws, regulations, rules, guidelines, and conventions. * TIMELINESS OF AUDITING/CODING & PRODUCTIVITY • Maintains at minimum, expected productivity standards (See HIM Practice Guidelines) and strives to maintain a steady level of productivity and provides consistent effort. • Works coding queues/task lists to ensure 95% of patient bills are dropped within 5 days after patient discharge/date of service. • Works coding queues/task lists to ensures the remaining 5% of patient bills are dropped within 2 weeks of discharge/date of service. • Assist other coders in performance of duties including answering questions and providing guidance, as necessary. • Assists Patient Financial Services (PFS), Patient Access, and other departments in addressing coding issues/questions and/or providing information so that an interim bill can be generated. Assists with physicians, physician office staff and hospital ancillary department staff with diagnostic or procedural coding issues/questions, as needed. • Assists in the monitoring unbilled accounts to ensure that the oldest records are coded and/or given priority. * CONTINUING EDUCATION • Maintains AHIMA and or AAPC coding credential(s) specified in the job description. • Attend coding & CDI seminars, webinars, and in-services to maintain the required annual continued education units (CEU). • Keep up-to-date and reviews ICD-10 Official Guidelines for Coding & Reporting, AHA Coding Clinic, and CPT Assistant to maintain knowledge of the principles of coding. • Keep up-to-date and reviews other professional journals and newsletters in a timely fashion to maintain knowledge of the principles of coding. • Consistently attend and actively participate in the daily huddles. * POLICY & PROCEDURES; PERFORMANCE IMPROVEMENT • Consistently adhere to HIM policies and procedures as directed by HIM management. • Demonstrates an understanding of policies and procedures and priorities, seeking clarification as needed. • Participates in continuously assessing and improving departmental performance. • Ability to communicate changes to improve processes to the director, as needed. • Assists in department and section quality improvement activities and processes (i.e. Performance Improvement). * COMMUNICATION • Works and communicates in a positive manner with management and supervisory staff, medical staff, co-workers and other healthcare personnel. • Ability to communicate effectively intra-departmentally and inter-departmentally. • Ability to communicate effectively with external customers. • Provides timely follow-up with both written and verbal requests for information, including voice mail and email. • Performs other duties as assigned. * SYSTEMS • Working knowledge and efficient navigation of the Electronic Health Record (EHR): Cerner/Powerchart & Coding mPage. • Working knowledge, efficient navigation, & full use of 3M-CRS Encoder system; utilize to expedite coding process; utilize all references. • Knowledge & understanding of PFS system (PBAR) functionality and any interface with the coding abstracting system: ClinTrac. • Working knowledge, efficient navigation, & full use of 'HDM/HRM/ARMS Core' coding & abstracting software. • Working knowledge, efficient navigation, & full use of '3M 360 Encompass/CAC'. Required Qualifications: * Req High School or equivalent * Req Specialized/technical training Successful completion of college courses in Medical Terminology, Anatomy & Physiology and a certified coding course. Must possess a thorough knowledge of ICD/DRG coding and/or CPT/HCPCS coding principles, and the recommended American Health Information Management Association (AHIMA) coding competencies. * Req 10 years Experience in ICD, CPT/HCPCS coding of inpatient & outpatient medical records in an acute care facility. * Req Experience in using a computerized coding & abstracting database software and encoding/code-finder systems [e.g., 3M 360 Encompass/CAC & 3M Coding & Reimbursement System (CRS)]. * Req Working knowledge of CPT, HCPCs and ICD9 coding principles * Req Organization/time management skills. * Req Demonstrate excellent customer service behavior. * Req Demonstrates excellent verbal and written communication skills. * Req Able to function independently and as a member of a team. Preferred Qualifications: * Pref 1 - 2 years Lead Experience. Required Licenses/Certifications: * Req AHIMA Certified Coding Specialist (CCS) only; or AAPC Certified Inpatient Coder (CIC) only; or either the CCS or CIC in conjunction with any one of the following national HIM credentials: 1. AHIMA Registered Health Information Technician (RHIT) 2. AHIMA Registered Health Information Administrator (RHIA) Successful completion of the hospital specific coding test - with a passing score of ≥90%. The coding test may be waived for former USC or agency/contract HIM Coding Dept. coders who historically/previously met the ≥ 90% internal/external audit standards of the previously held USC Job Code. * Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only) The hourly rate range for this position is $46.00 - $76.07. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations. USC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristic protected by law or USC policy. USC observes affirmative action obligations consistent with state and federal law. USC will consider for employment all qualified applicants with criminal records in a manner consistent with applicable laws and regulations, including the Los Angeles County Fair Chance Ordinance for employers and the Fair Chance Initiative for Hiring Ordinance, and with due consideration for patient and student safety. Please refer to the Background Screening Policy Appendix D for specific employment screen implications for the position for which you are applying. We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at **************, or by email at *************. Inquiries will be treated as confidential to the extent permitted by law. * Notice of Non-discrimination * Employment Equity * Read USC's Clery Act Annual Security Report * USC is a smoke-free environment * Digital Accessibility If you are a current USC employee, please apply to this USC job posting in Workday by copying and pasting this link into your browser: *************************************************************

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! Job Description Serves as the primary resource for medical coding updates and information. Advises client on coding issues, provides in-depth research on new or unusual procedures, and makes recommendations when appropriate. Qualifications Coding Certification - Active CCS, or CPC credentialing Coding guidelines knowledge Claims experience Additional Information Advantages of this Opportunity: Pay $17 - $19 per hour, negotiable based on experience Weekly Pay Healthcare Benefits Work for a Fortune 500 company who pride themselves on partnership, integrity, teamwork, and accountability Be a part of a team who serves the full spectrum of member needs If you are interested, please call, Maro at 407-636-7030 ext. 204 and email your resume to Maro. The greatest compliment to our business is a referral. If you know of someone looking for a new opportunity, please pass along my contact information! We offer referral bonuses for each placement.

General Information Press space or enter keys to toggle section visibility Onsite or Remote Flexible Hybrid Work Schedule Monday - Friday, 8:00am - 5:00pm PST Posted Date 12/02/2025 Salary Range: $40.04 - 52.83 Hourly Employment Type 2 - Staff: Career Duration Indefinite Job # 27468 Primary Duties and Responsibilities Press space or enter keys to toggle section visibility Take on a significant role within a world-class health organization. Elevate the operational effectiveness of a complex health system. Take your professional expertise to the next level. You can do all this and more at UCLA Health. As a Health Information Coder for our Medical Group, you will handle a variety of vital responsibilities, including: * Reviewing physicians' notes to determine if documentation requirements are met * Extrapolating and Applying surgical codes as applicable across anatomical subsections for general coding in work queues. * Analyzing medical documentation to assess accuracy * Entering charges in EPIC * Identifying and reporting any potential compliance risks Salary Range: $40.04 - $52.83 Hourly Job Qualifications Press space or enter keys to toggle section visibility We're seeking a self-directed, detail-oriented professional with: * Current Certified Professional Coder (CPC) certification, must have been certified a minimum of 2 years required * Additional specialty certification a plus, multi-specialty group experience a plus * Minimum of 2 years of pro fee coding experience is required * 3 or more years surgical and/or evaluation and management experience preferred * Experience as Medical Record Abstractor * Detailed knowledge of Medical Terminology and its application * Detailed knowledge and understanding of ICD-10, CPT, and HCPCS coding systems * Working experience with 2021 E&M guidelines preferred * Knowledge of CMS and local carrier regulations and guidelines for teaching hospital preferred * Computer proficiency with MS Office * Superior ability to research coding guidelines and payor policies a must * Previous Epic or Cerner experience preferred Note: Skills may be subject to test.

R&D Partners is seeking to hire an Analyst for a growing Medical Affairs team with our medical device client in Irvine. is on-site from Monday to Friday. Your main responsibilities as an Analyst, Medical Affairs : Support the management and execution of contracts, budget and payments of educational and research grants, HCPs, educators, vendors, contractors, and consultants. Support contract lifecycle including negotiation, initiation, approval, payments, and documentation Track expenditure versus budget, support forecasting and generate metrics for reporting Partner with Legal, Compliance, Finance, and other cross-functional groups to ensure appropriate business practices What we are looking for in an Analyst, Medical Affairs : Bachelor's Degree with 2+ years of professional experience managing healthcare-related contracts, budgets and payments Proven expertise in Microsoft Office Suite (Worl, Excel, and PowerPoint) Why choose R&D Partners? As an employee, you have access to a comprehensive benefits package including: Medical insurance PPO, HMO & HSA Dental & Vision insurance 401k plan Employee Assistance Program Long-term disability Weekly payroll Expense reimbursement Online timecard approval Salary: $84,500 to $89,500 (Dependent on Experience) R&D Partners is a global functional service provider and strategic staffing resource specializing in scientific, clinical research & engineering. We provide job opportunities within major pharmaceutical, biopharmaceutical, biotechnology, and medical device companies. R&D Partners is an equal-opportunity employer.

JOB TITLE: Medical Records Clerk * Under direct supervision, assembles and maintains complete medical records according to established procedures. * Files and retrieves patient records; prepares new files; may open and distribute mail. * Organizes and evaluates patient medical records. * Reviews medical records for accuracy and completeness. * Responsible for filing and retrieving medical records. REQUIREMENTS: * 6 months experience directly related to the duties and responsibilities specified preferred. Benefits: * Comprehensive health, dental, and vision insurance * Health Savings Account with an employer contribution * Life Insurance * PTO * 401(k) retirement plan with a company match * And more! Equal Employment Opportunity & Work Force Diversity Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.

In accordance with federal coding compliance regulations and guidelines, use current ICD-10-CM, CPT-4, and HCPCS code sets/systems to accurately abstract, code, and electronically record into the 3M Coding & Reimburse System (3M-CRS) & the coding abstracting system (3M-ClinTrac), all diagnoses and minor invasive and non-invasive procedures, documented by any physician in outpatient medical records (i.e. OP Ancillary visits: Laboratory, Radiology etc.; Clinic Visits; Radiation Oncology; Recurring Visits, etc.). Address OCE/NCCI edits within 3M-CRS and those returned from the Business Office. Understands PFS coding/billing processes & systems such as PBAR and nThrive/MedAssets/XClaim in a manner to assure claims drop timely with appropriate codes. Performs other coding department related duties as assigned by HIM management staff. Essential Duties: Outpatient Ancillary/Clinic Visit/Emergency Department coding of all diagnostic and procedural information from the medical records using ICD-10-CM, ICD-10-PCS, and CPT/HCPCS, and Modifier classification systems and abstracting patient information as established and required by official coding laws, regulations, rules, guidelines, and conventions. Reviews the entire medical record; accurately classify and sequence diagnoses and procedures; ensure the capture of all documented conditions that coexist at the time of the encounter/visit, all medical necessity diagnoses, complications, co-morbidities, historical condition or family history that has an impact on current care or influences treatment, and all external causes of morbidity. Enter patient information into inpatient and outpatient medical record databases (ClinTrac/HDM). Ensures accuracy and integrity of medical record abstracted UB-04 & OSHPD data elements prior to billing interface and claims submission. Works cooperatively with HIM Coding Support and/or Clinical Documentation Improvement Specialist in obtaining documentation to complete medical records and ensure optimal and accurate assignment of diagnosis & procedure codes. Assists in the correction of regulatory reports, such as OSHPD data, as requested. Attendance, punctuality, and professionalism in all HIM Coding and work related activities. Consistently assumes responsibility and displays reliability for completion of tasks, duties, communications and actions. Completes tasks accurately, legibly, and in a timely fashion. Performs other duties as requested/assigned by Director, Manager, Supervisor, or designee. Ability to achieve a minimum of 95% coding accuracy rate as determined by any internal or external review of coding and/or department quality review(s). Ability to achieve a minimum of 95% abstracting accuracy rate of UB-04 and OSHPD data elements as determined by any internal or external review of coding and/or department quality review(s). Assist in ensuring that all medical records contain information necessary for optimal and accurate coding and abstracting. Recognizes education needs of based on monthly reviews and conducts self-improvement activities. Ability to act as a resource to coding and hospital staff on coding issues and questions. Ability to improve MS-DRG assignments specific to the documentation & coding of PDx, SecDx, CC/MCC, PPx, and SecPx in accordance with official coding laws, regulations, rules, guidelines, and conventions. Ability to improve APR-DRG, SOI, and ROM assignments specific to the documentation & coding of PDx, SecDx, CC/MCC, PPx, and SecPx in accordance with official coding laws, regulations, rules, guidelines, and conventions. Ability to improve APC/HCC assignments specific to medical necessity documentation & coding of PDx, SecDx, and CPT/HCPCS in accordance with official coding laws, regulations, rules, guidelines, and conventions. Maintains at minimum, expected productivity standards (See HIM Practice Guidelines) and strives to maintain a steady level of productivity and provides consistent effort. Works coding queues/task lists to ensure 95% of patient bills are dropped within 5 days after patient discharge/date of service. Works coding queues/task lists to ensures the remaining 5% of patient bills are dropped within 2 weeks of discharge/date of service. Assist other coders in performance of duties including answering questions and providing guidance, as necessary. Assists Patient Financial Services (PFS), Patient Access, and other departments in addressing coding issues/questions and/or providing information so that an interim bill can be generated. Assists with physicians, physician office staff and hospital ancillary department staff with diagnostic or procedural coding issues/questions, as needed. Assists in the monitoring unbilled accounts to ensure that the oldest records are coded and/or given priority. Maintains AHIMA and or AAPC coding credential(s) specified in the job description. Attend coding & CDI seminars, webinars, and in-services to maintain the required annual continued education units (CEU). Keep up-to-date and reviews ICD-10 Official Guidelines for Coding & Reporting, AHA Coding Clinic, and CPT Assistant to maintain knowledge of the principles of coding. Keep up-to-date and reviews other professional journals and newsletters in a timely fashion to maintain knowledge of the principles of coding. Consistently attend and actively participate in the daily huddles. Consistently adhere to HIM policies and procedures as directed by HIM management. Demonstrates an understanding of policies and procedures and priorities, seeking clarification as needed. Participates in continuously assessing and improving departmental performance. Ability to communicate changes to improve processes to the director, as needed. Assists in department and section quality improvement activities and processes (i.e. Performance Improvement). Works and communicates in a positive manner with management and supervisory staff, medical staff, co-workers and other healthcare personnel. Ability to communicate effectively intra-departmentally and inter-departmentally. Ability to communicate effectively with external customers. Provides timely follow-up with both written and verbal requests for information, including voice mail and email. Working knowledge and efficient navigation of the Electronic Health Record (EHR): Cerner/Powerchart & Coding mPage. Working knowledge, efficient navigation, & full use of 3M-CRS Encoder system; utilize to expedite coding process; utilize all references. Knowledge & understanding of PFS system (PBAR) functionality and any interface with the coding abstracting system: ClinTrac. Working knowledge, efficient navigation, & full use of ‘HDM/HRM/ARMS Core' coding & abstracting software. Working knowledge, efficient navigation, & full use of ‘3M 360 Encompass/CAC' Performs other duties as assigned. Required Qualifications: Req High school or equivalent Req Specialized/technical training Successful completion of college courses in Medical Terminology, Anatomy & Physiology and a certified coding course. Successful completion of the hospital specific coding test - with a passing score of ≥70. The coding test may be waived for former USC or agency/contract HIM Coding Dept. coders who historically/previously met the ≥ 90% internal/external audit standards of the previously held USC Job Code. Req Experience in using a computerized coding & abstracting database software and an encoding/codefinder systems are required. Preferred Qualifications: Pref Prior experience in ICD-9 & ICD-10 (combined) and CPT/HCPCS coding of Outpatient Ancillary/ED medical records in hospital and/or outpatient clinic preferred. Required Licenses/Certifications: Req Certified Coding Specialist - CCS (AHIMA) OR AHIMA Certified Coding Specialist - Physician (CCS-P); OR AAPC Certified Professional Coder (CPC); OR AAPC Certified Outpatient Coding (COC) If there is the absence of a national coding certificate and the coder possesses any one of the following national certifications, the coder will be required to pass any of the national coding examinations Re: the aforementioned coding certificates within six (6) months of employment: 1. AHIMA Registered Health Information Technician (RHIT) 2. AHIMA Registered Health Information Administrator (RHIA) Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only) The hourly rate range for this position is $33.00 - $54.02. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations. USC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristic protected by law or USC policy. USC observes affirmative action obligations consistent with state and federal law. USC will consider for employment all qualified applicants with criminal records in a manner consistent with applicable laws and regulations, including the Los Angeles County Fair Chance Ordinance for employers and the Fair Chance Initiative for Hiring Ordinance, and with due consideration for patient and student safety. Please refer to the Background Screening Policy Appendix D for specific employment screen implications for the position for which you are applying. We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at **************, or by email at *************. Inquiries will be treated as confidential to the extent permitted by law. Notice of Non-discrimination Employment Equity Read USC's Clery Act Annual Security Report USC is a smoke-free environment Digital Accessibility If you are a current USC employee, please apply to this USC job posting in Workday by copying and pasting this link into your browser: *************************************************************