Sr. Coding Specialist
1 month ago
Job DescriptionJob Description Job Summary Develops, recommends and implements controls and cost-effective approaches to minimize the organization's risks effects. Identifies and analyzes potential sources of loss to minimize risk and estimates the potential financial consequences of an occurring loss. Through the proper combination of casualty and liability insurance, ensures that the provider organization is adequately protected against financial loss. Knowledge/Skills/Abilities •Performs on-going chart reviews and abstracts diagnoses codes under the HCC Model. •Develops an understanding of current billing practices in provider offices to ensure that diagnoses codes are submitted accordingly. •Documents results/findings from chart reviews and provides feedback to management, providers, and office staff. •Creates necessary tools (educational materials, newsletters, etc.) for providers to assist them in Risk Adjustment. •Provides training and education to network of providers on how to improve their risk adjustment knowledge as well as provide coding updates related to Risk Adjustment. •Provides overall coding expertise and administrative technical oversight to ensure successful integration of departmental initiatives.. Job Qualifications Required Education Associates Degree or equivalent work experience Required Experience 3-5 years Coding & medical record chart review in a healthcare setting Required Li Required License, Certification, Association Active and unrestricted Coding Certification, Active CCS, CCS-P, or CPC credential Preferred Education Bachelor's Degree in Business, Health Care or related field Preferred Experience Familiar with HCC (Hierarchical Condition Category) Preferred Li To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
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Long Island, United States Medtronic Full timeAt Medtronic, the Sr. Therapy Support Specialist supports the Interstim Therapy groups in the areas of surgical coverage, follow-up, support, troubleshooting, customer service and education within a territory. In certain instances this role may be en Support, Specialist, Clinical, Patient Care, Customer Service, Plant, Manufacturing, Healthcare
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Marketing Operations Specialist, Consultant
2 days ago
Long Beach, United States Blue Shield of California Full timeYour Role The Communication Governance team supports the development and implementation of strategic communication programs to improve overall member experience, streamline operational processes, and govern member-facing communications to align with company policies and regulatory requirements. The Marketing Operations Specialist, Consultant - Communication...
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Provider Contracting Specialist, Experienced
1 week ago
Long Beach, United States Blue Cross and Blue Shield Association Full timeYour Role The Network Management team handles provider contracting and provider relations statewide. The Provider Contracting Specialist, Experienced will report to the Sr Manager of Provider Contracting. In this role you will support Medical Group/IPA and Hospital/Facility contracting in Northern California for all Blue Shield products. You will be...
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Accounts Payable Specialist
3 weeks ago
Long Beach, United States GHJ Search and Staffing Full timeJob DescriptionJob DescriptionAccounts Payable SpecialistWe have partnered with a non-profit organization who is seeking a detail-oriented and dedicated Accounts Payable Specialist to join their accounting team. The ideal candidate will have a strong foundation in accounting principles, exceptional organizational skills, and the ability to work...
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Sr. Payroll Specialist
4 days ago
Newport Beach, United States CalPrivate Bank Full timeJob Description Job Description CalPrivate Bank JOB DESCRIPTION Job Title Sr. Payroll Specialist / HR Generalist Department Human Resources Reports To EVP / CHIEF PEOPLE OFFICER FLSA Status Non-Exempt Job Summary Reporting to the EVP / Chief People Officer, the Sr. Payroll Specialist / HR Generalist will perform multiple payroll and HR duties that strongly...
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Medical Coding Team Lead
3 weeks ago
Myrtle Beach, United States AUC UROLOGISTS LLC Full timeJob DescriptionJob DescriptionDescription:We are seeking a highly skilled and experienced Medical Coding Team Lead to join our dynamic healthcare organization. As a vital member of our team, you will be responsible for leading a team of medical coders to ensure accurate and efficient coding practices. The ideal candidate will possess a strong background in...
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Sr Flight Software Engineer
5 days ago
Long Beach, United States Galaxy Technology Hires LLC Full timeSenior Flight Software Engineer Torrance, CA – Relocation Assistance Provided The Company Our client’s mission is to expand humanity’s frontier into the solar system and beyond. The next step on this journey is to enable manufacturing and habitation in Low Earth Orbit (LEO). Our client’s plan to make this a reality is to build artificial...
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Sr Flight Software Engineer
2 weeks ago
Long Beach, United States Galaxy Technology Hires LLC Full timeSenior Flight Software Engineer Torrance, CA – Relocation Assistance Provided The Company Our client’s mission is to expand humanity’s frontier into the solar system and beyond. The next step on this journey is to enable manufacturing and habitation in Low Earth Orbit (LEO). Our client’s plan to make this a reality is to build artificial...
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Sr. Analyst, Risk Adjustment-Pre Analyst
2 weeks ago
Long Beach, United States Molina Healthcare Full timeJob DescriptionJob DescriptionJob Summary The Sr Analyst, Risk Adjustment - Predicitve Analytics role supports Molina's Risk Adjustment Predictive Analytics team. Designs and develops Suspect, Targeting, and Tracking System to suport Molina's Prospective and Retrospective Interventions. Assist with research, development,and completion of special projects....
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Sr. Analyst, Risk Adjustment-Pre Analyst
2 weeks ago
Long Beach, United States Molina Healthcare Full timeJob DescriptionJob Description Job SummaryThe Sr Analyst, Risk Adjustment - Predicitve Analytics role supports Molina's Risk Adjustment Predictive Analytics team. Designs and develops Suspect, Targeting, and Tracking System to suport Molina's Prospective and Retrospective Interventions. Assist with research, development,and completion of special...
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Senior Specialist, Software Configuration
6 days ago
Satellite Beach, United States L3Harris Technologies Full timeJob Title: Senior Specialist, Software Configuration EngineeringJob Code: 10827Job Location: Palm Bay, FLJob Description: L3Harris has an immediate opening for Sr. Specialist, Software Configuration Engineer (SWCE). This is a critical specialty engineering support role that performs technical software configuration engineering functions to establish new...
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Building and Code Enforcement Official
4 weeks ago
Hermosa Beach, United States City of Hermosa Beach Isai Full timeDEFINITION Under general direction of the Community Development Director: Plans, manages, supervises, and coordinatesthe activities and operations of assigned sections within the Community Development Department including building inspection and code enforcement functions; Assists the director in overseeing department operations...
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Sr. Mechanical Engineer Healthcare
4 weeks ago
Long Beach, United States PEAK Technical Staffing USA Full timeSenior Level Mechanical Engineer focused on Healthcare facilities, which is to be based in Long Beach, CA - you could be a perfect fit. If you meet the qualifications below, we encourage you to apply today.Employment Type: Full-timeSchedule: HybridLevel: Mid to SeniorGeneral Responsibilities:As a competent Registered Professional Engineer, the candidate...
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Sr. Mechanical Engineer Healthcare
3 days ago
Long Beach, United States PEAK Technical Staffing USA Full timeSenior Level Mechanical Engineer focused on Healthcare facilities, which is to be based in Long Beach, CA - you could be a perfect fit. If you meet the qualifications below, we encourage you to apply today. Employment Type: Full-time Schedule: Hybrid Level: Mid to Senior General Responsibilities: As a competent Registered Professional Engineer, the candidate...
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Sr Engineer, Applications
3 days ago
Long Beach, United States Molina Healthcare Full timeJob DescriptionJob Description Job Summary Designs, develops, and communicates technology models and foundations used to run applications, data, and infrastructure in support of one or more business processes. Applies and promotes key principles (e.g. stability, scalability, performance, security, compatibility, re-use), helping ensure a balance between...
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Sr. Project Manager Port of Long Beach
3 weeks ago
Long Beach, United States ShiftCode Analytics Full timeWe need a Sr. Technical Project Manager - Microsoft 365 Cross-Cloud Tenant to Tenant Migration for a 6+ month contract for a public sector client in Long Beach, CA. We would prefer candidates Local to the Long Beach, CA area, or at least someone who can be onsite in Long Beach multiple days per week, ie. Partially onsite, partially remote . Position...
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Occupational Therapist
4 weeks ago
Long Beach, United States Government of Western Australia Full timePosition Profile: We are seeking to appoint suitably qualified and enthusiastic people to the role of Occupational Therapist - Midland Community Mental Health. This role as part of a multidisciplinary team provides Occupational Therapy services to patients in the clinical area of Adult Mental Health as required/appropriate at the Midland Adult...
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Organizational Development Consultant
4 weeks ago
Long Island City, United States Insight Global Full timeOne of the most reputable investor-owned energy companies in the US is looking for a Sr. Organizational Development Specialist.This client is based in NYC and this specific team is based out of Long Island City, however the Organizational Development Specialist will actively be onsite working with different client teams at their respective locations.The Sr....
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Sr Informatica Developer
6 days ago
Atlantic Beach, United States The Computer Merchant, LTD. Full timeJOB TITLE: Sr. Informatica DeveloperJOB LOCATION: Jacksonville, FL (Hybrid) WAGE RANGE*: 60 - 67/ hour JOB NUMBER: 16156 REQUIRED EXPERIENCE:• Experience and understanding of unit testing, release procedures, coding design and documentation protocol as well as change management procedures• Proficiency using versioning and deployment tools such as GitHub...
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Marketing Operations Specialist, Consultant
6 days ago
Long Beach, CA, 90802, Los Angeles County, CA, United States Blue Shield of California Full timeYour Role The Communication Governance team supports the development and implementation of strategic communication programs to improve overall member experience, streamline operational processes, and govern member-facing communications to align with company policies and regulatory requirements. The Marketing Operations Specialist, Consultant - Communication...