Long Beach, CA · Remote
$21.82 - $51.06/hr
... coding fraud, waste and abuse (FWA). Investigates and resolves instances of health care fraud and ... Manages documents and prioritizes caseloads to ensure timely turnaround. Ensures adherence to ...
Long Beach, CA · Remote
$21.82 - $51.06/hr
... coding fraud, waste and abuse (FWA). Investigates and resolves instances of health care fraud and ... Manages documents and prioritizes caseloads to ensure timely turnaround. Ensures adherence to ...
$19 - $25.25/hr
Certified Coding Specialist (CCS) through the American Health Information Management Association ... Days/No Weekends (United States of America) On Call Required No FTE: 1 Job Type: Full Time (40 ...
$19 - $25.25/hr
Certified Coding Specialist (CCS) through the American Health Information Management Association ... Days/No Weekends (United States of America) On Call Required No FTE: 1 Job Type: Full Time (40 ...
Berkeley, CA · Remote
$41.50 - $58.10/hr
Familiarity with Coding functions in acute and non-acute settings. Knowledge of Patient Management ... Remote California Pay Range is $41.50 to $58.10 / hour. Remote Nevada, Remote Texas Pay Range is ...
Berkeley, CA · Remote
$41.50 - $58.10/hr
Familiarity with Coding functions in acute and non-acute settings. Knowledge of Patient Management ... Remote California Pay Range is $41.50 to $58.10 / hour. Remote Nevada, Remote Texas Pay Range is ...
San Francisco, CA · Remote
$144K - $190K/yr
Write and maintain Go code that interfaces with the Kubernetes API, such as operators, controllers ... customer-managed deployments. * Participate in on-call rotation to support Upbound Cloud ...
San Francisco, CA · Remote
$144K - $190K/yr
Write and maintain Go code that interfaces with the Kubernetes API, such as operators, controllers ... customer-managed deployments. * Participate in on-call rotation to support Upbound Cloud ...
Los Angeles, CA · On-site +1
$40.04 - $52.83/hr
Los Angeles, CA, USA Onsite or Remote Fully Remote Work Schedule Monday-Friday, 6:00 AM - 3:00 PM ... Management, or completion of courses in ICD-10-CM and CPT-4 coding * COC, CPC-H, or CCS ...
Los Angeles, CA · On-site +1
$40.04 - $52.83/hr
Los Angeles, CA, USA Onsite or Remote Fully Remote Work Schedule Monday-Friday, 6:00 AM - 3:00 PM ... Management, or completion of courses in ICD-10-CM and CPT-4 coding * COC, CPC-H, or CCS ...
Los Angeles, CA · On-site +1
$47.60 - $62.78/hr
Los Angeles, CA, USA Onsite or Remote Fully Remote Work Schedule Monday - Friday, 6:00 AM - 3:00 PM ... management, or completion of courses in ICD-10-CM and CPT-4 coding * COC, CPC-H, CCS, or CCS-P ...
Los Angeles, CA · On-site +1
$47.60 - $62.78/hr
Los Angeles, CA, USA Onsite or Remote Fully Remote Work Schedule Monday - Friday, 6:00 AM - 3:00 PM ... management, or completion of courses in ICD-10-CM and CPT-4 coding * COC, CPC-H, CCS, or CCS-P ...
San Diego, CA · On-site +1
$63K - $95K/yr
... Remote (Preference San Diego CA or Kennesaw GA) LendSure Mortgage Corp. is a fast-growing Wholesale ... coding. * Manage Encompass enhancements through testing of new functionality, deployment to a ...
San Diego, CA · On-site +1
$63K - $95K/yr
... Remote (Preference San Diego CA or Kennesaw GA) LendSure Mortgage Corp. is a fast-growing Wholesale ... coding. * Manage Encompass enhancements through testing of new functionality, deployment to a ...
Santa Clarita, CA · On-site +1
QA Automation Tester --- Remote In the role of Senior Test Automation Engineer, you will interface ... Experience using programming languages ( Java and JavaScript ), source code management and version ...
Santa Clarita, CA · On-site +1
QA Automation Tester --- Remote In the role of Senior Test Automation Engineer, you will interface ... Experience using programming languages ( Java and JavaScript ), source code management and version ...
Rancho Cordova, CA · Remote
$26.76 - $39.81/hr
... coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time. As a remote ...
Rancho Cordova, CA · Remote
$26.76 - $39.81/hr
... coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time. As a remote ...
Rancho Cordova, CA · On-site +1
$26.76 - $39.81/hr
... coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time. As a remote ...
Rancho Cordova, CA · On-site +1
$26.76 - $39.81/hr
... coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time. As a remote ...
Los Angeles, CA · Remote
$22 - $28/hr
Assign facility Evaluation & Management (E/M) levels in accordance with client-specific emergency ... Participate in coding audits, quality reviews, educational programs, and continuous process ...
Los Angeles, CA · Remote
$22 - $28/hr
Assign facility Evaluation & Management (E/M) levels in accordance with client-specific emergency ... Participate in coding audits, quality reviews, educational programs, and continuous process ...
San Francisco, CA · On-site +1
$180K - $210K/yr
Imgix is a chief platform for real-time visual media management, optimization, and delivery ... You'll spend most of your time writing code - but the code you write runs real systems at serious ...
San Francisco, CA · On-site +1
$180K - $210K/yr
Imgix is a chief platform for real-time visual media management, optimization, and delivery ... You'll spend most of your time writing code - but the code you write runs real systems at serious ...
Rancho Cordova, CA · Remote
$26.76 - $39.81/hr
... coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time. As a remote ...
Rancho Cordova, CA · Remote
$26.76 - $39.81/hr
... coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time. As a remote ...
San Jose, CA · Remote
$55 - $70/hr
Remote Job Overview We are seeking experienced Medical Auditors with strong expertise in outpatient ... through expert coding and audit feedback. * Support audit program management and quality ...
Quick apply
San Jose, CA · Remote
$55 - $70/hr
Remote Job Overview We are seeking experienced Medical Auditors with strong expertise in outpatient ... through expert coding and audit feedback. * Support audit program management and quality ...
San Francisco, CA · Remote
$55 - $70/hr
Remote Job Overview We are seeking experienced Medical Auditors with strong expertise in outpatient ... through expert coding and audit feedback. * Support audit program management and quality ...
Quick apply
San Francisco, CA · Remote
$55 - $70/hr
Remote Job Overview We are seeking experienced Medical Auditors with strong expertise in outpatient ... through expert coding and audit feedback. * Support audit program management and quality ...
Los Angeles, CA · Remote
$55 - $70/hr
Remote Job Overview We are seeking experienced Medical Auditors with strong expertise in outpatient ... through expert coding and audit feedback. * Support audit program management and quality ...
Quick apply
Los Angeles, CA · Remote
$55 - $70/hr
Remote Job Overview We are seeking experienced Medical Auditors with strong expertise in outpatient ... through expert coding and audit feedback. * Support audit program management and quality ...
Palo Alto, CA · Remote
$55 - $70/hr
Remote Job Overview We are seeking experienced Medical Auditors with strong expertise in outpatient ... through expert coding and audit feedback. * Support audit program management and quality ...
Quick apply
Palo Alto, CA · Remote
$55 - $70/hr
Remote Job Overview We are seeking experienced Medical Auditors with strong expertise in outpatient ... through expert coding and audit feedback. * Support audit program management and quality ...
San Francisco, CA · Remote
Remote | Full-time | Reports to: VP of Product & Engineering Apiphani is a technology-enabled ... Introduce lightweight rituals where they help (sprint cadence, code review, on-call, incident ...
Quick apply
San Francisco, CA · Remote
Remote | Full-time | Reports to: VP of Product & Engineering Apiphani is a technology-enabled ... Introduce lightweight rituals where they help (sprint cadence, code review, on-call, incident ...
San Francisco, CA · On-site +1
$144K - $190K/yr
Write and maintain Go code that interfaces with the Kubernetes API, such as operators, controllers ... customer-managed deployments. * Participate in on-call rotation to support Upbound Cloud ...
San Francisco, CA · On-site +1
$144K - $190K/yr
Write and maintain Go code that interfaces with the Kubernetes API, such as operators, controllers ... customer-managed deployments. * Participate in on-call rotation to support Upbound Cloud ...
San Francisco, CA · Remote
$144K - $190K/yr
Write and maintain Go code that interfaces with the Kubernetes API, such as operators, controllers ... customer-managed deployments. * Participate in on-call rotation to support Upbound Cloud ...
Quick apply
San Francisco, CA · Remote
$144K - $190K/yr
Write and maintain Go code that interfaces with the Kubernetes API, such as operators, controllers ... customer-managed deployments. * Participate in on-call rotation to support Upbound Cloud ...
| Aspect | On Call Remote Coding Manager | Remote Medical Coder |
|---|---|---|
| Credentials | Certifications like CPC, CCS, or RHIT; managerial experience often preferred | Certifications such as CPC, CCS, RHIT; coding experience required |
| Work Environment | Remote, overseeing coding teams, managing workflows | Remote, performing coding tasks independently |
| Employer & Industry | Hospitals, healthcare facilities, coding service companies | Hospitals, clinics, insurance companies, coding service providers |
| Search & Comparison Intent | Understanding managerial roles in remote coding | Looking for coding positions or remote coding jobs |
The On Call Remote Coding Manager typically oversees coding teams, requiring managerial skills and certifications, while a Remote Medical Coder focuses on performing coding tasks independently. Both roles are remote and industry-specific, but differ mainly in responsibilities and experience levels.
For On Call Remote Coding Manager jobs in California, the most frequently searched job titles are:
The top searched job categories for On Call Remote Coding Manager jobs in California are:
Cities in California with the most On Call Remote Coding Manager job openings:
Long Beach, CA • Remote
$21.82 - $51.06/hr
Full-time
Posted 15 days ago
8.0
Based on 199 frontline employees who took The Breakroom Quiz
172nd of 315 rated insurance
Independently re-evaluates medical claims and associated records by applying knowledge of advanced coding, applicable federal and state regulatory requirements, and Molina policies.
Reviews post-pay claims against corresponding medical records to determine accuracy of claims payments.
Manages documents and prioritizes caseloads to ensure timely turnaround.
Ensures adherence to applicable state/federal/internal policies, Current Procedural Terminology (CPT) guidelines and provider contract requirements.
Devises clinical summary post-review.
Communicates and participates in meetings related to cases.
Completes medical review to facilitate referral to law enforcement or payment recovery.
Supports investigation work as necessary and required by the regulatory agency.
At least 2 years of CPT coding experience in a surgical, hospital and/or clinic setting, or equivalent combination of relevant education and experience.
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), or American Academy of Professional Coders (AAPC) certified.
Critical-thinking, problem-solving and analytical skills.
Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations.
Knowledge of managed care and the Medicaid, Medicare, and Marketplace programs.
Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems.
Ability to research and interpret regulatory requirements.
Ability to prioritize and manage multiple tasks.
Ability to work in a team setting.
Strong verbal/written communication skills, and presentation skills.
Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
In some states, 5 years of experience working in a fraud, waste and abuse (FWA)/special investigations unit (SIU)/fraud investigations role may be required (dependent on state/contractual requirements).
Certified Professional Compliance Officer (CPCO).Certified Fraud Examiner (CFE) and/or Accredited Health Care Fraud Investigator (AHFI).
Experience working in group health insurance, particularly within claims processing or operations.
Working knowledge of local, state and federal laws and regulations pertaining to health insurance, investigations and legal processes (commercial insurance, Medicare, Medicare Advantage, Medicare Part D, Medicaid, Tricare, Pharmacy, etc.).
Experience with claims processing systems.
Ability to use Microsoft Excel platform and work with large quantities of data.
Ability to answer questions, identify trends and patterns, and present findings.'
Pay Range: $21.82 - $51.06 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Health care and social assistance
10,000+ Employees
Long Beach, CA, US
1980
